| Records |
| Author |
Kuehl, S. |
| Title |
Emergency Department re-presentations following intentional self-harm |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Emergency nursing; Psychiatric Nursing; Mental health; Clinical assessment |
Abstract  |
The aim of this research was to describe what factors contribute to people re-presenting to the emergency department (ED) within one week of a previous visit for intentional self-harm. Objectives identified were to describe the people using demographic and clinical features; describe and evaluate ED management; and identify possible personal or system reasons as to why people re-present to ED within one week. A retrospective observational design was selected for a period of one year. The data was collected from electronic clinical case notes. The sample consisted of 48 people with 73 presentations and re-presentations. Missing data limited the number of inferential analyses. Outcome measures were divided into information regarding the person and the presentation. This study made several discoveries: many representations (55%) occurred within one day; the exact number of people who represented many times to ED is unknown, but is far higher than reported in other studies; fewer support people were present for the second presentation; the documentation of triage and assessments by ED staff was often minimal, though frequently portrayed immense distress of this population; cultural input for Maori was missing; physical health complaints and psychosis were found with some intentional self-harm presentations; challenging behaviours occurred in at least a quarter of presentations; and the medical and mental health inpatient admission rates were approximately 50% higher for second presentations. Recommendations in regard to the use of a triage assessment tool, the practice of reviewing peoples' past presentations and the need for a mental health consultation liaison nurse in ED are made. Staff education, collaboration between services with consumer involvement and further research of this group are required. This study supports the need for holistic and expert care for people who present at emergency departments with intentional self-harm. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1214 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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| Author |
Harvey, Geoffrey |
| Title |
'Thank you for telling our story...': An exploration of the needs of migrant nurses undergoing competence assessment for New Zealand registration |
Type |
Book Whole |
| Year |
2022 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
108 p. |
| Keywords |
Internationally qualified nurses (IQN); Migrant nurses; Competency assessment; Nursing registration; Surveys |
| Abstract |
Seeks to give voice to migrant nurses, using case-study methodology to highlight their experience of the competence assessment process. Distributes a questionnaire to a group of 22 newly-arrived IQNs, and conducts interviews with 10 IQNs who had been working in NZ for several years. Uncovers the motivations among the first group and reflections on the Competence Assessment Programme (CAP) among the second. Makes recommendations for CAP training based on the results of the study. |
| Call Number |
NZNO @ research @ |
Serial |
1836 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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| Author |
Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. |
| Title |
Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori |
Type |
Journal Article |
| Year |
2003 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
| Volume |
116 |
Issue |
1176 |
Pages |
|
| Keywords |
Advanced nursing practice; Hospitals; Clinical assessment; Evaluation |
| Abstract |
Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive. |
| Call Number |
NRSNZNO @ research @ 625 |
Serial |
611 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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| Author |
Lesa, R.; Dixon, D.A. |
| Title |
Physical assessment: Implications for nurse educators and nursing practice |
Type |
Journal Article |
| Year |
2007 |
Publication |
International Nursing Review |
Abbreviated Journal |
|
| Volume |
54 |
Issue |
2 |
Pages |
166-172 |
| Keywords |
Advanced nursing practice; Clinical assessment; Cardiovascular diseases; Nursing; Education |
| Abstract |
In New Zealand, the physical assessment of a patient has traditionally been the domain of the medical profession. Recent implementation of advanced practice roles has expanded the scope of practice and nurse practitioners may now be expected to perform physical assessments. The aim of this literature review was to discover what could be learnt from the experiences of Western countries. Nurses from the USA, Canada and Australia readily incorporate physical assessment skills into their nursing practice as a component of health assessment. The international literature identified that any change to the nurse's role in health assessment, to include physical assessment skills, requires strategies that involve the regulatory, educational and practice components of nursing. |
| Call Number |
NRSNZNO @ research @ |
Serial |
786 |
| Permanent link to this record |
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| Author |
Macfie, B. |
| Title |
Assessing health needs and identifying risk factors |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
6 |
Pages |
16-18 |
| Keywords |
Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket |
| Abstract |
In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas. |
| Call Number |
NRSNZNO @ research @ |
Serial |
974 |
| Permanent link to this record |
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| Author |
Pitama, S.; Robertson, P.; Cram, F.; Gillies, M.; Huria, T.; Dalla-Katoa, W. |
| Title |
Meihana model: A clinical assessment framework |
Type |
Journal Article |
| Year |
2007 |
Publication |
New Zealand Journal of Psychology |
Abbreviated Journal |
|
| Volume |
36 |
Issue |
3 |
Pages |
118-125 |
| Keywords |
Nursing models; Clinical assessment; Maori; Mental health |
| Abstract |
In 1984 Mason Durie documented a framework for understanding Maori health, Te Whare Tapa Wha, which has subsequently become embedded in Maori health policy. This article presents a specific assessment framework, the Meihana Model, which encompasses the four original cornerstones of Te Whare Tapa Wha, and inserts two additional elements. These form a practice model (alongside Maori beliefs, values and experiences) to guide clinical assessment and intervention with Maori clients and whanau accessing mental health services. This paper outlines the rationale for and background of the Meihana Model and then describes each dimension: whanau, wairua, tinana, hinengaro, taiao and iwi katoa. The model provides a basis for a more comprehensive assessment of clients/whanau to underpin appropriate treatment decisions. |
| Call Number |
NRSNZNO @ research @ |
Serial |
459 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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| Author |
Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G. |
| Title |
Assessment and management of acute pain in older people: barriers and facilitators to nursing practice |
Type |
Journal Article |
| Year |
2017 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
35 |
Issue |
1 |
Pages |
48-57 |
| Keywords |
Pain assessment; Pain management; Aged patients; Acute care nurses |
| Abstract |
Examines the pain management practices of nurses, and identifies barriers and facilitators to the assessment and management of pain for older people, within the acute hospital setting. |
| Call Number |
NZNO @ research @ |
Serial |
1788 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
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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 |
|
| 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 |
| Permanent link to this record |
