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Item Paediatric hospital visiting policies in Cameroon : the experiences of nurses and parents : a thesis presented in partial fulfillment of the requirements for the degree of Masters of Arts in Nursing at Massey University, Palmerston North, New Zealand(Massey University, 2001) Njeba, Patience YensehThis study explored the experiences of parents and nurses caring for hospitalised children with the parents either living-in or having only visiting rights. The participants were parents with children hospitalised for a minimum of three days and nurses working in the paediatric ward for a minimum of six months. A qualitative approach using semi-structured interviews and participant observation was used to collect the data and Burnard's (1991) thematic content analysis to analyse the data. Six themes were identified of which two (one from the nurses and one from the parents) are main themes. The main theme from the nurses relates the nurses' aim of meeting the children's need and getting them ready for discharge home. The main theme from the parents relates the parents' satisfaction with the care they receive and the difficulties they have as parents not always being able to be with their child at will. The roles of parents and the nurses with regards the cares of children are relatively distinct in the hospital. The parents' role seemed quite limited due to the poor information received from the nurses although they (nurses) had a better understanding of what these roles could be. It could be noted that attitudes and opinions of nurses and parents about the way children are cared for in hospitals are different. For some parents, living-in and carrying out basic cares such as bathing, changing, feeding and comforting the child is just normal. Others felt it is the nurses' responsibilities, hence were reluctant to do it. Nurses also had divided views with regards to providing this basic care for the children added to their nursing/medical cares. As well there were few nurses to provide the care. Despite the differences, the nurses and parents have a common goal of getting the child ready for discharge home. On the whole the nurses are happy to have parents live-in and parents are happy to stay, although some parents feel living-in is an obligation not a choice. Unlike the parents of the older children that are happy to live-in, the neonatal parents are not given that privilege to live-in and that is distressing to them. The different concepts of care in paediatric wards are examined and not all of the concepts can be applicable in the Cameroon context. The study suggests a possible concept of care to be used in the hospital after a review by the authorities. This study provides a base for future research in this domain.Item An exploration of nurses' understanding of parenting in hospital : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy (Nursing) at Massey University(Massey University, 2000) Crawford, RuthParental involvement in their child's care in hospital is common place. Research indicates that parents want to actively participate in the care ot their child. Nurses' responses to parental presence in hospital have been examined in previous research, especially with regard to attitudes, perspectives and role division. There was however a gap In the literature with regard to nurses' understanding of parenting in hospital. Within New Zealand there was no research examining nurses' understanding of parenting. The research described in this 75 point thesis explored the nurses' understanding of parenting in hospital. Using focus groups as the research method, eight nurses were invited to share their understanding of parenting in a New Zealand hospital. The data was analysed using thematic analysis informed by Stevens (1996). Although the size of the study was limited, this research has been able to raise some important issues about nurses' understanding of parenting in hospital, including the conflict perceived between parents and nurses, and the participants 'ideal' parent-nurse relationship.Item Constant vigilance : the lived experience of mothering a hospitalised child : a thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy in Nursing at Massey University(Massey University, 1996) Gasquoine, SusanThis phenomenological study describes the lived experience of mothering a child hospitalised with acute illness or injury. Seven mothers who had experienced this crisis within twelve months of our first interview agreed to share their stories with me. The resulting data were analysed and interpreted using van Manen's interpretation of Heideggerian phenomenology. Four phenomenological themes emerged from this study. Mothers have a special kind of knowing. They have a need to do with and for their child. Handing over to or leaving their child in the care of strangers and waiting for their child to be returned to their care are very difficult things for mothers to do. Their constant vigilance is enabled by their special kind of knowing and their need to do. The difficulty of handing over, leaving and waiting is emphasised by mothers' constant vigilance. Personal experiences during the course of my study presented significant challenges to my ability to offer an effective phenomenological description of the phenomenon under study. Continuous reflection aided by dialogue with fellow phenomenological researchers has resulted in a meaningful narrative. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centered care and highlights the ability of individual nurses to make a positive difference to a very stressful experience.