bluuebunny/crossref_metadata_2025_split huggingface dataset:
As a Nurse in the Family: Three Women's Stories of What it Means for a Female Nurse to be a Caregiver to a Family Member Who is Ill, Elderly or with an Enduring Illness
Authors:   , Rochford Nola Marie 
Published: November 2021

<p>In this research three female registered nurses relived their experiences of being caregiver to a family member who was ill, elderly or with an enduring illness and explored whether they chose, or felt obligated, to assume the role of caregiver because they were nurses. This research was an exploratory descriptive study utilising narrative as inquiry and the method of story-telling. It is women-centered, taking into account the unpaid role of caregiving within families most often fulfilled by women, due to habitual gender bias. The stories of the participants Marie, Polly and Frances (pseudonyms) were audiotaped, transcribed and analysed using core story creation and emplotment. At the end of each story emerging themes were identified and compared for similarities and uniqueness, then simplified through the use of diagrams. Four main themes were identified and renamed to highlight research findings - these were the culture of nursing, silence of the nurses, emotional cloudiness, and the natural role of the nurse. Through this study it is hoped that nurses will be more aware of the impact their caregiving roles have had on their lives. The importance in acknowledging the effects of caregiving, relevance of informing employers to promote supportiveness, implications for workforce development and recognising the loss of objectivity in caring when emotions are involved, are identified in this research. Further indepth research about these concepts would be a valuable contribution to the nursing profession and ideas for future research have been identified.</p>
The Human Cost of 'Caring' Care for Registered Nurses in Clinical Practice
Authors:   , Blair Sylvia Margaret Shona 
Published: November 2021

<p>This research utilised a focus group methodology to discover what nurses in clinical practice considered 'caring' care meant for them. Six registered nurses volunteered to participate in the project. They practised over a variety of clinical settings within a public hospital, which provided both acute and elective surgical and medical services to the community, including an extensive elderly population. Taking these important 'caring' care statements, I then explored with the group what factors in their work environment hindered or enhanced their identified 'caring' care. New Zealand nurses identified similar themes and concepts important to their 'caring' in clinical practice as did their overseas counterparts. This study also highlighted the impact the health reforms had on individual clinical practice at this hospital. The effects of the institutional changes in response to the health reforms were far reaching at both a personal and professional level. Caring is an important concept found in nursing practice. It has been widely documented by nurse scholars, researchers and nurse authors that care is at the core of nursing practice. Some have even referred to care as being the heart of nursing. The findings from the present research indicates the importance nurses place on caring in their day to day encounters with patients. It also demonstrates how nurses express their care and their perceptions of the importance care has in their clinical practice.</p>
Chosen Moments: a Reflective Journey Illustrating Terminally Ill Patients Choosing the Moment to Die
Authors:   , Maries Viona Jane 
Published: November 2021

<p>In this project the author reveals how she is observing and thinking as she cares for people who are dying. She records her reflections and insights and most profoundly reveals that there is life right up to the moment of death, having observed terminally ill patients choosing the precise moment to die. She describes her observations of these moments by using poetry and stories, and explores the implications for her practice as a result. The author presents her reflections using an individualistic, reflective and exploratory perspective which is informed by the work of nursing scholars; Taylor (2000), Benner (1984) and Johnstone (1999). This paper is framed using the metaphors of a journey and a window to indicate the reflective process that the author used to journal her observations in practice over time. This offers a professional and personal record of the author's insights.</p>
Caring and Bioethics: Perspectives, Predicaments and Possibilities
Authors:   , Cleary Helen 
Published: November 2021

<p>This thesis presents an explorative study of the place of caring in bioethics. Through the examination of various sources of literature from the disciplines of nursing, feminist theory and ethics, and bioethics, a case is developed that argues for a valid respected place for caring, as an ethic of care in bioethical decision-making. Evidence is presented and examined from all three disciplines including critiques of caring, an ethic of care, and bioethics from all disciplinary perspectives. The case is built by providing evidence to support the fundamental importance of caring to human life, health, relationships, and survival at the broad societal level. This is supported by more detailed and specific evidence regarding the value and the ‘good’ of caring and the ethical aspects of caring. This is presented from the feminist and nursing perspectives, along with a critique of the negative aspects of caring practices. The next stage of the case presents a layout of the discipline of bioethics, using an historical perspective to illuminate the influences of bioethics’ deep past, as it still affects the discipline in the present. The development of contemporary bioethics’ current status is presented along with critiques from bioethicists themselves, and nursing and feminist theory and ethics. In the case at this point, from a bioethical perspective, two major predicaments appear to prevent an ethic of care obtaining a valid place in ethical decision-making in bioethics. These are the justice/care duality, and the conflict between different conceptions of care and autonomy. The bioethical objections and arguments put forward regarding these predicaments are picked up, meticulously and comprehensively examined and refuted, establishing a sound case for the inclusion of an ethic of care in bioethical decision-making.</p>
A Voyage of Grief and Beauty: a Phenomenological Study of the Experience of Supporting a Family Member with an Intellectual Disability Who is Dying in a Community Setting
Authors:   , Marlow Susan Anne 
Published: November 2021

