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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 28, 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 28, 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 28, 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 28, 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 28, 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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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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Lienert-Brown, M. F. (2013). Exploring undergraduate nursing students' experiences of their first clinical placement in an acute adult mental health inpatient service. Master's thesis, University of Otago, .
Abstract: Seeks to develop a better understanding of the undergraduate nursing students' experience of their clinical placement in mental health, and to identify the influences on student learning in an acute adult mental health service. Enrols a cohort of 13 nursing students to analyse their lived experiences through their written reflections on practice, which offered important insights into the students' experience of their first mental health clinical placement. Identifies six themes by means of thematic analysis.
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Baby, M. (2013). Mental health nurses' experiences of patient assaults. Master's thesis, University of Otago, .
Abstract: Interviews thirteen registered nurses and one enrolled nurse working in different nursing positions within the Southern District Health Board -- Mental Health Services. Codes data into 24 sub-themes related to the sequence and impact of assaults on the participants. Discusses the nature and impact of assaults and the supportive strategies associated with violence against mental health nurses.
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Stodart, J. (2017). Infection prevention and control clinical governance in New Zealand District Health Boards. Master's thesis, University of Otago, Dunedin.
Abstract: Explores the current climate of infection prevention control (IPC) clinical governance in NZ. Audits IPC management plans in NZ District Health Boards (DHB) to evaluate which clinical governance factors facilitate or hinder IPC best practice. Employs a mixed-method, exploratory, qualitative study design to conduct semi-structured interviews with ten IPC nurses across NZ. Seeks to understand their perceptions of the IPC Standard, how it is implemented in their DHB, how the IPC risks are managed, and which barriers hinder IPC engagement. Analyses IPC documentation from all 20 DHBs to examine IPC clinical governance in each DHB.
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Meek, G. (2009). Second-level nurses: a critical examination of their evolving role in New Zealand healthcare. Master's thesis, Waikato Institute of Technology, Hamilton.
Abstract: Examines the evolution of the enrolled nurse in NZ from the perspective of a registered nurse who has worked with enrolled nurses in both Britain and NZ. Analyses key documents from a critical perspective to consider the positioning of enrolled nurses in NZ, particularly from the point of view of the large number of Maori enrolled nurses. Makes recommendations for a more equitable future for those who undertake enrolled nursing.
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Wilkinson, J. A. (2007). The New Zealand nurse practitioner polemic : a discourse analysis : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Wellington, New Zealand. Doctoral thesis, Massey University, Wellington.
Abstract: Traces the development of the nurse practitioner role in NZ since its establishment in 2001, using a discourse analytical approach to examine those discourses that have defined the role. Employs both textual and discursive analysis of texts from published literature and from nine interviews with individuals influential in the evolution of the role. Examines political perspectives and disciplinary practices dating back to the Nurses Registration Act of 1901. Considers the implications of an autonomous nursing profession in both practice and regulation.
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Brown, J. (2019). Thorn in the flesh: the experience of women living with surgical mesh complications. Master's thesis, University of Otago, Dunedin. Retrieved April 28, 2024, from https://www.nzno.org.nz/resources/library/theses
Abstract: Sheds light on the experiences of seven women who have suffered pelvic surgical mesh complications as a result of surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Emphasises the existential impacts arising from disruption to the embodied self as experienced by the study participants. Discusses problems with biomedical research on pelvic surgical mesh, highlighting two key clinical studies, and a NZ study. Employs hermeneutic phenomenology and a questionnaire to survey the participants.
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Johns, S. R. (2019). It's always with you: the experience of being a 1970s hospital-trained general nursing student. Ph.D. thesis, Auckland University of Technology, Auckland. Retrieved April 28, 2024, from http://hdl.handle.net/10292/13003
Abstract: Uncovers the significance for nurses who were trained within the 1970s apprenticeship model in NZ hospitals, in their present understanding of themselves as nurses. Confirms that the 1970s heralded the beginning of the end of the apprenticeship system of nurse training, and that literature related to this era of general student nurse training is limited. Uses philosophical hermeneutics to guide interviews with 15 former student nurses who trained within the Auckland Hospital Board School of Nursing, and who reflect 40 years afterward, on how their apprenticeship training influenced the type of nurses they became.
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Hylton, A. (2019). Nurses' knowledge and attitudes regarding pain. Master's thesis, University of Otago, Dunedin. Retrieved April 28, 2024, from http://hdl.handle.net/10523/9447
Abstract: Surveys the knowledge and attitudes of registered nurses (RNs) regarding pain management in the care of the post-operative patient, across five District Health Boards (DHBs). Collects data using a modified version of the Knowledge and Attitudes Survey Regarding Pain (KASRP) tool (Ferrell & McCaffery, 2014), in a cross-sectional descriptive non-experimental design.
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Prentice, J. J. (2019). “Tell someone who cares” -- participatory action research of motivation and workplace engagement among caregivers in aged residential care, New Zealand. Doctoral thesis, University of Otago, Dunedin. Retrieved April 28, 2024, from http://hdl.handle.net/10523/9581
Abstract: Aims to understand the factors that encourage motivation and engagement of caregivers who are relatively poorly paid, with limited training, but who are required to provide personal care to an increasingly frail population. Undertakes an initial exploratory study, with participants from four rural aged-residential care (ARC) facilities, to identify three key themes that influence caregiver motivation. Subsequently develops these initial themes, within a 42-bed facility, to explore how to encourage caregiver motivation. Bases the four-step process on Lewin’s cycle: plan, act, observe, and reflect. Establishes an advisory group of caregivers who develop a nine-point action plan, accepted by management and implemented in the facility.
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