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Author Salt, L.
Title Evaluating critical care outreach and the early warning score tool ? The ward nurse?s viewpoint Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal (down) Available through NZNO library
Volume 4 Issue 1 Pages 17-24
Keywords Early warning scores; Critical care nursing; nursing skills
Abstract The aim of this research was to ascertain the opinions of ward nurses (registered and enrolled nurses) on a critical care outreach (CCO) service and the early warning score (EWS) tool and how CCO helps them care for ward patients whose condition is deteriorating. An 18-item Likert scale questionnaire was adapted to gain opinions on three aspects of the service: The usability of the EWS tool and the escalation protocol; the role and usefulness of the critical care outreach nurse (CCON); and education and sharing of critical care skills. The research was conducted in a 270-bed New Zealand hospital with a nurse-led outreach team. The survey was distributed to adult general wards. It found 45 percent of ward nurses found EWS useful in identifying patients whose condition was deteriorating, 58 percent found EWS easy to use and 82 percent found EWS helped them prioritise workloads. On the role and usefulness of the CCON, 41 percent of surveyed nurses found the post-ICU review helpful, 65 said CCONs were approachable, 71 percent found the CCON shift time of 3pm-11pm was useful, 69 percent said the CCON demonstrated sound clinical knowledge, and 54 percent rated CCONs teaching as sufficient for their needs. When CCO was present, nurses were able to formulate an effective management plan for potentially deteriorating patients and acquired critical care skills needed to manage such patients. The results are comparable with other research which sought nurse opinion of CCO. It indicates nurses believe CCO to be instrumental in increasing critical care skills to prevent deterioration in the clinical area.
Call Number NZNO @ research @ Serial 1390
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Author Ha, I.; Huggard, P.; Huggard, J.
Title Staff support and quality of care provided by palliative care nurses: A systematic literature review Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal (down) Available through NZNO library
Volume 4 Issue 1 Pages 25-32
Keywords Hospice and palliative nursing; Systematic review; Staff support; Quality of health care
Abstract There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
Call Number NZNO @ research @ Serial 1391
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Author Booher, J.
Title Care of the patient following coronary artery grafts Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from the Eastern Institute of Technology website
Volume 10 Issue 16 Pages 15-18
Keywords Surgery; Nursing; Case studies; Oncology; Cancer
Abstract This case study outlines the care of Mr. M, a sixty-six year old ventilated patient admitted to an Intensive Care Unit for management following coronary artery grafts. Mr. M's health history and risk factors are explored, in particular how they contributed to his presentation. Mr. M's post operative problems are identified and the rationale for his management is discussed with emphasis on the nursing care provided.
Call Number NRSNZNO @ research @ Serial 1298
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Author Haywood, B.
Title Pre-employment health screening: Is it useful? Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from the Eastern Institute of Technology
Volume 11 Issue 17 Pages 10-14
Keywords Occupational health and safety; Nursing specialties
Abstract The author, an occupational health nurse, examines rationale for and effectiveness of the pre-employment assessment, which has become an accepted practice. Reasons for doing assessments include the reduction of risk to the employer from lower accident rates and absenteeism, compliance with legislative requirements and the provision of baseline health measures for general health surveillance. The costs of the screening process, along with the benefits are weighed up, in conjunction with international research in the area. The author found little research on the process in New Zealand. The opportunity for primary health care and health promotion practice as an aspect of this screening is highlighted as an important, though underestimated, benefit. Regular auditing is recommended to ensure that the outcomes of the process meet the criteria required.
Call Number NRSNZNO @ research @ Serial 1299
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Author Ellis, T.
Title A multidimensional approach to caring for a patient with breast cancer: A case study Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 11 Issue 17 Pages 15-19
Keywords Case studies; Breast cancer; Nursing; Cancer; Oncology
Abstract This story follows the nursing care of a woman in her mid forties, diagnosed with breast cancer. The case study follows her from the diagnosis and decision to undergo a mastectomy, and the requirements of nursing care through that process. It discusses the emotional and physical preparation necessary for surgery, perioperative care, multidisciplinary care, and issues around body image post-mastectomy.
Call Number NRSNZNO @ research @ Serial 1301
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Author Mercer, C.
Title Interpreting the phenomenology of out-of-town hospitalisation using a Heideggerian framework Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 11 Issue 17 Pages 20-25
Keywords Nursing research; Patient satisfaction
Abstract This article is presented in two parts. In the first, an outline of Heidegger's approach to phenomenology is offered. A basic premise of hermeneutic phenomenology is that people make sense of the world through the narratives they tell to themselves and to others. When the researcher uses this philosophical approach, persons communicate their experiences; the researcher interprets the experience and communicates that understanding in writing. In the second part of the paper, the experiences of four people whose partners were hospitalised out of town is described.
Call Number NRSNZNO @ research @ 1318 Serial 1302
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Author Richardson, M.; Vernon, R.A.; Jacobs, S.
Title Implementing health assessment into the undergraduate nursing curriculum Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 13 Issue 1 Pages 18-21
Keywords Nursing; Education; Curriculum
Abstract This article explores historical, philosophical and theoretical perspectives of health assessment, and discusses one institution's experiences developing and implementing undergraduate health assessment courses.
Call Number NRSNZNO @ research @ Serial 1306
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Author Neville, S.J.; Alpass, F.
