Pirret, A. M. (2013). Nurse practitioner diagnostic reasoning. Ph.D. thesis, Massey University, Palmerston Nursing.
Abstract: Uses a post-positivist mixed-methods convergent-parallel design to explore nurse practitioner diagnostic reasoning and compare it to that of registrars. Includes 30 nurse practitioners and 16 registrars in a case scenario. Outlines nurse practitioner practice in NZ and how the NZ title of nurse practitioner differs from that used internationally.
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Joyce, S. (2013). Running some tests: essays on doctors, nurses and hospital health care. Ph.D. thesis, University of Auckland, .
Abstract: Comprises three essays on the economics of health-care delivery in hospitals: considers the relationship between gender and/or ethnic concordance between a doctor and patient, and the number of diagnostic tests ordered during a hospital stay; estimates the impact of doctor-patient demographic concordance (where doctor and patient share the same ethnic group and/or gender) on a doctor's decision-making for diagnostic resources and medical treatments; calculates the relationship between ward-level nursing hours and a patient's health outcome, e.g. mortality and length of ward stay. Uses a detailed nursing-staff dataset, a novel instrumental variable for nursing hours (the amount of sick and bereavement leave taken by nurses on a ward) and the separate effect of nursing and patient hours in a ward, on a patient's health outcome.
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Miller, J. S. (2013). Workplace learning: exploring the context and culture in New Zealand. Master's thesis, University of Otago, .
Abstract: Explores the rationale underpinning the development of education programmes within urban district hospitals throughout the country, and ascertains how these workplaces develop education programmes, given that the majority of nurses in New Zealand have identified that they prefer to participate in workplace-based professional development. Cites a clear requirement to foster learning during a nurse's development post-registration, while considering how prepared nurse educators were to fulfil their roles as lifelong learning facilitators and mentors. Utilises the perspective of nurse educators employed in District Health Boards (DHBs) geographically isolated from universities providing post-registration learning.
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Ward, V. C. (2013). Preoperative fluid management of the older adult patient with hip fracture. Master's thesis, Victoria University of Wellington, Wellington, NZ.
Abstract: Explores the relationships between pre-operative fluid management (PFM) and post-operative outcomes. Undertakes an observational study of 100 consecutive older adult patients admitted to a tertiary NZ hospital with traumatic hip fracture between March and Sept 2012. Gathers data regarding cohort demographics and in-hospital events, including surgical details, alongside PFM and post-operative outcomes. Itemises characteristics of the patients, predominantly female with a mean age of 85.2 years. Finds no statistically significant relationship between pre-operative fluid management and post-operative outcomes.
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Sandford, G. (2013). What do critical care nurses perceive as barriers to mentorship within the critical care environment? Master's thesis, University of Otago, .
Abstract: Seeks to describe the perceptions and experiences of a sample of nurses working in a critical-care tertiary referral centre in New Zealand, engaged in mentorship of new staff and/or student nurses. Undertakes a descriptive study which identifies four barriers within the critical care environment: the impact that clinical workload has on the provision of mentorship; lack of acknowledgement of the mentorship role; challenge of assessment of new and student nurses; insufficient training and knowledge opportunities for mentors.
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Zambas, S. I. (2013). The consequences of using advanced assessment skills in medical and surgical nursing: keeping patients safe. Doctoral thesis, Auckland University of Technology, .
Abstract: Examines the impact of advanced assessment skills on patients in medical and surgical wards through nurses' stories of using these skills. Highlights the use of auscultation, palpation and percussion by nurses for complex patient presentations within a wide range of clinical situations. Conducts 12 interviews with five nurses from paediatric and adult medical and surgical wards in a large urban hospital in NZ.
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Tipa, Z. K. (2013). Family Partnership as a model for cultural responsiveness in a well child context. Master's thesis, Massey University, Albany.
Abstract: Examines whether the Family Partnership model could be considered a model for cultural responsiveness while simultaneously providing a platform for more accurate assessment of the cultural competence of Plunket nurse practice. Determines the relationship between Family Partnership training for Plunket nurses and Maori child health outcomes. Distributes an online survey to Plunket nurses who had completed the training and to a group who had not. Conducts 10 observations and interviews with Plunket nurses and Maori clients. Presents the findings in three areas: Plunket nurse practice, client experience, and the impact of Family Partnership training on Plunket as an organisation.
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Shaw-Brown, H. S. (2013). A survey of Canterbury nurses' perceptions of the activities, effectiveness and benefits of professional supervision. Master's thesis, University of Otago, .
Abstract: Aims to enrol all Canterbury nurses involved in professional supervision (PS) to describe their experiences, its effectiveness and the benefits they gained. Includes both nurse supervisees and nurse supervisors, with more than half coming from the mental health sector and the remainder coming from a variety of nursing specialities.
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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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Garrett, C. A. (2013). Simulation learning for critical care nurses : an integrative review. Master's thesis, University of Otago, .
Abstract: Investigate the current literature on simulation learning as a learning tool for critical care nursing education. Identifies how the evidence demonstrates simulation is an effective learning tool for nurses who are involved in critical care, using the Joanna Briggs Institute quality appraisal tools. Endeavours to explore the experiences of both nurses and educators utilising simulation learning to prepare for critical care nursing.
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Gillespie, M. E. (2013). Compassion fatigue and cancer nurses: a national survey of cancer nurses in New Zealand. Master's thesis, Eastern Institute of Technology, Taradale.
Abstract: Identifies the experiences of NZ cancer nurses whose primary role is to care for patients aged 20 or older, and their whanau/family, and describes the factors that may influence care. Examines whether nurses received training in the management of stressors associated with caring for cancer patients, either during their training or while in the cancer workplace setting. Considers whether nurses working in peripheral (satellite) cancer centres were at more risk than their colleagues in larger regional centres. Conducts a quantitative, descriptive and anonymous survey of members of the Cancer Nurses' Section of the NZNO, using the Professional Quality of Life (ProQOL) questionnaire, which scores compassion fatigue, compassion satisfaction and burnout.
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Gifford, H., Walker, L., Clendon, J., Wilson, D., & Boulton, A. (2013). Maori nurses and smoking; Conflicted identities and motivations for smoking cessation. Available through NZNO library, 4(1), 33–38.
Abstract: This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
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Davidson, R., Bannister, E., & De Vries, K. (2013). Primary healthcare NZ nurses' experiences of advance directives : understanding their potential role. Nursing Praxis in New Zealand, 29(2), 26–33.
Abstract: Presents results of a qualitative study of the knowledge, attitudes, and experiences of advance directives among 13 senior primary health-care nurses. Analyses participants' understanding of their potential role in this area, supporting the need for open communication in the primary health-care setting.
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Ha, I., Huggard, P., & Huggard, J. (2013). Staff support and quality of care provided by palliative care nurses: A systematic literature review. Available through NZNO library, 4(1), 25–32.
Abstract: There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
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Lamb, J. and others. (2013). Cigarette smoking and the frequency of colposcopy visits, treatments and re-referral. Nursing Praxis in New Zealand, 29(1), 24–33.
Abstract: Aims to identify whether female smokers referred to the colposcopy department at a city hospital required more follow-up visits, treatments and re-referrals than did non-smokers. Performs a retrospective descriptive study observing 494 new patients over 6 years. Identifies the percentage of Maori women attending the clinic who were smokers and their likelihood of non-attendance. Emphasises the need for smoke-free education for women that highlights the link between smoking and cervical cancer.
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