“For quiet nerves and steady poise”

2019 ◽  
Vol 12 (1) ◽  
pp. 19-52
Author(s):  
Jayne Krisjanous ◽  
Pamela Wood
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Health Care Professionals ◽  
Qualitative Content Analysis ◽  
Primary Source ◽  
Content Type ◽  
Consumer Markets ◽  
Marketing Analysis ◽  
Nurses Role ◽  
Care Worker

Purpose The purpose of this paper is to examine advertising placed within Kai Tiaki: The Journal of Nurses of New Zealand. The periodization for this study is 1908-1929, a chronological time span and approach that incorporates the first issue of the Kai Tiaki in 1908 and ending 1929, thus representing the launch of the journal and first two decades of its production. During this period, New Zealand nursing was emerging as an organised and professionalised body of health-care workers. At the same time, New Zealand, Britain’s most distant “dominion”, was beginning to realise its own nationhood and growth. Design/methodology/approach The primary source of data was digitalised Kai Tiaki issues between 1908 and 1929. Each four issues for every year were analysed. All advertisements were coded (n = 1895), followed by a qualitative content analysis in which key themes were derived. Findings Five overarching themes were found. The two main themes were the proliferation of therapeutic “tonics” and the second the relationship of nurses to them that was profiled by advertisers. The three remaining themes were accommodations, lifestyle and the nurses “role” as nurse, handmaiden or mother. Conclusions discuss reasons for key findings, and, in particular, the reinforcement of the traditional nursing role, which was often at odds with the increased technological roles and responsibilities nurses were undertaking. In turn, advertisers saw the nursing profession as a new and potentially lucrative market of women with disposable income and influence in the health field. Originality/value To date, there is a scarcity of marketing analysis that examines advertising placed in trade journals and in particular for early twentieth century health-care professionals. Through a lens of advertising analysis, this study investigates the advertising nursing readership of the day was exposed to and the motives and tactics used by those interested in expanding both health-care worker and consumer markets through a singular strategy.

Interplay of coordination, co-creation and community building: examining interprofessional collaboration in workplace development efforts in health care

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Laura Seppänen ◽  
Inka Koskela ◽  
Heli Heikkilä ◽  
Helena Leino-Kilpi ◽  
Päivi Rautava ◽  
...  
Keyword(s):  
Health Care ◽  
Workplace Learning ◽  
Health Care Professionals ◽  
Interprofessional Collaboration ◽  
Qualitative Content Analysis ◽  
Community Building ◽  
Content Type ◽  
Sustained Development ◽  
Workplace Development ◽  
Working Hypotheses

Purpose Interprofessional collaboration (IPC) is increasingly important in work and workplace learning. The purpose of this paper is to investigate the characteristics of IPC that are relevant for learning and developing at work. Design/methodology/approach We examine IPC in the discussion data of health care professionals when designing, implementing and evaluating developmental tasks. Qualitative content analysis is carried out on temporally sequential task trajectories, considering IPC from the perspective of the objects and goals of IPC task activity in developmental efforts. Findings The developmentally relevant characteristics of IPC are crystallized in the concepts of coordination, co-creation and community building, which play different, interdependent roles in development efforts. We show their interplay and how they complement each other in practice. Research limitations/implications Our findings regarding IPC characteristics are to be interpreted as working hypotheses and resources for further research. Practical implications Understanding the dynamics of IPC is useful for renewing work practices. Attention to the interplay and complementarity of IPC characteristics may help in the design and implementation of effective and sustained development efforts. Originality/value The dynamics of IPC in developmental settings have not been sufficiently studied. This paper proposes three developmentally relevant and intertwined characteristics of IPC for scholars of workplace learning.

scholarly journals New Zealand’s ANZAC nurses: marketizing the great war for a 21st-century fit

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jayne Krisjanous ◽  
Christine Hallett
Keyword(s):  
New Zealand ◽  
Primary Source ◽  
Historical Event ◽  
Historical Case Study ◽  
Historical Case ◽  
Nursing Service ◽  
Content Type ◽  
Marketing Analysis ◽  
History Of ◽  
Emotional Commitment