<p>This thesis reports on a research project which explored the phenomenon of supporting a family member with an intellectual disability who is dying in a community setting. The research purpose was to enhance professional understanding of what it is like to encounter this lived experience. Literature back-grounding the phenomenon and philosophical and theoretical constructs embraced by the researcher are outlined. An explanation is given of the hermeneutic phenomenological methodology which was utilised. The main method of collecting research data was through conducting five open-ended interviews with participants who had supported a dying child or sibling. The participants’ family members were aged between 3 and 52 years old at the time of their deaths. Their specific intellectual disabilities included Down syndrome, a metabolically induced disorder and a non-identified syndrome. The family members had died from a variety of terminal illnesses and in a range of community settings. Interpretive analysis was achieved through reflexive journaling and hermeneutic intuiting of interview transcripts and field notes. The research findings have been subjected to rhetorical consideration in the light of further literature and poetic texts. Research findings are expressed metaphorically as groups of boulders representing themes and sub-themes. Three major themes were revealed as having impacted on the river voyage shared by participants and their dying family members. These were Interlocked Companionship, Search for New Balance and Permeable Interaction. An assessment is offered of the strengths and weaknesses of the research project. The thesis concludes with recommendations for reflective practice, evidence based practice, service development and areas of future research.</p>
The Science of Multiplicities: Post-Structuralism and Ecological Complexities in Design
Authors:   , Feast Luke 
Published: November 2021

<p>This research investigates the potential contribution of the philosophy of Gilles Deleuze to design research. Through a comprehensive review of the literature an understanding of the themes of immanence and anti-essentialism in naturalism and environmental ethics was generated. Using interpretations of Deleuze’s philosophy with the sciences of complexity, I investigate the themes identified through the extension of the notion of self-organising material systems to the socio-technical realm of design research. Through the analysis of architecture and design discourses in the 1990’s an immanent field of design research is presented. The implications are drawn out through the investigation of a general ethico-aesthetic theory of design research through the comparison of problematic and axiomatic epistemology. The research concludes by presenting a better understanding of the relationship of issues of the environment and design as well as providing a conceptual framework that can enable productive dialogue between architectural and design discourses.</p>
Temperature Variation, Resource Concentration, and Foraging Behaviour Influencing the Effect of Monomorium Sydneyense (Hymenoptera: Formicidae) on the Ant Community of Tauranga, New Zealand.
Authors:   , Stringer Lloyd Damien 
Published: November 2021

<p>Introductions of ants into new areas can dramatically influence resident ant populations. A recent ant introduction to New Zealand is the Australian myrmicine, Monomorium sydneyense Forel. The effects of this ant on the resident ant fauna of Tauranga were assessed, as well as the role of temperature and food concentration on competitive dynamics. Aspects of foraging characteristic and intraspecific behaviour were studied in order to aid management decisions, should population control by toxic baiting be required. There was a significant difference in community structure in M. sydneyense invaded communities compared to uninvaded ones, although the abundance of no individual species was significantly affected or was displaced by M. sydneyense. Temperature was found to play a strong role in the competitive dominance of M. sydneyense. Monomorium sydneyense dominated a larger proportion of baits at warm temperatures, however it secured significantly less foods at cooler temperatures. Temperature preference trials in the laboratory supported field observations as M. sydneyense displayed a preference for warmer temperatures, compared to Pheidole rugosula Forel which showed no preference for any of the temperatures tested. Monomorium sydneyense showed a distinct preference for the protein based food resources that were offered, including the ant bait X-Stinguish®. Foraging distance trials showed that M. sydneyense workers were never observed foraging more than 2.8 m from their nest. The probability of only 50% of baits being occupied by M. sydneyense at a distance of 1 m from a nest suggests that intensive baiting would be required to manage populations of this ant, highlighting that the population management of M. sydneyense would be difficult. Aggressive behaviour was displayed between workers from different nests, suggesting that there is a reduced likelihood of this ant attaining high population densities in New Zealand.</p>
Journeys Cross Divides: Nurses and Midwives' Experiences of Choosing a Path Following Separation of the Professions
Authors:   , Mulcahy Dianne Mary 
Published: November 2021

