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Author Neville, S.J.; Gilmour, J.A.
Title Differentiating between delirium and dementia Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
Volume 13 Issue 9 Pages 22-25
Keywords Dementia; Psychiatric Nursing; Clinical assessment; Older people
Abstract Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources.
Call Number NRSNZNO @ research @ Serial 983
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Author Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N.
Title Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal (down)
Volume 46 Issue 1 Pages 95-109
Keywords Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori
Abstract The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements.
Call Number NRSNZNO @ research @ Serial 1060
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Author Whittle, R.
Title Decisions, decisions: Factors that influence student selection of final year clinical placements Type
Year 2007 Publication Abbreviated Journal (down)
Volume Issue Pages
Keywords Clinical assessment; Nursing; Education; Students
Abstract Clinical practice is an essential and integral component of nursing education. The decision-making process involved in student selection of clinical placements is influenced by a range of factors which are internal or external to students. As there was little research that explored these factors and the influence they have on student decisions, the author sought to investigate this further. A mixed-method approach was used, using a questionnaire and focus group interview, to give breadth and depth to the research. This study found that students are particularly influenced by previous positive experiences, or an interest in a particular area of practice. Their personality will also influence their placement decisions. Nurse preceptors and clinical lecturers also provide a key support role to students in the clinical environment.
Call Number NRSNZNO @ research @ Serial 1103
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Author Harris, C.; Crozier, I.; Smyth, J.; Elliot, J.; Watson, P.B.; Sands, J.; Cuddihy, R.
Title An audit of percutaneous coronary intervention (PCI) patients representing acutely with chest pain within six months of PCI Type Manuscript
Year 2007 Publication Abbreviated Journal (down)
Volume Issue Pages
Keywords Hospitals; Clinical assessment; Cardiovascular diseases; Guidelines; Teaching methods
Abstract This reports an audit of the assessment practices at Christchurch Hospital, compared to international guidelines. The clinical notes of all patients who were re- admitted acutely with chest pain within six months of PCI procedures performed between 1/4/05 and 30/9/05 were audited. Ethics approval was granted and an audit tool was designed based on the 2000 ACC/AHA Guidelines for the management of patients with unstable angina. The purpose of the audit was to determine to what extent best practice guidelines were followed in the assessment of patients re-admitted with chest pain and to determine if there were any indicators (lesional, procedural or risk factors for restenosis) that predicted a normal or abnormal repeat coronary angiogram. 448 consecutive patients had PCI procedures, 36 patients represented acutely with chest pain and had repeat coronary angiography. In 18 patients the coronary angiogram was unchanged, 11 patients demonstrated instent restenosis, one patient demonstrated thrombus and six patients developed new lesions. The authors concluded that at Christchurch Hospital assessment practices are consistent with international guidelines. Of the patients who had repeat angiography, 50% had no coronary obstruction for the cause of pain. There was a relatively low incidence of acute representation with chest pain. These results suggest a revision of the guidelines for repeat angiography following PCI is warranted.
Call Number NRSNZNO @ research @ Serial 1157
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Author Ward, V C
Title Preoperative fluid management of the older adult patient with hip fracture Type
Year 2013 Publication Abbreviated Journal (down)
Volume Issue Pages 162 pp
Keywords Older people --Medical care; Hip joint -- Fractures -- Treatment; Hip joint -- Fractures -- Patients -- Rehabilitation; Fluid therapy; Preoperative care; Postoperative care; Outcome assessment (Medical care)
Abstract Explores the relationships between pre-operative fluid management (PFM) and post-operative outcomes. Undertakes an observational study of 100 consecutive older adult patients admitted to a tertiary NZ hospital with traumatic hip fracture between March and Sept 2012. Gathers data regarding cohort demographics and in-hospital events, including surgical details, alongside PFM and post-operative outcomes. Itemises characteristics of the patients, predominantly female with a mean age of 85.2 years. Finds no statistically significant relationship between pre-operative fluid management and post-operative outcomes.
Call Number NZNO @ research @ Serial 1395
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Author Mahoney, Laurie
Title Children living with a mentally ill parent : the role of public health nurses Type Journal Article
Year 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 26 Issue 2 Pages 4-13
Keywords Public health nurses; Parental mental illness; Advocacy; Assessment; Focus group
Abstract Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified.
Call Number NZNO @ research @ Serial 1454
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Author Garcia, Alicia; Whitehead, Dean; Winter, Helen S
Title Oncology nurses' perception of cancer pain: a qualitative exploratory study Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 31 Issue 1 Pages 27-33
Keywords Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education
Abstract Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients.
Call Number NZNO @ research @ Serial 1500
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Author Christensen, Martin
Title Nurses' knowledge of delirium: a survey of theoretical knowing Type Journal Article
Year 2016 Publication Kai Tiaki Nursing Research Abbreviated Journal (down)
Volume 7 Issue 1 Pages 11-18
Keywords Delirium; Delirium assessment; ICU psychosis; ICU syndrome
Abstract Conducts an exploratory study to assess whether nurses at a regional base hospital have sufficient theoretical knowledge to assess and manage delirium in the clinical setting. Uses a self-administered survey based on a true/false questionnaire, and a Likert scale to assess nurses' perceived levels of confidence in detecting and managing the delirious patient. Administers the questionnaire to 130 nurses from acute adult wards.
