Welcome to Research Bank, our open research repository that includes research produced by students and staff while affiliated with Unitec, Eastern Institute of Technology (EIT), Otago Polytechnic, Toi Ohomai and Southern Institute of Technology (SIT). It is intended to facilitate scholarly communication and shared access to our research outputs
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Item Taking it all in their stride: nursing students’ clinical placement experiences during the COVID-19 pandemic.(Otago Polytechnic Press, 2023)The aim of this research was to identify whether the COVID-19 pandemic, which affected nurses and nursing education from 2020 through to present times, impacted student nurses’ perceptions of their clinical experience during this time. The initial premise was based on anecdotal conversations with students who were expressing their displeasure with how they were being treated in the clinical areas, and the learning experiences which had changed with the introduction of new clinical placements. This research found that the pandemic did not impact students’ perception of the value of their clinical placement, which is reassuring for clinical and academic management.Item The dichotomy between final year undergraduate New Zealand nursing students’ reports of learning and their practice intentions in aged residential care: challenges and surprises.(2023)The aged healthcare sector internationally is facing a crisis in attracting and retaining a nurse workforce. Alongside the global rise in longevity, the sector is experiencing an increasing demand on their services. Yet undergraduate nursing students are often reluctant to consider aged residential care (ARC) with perceptions that a lack of opportunities, compared to hospital positions, will mean that their education and high-tech skills are underutilised. This paper describes our institution’s atypical response of offering ARC practicums in both the first and third years of study and our desire to discover students’ perceptions of their learning and experience. Where the first-year experience allows students to undertake fundamental care, the final, month-long year 3 placement, focuses on managing complex care, enhancing nursing leadership and management practices and quality improvement. This mixed method study collected questionnaire data from 72 of 96 (75%) year three Bachelor of Nursing students and facilitated four focus groups involving 38 students. Findings included both congruent and disparate themes from contemporary literature on this subject. Whilst students reported some mixed experiences, they noted improved confidence in applying a range of knowledge and skills in response to encountered needs. Thirty percent said that they were more likely to choose the ARC sector as a career specialty. The biggest factor to which they attributed this positive shift was their interaction with registered nurses and managers. This paper shares our reflections on implications for how we can better prepare our students and educators for placement roles, skills and responsibilities and support the sector.Item Paediatric caregivers: The characteristics of inpatient and discharge advice(2017)This thesis evaluates paediatric caregiver experience and understanding of discharge advice as improved caregiver understanding may reduce representations to hospital, improve health literacy, and improve long term health outcomes. METHOD A qualitative inductive approach allowed caregiver experience to emerge from ten randomised caregiver interviews. Children were under 15 years of age and who had their first admission to hospital with a medical condition. FINDINGS Emergent themes were: 1) Health Literacy and Communication; 2) Day of discharge issues; 3) Anxiety; 4) Discharge planning and 5) Accessing health care in their community. Themes discussed are Health Literacy and Communication, Day of Discharge Issues and Discharge Planning. CONCLUSION Health Literacy and Communication is a major barrier to effective communication. Recommendations: to improve utilisation of the Maori Health Unit and Pacific Health Navigator service; review the discharge planning process; verbal explanation of the discharge summary to caregivers at the time of discharge; develop a patient-directed discharge letter for caregivers written in plain English.Item Working in the Pacific, working in Asia: the challenges of sustaining international partnerships in a pandemic.(ACEID, 2023)In early 2020, members of the international, nursing and research teams at Toi Ohomai Institute of Technology, New Zealand, met with a number of education and practice providers in China, to explore an education and research collaboration. These discussions facilitated the establishment of the Sino-New Zealand Aged Healthcare Association (SNZAH) which currently has 15 inaugural New Zealand members including academic staff, medical and healthcare practitioners, and aged care professionals. Membership is growing with the launch of a website, and interest from other Chinese universities and technical institutes. The advent and impact of COVID-19 has certainly stymied our progress. However, our early adoption of cultural lens theory as a way of understanding one another’s contexts and drivers has enabled us to ‘keep calm and carry on’, and even begin to thrive. We have conducted an initial iterative review into good practice in aged healthcare in New Zealand and achieved several co-authored research publications; we have held an online symposium with simultaneous translation options; and we have established a Learning Centre in Chengdu – all from our New Zealand base, and despite a raft of challenges. This paper outlines the roles of effective leadership and management in pursuing goals of internationalisation, when all the usual protocols of relationship-building have had to be revisited. We are also interested in connecting with readers who may be involved in similar collaborations in the aged healthcare and nursing sector.Item Strategies that could help parents better identify and respond to suicide risk(2023)RESEARCH QUESTIONS 1 What was the awareness of parents and guardians in relation to… prior to their gaining the knowledge of their children's suicidal thoughts or attempts at suicide? 2 What were the responses of parents and guardians and support services, immediately and over time, when they became aware that suicidal issues were present with their children? 3 To what extent were parents and guardians prepared for the possibility of a suicidal event and what was the value of support services post event? 4 How could parents and guardians be better resourced around suicide awareness and prevention, and around post-event recovery? 5 What are the demographics of the participant group? ABSTRACT This research explores youth suicide prevention strategy and the role that parents have in youth suicide prevention. Through participants’ interviews on their experience of their child’s suicide, we hope to discover strategies that could help parents better identify and respond to suicide risk, and for community agencies to use information from this research to develop better suicide prevention strategies for parents to use with their adolescences. This research was based on lived experiences from six parents and one whangai carer (three Māori, two Pasifika and two Pākehā) collected in 2021. Six who had lost a child to suicide and one who had survived but has had multiple serious suicide attempts. These all happened in the period of 2014 and 2018. The process was undertaken with a narrative interview approach guided by a small number of pre-set questions and a larger number of interview prompts used to deepen the conversation if needed. The verbatim was then analysed by thematic analysis which demonstrated and supported themes in the literature such as current, relatively recent and life-time indicators of suicide risk. The analysis showed consistent predicted and emerging themes in the narratives. The main areas of risk were mental health and drug use concerns; and prior self-harm or suicide attempt; cultural disconnection; the presence of abuse and trauma; and relationship issues particularly parental separation; and frequently very early in life. Key issues were the failure of many of the parents to recognise and /or respond to risk factors, particularly their own trauma issues and the failure of mainstream mental health services to respond to suicide attempts appropriately. Cultural practices and services were often absent or unhelpful and, in some circumstances, cultural services needed to work more closely with mainstream services to prevent further suicide attempts. Important post-suicide themes included powerful post-suicide depression in the male participants; the ineffectiveness of victim support; the value of whānau, marae and community support; as well as the power of love and commitment from whānau. Within these themes the issues of ideation, connection and capability and contagion play out. The research confirmed the clear gaps found in the literature review around education and support for parents on youth suicide prevention. Participants confirmed there was little to no resources currently available specifically for parents with adolescents around this topic. Parents stated they had to search for support and even then, it was not guaranteed
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