Purpose The aim of this paper is to demonstrate how a historical event packaged as an iconic heritage cultural brand can be marketized and modified over time to ensure brand longevity and continued emotional commitment and loyalty through the leverage of stories and associations more closely aligned with modern-day audiences. The authors do this through examining the marketization of the New Zealand World War 1 (WWI) nurse to today’s audiences. The periods of study are WWI (1914–1918) and then the modern day. The New Zealand Army Nursing Service (NZANS) during WWI has previously had little attention as a key actor in the Australia and New Zealand Army Corp (ANZAC), Today ANZAC is held as pivotal in the birth of New Zealand’s perception of nationhood and as an iconic heritage cultural brand. The history and legend of the ANZAC plays an important role in New Zealand culture and is fundamental to the “Anzac Spirit”, a signifier of what it means to be a New Zealander. Design/methodology/approach A historical case study method is used. The primary source of data is 1914–1918, and includes contemporaneous articles, and personal writings: diaries, letters and published memoirs. More contemporary works form the basis for discussion of marketization as it relates to the NZANS. The article first presents conceptual framing, then the development of the Anzac brand and the history of the NZANS and its role in WWI before turning to discussion on the marketization of this nursing service to today’s audiences and as part of the ANZAC/Anzac brand. Findings Today the story of the WWI NZANS nurse, previously seldom heard, has been co-opted and is becoming increasingly merged as an integral part of the Anzac story. The history of the NZANS during WWI has a great deal of agency today as part of that story, serving many functions within it and providing a valuable lever for marketization. Originality/value To date, there is a scarcity of marketing analysis that examines the marketization of history. By focusing on New Zealand WWI nursing as a contributor to the Anzac story, the authors contribute to the understanding of how marketers package and contemporize history for appeal to audiences through both sustaining and reworking cultural branding.

Involving patients in quality improvements – a case study

2019 ◽  
Vol 32 (2) ◽  
pp. 348-361
Author(s):  
Åsa Robinson ◽  
Caterina Finizia ◽  
Susanne Gustavsson
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Qualitative Content Analysis ◽  
Research Area ◽  
Care Staff ◽  
Health Care Staff ◽  
Quality Improvements ◽  
Specific Patient ◽  
Content Type ◽  
Individual Interviews

Purpose The purpose of this paper is to illuminate strengths and limitations in quality improvement work, when involving patients. Design/methodology/approach The experience-based co-design (EBCD) method was used when improving care for patients undergoing otosclerosis surgery. Individual interviews and focus groups were interpreted using qualitative content analysis. Findings Strengths mentioned by patients were that their participation made a difference. The first steps were found effective in giving an in-depth view of patients’ experiences and the staff got an increased understanding about specific patient needs. However, weaknesses were found in the latter phases, those of improving and follow-up, health care staff had difficulties to keep their focus on patients’ experiences and invite patients to be involved. Patients’ participation decreased, and there was a lack of tools to support the process. Research limitations/implications The content in this paper is mainly based on one case. However, the findings are in congruence with earlier research and add further knowledge to the research area. Practical implications The findings can be used in healthcare when involving patients in improvement work. Originality/value There is no earlier study which involves patients with otosclerosis when using EBCD. Furthermore, this paper illuminates that there is a need to increase collaboration with patients. The latter phases often seem to be handled by health care professionals without involving patients; this paper suggest a development using dedicated quality tools.

Voice activity detection using optimal window overlapping especially over health-care infrastructure

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shilpa Sharma ◽  
Punam Rattan ◽  
Anurag Sharma ◽  
Mohammad Shabaz
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Research Work ◽  
Voice Activity Detection ◽  
Support Vector ◽  
Activity Detection ◽  
Content Type ◽  
Health Care Infrastructure ◽  
Voice Activity ◽  
Optimal Window

Purpose This paper aims to introduce recently an unregulated unsupervised algorithm focused on voice activity detection by data clustering maximum margin, i.e. support vector machine. The algorithm for clustering K-mean used to solve speech behaviour detection issues was later applied, the application, therefore, did not permit the identification of voice detection. This is critical in demands for speech recognition. Design/methodology/approach Here, the authors find a voice activity detection detector based on a report provided by a K-mean algorithm that permits sliding window detection of voice and noise. However, first, it needs an initial detection pause. The machine initialized by the algorithm will work on health-care infrastructure and provides a platform for health-care professionals to detect the clear voice of patients. Findings Timely usage discussion on many histories of NOISEX-92 var reveals the average non-speech and the average signal-to-noise ratios hit concentrations which are higher than modern voice activity detection. Originality/value Research work is original.

