Nursing Journal Articles

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    Resisting ethnic inequities in advanced breast cancer: A call to action
    (New Zealand Medical Association, 2019-12-13) Kereama-Royal, Irene; Jones, S.; Lavelle Wijohn, E.; Doole, C.; Burgess, E.; Came, H.; Unitec Institute of Technology; University of Miami; Lavelle Wijohn Consulting (Auckland, N.Z.); Auckland University of Technology; Breast Cancer Aotearoa Coalition
    Māori women with advanced breast cancer are less than half as likely as their Pākehā counterparts to reach the five-year survival mark. We argue that this inequity is unacceptable. We trace the inequity back to i) inadequate screening and risk assessment, ii) lack of support for patient navigation, iii) failure to offer accessible state-of-the-art treatments, and iv) delays in receiving life-prolonging care. We posit that each of these factors is a site of institutional racism and privilege as they cause Māori women to experience significantly worse outcomes than non-Māori. In the active pursuit of justice, cancer survivors, women living with cancer and their supporters across the country have been engaging in passionate advocacy to address inequities. As the Ministry of Health develops a new cancer control plan, in this viewpoint opinion piece, we seek to amplify these distressing inequities and o er evidence-based recommendations to improve the quality of care and ultimately survival rates. Breast cancer inequities are modifiable. We recommend prioritising breast cancer screening and risk assessments for Māori women, reducing treatment delays, providing Māori-centered patient navigation, increasing funding for treatments and drugs to align with the OECD standard of care, and holding health providers accountable for ethnic inequities. We call on policy makers dra ing the new cancer control strategy, and those working across the cancer continuum, to take action to improve breast cancer outcomes so Māori women will gain valuable life-years.
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    Fit for educational purpose? : the findings of a mixed methods study of nurses’ decisions to participate in professional development and recognition programmes
    (Otago Polytechnic, 2020) Heath, Samantha; Clendon, S.; Hunter, R.; Unitec Institute of Technology; Massey University
    Precursors to Professional Development and Recognition Programmes (PDRPs) emerged in the United States during the 1980s and, over the past three decades, have become well known and used in New Zealand. Pedagogically, PDRPs are often underpinned by the seminal work of Benner (1984) which supports nurses to develop critical and clinical thinking and importantly, expertise. As a tool supporting Continuing Professional Development (CPD), a PDRP has additional benefits. These include validation of regulatory continuing competence requirements and, at some levels, a financial reward. Yet, when given the option to participate in a PDRP, nurses choose not to. This article reports on findings from a recently completed, mixed methods study where nurses’ decisions to participate in a PDRP were examined. Their explanations portrayed how they were positively disposed to the programme but that time, confusion between regulatory competencies, and PDRP requirements, together with the responses of their colleagues, often made crossing the divide between simply liking the idea of PDRPs and submitting a portfolio impossible. Given this context, are PDRPs still fit for purpose?
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    Delirium in aged-care facilities : a major challenge for health professionals
    (Australian Association of Gerontology, 2018-11) Jauny, Ray; Parsons, John; Unitec Institute of Technology; University of Auckland; Advancing Not Retiring: Active Players, a Fair Future
    RESEARCH QUESTION: What are the success and barriers in aged-care nurses assessing and managing of delirium cases? • A mixed method approach was utilised comprising of a survey over one year in one of Auckland’s emergency department (ED) and focus groups • Subsequently 10 focus groups with ARC nurses from standardised presentations of the top 5 (highest rate) and the bottom 5 (lowest rate) admissions to EDs
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    Simulation : coaching Oscar performances from Millennial nursing students
    (New Zealand Educational Media (NZME), 2015-10) Erlam, Gwen; Unitec Institute of Technology
    GWEN ERLAM set out in her doctoral research to bridge the generation gap and find the best way to reach and teach Millennial nursing students using simulated learning environments. It is now widely believed that generational tendencies can be tracked by birth cohort. Nurses currently working in the health sector span four generation cohorts (see box). The oldest cohort began training in the 1960s, the newest this millennium, so each generation has been prepared for professional practice in quite different ways. Today’s data-rich infosphere has profoundly influenced the youngest generation in their attitudes toward family, career, risk, romance, politics and religion. Generational theorists argue that the generational tendencies indicate a clear break between those born from 1982 onwards and those born before. The newest generational persona, the Millennials, are said to be unique and to have seven distinguishing characteristics. They believe they are:Special, Sheltered, Confident, Team-Orientated, Achieving, Pressured, Conventional.
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    Duty of care following stroke : family experiences in the first six months
    (2015) Duthie, Andrew J.; Roy, Dianne; Niven, Elizabeth; Unitec Institute of Technology
    Stroke is the third largest cause of death in New Zealand and is a major cause of disability. While a lot is known about the stroke survivor and the primary family caregiver, littie is known about how stroke affects the survivor’s wider family. Hermeneutic phenomenology, guided by the work of Max van Manen, was used in this study to investigate the experience of becoming and being a family member of someone who has had a stroke, over the first six months from the initial stroke. It is part of a larger longitudinal four year project exploring the stroke family lifeworld. Three participants from the same extended family were interviewed in 2011-2012 at six weeks, three months and six months following the stroke of a family member. Thematic interpretive analysis showed that the stroke survivor is not the only person who needs care. The overarching theme was duty of care within and for the whole family. There were three sub-themes: care is different for different people, there are care expectations of self and expectations of others; and care brings strain. The family experience revolved around expectations and obligations of their own duty of care and care needs for themselves and that of the stroke survivor, which were also influenced by issues outside the family. In addition there were considerations of fairness regarding the sometimes competing needs of the survivor and the caregiver. Strains on the family changed over time. Competing values of mercy and fairness within this family took up time and risked shiftng the focus away from the stroke survivor.