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Papps, E. (1998). Knowledge, power, and nursing education in New Zealand: a critical analysis of the construction of the nursing identity. Ph.D. thesis, University of Otago, Dunedin. Retrieved April 29, 2024, from http://hdl.handle.net/10523/6446
Abstract: Describes and critically analyses the construction of the nursing identity through curriculum and social relations of power. Conducts a critical analysis using Foucault's power/knowledge problematic to unmask power relations positioning the nurse in the discourses of medicine and gender. Analyses the construction of the nursing identity through curriculum and the social relations of power, using the Foucauldian notion of governmentality.
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Lesa, R. (2019). The contribution of simulation in the development of clinical judgement: Students' perspectives. Doctoral thesis, University of Otago, Dunedin. Retrieved April 29, 2024, from http://hdl.handle.net/10523/9348
Abstract: Conducts an exploratory case study investigating the experiences of third-year undergraduate nursing students in simulations, collecting stories about their experiences in the clinical environment, and highlighting the potential use of simulation as an alternate learning environment to foster the development of clinical judgement in nursing students. Considers two research questions: how do nursing students experience simulation as an environment for learning, and how do nursing students' learning experiences in simulation and clinical practice influence their development of clinical judgement skills? Conducts one-to-one interviews and observes simulations in the course of an exploratory case study.
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Moke, K. (2019). Finding the balance: Family inclusive practice in adult community mental health. Master's thesis, University of Otago, Dunedin. Retrieved April 29, 2024, from http://hdl.handle.net/10523/9345
Abstract: Explores family-inclusive practice in Adult Community Mental Health in a District Health Board. Focuses on what adult community mental health nurses and clinical managers consider to be barriers and facilitators to family-inclusive practice. Explores community mental health nurses' and clinical managers' perspectives of family-inclusive practice through semi-structured interviews using a descriptive qualitative design.
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Daniels, A. (2004). Listening to New Zealand nurses: A survey of intent to leave, job satisfaction, job stress, and burnout. Master's thesis, Auckland University of Technology, Auckland. Retrieved April 29, 2024, from http://hdl.handle.net/10292/199
Abstract: This study aims to identify work related factors contributing to New Zealand nurses' intent to leave the job. Two hundred and seventy five surveys (response rate = 68.8%) from a random sample of 400 nurses employed in one district health board were used to explore intent to leave the job. Three research questions directed the description of levels of job satisfaction, job stress, and burnout found in nurse participants, correlations between the three variables, and the identification of variables predicting intent to leave the job through regression analyses. The survey found levels of job satisfaction were high, job stress was low, and burnout was average. Specifically, lack of opportunity to participate in organisational decision making, control over work conditions, control over what goes on in the work setting (key Magnet Hospital characteristics) were not evident, and with pay rates, were the main sources of job dissatisfaction. Workload was the most frequently experienced source of stress by nurse participants. Twenty-five per cent of nurse participants reported high levels of intent to leave the job. Correlations suggested that reductions in job satisfaction influenced increases in job stress and burnout. Job stress was associated with increases in emotional exhaustion. Emotional exhaustion was influenced by eight job satisfaction, job stress, and burnout subscales. Five subscales (professional opportunities, praise and recognition, interaction opportunities, extrinsic rewards, lack of support) explained 26.2% of the variance in nurse participant's intent to leave. The author concludes that issues of power and control were associated with job dissatisfaction, job stress and burnout in nursing practice. However, predictors of intent to leave the job suggest a growing realisation by nurse participants that postgraduate education and nursing research may provide the tools to create positive change in the health care environment and make nursing visible, valued and appropriately rewarded.
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Honeyfield, M. (2008). The necessity of effective nursing leadership for the retention of professional hospital nurses. Master's thesis, , . Retrieved April 29, 2024, from https://www.nzno.org.nz/Portals/0/Files/Documents/Services/Library/2008-05%20HONEYFIELD_MARGY-%20The%20necessity%20of%20effective%20nursing%20leadership.pdf
Abstract: The author notes that it is widely accepted that there is a global shortage of nurses, and there are many studies in the health workforce literature about the negative aspects of nurse work environments, nursing workloads, decreased job satisfaction of nurses and the impact these have on patient health outcomes. In the past five years there has also been international and New Zealand-specific research into the effects of health restructuring on nursing leadership, retention of nurses, and on patient care. Much of this research has shown that countries with very different health care systems have similar problems, not only with retention of qualified nursing staff due to high levels of job dissatisfaction, but also with work design and the provision of good quality patient care in hospitals. This dissertation explores the many detrimental effects on nurses and nursing leadership, of extensive, and continuing, public health restructuring in New Zealand. The context of this dissertation is New Zealand public hospitals, with references pertaining to medical and surgical areas of nursing practice. Health reforms have negatively impacted on patient care delivery systems, patient health outcomes, and retention of educated nurses in the workforce. In order to resolve these issues, coordinated efforts are required in New Zealand district health boards to develop and sustain effective nursing leaders, who will promote and assist in the development of strong, healthy organisational cultures to retain and support professional nurses and the ways in which they wish to practise.
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Brunton, M., Cook, C., Walker, L., & Clendon, J. (2017). Where are we?: workplace communication between RNs in culturally-diverse healthcare organisations; Analysis of a 2-phase, mixed-method study: a report prepared for the New Zealand Nursing Education and Research Foundation. Wellington: Massey University.
Abstract: Examines cultural influences on perceptions and practices of cross-cultural communication among registered nursing staff from diverse ethnicities in NZ. Employs an exploratory approach to obtain qualitative feedback by means of semi-structured interviews with 36 Internationally Qualified Nurses (IQN) and 17 NZ Registered Nurses (NZRN). Uses data from the interviews to construct a questionnaire survey to seek responses from a random national sample of RNs.
