Arcus, K. J. (2004). Often wearisome, sometimes saddening, but always interesting: A hundred years of district nursing in Wellington, 1903-2003. Ph.D. thesis, , .
Abstract: October 2003 marked the centenary of Wellington district nursing. Annie Holgate, a 'trained, professional' nurse, was employed to care for the sick poor in 1903. The Wellington St John Ambulance District Nursing Guild funded district nursing for over fifty years. The first president, Sarah Ann Rhodes, left a legacy of a solid financial and administrative base for the whole of the Guild's existence. From 1945 the Wellington Hospital Board assumed responsibility for district nursing and expanded the service to the greater Wellington region. In 1974 the Community Health Services were formed, with Pauline MacInnes as the nurse leader. Expansion of healthcare in the community ensued, with district nurses pivotal to client-centred, community-based, collaborative healthcare. This service was dismantled in the wake of health sector restructuring in 1989. The philosophy and operation of the Community Health Service of this period bears a striking resemblance to the current concept of Primary Health Care. Primary sources from Wellington St John, Kai Tiaki and data from official publications were used to compile this history. Emergent themes are the autonomy of district nurses' practice, the invisibility of district nursing and the impact of visionary leadership. All have implications for the future of district nursing. District nursing, initially dependent on philanthropy, has been publicly funded in New Zealand since 1944. District nursing is now an essential component of health care.
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Connor, M. (2004). Courage and complexity in chronic illness: Reflective practice in nursing. Wellington: Daphne Brasell & Whitireia Publishing.
Abstract: This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution.
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Hendry, C., & Ogden, E. (2016). Consumers at the heart of care: developing a nurse-led community-based infusion service. Kai Tiaki Nursing Research, 7(1), 27–31.
Abstract: Shares findings from an evaluation of a community-based, nurse-led intravenous (IV) therapy clinic in Christchurch, NZ. Backgrounds the establishment of the clinic in the Nurse Maude community specialty nursing centre following the 2011 Canterbury earthquakes. Describes the mixed-methods approach to the evaluation, including analysis of financial and service activity data, and qualitative feedback from consumers, referrers and staff. Provides recommendations about continuation of the service.
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Hendry, C., & Prileszky, G. (2017). A usability study: an e-medication dispenser as part of a home-based medication management programme. Kai Tiaki Nursing Research, 8(1), 23–30.
Abstract: Investigates the logistics and acceptability of an electronic medication dispenser (EMD) within a home-based medication management service as a substitute for face-to-face home visiting, as a means of reminding elderly clients to take their medication on time. Uses a qualitative usability study methodology to conduct the study, centred on a small group of clients receiving the service from a small group of clients receiving the service from a community nursing organisation in Christchurch. Involves patients, pharmacists, nurses and managers of the community nursing service. Identifies critical processes and protocols required to safely support a wider roll-out of the product within the service.
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Johnstone, C. (2001). Linking diet and respiratory distress. Kai Tiaki: Nursing New Zealand, 7(5), 22–23.
Abstract: The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed.
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MacDonald, L. M. (2003). Nurse talk: Features of effective verbal communication used by expert district nurses. Ph.D. thesis, , .
Abstract: This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients. Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis. Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer. The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation. The findings have implications for nursing education and professional development.
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Pijpker, R., & Wilkinson, J. (2019). Experiences of district nurses working with people with spinal cord injury: a descriptive account. Nursing Praxis in New Zealand, 35(2).
Abstract: Aims to generate a descriptive account of the experiences of district nurses working with people with spinal cord injury (SCI). Conducts a qualitative descriptive study using semi-structured interviews with three district nurses about their role. Reveals three themes related to the district nurses' role: tasks; complexity; barriers/enablers affecting performance. Suggests that the role of district health nurses meeting the needs of people with SCI requires review.
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Voice, D. M. (2006). Everyday district nurses' experiences revealed through distillation: Palliative care in the community. Ph.D. thesis, , .
Abstract: This modified action research inquiry focused on the everyday, palliative care practice experiences of a group of district nurses. The intent was to develop an understanding of common issues of concern for this group of district nurses when providing palliative home care in a specific community context and to implement practical, achievable strategies in response to these local issues. Five district nurses identified four broad areas for action through four praxis group meetings and comprising one full cycle. These four areas have been named as methods of enhancing support for people and families, possibilities for creatively managing workloads, mechanisms to enrich working partnership with other palliative care providers and possible vehicles for supporting nurses' self care. Implementation of action from this action research project focused on enhancing care and outcomes for people and family served by this group of district nurses in their local community. This study illuminates everyday essences of the district nurse role and the elements articulated by this group in supporting their practice in one New Zealand community. This study also reveals some of the tensions and messiness when employing an action research methodology with nurses in the workplace. The author notes that this research focused on a little known area (palliative care delivered by district nurses in New Zealand) in a local community (a culturally vibrant and ethnically diverse yet with poor health and socioeconomic statistics). She goes on to say that it has resonance with other nurses, particularly those working in community settings who may experience similar issues and concerns. This research also offers important insights for nurses working in any practice setting.
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Weatherly, K. (2021). OPIVA refined – a human-centred approach to outpatient intravenous antibiotic treatment. Master's thesis, Auckland University of Technology, Auckland.
Abstract: Employs human-centred design (HCD) methods to explore how the medical devices that make up the Waitemata District Health Board's (Waitemata DHB) Outpatient Intravenous Antibiotic (OPIVA) service could be redesigned to improve the experiences of patients within the service. Surveys patients and district nursing staff about improving the usability, aesthetics and ergonomics of the elastomeric infuser and redesigning the storage bag to be wearable under clothing. Proposes a new system to replace the surgical tape used to hold the IV lines in place and advocates for patient experience inclusion in the redesign of the devices.
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Wilkinson, J. A. (2002). A mantle of protection? A critical analysis of the personal safety of district nurses. Whitireia Community Polytechnic and Massey University libraries, 9(30-6), 30–36.
Abstract: This qualitative inquiry, informed by Critical Social Theory, explored the personal safety experiences of district nurses in a New Zealand city.
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Wilkinson, J. A. (2002). Creating a culture of workplace safety. Kai Tiaki: Nursing New Zealand, 8(6), 14–15.
Abstract: This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study.
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Wilkinson, J. A., & Huntington, A. D. (2004). The personal safety of district nurses: A critical analysis. Nursing Praxis in New Zealand, 20(3), 31–44.
Abstract: A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.
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