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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    Sporulation and spore viability in Nephrolepisexaltata (L.) Schott, Nephrolepidaceae, collected from a naturalised population (Oratia, Tāmaki Makaurau / Auckland, Aotearoa / New Zealand)
    (Unitec ePress| Te Pūkenga, 2023-11) James, C.; Large, Mark; Unitec, Te Pūkenga
    This paper examines fertile material of Nephrolepis exaltata (L.) Schott grown in cultivation, but originally obtained from a naturalised population in Oratia, Tāmaki Makaurau / Auckland, Aotearoa / New Zealand. Spore viability is assessed, with material showing c.40–50% spore abnormality. The presence of spores with a more regular morphology are recorded. However, viability assessed with fluorescein diacetate (FDA) is low to negligible.
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    Assessing the feasibility and preliminary effectiveness of a telehealth psychoeducation and progressive muscle relaxation programme over three weeks in adult females
    (2023) Taylor, Hannah Letitia Colcomb; Unitec, Te Pūkenga
    INTRODUCTION AND AIM Chronic stress is associated with a broad range of adverse health outcomes, and there is a particularly high incidence of stress among women. The covid-19 pandemic has accelerated the rise in global stress levels and contributed to increased utilisation of telehealth in place of, or as an adjunct to, face-to-face healthcare. As stress is complex and multidimensional, there is a need for a multi-modal approach to stress management. Psychoeducation (PE) and progression muscle relaxation (PMR) are effective stress management tools; however, there is limited research on online multi-modal stress management programmes that incorporate PE and PMR. Therefore, the aim of this project was to conduct a pilot study assessing the feasibility of an online combined PE and PMR therapy programme on reducing stress in women. METHOD An uncontrolled, nonrandomised, feasibility (pilot) interventional trial with a mixed pragmatic and exploratory design and a mixed-methodological approach was conducted. A therapy programme consisting of brief PE and guided PMR was delivered using videoconferencing over three sessions on three consecutive weeks. Participants completed psychometric questionnaires to assess perceived stress and mood, and participant and researcher feedback was collected via semi-structured questions and informal discussions. Feasibility data underwent qualitative analysis using a descriptive method and psychometric data underwent t-test analysis. RESULTS A total of eight female participants (age range 26 to 64, mean age 45) were enrolled, with a 100% retention rate. All aspects of the therapy programme (recruitment and retention; application of PE and PMR; duration and period of programme application; use of psychometric tools; application of programme via telehealth; and data collection) were feasible and participants felt “relaxed” after the sessions with no reported adverse effects. Significant decreases were observed across participants in all measures of perceived stress (all p = <.005) and all measures of negative mood (e.g., anger, confusion, depression, fatigue, tension, all p = <.03). CONCLUSIONS The application of the online therapy programme was feasible, and preliminary evidence may indicate the programme’s potential effectiveness on perceived stress. Future studies may benefit by employing a randomised controlled study design with a larger sample size that serves a broader population demographic, including Māori. The addition of objective measures such as heart rate variability may help to strengthen the interpretation of any future findings.
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    Dialysis nurses discussing advance care planning and death and dying with patients
    (2017) Hay, Sandra; Eastern Institute of Technology
    BACKGROUND Dialysis nurses in New Zealand look after dialysis patients dealing with a chronic life-limiting illness: end stage kidney disease. The nurses often develop close relationships with their patients and become involved in discussions about death and dying with them and their families. These discussions are often awkward and nurses may not think they are the right people to have the discussions. Previous overseas studies have shown that dialysis patients and their families want to have the opportunity to talk about their prognosis and expected length of life on dialysis. AIM The aim of this study was to investigate the experiences of dialysis nurses when discussing advance care planning (ACP), and death and dying with their patients. More specifically, the study sought to understand the factors which impact on nurses’ ability to have such conversations. METHOD A qualitative descriptive approach underpinned the study. Using purposive sampling, seven dialysis nurses from four New Zealand District Health Boards were recruited as participants. They were interviewed by telephone using a semi-structured interview guide, and the transcribed audiotaped data was then subject to thematic analysis. The interview asked questions about the nurses’ experiences with ACP and death and dying conversations, and about their feelings when discussing such topics. FINDINGS The findings revealed an overarching theme about what was necessary to get the discussion about ACP, and death and dying right for patients. There were four associate sub-themes: the right time; the right place; the right person; and, the right resources. CONCLUSION Discussing ACP and death and dying with patients can be uncomfortable for dialysis nurses. The nurses struggled to find the right time and most appropriate place to embark on the conversations. They spoke of how the doctors are often the health care professionals that initiate the conversation about ACP with dialysis patients, but that it is not necessarily done at the right time for the patient in order for them to absorb the information. Having the right resources to support the discussions is important for the success of ACP, as is accurate documentation that ACP conversations have taken place. The nurses and other renal healthcare disciplines require initial and on-going education on ACP to ensure it is offered to all dialysis patients at the most appropriate time in the patients’ illness trajectory. The nurses require support from employers and managers to carry out the discussions to ensure it is successful for the patients. A renal specific framework on ACP would provide structure to the ACP process, and guide renal health care professionals to understanding ACP, and undertaking ACP discussions.
