Masters Practice Projects

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https://hdl.handle.net/10292/10895
The Masters Practice Projects collection contains digital copies of AUT masters practice projects deposited with the Library since 2017 and made available open access.

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Browsing Masters Practice Projects by Supervisor "Dickinson, Annette"

Now showing 1 - 2 of 2
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    Best Practice Recommendations for Engagement with Māori Whānau in the Neonatal Intensive Care Unit
    (Auckland University of Technology, 2022) Nelson, Analina Sarah Louise; Dickinson, Annette
    Māori (Indigenous people of Aotearoa New Zealand) are overrepresented within the populations of Neonatal Intensive Care Units (NICUs). Admission to the NICU is a stressful event for Māori whānau (family). Cultural, social, and health inequities that disproportionality affect Māori contribute further to this stress and it has become evident that the current system in place at Capital & Coast District Health Board (CCDHB) NICU (Wellington NICU) is failing to support whānau. Neonatal health practitioners (NHPs) need more support and guidance in order to improve the experiences of Māori whānau in NICUs across Aotearoa. Hence, the aim of this practice project is to develop recommendations for the development and implementation of a Recommended Best Practice (RBP) to guide NHPs for successful engagement with Māori whānau in the NICU environment. The practice change project is directed by Rosswurum and Larrabee’s (1999) model for evidence-based practice. The model contains six key stages that help guide health practitioners through a systematic process for change to evidence-based practice. These steps are assessing the need for change in practice, linking identified problems with interventions and outcomes, synthesizing the best available evidence, designing a practice change, implementing and evaluating the change to practice, and integrating and maintaining the change to practice. Due to academic time constraints, only stages 1-4 of the model were completed as part of the practice project. Adaptions were made to the model to suit the development of the project which is presented across five chapters. The practice project includes consultations with CCDHB key stakeholders, an audit of CCDHB NICU referrals to Māori support services, a survey of the CCDHB NICU environment, and a literature review. The final recommendations for practice change are presented in chapter five.
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    Healthcare Professionals’ Perceptions and Knowledge of the Management and Removal of Underwater Seal Chest Drains in Children and Young People: New Zealand
    (Auckland University of Technology, 2023) Morrison, Jacqueline; Foster, Mandie; Dickinson, Annette
    Paediatric patients with underwater seal chest drains are cared for in certain areas within a paediatric hospital setting. Presently within a paediatric hospital in New Zealand there is a clinical underwater seal chest drain guideline to guide chest drain insertion, management, and removal yet there is inconsistency in what the guideline states and current practice. This quality improvement project undertook a integrative review of the international literature on underwater seal chest drain management and explored healthcare workers perceptions and knowledge on the management and removal of underwater seal chest drains in children and young people at a large children’s hospital in New Zealand. Method: An integrative review was undertaken to summarise previous international empirical peer-reviewed literature published from 2011 - 2022 to provide a comprehensive understanding on the management and removal of underwater seal chest drains in children and young people. A qualitative design using face-to-face interviews with healthcare professionals from one large children’s hospital in New Zealand who had a key role in underwater seal chest drain management and removal was undertaken in 2022. Analysis: The integrative review and face to face interview data were analysed separately using the six phases of Braun and Clarks’ (2006) thematic analysis. This included familiarising oneself with the data, generating initial codes, searching for themes, reviewing themes, defining and naming themes and generating a report. The findings of both research designs were brought together in the discussion. Results: A total of nine studies were included in the review. An inductive analysis of nine manuscripts generated one theme (disparity in healthcare professionals’ knowledge and practice with underwater seal chest drain management), three sub-themes (healthcare professionals, practice considerations, adverse events) and nine categories (discipline and context, knowledge, education, indications, underwater seal chest drain tubing and characteristics, management, assessment, complications, interventions). Face to face interviews were undertaken with seven healthcare professionals. An inductive analysis of the interviews generated one theme (a gap between theory, guidelines and practice of underwater seal chest drain management), four subthemes (management, practice considerations, scope of practice, current practice), eleven categories (collaboration, care delivery, indications, insertion-removal, adverse events, guidelines, knowledge, demographics, reality, ability, context). The results highlighted that there was a disparity in healthcare professionals’ knowledge and practice with underwater seal chest drain management as well as a gap between theory, guidelines and reality of practice for underwater seal chest drain management. Conclusion: There is a lack of research for underwater seal chest drain management and removal, particularly in paediatrics. There is a discrepancy between healthcare professionals’ perceptions and knowledge of underwater seal chest drain management and removal, to what is required to manage and remove underwater seal chest drains safely and effectively. There is an urgent need to provide healthcare professionals with the relevant education and knowledge to be able to adequately care for children with underwater seal chest drains and ultimately prevent any adverse events. It is also recommended that healthcare professionals utilise contemporary evidence-based research to create and update clinical practice guidelines for underwater seal chest drain management and removal.
Practice projects are protected by the Copyright Act 1994 (New Zealand). The research projects may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use:
  • Any use you make of these documents or images must be for research or private study purposes only, and you may not make them available to any other person.
  • Authors control the copyright of their research projects. You will recognise the author’s right to be identified as the author of the research project, and due acknowledgement will be made to the author where appropriate.
  • You will obtain the author’s permission before publishing any material from the research project.