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Fahey, M. (2003). Family centred care in the newborn intensive care unit: Creating a supportive environment. Ph.D. thesis, , .
Abstract: The environment of the Newborn Intensive Care Unit (NICU) is a stressful one for families and is often designed to provide technical care for the infant rather than facilities that would enable and support parental and family participation in infant care. Furthermore, the author notes that the environment of the NICU emerged in literature as an obstacle to meaningful family involvement in care. However, she goes on to say that a philosophy of Family Centred Care in the NICU can offer a framework of care that supports family involvement in the infant's care and family presence in the NICU. It also promotes parental participation in decision-making for the infant and gives recognition to the importance of perspectives provided by the family. This dissertation explores the difficulties associated with the practice of Family Centred Care in the environment of the NICU. It offers recommendations for features of unit design that can promote Family Centred Care by supporting and sustaining the presence of families in the NICU and therefore facilitating their involvement in the care of their infant.
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Henry, P. (2001). 'Coming home safely : a successful transition from hospital to home' : Margaret May Blackwell Study Fellowship for Nurses of Young Children, Nursing Education Research Foundation. Margaret May Blackwell Travel Study Fellowship Reports. Auckland: Nursing Education and Research Foundation (NERF).
Abstract: Investigates programmes to facilitate the transition to home for babies who have had lengthy admission to Neonatal Intensive Care Units. Provides an overview of the transition services at four sites visited in the US and Canada. Highlights the common elements among all four programmes and identifies the components of quality transition services. Evaluates their clinical effectiveness. Part of the Margaret May Blackwell Scholarship Reports series.
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Macfie, B. (2006). Assessing health needs and identifying risk factors. Kai Tiaki: Nursing New Zealand, 12(6), 16–18.
Abstract: In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas.
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Manning, J. (2007). Skin-to-skin care of the very low birth weight infant: Taking a risk and making it happen. Ph.D. thesis, , .
Abstract: Parent-infant skin-to-skin care has become an advocated aspect of care in neonatal intensive care units nationally within New Zealand and internationally. However the implementation of this care by nurses can be limited by a number of factors within the practice environment. This dissertation presents a critical analysis of literature alongside reflection on the author's own practice experience to explore factors that may be constraining the use of skin-to-skin care with the very low birth weight infant in the neonatal intensive care unit. These factors are examined through a lens of risk taking behaviour underpinned by the grounded theory work of Dobos (1992). The concept of risk is explored in order to develop an understanding of why, in the author's view, the practice of skin-to-skin care of very low birth weight infants may have declined in recent years. For neonatal nurses skin-to-skin care of the very low birth weight infant presents challenges related to the environment, physiological stability of the infant and changes over the past 10 years in the clinical management of very low birth weight infants. As progress is made toward the design, development and eventual move to a new unit in Dunedin recommendations pertaining to the change in physical space, the introduction of a structured model for nursing care and implications for nursing practice development in relation to skin-to-skin care are described.
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Morgan, F. A. (2006). Primary health care nurses supporting families parenting pre-term infants. Ph.D. thesis, , .
Abstract: This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face.
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O'Bery, S. S. (2020). Registered Nurses experiences, knowledge and practice of kangaroo care for preterm babies in two Neonatal Intensive care units in South Island of New Zealand. Master's thesis, University of Otago, Dunedin. Retrieved April 28, 2024, from http://hdl.handle.net/10523/10752
Abstract: Explores registered nurses' (RN) experiences, knowledge and practice of kangaroo care (KC) for preterm infants. Highlights factors promoting or hindering the uptake of the practice in two neonatal intensive care units in both the Canterbury and Southland DHBs. Undertakes a qualitative, semi-structured interview-based study with 14 RNs highlighting the use of KC in everyday clinical practice.
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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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Stewart, A. (2000). When an infant grandchild dies: Family matters. Ph.D. thesis, , .
Abstract: This research undertaken by a nurse working with bereaved families, aimed to explore how grandparents, parents and health/bereavement professionals constructed grandparent bereavement when an infant grandchild died unexpectedly. The 26 participants, living in New Zealand and the United Kingdom, included 16 grandparents and 6 parents from 11 families, in addition to three health/bereavement professionals. A constructivist inquiry informed by writings on nursing, storying and postmodernism was used. Through an exploration of the methodological and ethical issues that arose and were addressed during the study, this work adds to knowledge of how constructivist inquiry can be used in nursing and bereavement research. In addition, the context of this research as a partnership with multiple family members contributes to the ongoing debate about whether participation in bereavement research may be harmful or therapeutic. Conversations in this research formed a series of interviews and letters, which led to the development of a joint construction and each individual's story. A grandchild's death was constructed as a challenge which grandparents faced, responded to and then managed the changes that arose from the challenge. The context of their bereavement was seen as underpinned by their relationship as “parents of the adult parents” of the grandchild who died. This meant that grandparents placed their own pain second to their wish to support and “be with” the parents. Outside the family was where many grandparents found friends, colleagues or their community forgot, or chose not to acknowledge, their bereavement. This work shows how some grandparents help to create a space within the family which maintains a continuing relationship with the grandchild who died.
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Tan, S. T., Wright, A., Hemphill, A., Ashton, K., & Evans, J. H. (2003). Correction of deformational auricular anomalies by moulding: Results of a fast-track service. Access is free to articles older than 6 months, and abstracts., 116(1181).
Abstract: This paper reports the result of a fast-track referral service in treating deformational auricular anomalies using moulding therapy, by employing nurses who were familiar with the indications and technique, working in close liaison with plastic surgeons. The type and severity of the auricular anomaly were documented both clinically and photographically before and three months following cessation of treatment. Assessment of the results was made by comparing the pre- and post-treatment photographs and by a postal questionnaire, which was dispatched to the parents of the patients three months after treatment was discontinued. All parents of the 30 infants felt that auricular moulding was worthwhile. The authors conclude that this is an effective treatment strategy that will largely negate the need for surgical correction of deformational auricular anomalies.
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Zwimpfer, L. A. (2017). Being with Babies: Vocal soothing for preterm infants during painful procedures in the Neonatal Intensive Care Unit. Ph.D. thesis, University of Otago, .
Abstract: Investigates the neonatal intensive care unit (NICU) nurse-infant relationship, with a focus on vocal soothing. Undertakes two observational studies to record the use of voice by NICU nurses during painful and non-painful procedures. Develops a model of vocal soothing and tests it for its ability to provide comfort to pre-term infants undergoing painful procedures. Measures pain using the Premature Infant Pain Profile Revised.
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