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    An exploration into the reasons why Māori men (Tāne) are secluded in acute mental health services in New Zealand more frequently than men of other ethnicities
    (2017) Drown, Christopher; Eastern Institute of Technology
    The aim of this thesis was to explore the reasons why Māori men (Tāne) are secluded in acute mental health services in New Zealand more frequently than men of other ethnicities. A literature review identified that over the last two decades Tāne were secluded up to five times as often as men of other ethnicities. There was found to be a dearth of qualitative literature nationally and internationally related to seclusion of indigenous men. The qualitative research design for this thesis was based on the recollection of the researcher’s professional experiences of being a mental health nurse working in acute mental health services. It utilised the method known as memory-work to generate narratives from the perspective of a mental health nurse caring for Tāne, These narratives were analysed as a way to explore the key issues surrounding the seclusion of Tāne, such as environmental issues and an inadequate acknowledgement of the cultural needs of these men. Discussion of these key issues have led to recommendations for nursing practice in acute mental health services in New Zealand.
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    What makes a good preceptor? Perspectives of recent new graduate Registered Nurses in New Zealand.
    (2017) Krawczyk, Michell; Eastern Institute of Technology
    BACKGROUND In the first year of a Registered Nurse’s career, there is a need for support to provide the opportunity for these Registered Nurses to develop relationships, increase confidence and competence, and build on their knowledge base. A preceptor plays an important role to ensure the successful outcome of this phase. Preceptors need to give the required support to ensure new nurses can develop from a graduate (advanced beginner) Registered Nurse to a competent Registered Nurse. With a current shortage of Registered Nurses and over fifty percent of the current Registered Nurse work force predicted to retire by 2035, it is important to retain these new Registered Nurses to overcome this deficit. RESEARCH QUESTION AND OBJECTIVE The research undertaken for this thesis sought to answer the question “What makes a good preceptor?” The primary objective for this research was to determine from recent New Graduate Registered Nurses (NG-RN) what attributes make a good preceptor. These attributes may lead District Health Boards and other healthcare providers to look more closely into whom they choose to be preceptors. METHOD The research undertaken was of a quantitative design, with the option of free text answers, which provided some qualitative data. An electronic questionnaire encompassing 14 questions was designed using SurveyMonkey®. The weblink to this questionnaire was sent via email to 120 recent NG-RNs in three District Health Boards, who had completed the Nurse Entry to Practice programme between 2013 and 2016 and were still employed by the District Health Board. RESULTS The response rate from the 120 questionnaires sent out was 25% (n=30). The quantitative results have shown four main characteristics required of a preceptor: support from the preceptor and a supportive working environment, knowledge sharing, teaching of new skills and feedback. Other characteristics that rated highly were guidance, approachability and patience. The quantitative data also showed that the level of confidence post preceptorship, compared to pre-preceptorship, was rated by the participants as good or better, but that the participant preceptorship experience had no impact on 50% of the respondents’ intention to remain in nursing employment. Those that stated the preceptorship experience had an impact on their decision to remain in nursing employment, said they stayed mostly due to having a supportive preceptor and working environment. Four key themes emerged from the qualitative responses relating to beneficial attributes of a good preceptor: support, which involved both feeling supported and receiving this support; knowledge, which involved both being knowledgeable and sharing of this knowledge; feedback, including the type and how it was given; and teaching, which involved the teaching of new skills and at an appropriate level, with support being the most common theme throughout the study. These were similar to the quantitative results. CONCLUSION The study identified many characteristics which make a good preceptor, with support, knowledge, feedback and teaching being the four main characteristics. The respondents were, in general, well supported in their first year of nursing. A supportive preceptorship increased confidence and influenced the NG-RN to stay in their nursing employment. Providers who run preceptor programmes need to continue to ensure they are selecting appropriate preceptors and ensure more regular time for preceptors and NG-RNs to spend together.

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