<p>In 2003 the Health Practitioners Competence Assurance Act was introduced and established separate regulatory authorities for nursing and midwifery. This study is designed to explore the experiences of dually registered practitioners affected by this divide, as now there are two separate and possible paths, and two corresponding sets of competencies to fulfil. The design for this qualitative descriptive study utilised the written and oral narratives of three practitioners affected by this professional regulation and demonstrated its impact on their career development. Individual storytelling, as narrative, provided a theoretical lens aiding insight into their experience and pattern of decision making. In addition, symbolic consideration of the study data was provided by collective storytelling via the perennial myth of the hero journey. Shifting professional ground following the Health Practitioners Competence Act 2003 generated a focus for the inquiry into practitioners’ modes of adjustment. For the practitioners in the study, transition between the occupational roles of nursing and midwifery comprised the possible career trajectories. A status passage, as the process of change from one social status to another, is described and includes the transitional experience of anticipation, expectation, contrast, and change. The findings from this research provide illumination of the nuances of professional decision making as a lived experience, and highlight how these practitioners dealt with shifting meaning, values, awareness, choices, and relationships. Aspects of group agency and identity, change management, and professional role transition were revealed. Life pattern, revealed through narrative, was an important research construct for exposing the ways in which the participants negotiated change, and displayed the function of their thinking and reasoning through dilemmas. Perception of individual and group identity revealed attitudes of esteem to the dominant discourse, and exposed dynamic tension between work patterns and life stage. Renegotiating arrangements of personal and professional commitment resulted from this dynamic interplay, and the relationship to stress and burnout was explored.</p>
A Heuristic Journey of Discovery: Exploring the Positive Influence of the Natural Environment on the Human Spirit
Authors:   , Bridgen Annette Frances 
Published: November 2021

<p>The intention of this heuristic study was to explore and discover the essence of the positive influence of the natural environment on the human spirit. The study quest was identified as a central concern that evolved from my personal experience of spiritual awakening in the natural environment and an interest in the concept of connectedness in nursing care and practice. The study also focused on the self of the nurse and the qualities of holistic nursing care. Guided by heuristic methodology developed by Moustakas (1990) the thesis traces a journey of discovery. Using conversational interviews, six nurses were asked to describe their experiences of their spirit being positively influenced in the natural environment. These nurses were also asked if these beneficial experiences had any flow-on effect to their nursing practice. From these interviews various commonalities of experience were identified as well as some experiences unique to the individual participants. The participant knowing was articulated using Reed’s (1992) dimensions of relatedness in spirituality as a framework. Reed describes these dimensions as being able to be experienced intrapersonally, interpersonally and transpersonally. A substantive body of nursing and non-nursing literature was explored to support the participant knowing and provide strength to the discussion. The study discovered that the human spirit is positively influenced in the natural environment. The three actions of personal healing and wellbeing in the natural environment, knowing self – knowing others and sustaining self in nursing practice were valued by the participants as contributing to the quality of their nursing care. In bringing together spirituality, the natural environment and nursing, holism was discovered to be the significant and connecting constituent. The study has some implications for the discipline of nursing that are also discussed.</p>
Community Enterprises: Enduring Institutions for a Newer World
Authors:   , Teahan Bernard 
Published: November 2021

<p>Community enterprises have long endured. Why they have endured and why there are undergoing a renaissance is explained by the very nature of their constituent parts: a sense of self, a love of and the need for community, the pursuit of solidarity, and enterprise attributes. These are the driving forces behind community enterprises, which have melded together to deliver significant benefits to many New Zealand communities over many years. Although community enterprises are not for every enterprise circumstance and every community, they reflect underlying truths of human nature, and when successfully employed, will endear themselves to their communities. When unsuccessful, they may generate strong emotions of rejection. This thesis explores these themes and their relevance to contemporary New Zealand society. It pursues the question of why some communities have a strong affinity for the concept of community enterprises and others do not; and argues for their importance as a complementary structure in a global world rightly and properly dominated by private enterprise. Distinctive features of community enterprises, including ownership, the pursuit of mixed economic and social goals, and the influence of politics, are also examined. Finally, the thesis tells the dynamic story of community enterprises in contemporary New Zealand through eight vignettes and four case studies. This thesis supports a contention that community enterprises are enduring and endearing institutions that can significantly benefit the well-being of a community.</p>
The Children of Women in Prison
Authors:   , Kingi Venezia Marlene 
Published: November 2021