scholarly journals Advance care planning in Norwegian nursing homes – limited awareness of the residents’ preferences and values? A qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lisbeth Thoresen ◽  
Reidar Pedersen ◽  
Lillian Lillemoen ◽  
Elisabeth Gjerberg ◽  
Reidun Førde
Keyword(s):  
Health Care ◽  
Nursing Homes ◽  
Advance Care Planning ◽  
Health Care Professionals ◽  
Qualitative Content Analysis ◽  
Care Planning ◽  
Next Of Kin ◽  
Medical Issues ◽  
Interdisciplinary Approaches ◽  
Advance Care

Abstract Background 52% of all deaths in Norway occur in nursing homes. Still advance care planning (ACP) is scarce and heterogeneous. To improve the implementation and practice of ACP in nursing homes, knowledge about health care professionals’ views on ACP is vital. The objective of this study is to explore nurses and physicians’ aims and experiences with carrying out ACP in nursing homes. Methods Semi-structured group interviews were conducted with 20 health care professionals, recruited from nursing homes where ACP was performed regularly. Qualitative content analysis was used to analyse the data. Results The primary aim of the nursing home professionals when doing ACP in nursing homes were to build alliances with next of kin to avoid misunderstandings and future conflicts. Two main experiences with ACP were described: i) due to the sensitivity of ACP issues, it was important to balance directness with being sensitive, and ii) when the physicians raised questions concerning future medical treatment, the answers from residents as well as next of kin were often hesitant and unclear. Conclusion Our study add insights into how ACP is practiced in nursing homes and the professionals’ agenda. A focus on medical issues and achieving consensus with next of kin may result in lack of involvement of the residents and limited awareness of the residents’ needs. Interdisciplinary approaches, ACP-training and tailored guidelines may improve the implementation and practice of ACP.

Preparation for safeguarding in UK pre-registration graduate nurse education

2015 ◽  
Vol 17 (6) ◽  
pp. 371-379 ◽  
Author(s):  
Julie McGarry ◽  
Charley Baker ◽  
Claire Wilson ◽  
Anne Felton ◽  
Anirban Banerjee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Student Evaluation ◽  
Care Delivery ◽  
Educational Support ◽  
Content Type ◽  
Graduate Nurse ◽  
Nursing Curricula ◽  
Adults And Children ◽  
The Uk

Purpose – It is now widely acknowledged that health care professionals on the front line of care delivery will often be among the first to whom patients or clients who have experienced abuse will present or disclose abuse in a clinical context. It is therefore of pivotal importance that all health care professionals, including nurses, are adequately prepared at the earliest opportunity to effectively respond to a disclosure of abuse or identify where abuse may be suspected. The paper aims to discuss these issues. Design/methodology/approach – In order to address this contemporary challenge within health care the authors present a model, developed in the UK, for the embedding of safeguarding knowledge, skills and attitudes within undergraduate pre-registration nursing curricula. This model is integrative and focuses on the acquisition of knowledge and skills in the field of safeguarding vulnerable adults and children. Findings – Student evaluation to date has been extremely positive with the majority of student responses indicating that individuals felt that they had received the requisite level of educational support and knowledge to enable them to recognise concerns. However, it was also clear that students felt that the knowledge gained within the classroom setting needed to be effectively supported and translated in the practice setting. Practical implications – Safeguarding clearly forms a central part of professional accountability and responsibility. It is therefore pivotal that professionals receive the requisite education, skills and knowledge at the earliest opportunity. Originality/value – To the authors’ knowledge this initiative is novel in approach and as such has the potential to inform similar education programmes.

