| |
Records |
Links |
|
Author  |
McNamara, N. |
|
| |
Title |
The meaning of the experience for ICU nurses when a family member is critically ill: A hermeneutic phenomenologcial study |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
NZNO Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Nurse-family relations |
|
| |
Abstract |
This study provides insight into the experience of being an ICU nurse and relative of a critically ill patient. Analysis of data from interviews of four ICU nurses who had experienced having a family member admitted to ICU brought up several themes. These included: a nurses' nightmare, knowing and not knowing, feeling torn, and gaining deeper insight and new meaning. Recommendations for organisational support for ICU nurse/relatives, and education for staff are made, based on the findings. |
|
| |
Call Number |
NRSNZNO @ research @ 1312 |
Serial |
1296 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Marshall, K. |
|
| |
Title |
Enteral nutrition within 72 hours after spinal chord injury: Complexities and complications |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Intensive care nursing |
|
| |
Abstract |
Good nutrition is essential following acute spinal cord injury. Poor nutrition can lead to the deleterious effects of protein-calorie induced hypermetabolism and poor functional and rehabilitation outcomes. Nutritional management for patients with acute cervical or high thoracic spinal cord injury admitted to the Canterbury District Health Board's Burwood Spinal Unit and Christchurch Hospital's Department of Intensive Care Medicine (CHDICM) differ. The Burwood Spinal Unit has a delayed approach to nutritional management in contrast to the implementation of early enteral feeding by CHDICM. This prompted a literature review to critically consider the evidence underpinning clinical practice in this field. Literature revealed that nutritional management in the first 72 hours after spinal cord injury is a complex process. The complexities of when to commence, the method of delivering, and the target dose of enteral nutrition in the first 72 hours after spinal cord injury are due to the perceived risk of a spinal ileus and the ensuing, such as adverse effects on abdominal and respiratory function, resulting from enteral feeding intolerance. Literature revealed that delayed nutrition is largely based on expert opinion, while early enteral feeding has limited but stronger scientific research evidence. Nevertheless, it is desirable to use the best evidence currently available to develop, implement and evaluate an evidence-based, protocol driven, clinical pathway for nutritional management of patients within 72 hours of an acute cervical or high thoracic SCI. The author concludes that to ensure an acute spinal cord injury clinical pathway is based on scientific evidence, prospective, multi-centre, randomised controlled trials are needed to substantiate early enteral feeding and identification of the degree of and risk of complications from spinal ileus after acute cervical or high thoracic spinal cord injury. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
809 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Malik, Zaffer Khan Cusi |
|
| |
Title |
Reviving resuscitation skills: Non-invasive ventilator training for ward nurses |
Type |
Journal Article |
| |
Year |
2021 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
37 |
Issue |
3 |
Pages |
22-24 |
|
| |
Keywords |
COVID-19; Intensive care; Non-invasive ventilation; Resuscitation; Clinical teaching |
|
| |
Abstract |
Describes the initiative at Wellington Regional Hospital to upskill ward nurses with non-invasive ventilation training as part of the pro-active response in anticipation of COVID-19 patients. Backgrounds the circumstances and practicalities of creating, teaching, and training advanced skills (non-invasive ventilation education) to ward nurses with limited respiratory experience. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1728 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mackle, Diane |
|
| |
Title |
Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study |
Type |
Book Whole |
| |
Year |
2021 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
299 p. |
|
| |
Keywords |
Oxygen therapy; Intensive Care Units (ICU); Intensive care nurses; ICU patients |
|
| |
Abstract |
Investigates the effects of participation in the Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen therapy (ICU-ROX) randomised controlled trial, on attitudes and practices in relation to ICU oxygen therapy. Distributes a practitioner attitudes survey to 112 specialist doctors and 153 ICU nurses. Performs both inception and retrospective cohort studies using the Australian and NZ ICU adult patient database before, and post-publication of the ICU-ROX trial results. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1766 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lui, D.M.K. |
|
| |
Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
|
|
| |
Volume |
9 |
Issue |
3 |
Pages |
91-96 |
|
| |
Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel |
|
| |
Abstract |
Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU. |
|
| |
Call Number |
NRSNZNO @ research @ 966 |
Serial |
950 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lala, Anita Carol |
|
| |
Title |