<p>The central focus of this thesis is on children whose mothers are sent to prison. Both the mothers and their children are vulnerable populations; they are likely to have experienced family violence, abuse, drug and alcohol misuse, chaotic lifestyles and disrupted close relationships. In addition, many imprisoned mothers are single parents who are detained far from their families and support systems; this makes the maintenance of relationships between them and their children fraught with difficulty. During the course of this research, 56 imprisoned mothers and the caregivers of the children of 11 of them were interviewed to gather data on how these children and the caregivers were faring while the mothers were in prison and on how the situation could be improved. At a later date 37 of the women, some of whom had been released into the community, were re-interviewed about how their relationships with their children had changed over the time since their last interview and about their current concerns. The results confirm findings from overseas research which identifies the need for programmes and facilities to assist women in prison to maintain their relationship with their children during their sentence. For the successful reintegration of the women into society and the reunification of their families, support and assistance are essential. This support and help is needed by the children, by the temporary caregivers and by the mothers. It is needed both during the period of the mother's imprisonment and after she has been released. Recommendations have been made about policies and practices that are likely to achieve these goals. Directions for future research have been suggested.</p>
Childbirth: a Momentous Occasion Muslim Women's Childbirth Experiences
Authors:   , Mitchell Khurshid 
Published: November 2021

<p>This thesis explores the perception of three Muslim women’s experience of childbirth, in a setting surrounded by health professionals who largely have little understanding of their needs and experience of being in the world. The women’s stories reveal that giving birth in a cross-cultural setting is stressful. The women had to adjust to an environment which challenged their beliefs and values, in one case with no extended family or cultural support. This stress is long lasting as evidenced in the women’s stories. Various forms of narrative such as a letter, excerpts from conversations, and interviews, have been used in presenting this research, in order to illuminate Muslim women’s birthing experiences particularly to health colleagues in Aotearoa-New Zealand. Given the opportunity to tell their story, all the women highlighted both the positive and negative aspects of their birth experiences. Excerpts from the narratives of Khadija, Ayesha, and Amina, describe the reality of their experiences. The overarching theme in this thesis reveals the uniqueness of each woman’s story. This thesis identifies situations that heightened the vulnerability of the women. It concludes by identifying recommendations and reading material for nurses and midwives in education or practice to become informed, so that 20,000 Muslims in Aotearoa-New Zealand may receive an acceptable level of culturally safe practice.</p>
'Can Mummy Come Too?' Rhetoric and Realities of 'Family-Centred Care' in One New Zealand Hospital, 1960-1990.
Authors:   , Chenery Kim Therese 
Published: November 2021

<p>The development of ‘family-centred care’ began in the United Kingdom during the 1950s and 1960s in response to ‘expert’ concern for the child as an ‘emotional’ being. John Bowlby’s maternal deprivation thesis suggested that constant maternal attention in the early years of life would ensure emotionally healthy future members of society. Application of this theory to the hospital children’s ward indicated that young children should not be without their mothers for long periods of time. This theory and the subsequent release of the Platt Report in the United Kingdom in 1959 provided the necessary ‘scientific’ justification allowing mothers greater access to the historically restrictive hospital children’s wards. Influenced by trends in the United Kingdom the tenets of the separation thesis were reflected in New Zealand government policy towards child care and the care of the hospitalised child. However, the wider societal context in which these changes were to be accepted in New Zealand hospital children’s wards has not been examined. This study explores the development of ‘family-centred care’ in New Zealand as part of an international movement advanced by ‘experts’ in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of ‘family-centred care’ within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children’s emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children’s ward and the subsequent implications for the practice of ‘family-centred care’. This study demonstrates the difference between the professional rhetoric and the parental reality of ‘family-centred care’ in the context of one hospital children’s ward between 1960 and 1990. The practice of ‘family-centred care’ placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment.</p>