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Walker, L. (2010). Hardships and hurdles: The experiences of migrant nurses in New Zealand. NZNO Library, 1(1), 4–8.
Abstract: The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.
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Honey, M. L. L. (2010). Methodological issues with case study research. NZNO Library, 1(1), 9–11.
Abstract: Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted.
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Gibbons, V., Rice, S., & Lawrenson, R. (2010). Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes. NZNO Library, 1(1), 19–22.
Abstract: It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
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Watson, P., B. (2010). Positive pressure intravenous access ports on central venous devices in children: An evidence-based review. NZNO Library, 1(1), 12–18.
Abstract: This research aimed to assess the evidence for benefits and risks of positive pressure mechanical valve (PPMV) intravenous access ports on central nervous system devices (CVADs) in children. PPMVs on CVADs have been promoted as preventing occlusion and the need for heparin flushing. A search for primary research to March 2010 was conducted using MEDLINE, EMBASE and CINAHL. There is sufficient evidence that some models of PPMV intravenous access ports on CVADs, when flushed with normal saline, are associated with increased bloodstream infections in children. Further research is required.
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Gibbison, B. (2010). Are we there yet?: Factors associated with, and experiences of, weight maintenance in the Adult Weight Management Programme in the Waikato. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, the University of Auckland, 2010.
Sustained weight loss maintenance is a constant challenge, especially for morbidly obese individuals who have tried and failed repeatedly. Why is it then, that some individuals are successful whilst others are not so successful? This two-phase sequential, mixed methods study sought to identify and gain insight into the factors associated with successful weight loss maintenance for participants in an adult weight management programme in the Waikato. Success appeared to be independent of age, gender, ethnicity, domicile, employment status and the presence of co-morbities.
Four major themes emerged:
- “Actions speak louder than words – just do it” (Following a lower energy diet, having higher levels of physical activity, regular self weighing, and vigilance in adjusting their behaviours based on the results)
- Routines were also important in supporting the changed behaviours
- What's it worth to me
- Valuing the achievements associated with lesser weight was seen as another important factor of success
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Therkleson, T. (2010). A phenomenological study of ginger compress therapy for people with osteoarthritis. The Indo-Pacific Journal of Phenomenology, 10(1), 1–10.
Abstract: This paper claims rigour and sensitivity for a methodology used to explore multiple sources of data and expose the essential characteristics of a phenomenon in the human sciences. A descriptive phenomenological methodology was applied in a study of the experience of ten people with osteoarthritis receiving ginger compress therapy. The application of the phenomenological attitude, with reduction, bracketing and imaginative variation, allowed multiple sources of data-written, pictorial and oral – to be explicated. The applied methodology used is described in this paper, with its six clearly defined illustrated by examples from the study. The findings demonstrate that phenomenological reduction enabled an indication of the potential benefits of ginger compress treatment as a therapy for people with osteoarthritis.
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Therkleson, T. (2010). Ginger compress therapy for adults with osteoarthritis. Journal of Advanced Nursing, 66(10), 2225?2233.
Abstract: Abstract
Aim. This paper is a report of a study to explicate the phenomenon of ginger
compresses for people with osteoarthritis.
Background. Osteoarthritis is claimed to be the leading cause of musculoskeletal
pain and disability in Western society. Management ideally combines non-pharmacological
strategies, including complementary therapies and pain-relieving
medication. Ginger has been applied externally for over a thousand years in China
to manage arthritis symptoms.
Method. Husserlian phenomenological methodology was used and the data were
collected in 2007. Ten purposively selected adults who had suffered osteoarthritis
for at least a year kept daily diaries and made drawings, and follow-up interviews
and telephone conversations were conducted.
Findings. Seven themes were identified in the data: (1) Meditative-like stillness
and relaxation of thoughts; (2) Constant penetrating warmth throughout the
body; (3) Positive change in outlook; (4) Increased energy and interest in the
world; (5) Deeply relaxed state that progressed to a gradual shift in pain and
increased interest in others; (6) Increased suppleness within the body and (7)
More comfortable, flexible joint mobility. The essential experience of ginger
compresses exposed the unique qualities of heat, stimulation, anti-inflammation
and analgesia.