Call Number NZNO @ research @ Serial 1526
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Author Moana, Brenda; Crawford, Ruth; Isaac, Dorothy
Title Discussing sexual health with older clients: are primary health care nurses sufficiently prepared? Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal (down)
Volume Issue 24 Pages 63-67
Keywords Sexual health; Assessment; Primary health care; Older adults; Surveys
Abstract Reports some findings of a study which examined primary health care (PHC) nurses' preparedness for engaging older adults in conversation about sexual health research. Examines the experiences and beliefs of PHC nurses working with older clients. Conducts three focus groups with 16 participants who discussed their experiences, values and perceptions of conversations on sexual health with older clients.
Call Number NZNO @ research @ Serial 1553
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Author Nakarada-Kordic, Ivana
Title Assessing mental models in multidisciplinary operating room teams Type Book Whole
Year 2016 Publication Abbreviated Journal (down)
Volume Issue Pages 238 p.
Keywords Mental models; Operating room; Surgery; Assessment; Software; Momento
Abstract Aims to develop a new empirical method for assessing the similarity of mental models in surgery, focusing on laparotomy; to begin the process of validation of the new approach; and to demonstrate how the new approach could be used in clinical practice. Develops a software application (Momento) to sort key tasks in order to capture the information on mental models regarding task sequence and responsibility. Asks 20 6-person operating room (OR) teams, each comprising 3 sub-teams consisting of anaesthesia, surgery and nursing, to complete Momento prior to 2 simulated emergency laparotomies. Suggests the Momento approach could be used to improve teamwork in OR.
Call Number NZNO @ research @ Serial 1561
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Author Yip, Jacqueline Chi Yan
Title Development of a brief heart healthy eating assessment tool for use by practice nurses in New Zealand Type Book Whole
Year 2014 Publication Abbreviated Journal (down)
Volume Issue Pages 1v
Keywords Dietary assessment; Practice nurses; Heart healthy eating; Nutrition counselling; Cardiovascular disease
Abstract Aims to determine how a brief dietary assessment tool should be designed for use by practice nurses in New Zealand with the intention of providing individualised nutrition advice to reduce individuals' risk of cardiovascular disease (heart healthy eating counselling). Recruits 11 practice nurses from the Auckland region for interview and analyses data from the 2008/2009 NZ adult nutrition survey. Uses an action research approach as the underlying strategy of inquiry for the study.
Call Number NZNO @ research @ Serial 1568
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Author Sharma, Mona
Title An exploration of the experiences of registered nurses working in aged residential care facilities regarding interRAI: A qualitative research design Type Book Whole
Year 2020 Publication Abbreviated Journal (down)
Volume Issue Pages 125 p.
Keywords InterRAI; International resident assessment instrument; Aged residential care; Registered nurses; Surveys
Abstract Assesses the experiences of registered nurses (RNs)working in aged residential care facilities in Christchurch, in performing interRAI assessments using interRAI MOMENTUM software. Explores the positive and negative aspects of their experiences and the factors affecting performance of interRAI-based comprehensive health assessments. Identifies the aids and barriers faced by RNs in applying and using interRAI. Conducts focus-group interviews with 7 RNs. Highlights the need for a unified standard assessment system.
Call Number NZNO @ research @ Serial 1654
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Author Kussmaul, Joerg
Title An investigation of occupational health and safety workplaces and working conditions in comparison to nursing care quality in residential aged care facilities (RACFs) in New Zealand Type Book Whole
Year 2020 Publication Abbreviated Journal (down)
Volume Issue Pages 270 p.
Keywords Residential Aged Care Facilities; Ocuupational health and safety; Working conditions; InterRAI; Clinical Assessment Protocols Job stress; Registered nurses; Enrolled nurses; Healthcare assistants
Abstract Identifies critical factors related to the occupational health and safety of workplaces and working conditions in residential aged-care facilities (RACF), from the perspective of nursing staff. Correlates quality indicators for occupational health and safety for workplaces and in working conditions with nursing care quality based on the InterRAI Clinical Assessment Protocols (CAP). Uses a mixed-method approach to conduct an audit of workplace health and safety and environmental conditions in 17 RACFs. Surveys 398 registered nurses (RN), enrolled nurses (EN), and Healthcare Assistants (HCA) about the mental and physical stressors in their work.
Call Number NZNO @ research @ Serial 1655
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Author Kennedy, Wendy Lynette
Title How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Type Book Whole
Year 2008 Publication Abbreviated Journal (down)
Volume Issue Pages 97 p.
Keywords Registered Nurses; Self-assessment; Performance appraisal; Surveys
Abstract Describes an exploratory study of Registered Nurses (RNs) within a local District Health Board which pursued the question of 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice, specifically self-assessment and performance appraisal. Utilises a qualitative descriptive framework to explore the experiences of RNs in inpatient settings, via questionnaire. Identifies 8 themes related to self-assessment, performance appraisal, and professional practice.
Call Number NZNO @ research @ Serial 1703
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Author Hinvest, Kate
Title The meaning of nurses' caring for clinically-deteriorating patients Type Book Whole
Year 2020 Publication Abbreviated Journal (down)
Volume Issue Pages 166 p.
Keywords Deterioration; Patients; Acute Assessment Unit; Phenomenology; Registered Nurses
Abstract Reveals and explores the stories of ten Registered Nurses working in Acute Assessment Units caring for clinically-deteriorating patients. Uses the perspectives of hermeneutic phenomenology to explore the meaning of nurses caring for such patients. Conducts semi-structured interviews with the RNs identifying three main themes.
Call Number NZNO @ research @ Serial 1746
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