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Jones, M. A. (2017). 'It's hard to ask': examining the factors inflluencing decision-making amongst end-stage renal disease patients considering asking friends and family for a kidney. Master's thesis, Victoria University of Wellington, Wellington.
Abstract: Seeks to explore the issues surrounding the request for a kidney by end-stage renal disease (ESRD) patients, in order to gain a better understanding of the decision-making process and motivations of patients as they choose or decline to approach others for a kidney. Interviews participants recruited from patients either on the deceased donor list (DDL) or who were pursuing Living Kidney Donation (LKD). Asks about the challenges of requesting a kidney donation and whether patients could identify strategies that might have been useful to them. Uses a qualitative descriptive approach to analyse interview data.
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McHardy, J. (2012). Improving the health of children through: improving the primary-secondary interface for child health; Child health practice within the integrated family health centres; Improving care for medically-fragile children: Margaret May Blackwell Travel Fellowship 2011/12. Wellington, N.Z.: Nursing Education and Research Foundation (NERF).
Abstract: Provides observations, insights and knowledge gained from undertaking the travel fellowship to study integrated health service for children aged 0-5 years in hospital, and community care settings in Great Britain, Sweden and the Netherlands.
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Jones, S. A. S. (2016). Understanding The Experience And Perceptions Of Managers And Preceptors Involved In Competency Assessment And Performance Management Of Nursing Staff Identified As Practicing Unsafely: An Evaluation Of The Effectiveness Of The Sip/Pip Framework. (133 p.). New Zealand: University of Auckland.
Abstract: Evaluates the SIP/PIP process to illuminate the views of the nurse managers and preceptors on the effectiveness of the SIP/PIP programme in ensuring competent practice and provides recommendations for improvement and strengthening of the framework. Uses a qualitative approach with data collected through individual semi-structured interviews with preceptors and nurse managers. Due to lack of participation in the quantitative arm a mixed-method study was not completed using an anonymous survey. Undertakes thematic data analysis utilising NVIVO 10 software. Draws four major themes from the qualitative data: (1) Feedback- insight loop, (2) Process clarity, (3) Relationships, commitment & reflective response to participation in the SIP/PIP process, (4) Barriers and enablers to the SIP/PIP process.
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Ross, J. (2017). 'Place' Matters to Rural Nurses: A Study Located in the Rural Otago Region of New Zealand. Doctoral thesis, University of Otago, .
Abstract: Explores the social construction of the evolving professional identity, of rural nurses between the 1990z and early 2000s, a period of time was associated with two
significant national directives impacting on the professional practice of rural nurses and their contribution to the delivery of health care, from the rural Otago region of NZ. Engages with the concepts of place and governmentality. Demonstrates that rural nursing is a place–based practice governed both from within and beyond location, an analytical diagrammatic matrix.
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Were, K. J. (2016). Early Career Nurses: The relationship between Organisational Climate and Job Satisfaction and Burnout. Master's thesis, University of Waikato, .
Abstract: Identifies early-career nurses' perceptions of their first two years of clinical practice, and how the organisational climate at a District Health Board (DHB) within NZ impacts on their success in clinical practice. Determines the relationship between three aspects of organisational climate -- nursing relationships, charge-nurse manager leadership, and staff organisation -- and early-career nurses' perceptions of job satisfaction and burnout. Receives 91 responses to a mixed-method survey. Identifies significant themes that emerged from thematic analysis: supervisor support, emotional labour, workload and staffing relations.
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Kerr, C. (2016). The key components of cancer nurse coordination: an integrative review. (115 p.). University of Canterbury.
Abstract: Backgrounds the creation of the Cancer Nurse Coordinator (CNC) role in NZ. Identifies common key components associated with care-coordination services for cancer patients provided by nurses, and compares these with the NZ Cancer Nurse Coordinator Initiative (CNCI), which was launched in 2013. Undertakes an integrative review of international literature to examine the topic, focusing on the care given to the patient, interactions with health professionals and the system surrounding the patient, and the characteristics surrounding the role of the nurse.
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Travers, K. A. (2016). In a perfect world Emergency Department Screening and Brief Interventions for heavy and hazardous use of substances : a feasibility study. Master's thesis, Unitec, .
Abstract: Performs a feasibility study in which eight experienced ED nurses attempted to provide Screening and Brief Intervention (SBI) to as many of their patients as possible over a one-month period, using the ASSIST-Lite screening tool. Audits the patients' charts to see how many received the SBI. Uncovers an inverse correlation between the number of patients presenting to the ED and the number of screenings undertaken by the nurses, who were given semi-structured interviews. Details three themes: the nurses attitudes towards SBI, their working conditions, and the ED environment.
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Seldon, L. A. (2017). Non-pharmacological Methods in Relieving Children's Pain in Hospital: a pilot study. Master's thesis, University of Canterbury, .
Abstract: Adapts the questionnaire used in three international studies of the utilisation of non-pharmacological methods of post-operative pain management for paediatric surgical patients, and distributes it to registered nurses working in a paediatric surgical ward in one district health board (DHB) hospital. Discusses the non-pharmacological methods used and how they correlate with international literature.
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Washbourne, G. A. (2017). Registered Nurses' Experiences of How in Situ Simulation Contributes to Ongoing Clinical Skill Development: A Qualitative Descriptive Study. Master's thesis, University of Canterbury, .
Abstract: Recruits Emergency Department (ED) nurses to participate in three semi-structured interviews. Conducts thematic analysis of interview transcripts to identify the effects on clinical skills, and what facilitated participants' learning.
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