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Watson, P. B. (1997). Evaluation of a self management plan for chronic obstructive pulmonary disease (Vol. 10). Ph.D. thesis, , .
Abstract: We hypothesized that the use of an Action Plan might assist self management for patients with chronic obstructive pulmonary disease (COPD).A pilot process and randomized, controlled study were undertaken to evaluate an action plan that provided advice on management of usual care and exacerbations, together with a booklet on self management. Fifty six subjects with COPD recruited through general practitioners (GPs) completed the six month study, 27 in the control group and 29 in the intervention group. The control group received usual care from their GP and the intervention group received a booklet and Action Plan from their practice nurse plus a supply of prednisone and antibiotic from their GP.The two groups were demographically similar with a mean age of 68 yrs. The resources were well received by GPs, practice nurses and the intervention group subjects. After six months there were no differences in quality of life scores or pulmonary function. There were significant changes in self management behaviour in the intervention group compared to controls. In response to seterioting symptoms, 34 versus7% (p= 0.014) initiated prednisone treatment and 44 versus 7 % (p=0.002 initiated antibiotics.Subjects in the intervention group readily adopted self management skills but did not shpw any difference in quality of life or lung function parameters. A larger prospective controlled clinical trial of this approach is warranted
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Crowe, M. (1997). Becoming a registered nurse. Nurse Education Today, 17, 473–480.
Abstract: This paper describes research carried out with clinical agencies and former students to ascertain the effectiveness of curriculum design within the third year of a problem-based Bachelor of Nursing programme.It shows that where holistic care, time management, prioritization of care, working as a team member, and sophisticated clinical reasoning were introduced as deliberate strategies in students' learning, the transition to the workplace was more successful
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Rogers, L. (1997). Report on Margaret May Blackwell Travel Study undertaken March/April 1997 [Management of babies born to mothers with dependencies -- drug and alcohol; Health care of young children whose families are homeless]. Margaret May Blackwell Travel Study Fellowship Reports. Pahiatua, N.Z.: Nursing Education and Research Foundation (NERF).
Abstract: As the recipient of the Margaret May Blackwell Travel Fellowship two topics were studied: management of babies born to mothers with drug and alcohol dependencies, and the health-care of young children whose families are homeless. Part of the Margaret May Blackwell Scholarship Reports series.
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Giles, A. L. (1997). This voice is forever: one woman's experience following total laryngectomy (Vol. 14). Ph.D. thesis, , .
Abstract: This phenomenological research project focused on one womans experience following total removal of her larynx and aimed to faithfully capture the essential structure of the phenomenon of voice as it emerged for her. For women in particular gaining a new artifical voice following surgery that is considerably lower sounding, plus the large visible opening in the lower neck is psychologically challenging and can be socially isolating. Most literature relating to laryngectomy and rehabilitation comprises quantitative research with limited attention to womens issues. This could be attributed to the small number of women undergoing this surgery. A review of nursing literature revealed minimal research, with none referring specifically to women. Nor were any studies using entirely qualitative methods identified.This research project used a phenomenological approach informed by the work of Michael Crotty, described as within the parameters of mainstream phenomenology. Based on a traditional common core foundation which is critical, holistic and individualistic, mainstream phenomenology requires achieving co-researchership between researcher and participant while exploring phenomena as objects of authentic human experience.The study began with discussing Crottys stepwise method emphasising the activity of bracketing. The co-researcher was then left to ponder or meditate on her experience following bracketing all her prior understandings and ideas, as if this was the first time she had encountered the phenomenon. Three conversations followed which allowed exploration of the co-researchers written statements. The seven interwoven dimensions that emerged represented the essential structure, meaning and essence of 'what voice is for this woman following total laryngectomy
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Martin, M., & Mullard, T. (1997). High level of compliance with rifampicin chemoprophylaxis of meningococcal disease. The New Zealand Public Health Report, 4(6), 41–43.
