Publications by authors named "Deborah Spence"

This study articulates the relationship between conceptualisations of time and the accounts of good care in an acute setting. Neoliberal healthcare services, with their focus on efficiencies, predominantly calculate quality care based on time-on-the-clock workforce management planning systems. However, the ways staff conceptualise and then relate to diverse meanings of time have implications for good care and for staff morale.

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This study articulates the relational constituents of good care beyond techno-rational competence. Neoliberal healthcare means that notions of care are readily commodified and reduced to quantifiable assessments and checklists. This novel research investigated accounts of good care provided by nursing, medical, allied and auxiliary staff.

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To outline and discuss the challenges inherent in providing clinical education for undergraduate nursing students. Discussion paper. The primary goal of undergraduate nursing education is the preparation of graduates able to function as newly registered nurses in acute hospital, primary care, continuing care and mental health settings.

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Unlabelled: The aim of this study was to reveal what enables, safeguards and sustains midwives to provide labour care in freestanding midwifery-led units.

Design: A hermeneutic phenomenological study was undertaken in the Auckland region of New Zealand. In-depth interviews were conducted with 14 participants: 11 midwives who provide care in freestanding midwifery-led units and three obstetricians who provide antenatal consultations on site in midwifery-led units.

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Background: Physiological risks of ketamine have been well researched, yet for health professionals (HPs) undertaking paediatric ketamine sedation, questions of benefit and harm remain.

Research Question: What are health care professionals' experiences of undertaking ketamine sedation with children?

Methodology: Hermeneutic narrative.

Methods: The study comprised hermeneutic narrative analysis of stories from seven HPs in nursing, medicine, paramedicine, and play therapy.

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Undertaking philosophically hermeneutic research requires embodying the fundamental hermeneutic notions espoused by Heidegger, Gadamer, and other related philosophers. For both supervisors and students, there is "a way" of working that infuses a hermeneutic project with a particular kind of contemplative openness. In this article, I will draw from my own experience of coming to appreciate the nature of this approach.

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The primary goal of undergraduate nursing education is the preparation of graduates able to function as competent beginning clinicians. Avariety of academic-service partnerships are being used to support the clinical preparation of undergraduate nurses but, in today's demanding and fiscally challenged health and education environments, debate continues about how bestto provide students with quality learning in the clinical setting. This article reports the qualitative findings of a collaborative study undertaken to monitor implementation of a new model of clinical education for undergraduate nursing students.

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Concerns relating to the adequacy of nurses' preparation for the care of people with mental illness prompted significant revision of the mental health component in a Bachelor of Health Science nursing programme in New Zealand that prepares approximately 200 students per year. Working collaboratively with clinical providers, university staff developed and introduced three courses (equivalent to 450 hours of learning) specifically focused on mental health science, inpatient practice, and primary community mental health practice. This paper provides an overview of the new courses and reports the findings of an appreciative inquiry evaluation of this curriculum innovation.

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Purpose: To explore the essential meaning of being a nurse.

Design: Nine registered nurses were each asked to write a story of a time when they felt like a nurse. Analysis was informed by Heideggerian hermeneutic philosophy, seeking to reveal the phenomenon of "feeling like a nurse.

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Background: Much has been published related to the epistemology of Heideggerian hermeneutic research. We seek to reveal insights from our experience of enacting such research.

Objective: To articulate the lived experience of 'doing' Heideggerian hermeneutic research.

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Performance appraisal interviews have, over the past two decades, become a common phenomenon in nursing. Yet evidence--both anecdotal and those reported in the literature--suggest that these interviews provide minimal satisfaction and are thus not always effective. This article presents the findings of an interpretive study that explored and documented the meaning and impact of participating in performance appraisal interviews.

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