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Day, W. (2000). Relaxation: A nursing therapy to help relieve cardiac chest pain. Australian Journal of Advanced Nursing, 18(1), 40–44.
Abstract: This article discusses ways in which relaxation, when used as an adjunct to medical therapies, can be a useful nursing management tool for effectively relieving cardiac pain. The available literature suggests that although nurses place a lot of importance on cardiac patients being pain free, it is apparent this is often not achieved. Research and documented case studies suggest that relaxation can play an important role in the treatment and prevention of this distressing symptom. The author advocates for nurses to challenge nursing practice and help patients deal effectively with chest pain in a way that meets each individual's needs.
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Day, W. (2003). Women and cardiac rehabilitation: A review of the literature. Contemporary Nurse, 16(1-2), 92–101.
Abstract: This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs.
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Giddings, D. L. S., Roy, D. E., & Predeger, E. (2007). Women's experience of ageing with a chronic condition. Journal of Advanced Nursing, 58(6), 557–565.
Abstract: This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition. Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analysed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed. The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition. The authors conclude that nurses who recognise the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in helping them to age well.
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Huntington, A. D., & Gilmour, J. A. (2005). A life shaped by pain: Women and endometriosis. Journal of Clinical Nursing, 14(9), 1124–1132.
Abstract: The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.
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Johnstone, C. (2001). Linking diet and respiratory distress. Kai Tiaki: Nursing New Zealand, 7(5), 22–23.
Abstract: The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed.
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Prentice, D., & Hathaway, M. (2001). Responding to a death from meningococcal disease: A case study. Kai Tiaki: Nursing New Zealand, 7(5), 16–18.
Abstract: The public health nurses present a case study on adapting meningococcal disease public health protocols to work with the situation of a Cook Island family following the death of a member from meningococcal disease. They discuss the meningococcal disease epidemic in New Zealand and outline the signs and symptoms of the disease.
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Francis, L. (2007). Polio is history – isn't it. Whitireia Nursing Journal, 14, 24–31.
Abstract: Using the stories of four polio survivors who have since contracted post polio syndrome (PPS), this article discusses the theories regarding the cause of PPS as well as the varying symptoms and problems for those living with the disease.
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Banks, J., McArthur, J., & Gordon, G. (2000). Flexible monitoring in the management of patient care process: A pilot study. Lippincott's Case Management, 5(3), 94–106.
Abstract: This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas.
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Harris, C., Crozier, I., Smyth, J., Elliot, J., Watson, P. B., Sands, J., et al. (2007). An audit of percutaneous coronary intervention (PCI) patients representing acutely with chest pain within six months of PCI.
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.
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Searle, J. (2001). Gender bias: Women and heart disease. Vision: A Journal of Nursing, 7(12), 10–14.
Abstract: This article discusses the apparent gender bias prevalent in health care for women who experience cardiovascular disease. It considers how gender expectations and stereotypes affect health practices. Changes at the social, political and practice level necessary to achieve equitable care for women with cardiovascular disease are outlined.
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MacGeorge, J. M. (2000). Non-invasive continuous positive airway pressure therapy in patients presenting with cardiogenic pulmonary odema. Master's thesis, Victoria University of Wellington, Wellington, N.Z.
Abstract: Examines the value of early intervention of continuous positive airway pressure (CPAP) in the emergency setting, and the influence of experienced nurses on early initiation of CPAP. Investigates the difference that therapy made to mortality and morbidity for patients presenting with cardiogenic pulmonary odema (CPO) to a metropolitan emergency department. Performs a retrospective audit of 54 cases over the period of one year.
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Lockett, J. (2020). Strategies and processes emergency department nurses consider important to safely manage during an influenza pandemic: a qualitative descriptive study. Master's thesis, Victoria University of Wellington, Wellington. Retrieved July 1, 2024, from http://hdl.handle.net/10063/8992
Abstract: Explores what NZ Emergency Department (ED) nurses perceive as the biggest challenges to nursing care and staff safety during an influenza pandemic, in order to provide information on how to ensure the engagement of these nurses at the frontline of the pandemic response. Uses a qualitative descriptive design to allow an examination of the first-hand perspectives of ED nurses, gaining meaningful insights into a phenomenon little explored. Interviews 16 ED nurses about future pandemic planning at ED, DHB and government level.
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Harrison, I., & Mercer, C. (2021). Rapid antigen detection testing for diagnosis of group A streptococcus (GAS) in children. Kai Tiaki Nursing Research, 12(1), 63–65.
Abstract: Evaluates the use of the rapid antigen detection tests (RADT) to diagnose group A streptococcus (GAS) in children with pharyngitis symptoms. Suggests that using RADT for GAS as part of diagnostic screening my help to reduce rheumatic fever hospital admission rates.
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Stewart, R. (2005). Opportunistic chlamydia testing: Improving nursing practice through self-audit and reflection. Nursing Praxis in New Zealand, 21(1), 43–52.
Abstract: This article details how an individual family planning nurse's practice concerning opportunistic testing for sexually transmitted chlamydia was improved through an audit of her testing rates and reflection on the outcome. The leading curable sexually transmitted infection in New Zealand, chlamydia, (including the incidence and spread of the infection and why it is a public health issue) is discussed, and the audit examined. The first audit of fifty consecutive client visits exposed a lack of opportunistic testing. The second looking at a similar but more recent group of client visits, made after the results of the first (zero opportunistic testing) were known, shows an increase in testing and education about chlamydia. Important clinical issues concerning chlamydia testing and treatment are considered. In conclusion the article challenges other nurses in the community to take a lead in raising awareness of the consequences of undiagnosed chlamydial infection and find ways of increasing opportunistic testing for chlamydia within their practice.
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Sutton, D. M. (2008). Nurses have an important role in managing intermittent claudication. Kai Tiaki: Nursing New Zealand, 14(4), 20–22.
Abstract: The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition.
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