Abstract: This study investigated the degree of compliance and reasons for non-compliance with chemoprophylactic Rifampicin medication among 103 close contacts of memingococcal disease in the greater Auckland region during the period July to September 1996. The study showed a high degree of compliance among close contacts, with 96.1% taking Rifampicin as prescribed. Reasons for compliance were related to the contacts ' perceptions of susceptibility to the illness, the severity of the disease, and the benefits of medical intervention. The contacts found the service provided by the public health staff ws sufficient, and the information provided was valuable
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Prebble, K., & McDonald, B. (1997). Adaptation to the mental health setting: the lived experience of comprehensive nurse graduates. Australian & New Zealand Journal of Mental Health Nursing, 6(1), 30–36.
Abstract: The aim of this qualitative descriptive study was to explore the experience of new comprehensive nursing graduates as they adapted to working in the acute psychiatric setting. Interviews were conducted with four participants, focussing on their current work experiences and how the philosophical beliefs and values derived from their educational preparation fit with those they encountered within the practice setting. The data were analysed by noting common experiences, values and meanings and identifying the themes as they emerged. The themes were: transition to practice, conflict, contradiction, structural constraints, and the reality of the psychiatric setting. The results of the study confirm the concern that has been voiced by new graduates about the quality and quantity of current orientation programmes. Conflicting values and beliefs concerning the nature of mental health/psychiatric nursing has also become evident. It appears that the graduates' Comprehensive nursing preparation may have contributed to their feelings of unease as they attempted to fit their own values and beliefs about nursing with those of the acute psychiatric setting
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Litchfield, M. (1997). The process of nursing partnership in family health (Vol. 4).
Abstract: The study reconceptualises the process of nursing practice where health is expanding consciousness. The praxis methodology and design derive from the findings of the previous study (Litchfield, 1993) through which a framework for personal practice was articulated. The philosophical premises were hermeneutic and dialogic reflecting a narrative orientation within a participatory paradigm. Ontology and epistemology merge and language is fundamental. The findings from this subsequent study depict the process of modeling practice as a tetrahedron to show inter-relatedness of four facets, each defined completely by the others: partnership, dialogue, pattern recognition and health as dialectic. Five young families with complex health circumstances were preferred by Plunket Nurses and visited at hole to talk about health and the family. Th e process of health patterning ended with indication of insight as the potential for action; the partnership ended as the closure of the initial contract to provide a summary text to the family. Transformative change in family living was identified. The continuous analysis of the scripts of the evolving conversations and summary text showed the relational, dialogic processes were identified as vision – finding purpose to act in the here-and-now against the backdrop of past and potential of the future; and community – a sense of being connected, participant and relevant in society. This process of research, as if practice, presented health and caring as synonymous and core of the discipline of nursing
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Mayson, J., & Hayward, W. (1997). Learning to be a nurse: the contribution of the hidden curriculum in the clinical setting. Nursing Praxis in New Zealand, 12(2), 16–22.
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Clark, R. R., Wasilewska, T., & Carter, J. (1997). Lymphoedema: a study of Otago women treated for breast cancer. Nursing Praxis in New Zealand, 12(2), 4–15.
Abstract: Otago women who had been treated for breast cancer were asked by questionnaire about patterns of arm swelling post treatment. Almost one third indicated they had had swelling at some time. Few had received preventive advice or what to do should arm swelling occur
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Wenmoth, J. D. A. (1997). A phenomenological study examining the experience of nausea, vomiting and retching associated with pregnancy. Ph.D. thesis, , .
Abstract: This paper outlines a phenomenological study carried out to explore the experience of nausea, vomiting and retching associated with pregnancy. These phenomena lack Nursing research and are debilitating symptoms which effect the quality of life for 50-75% of all pregnant women. Madjar ( 1991) indicates that the communication of such experiences can deepen our understanding of human life and coping. It is importance for Nurses to develop an understanding of lived experiences so that they can make more effective interventions. This study explores the essential humanness of life experiences as they are for those who live them. It involved collecting data from those experiencing the phenomena and analysing it. It focuses on the study of phenomena not as separate entities in themselves but as they are perceived as they are experienced. A 'purposeful sample' was required for this study. The aim was to include women who had direct knowledge of the phenomena of nausea, vomiting and retching associated with pregnancy. The study involved in depth interviewing of six women, the interviews were taped and independently transcribed, the transcripts were analysed to determine the meaning of the experience and to identify common themes. The experiences of the women are discussed in relation to what van Manen (1990) describes as four main life world existentials; the lived body, the lived other, lived space and lived time
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Anderson, P. R. (1997). Perceived level and sources of stress in beginning Bachelor of Nursing students. Ph.D. thesis, , .