Where do Chinese adolescents obtain knowledge of sex? Implications for sex education in China

2007 ◽  
Vol 107 (4) ◽  
pp. 351-363 ◽  
Author(s):  
Liying Zhang ◽  
Xiaoming Li ◽  
Iqbal H. Shah
Keyword(s):  
Mass Media ◽  
Sex Education ◽  
Health Care Professionals ◽  
Chinese Culture ◽  
Primary Source ◽  
Chinese Adolescents ◽  
Content Type ◽  
Sex Knowledge ◽  
Education In China ◽  
Hiv Aids

PurposeSex education in China has been promoted for many years, but limited data are available regarding the sources from which adolescents receive sex‐related knowledge. The present study was designed to examine the sources from which Chinese adolescents obtain their information on puberty, sexuality and STI/HIV/AIDS, and whether there are any differences in sources of sex knowledge according to adolescents' demographic characteristics and sexual status.Design/methodology/approachThe data were collected in 2001 in Changchun City, China. Unmarried adolescents 15‐19 years of age (322 males and 360 females) were included in a cross‐sectional survey using self‐administered questionnaires.FindingsSchoolteachers and mass media were identified as the two most important sources of sex knowledge. Sources of sex knowledge among adolescents on various topics (puberty, sexuality, and STI/HIV/AIDS) differed by the level of taboo associated with these topics in Chinese culture. The percentage of adolescents obtaining knowledge for puberty, sexuality, and STI/HIV/AIDS from teachers declined by topic (45.4, 30.7 and 18.4 percent, respectively), while the percentage of adolescents obtaining knowledge from television/movie increased by topic (6.7, 12.2 and 27.5 percent, respectively). Adolescents obtained knowledge on topics with less taboo (e.g. puberty) from teachers and obtained knowledge on topics with more taboo (e.g. sexuality, STI/HIV/AIDS) from mass media. However, this differs by having been sexually experienced or not. Parents were the primary source for sex knowledge on less taboo subjects. Doctors were the primary source for STI/HIV/AIDS knowledge. Sexually active adolescents obtained sex knowledge mainly from peers or mass media, while those adolescents who were not sexually experienced identified teachers and parents as the main sources of sex knowledge.Originality/valueThe current study illustrates that it is necessary to improve and enhance current sex education programs in China by recognizing and strengthening the role of parents, teachers, and health care professionals in adolescent sex education.

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals Smart Glasses for Caring Situations in Complex Care Environments: Scoping Review

10.2196/16055 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e16055
Author(s):  
Charlotte Romare ◽  
Lisa Skär
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Qualitative Content Analysis ◽  
High Tech ◽  
Anesthesia Care ◽  
Complex Care ◽  
Smart Glasses

Background Anesthesia departments and intensive care units represent two advanced, high-tech, and complex care environments. Health care in those environments involves different types of technology to provide safe, high-quality care. Smart glasses have previously been used in different health care settings and have been suggested to assist health care professionals in numerous areas. However, smart glasses in the complex contexts of anesthesia care and intensive care are new and innovative. An overview of existing research related to these contexts is needed before implementing smart glasses into complex care environments. Objective The aim of this study was to highlight potential benefits and limitations with health care professionals' use of smart glasses in situations occurring in complex care environments. Methods A scoping review with six steps was conducted to fulfill the objective. Database searches were conducted in PubMed and Scopus; original articles about health care professionals’ use of smart glasses in complex care environments and/or situations occurring in those environments were included. The searches yielded a total of 20 articles that were included in the review. Results Three categories were created during the qualitative content analysis: (1) smart glasses as a versatile tool that offers opportunities and challenges, (2) smart glasses entail positive and negative impacts on health care professionals, and (3) smart glasses' quality of use provides facilities and leaves room for improvement. Smart glasses were found to be both a helpful tool and a hindrance in caring situations that might occur in complex care environments. This review provides an increased understanding about different situations where smart glasses might be used by health care professionals in clinical practice in anesthesia care and intensive care; however, research about smart glasses in clinical complex care environments is limited. Conclusions Thoughtful implementation and improved hardware are needed to meet health care professionals’ needs. New technology brings challenges; more research is required to elucidate how smart glasses affect patient safety, health care professionals, and quality of care in complex care environments.

scholarly journals Making the Transition to Insulin Therapy: The Experiences of Samoan People with Type 2 Diabetes in New Zealand

2021 ◽  
Author(s):  
◽  
Sera Tapu-Ta'ala
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
New Zealand ◽  
Insulin Therapy ◽  
Health Care Professionals ◽  
Pacific People ◽  
Qualitative Descriptive

<p>Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.</p>

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