Title Older men and worries: The impact on well-being Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 14 Issue 1 Pages 4-7
Keywords Older people; Male; Geriatric nursing
Abstract The aim of this research was to investigate the relationship between worries and psychological well-being, and self-rated health in older men. A cross-sectional survey method was used to investigate the research aim. A group of men aged 65 years and over (n = 217), who lived in a small New Zealand city, participated in this study. Results from this research revealed that worries about physical abilities and health were significantly related to a decrease in psychological well-being and self-rated health. Gerontological nurses are challenged to be cognisant of older men's concerns about their health and physical ability.
Call Number NRSNZNO @ research @ 1323 Serial 1307
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Author Bavidge, D.
Title Leadership: Further perspectives Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 14 Issue 1 Pages 20-22
Keywords Leadership; Feminist critique; Nursing philosophy
Abstract This paper uses two perspectives, a feminist analysis and emancipatory leadership model, to analyse the practice and philosophy of leadership. It finds the important components of leadership include communicating understanding, developing a sense of community, and reconstituting the power relationships. This challenges traditional leadership perspectives which privilege individuals hierarchically appointed, or with deemed alienable qualities or traits.
Call Number NRSNZNO @ research @ 1325 Serial 1309
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Author Kennedy, W.
Title Professional supervision to enhance nursing practice Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages 3-6
Keywords Professional development; Clinical supervision; Nursing; Education
Abstract This article examines the concept of clinical supervision as “professional supervision”. Professional supervision contains many elements, is structured and not without effort. Fundamentally it is about being safe and professional. 'Reflective learning' and 'Live/tutorial' models are reviewed in different contexts for assisting nurses work through everyday issues, conflicts and problems of their role. The author concludes that regardless of which model is used there are benefits for safety and professionalism.
Call Number NRSNZNO @ research @ Serial 1310
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Author Vernon, R.A.; Jacobs, S.; Papps, E.
Title An innovative initiative for advanced nursing practice roles Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages 16-17
Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models
Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.
Call Number NRSNZNO @ research @ Serial 1311
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Author Fourie, W.; McDonald, S.; Connor, J.; Bartlett, S.
Title The role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality Type Journal Article
Year 2005 Publication International Journal of Mental Health Nursing Abbreviated Journal (down) Available online from Coda: An institutional repository for the ITP sector
Volume 14 Issue 2 Pages 134-141
Keywords Psychiatric Nursing; Nurse-patient relations; Organisational change
Abstract This study compared the perceptions that registered psychiatric nurses have of their roles with their actual practice. Following the closure of large scale psychiatric institutions in New Zealand, there was was an increased demand for limited beds in acute inpatient facilities for acutely mentally ill patients. This change in location and downsizing of acute inpatient beds challenged traditional roles of mental health nursing, resulting in confusion over what roles mental health nurses should now perform in the new context of care. This qualitative descriptive exploratory study observed nursing practice on three selected wards and used focus group interviews to establish from registered nurses what they perceived their roles to be. A key finding of this study was that many of the nursing roles related to delivering care from a crisis management perspective, which covers aspects such as assessment, stabilisation of symptoms and discharge planning. Participants also believed that the therapeutic relationship was a fundamental role in inpatient care. Nurses used any opportunity to make it a reality such as kitchen organisation, medications, or dealing with a challenging patient. This study highlighted the complexity of the roles that nurses performed and went some way to give voice to what at times seems an invisible practice.
Call Number NRSNZNO @ research @ Serial 875
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Author White, T.
Title Avoiding the pitfalls of long-term suprapubic catheterisation Type Journal Article
Year 2004 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online at Eastern Institute of Technology
Volume 12 Issue 2 Pages 4-7
Keywords Nursing specialties; Long term care
Abstract Studies show that majority of complications experienced by patients with long term suprapubic catheters are associated with urinary tract infection and encrustation of catheters. This article will revise the pathophysiology of infection and encrustation and discuss management of suprapubic catheters based on current best practice. It is stressed that suprapubic catheters should only be considered once less invasive methods of maintaining bladder function have been exhausted as it is preferable for patients to manage incontinence with bladder training, pelvic floor exercises and continence products than to have a permanent indwelling catheter inserted.
Call Number NRSNZNO @ research @ 1319 Serial 1303
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Author Scrymgeour, G.
Title Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online at Eastern Institute of Technology
Volume 13 Issue 1 Pages 13-17
Keywords Nursing; Pregnancy; Clinical assessment
Abstract This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome.
Call Number NRSNZNO @ research @ Serial 1305
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Author Levien, J.
Title Maori health: One area of risk Type Journal Article
Year 2007 Publication Nursing Journal Northland Polytechnic Abbreviated Journal (down) Available online at coda, An Institutional Repository for the New Zealand ITP Sector
Volume 11 Issue Pages 17-21
Keywords Colonisation; Maori; Health status; Nursing
Abstract This essay explores the social and historical context of the continued incidence of rheumatic fever amongst Maori. This communicable disease is associated with poverty, inadequate housing and overcrowding. These risk factors are all higher for indigenous populations. The article traces the effects of colonisation on Maori health, and presents the Te Whare Tapa Wha health model, which is grounded in a Maori world view, and provides a framework to examine this issue. The implications for nursing practice are explored.
Call Number NRSNZNO @ research @ 1316 Serial 1300
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