Abstract: A study to examine the effects of pre- information ( what a Nurse learns about a patient before they meet) on clinical inference and Nursing actions, in a simulated Nurse- Patient situation. It was hypothesized that the nature of the pre-information will influence the way the patient is perceived and the resulting Nursing actions. The research was conducted in an obstetrical setting. There were 55 subjects within three groups. Two groups comprised student midwives and the third group was of second year comprehensive Nursing students near completion of clinical experience in maternal and child health nursing. A 5 minute videotape sequence of a role played post natal patient was made for use in the research. All subjects were given the same initial pre-information, viewed the videotape and gave written description of what they saw on the videotape and their response ( as the Nurse in the situation). This data provided a base line for each subject. Subject were then given additional pre-information concerning the patient's physical condition, her baby's condition or formed part of the control group ( receiving no additional information) The procedure was repeated. These responses were then compared with the base line for each subject. Responses were coded by means of content analysis. Group data was analysed using multivariate one way analysis of variance graphical display. The results indicated support of the hypothesis that the nature of the pre-information does influence the way in which a Nurse perceives a patient and resulting Nursing actions. Implications of these findings for Nurses are discussed
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Townley, C. J. (1997). Dynamics: a new approach to organisational forms. Ph.D. thesis, , .
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Miles, M. A. P. (1997). Why they leave: a Heideggerian hermeneutic study of the reasons why ten registered nurses left nursing practice to enter the professions of medicine or law. Ph.D. thesis, , .
Abstract: The purpose of the study was to research the reasons for the dissatisfaction experienced by ten professional nurse-practitioners who chose to leave nursing to join the professions of law or medicine. The mnotivation for professional nurses to chose entry to these particular professions may in some way throw light upon the difficulties being experienced in attempts to bring about changes of an emancipatory nature in the nursing profession (Habermas, 1974). The approach for the study is hermeneutic phenomenology (Gadamer, 1975 – ; Heidegger, 1962)
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Booth, W. (1997). Towards partnerships in praxis. Ph.D. thesis, , .
Abstract: This action research project explored the factors that helped or hindered student nurse clinical learning from the perspective of nurse educators, practitioners and students. Participant analysis of their own discussions identified both common and disparate views regarding the student's learning experience. Researcher analysis identified five practical and three organizational issues that influenced the development of more effective partnerships between these three stakeholder groups that would facilitate student clinical learning. The practical issues were how to deal with the 'problem' people in the learning process, how to clarify and develop the various roles in the learning context, how to generate more effective communication, how to respond more effectively to the impact of the changing environment, and how to maximize 'moments of learning'. The organizational issues were identified as the schisms between the disparate personal and organizational cultures that direct the way educators, practitioners and students, perceive, think, feel and act
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Stevenson, A. F. (1997). Realities and rhetoric: general hospital nursing in New Zealand 1945 to 1960. Ph.D. thesis, , .
Abstract: Up until the 1980s most of the historical writing about nursing and nurses in this country has been told from the points of view of past nursing leaders. The realities of day-to-day nursing in New Zealand general hospitals were relatively unknown.This thesis examines the experience of general hospital nursing between 1945 and 1960. The recollections of thirty-four nurses who nursed during this period have provided the key sources from which the major themes of this study have emerged. These themes, of dirty work, authoritarian control and discipline, and learning nursing are discussed within the context of an expanding hospital system and a shortage of nurses.The study demonstrates the vast differences between the recollections of nurses of the experience of nursing and the rather high-flown rhetoric of the nursing leadership.Changes to the amount of cleaning, the ;level of discipline and control, and ways in which learning nursing was organised were small and gradual and occurred in the late 1950s.Overall, though, nursing in general hospitals by 1960 ws almost unchanged from the 1930s.An ethos of selfless service, opposition to unionism, and Christian altruism was till dominant amongst the nursing leadership. Nurses in training still worked a six day week, were expected to stay on duty until the work was done, and were supervised closely in, on and off duty time
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