Conclusion. Nurses could consider this therapy as part of a holistic treatment for
people with osteoarthritis symptoms. Controlled research is needed with larger
numbers of older people to explore further the effects of the ginger compress
therapy.
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Shih, L. - C. (2010). How does dialysis treatment affect the lives of rural Maori patients? Kai Tiaki: Nursing New Zealand, 16(10), 12–14.
Abstract: Research into the effects of dialysis treatment on Maori patients living in rural Northland has already brought changes to practice just one year after the research was completed. Li-Chin Shih completed a thesis entitled “Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau” in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009. This article in Kai Tiaki is based on this research.
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Hooker, M. (2010). Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010.
Background:
The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006).
Aims:
The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines.
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McClunie-Trust, P. (2010). Negotiating Boundaries: The Nurse Family Member Caring for Her Own Relative in Palliative Care. Ph.D. thesis, , .
Abstract: This research illuminates the challenges of living well within one's own family as a nurse caring for her own relative who is dying of a cancer-related illness. Developing a deeper awareness of the consequences of this caring work has been the central focus for inquiry in this research. Nursing requires epistemologies that encompass new ways of understanding how we live within our own families and communities and practice as nurses. The theoretical framework that guides this research interprets the French Philosopher Michel Foucault's (1926-1984) critical history of thought as an ethical project for nursing. It uses conceptual tools developed in his later writing and interviews to draw attention to how discursive knowledge and practices constitute subjectivity in relations of truth, power and the self's relation to the self. The first aspect of the analysis, landscapes of care examines the techniques of discourse as relations of power and knowledge that constitute nurse family members as subjects who have relationships with their own families and other health professionals. The second aspect analyses care of the self and others as self work undertaken to form the self as a particular kind of subject and achieve mastery over one's thoughts and actions.As an exploration of the complex and contradictory subjectivities of the nurse family member, this research illuminates the forms and limits of nursing practice knowledge. It shows how nursing is practised, and the identity of the nurse is created, through intellectual, political and relational work, undertaken on the self in relation to others, as modes of ethical engagement.
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Rosieur, J. (2010). An exploration of family partnership approaches to enhance care delivery and improve healthcare outcomes to young families within their communities.
Abstract: Margaret May Blackwell Trust Travel Study Fellowship 2009/2010.
This report is an exploration of some current international trends and tools in the delivery of services supporting families with young children that aim to utilise a partnership approach between health providers, families and their communities. The MMB scholarhsip for 2009/2010 included six weeks of international travel in order to consult with a range of people in realtion to services provided to parents with young children in their various communities. My proposal was to explore current policies supporting Family Partnership (FP)approaches in health services; trends relating to FP approaches in practice; tools supporting FP practice for clinicians; as well as recent FP training and initiatives.
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Foster, P., & Neville, S. (2010). Women over the age of 85 years who live alone : a descriptive study. Nursing Praxis in New Zealand, 26(1), 4–13.
Abstract: Explores and describes experiences of older women who live alone in the community, and who are often perceived by both society and health professionals as frail and dependent. Employs a qualitative descriptive methodology to underpin a survey of 5 older women living alone in their own homes, and analyses the data using a general inductive approach. Identifies 3 themes that emerge from the data.
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Gleeson, E., & Carryer, J. (2010). Nursing staff satisfaction with the acute pain service in surgical ward setting. Nursing Praxis in New Zealand, 26(1), 14–26.
Abstract: Traces the establishment of acute pain services (APS) in the 1990s within hospitals both nationally and internationally. Explores, by means of a survey, the level of nursing satisfaction within one large hospital. Distributes questionnaires to 58 nursing staff working in association with the APS to ascertain satisfaction with regard to availability, communication and contribution to increased knowledge..
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Unac, F., Marshall, B., & Crawford, R. (2010). Nurse practitioner access to radiology and laboratory ser. Nursing Praxis in New Zealand, 26(1), 27–37.
Abstract: Reports the findings of a quantitative descriptive survey of all NZ registered nurse practitioners (NPs), exploring NP access to radiology and laboratory services in 2008. Identifies the types of diagnostic tests NPs order from either laboratory or radiology services and the obstacles they face.
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Mahoney, L. (2010). Children living with a mentally ill parent : the role of public health nurses. Nursing Praxis in New Zealand, 26(2), 4–13.
Abstract: Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified.
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