Variability in neonatal gentamicin administration influencing drug delivery kinetics |
Type |
Book Whole |
| |
Year |
2016 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
109 p. |
|
| |
Keywords |
Drugs; Drug delivery; Neonates; Neonatal nurses; Neonatal Intensive Care Units; Surveys |
|
| |
Abstract |
Distributes a self-administered questionnaire to Dunedin Hospital Neonatal Intensive Care Unit (NICU) nurses to investigate: the site of administration, comparing peripheral intravenous line (PIV) or umbilical venous catheter (UVC); and which dose of gentamicin would be used in two clinical scenarios describing babies of 24 and 32-weeks' gestation. Simulates gentamycin delivery and notes clinical variability. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1574 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Johnson, H. |
|
| |
Title |
Clinical trials in the intensive care setting: A nursing perspective |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Evaluation; Intensive care nursing |
|
| |
Abstract |
As carers of patients who are clinical research participants, nurses' contribution to the success of clinical trials is acknowledged in the literature. Ethical dilemmas and challenges that clinical trials may present for nurses are also recognised. Although there is some discussion regarding these issues, few studies explore and identify the perceptions of intensive care nurses regarding clinical trials and how they may impact on nursing practice. This thesis explores and describes the viewpoints and experiences of sixty intensive care nurses from a tertiary level referral centre in New Zealand engaged in clinical research activities. The descriptive study utilised a self-administered questionnaire to gather information regarding nurses' roles in clinical trials, associated issues encountered and contributory factors, and the impact of issues on nursing practice, stress and satisfaction levels. Suggestions for potential strategies to minimise the impact of issues on nurses' practice were also sought. Descriptive statistical and content data analyses identified three key areas in which nurses' encounter issues associated with clinical trials and their practice: nurses' workload; ethical concerns; educational preparation and support. The findings indicate that, when issues exist in these areas, routine patient care can be delayed, the enactment of nurses' patient advocacy role can be affected, and nurses' stress and satisfaction levels can be negatively impacted upon. The perceptions of a group of intensive care nurses who are enveloped in the daily balance of patient care, the need for clinical research, and their professional obligations are discussed in this thesis. While the study's findings are reflective of one group of nurses in a distinct practice setting, their experiences can prompt other nurses, research teams and clinical leaders to reflect upon their own clinical research environment. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
923 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ho, T. |
|
| |
Title |
Ethical dilemmas in neonatal care |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
7 |
Pages |
17-19 |
|
| |
Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Clinical decision making |
|
| |
Abstract |
The author explores possible approaches to the ethical dilemma confronting nurses of critically ill premature infants with an uncertain or futile outcome despite aggressive neonatal intensive care. A case history illustrates the issues. The morality of nursing decisions based on deontological and utilitarian principles is examined, as are the concepts of beneficence and non-maleficence. A fusion of virtue ethics and the ethic of care is suggested as appropriate for ethical decision-making in the neonatal intensive care environment. |
|
| |
Call Number |
NRSNZNO @ research @ 1035 |
Serial |
1019 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hardcastle, J. |
|
| |
Title |
What is the potential of distance education for learning and practice development in critical care nursing in the South Island of New Zealand? |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Nursing; Education |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1116 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hansen, G. |
|
| |
Title |
The role of massage in the care of the critically ill |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
7 |
Pages |
14-16 |
|
| |
Keywords |
Nursing; Alternative therapies; Intensive care nursing |
|
| |
Abstract |
This article looks at the research on the benefits of massage for alleviating the anxiety of patients in critical care. The author draws on her own experiences with cardiac patients and affirms the lasting psychological benefit of massage. She provides advice on which parts of the body to massage on patients in critical care, which to avoid and how to know when it is contraindicated. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1010 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hall, J. |
|
| |
Title |
Building trust to work with a grounded theory study of paediatric acute care nurses work |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing |
|
| |
Abstract |
Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
597 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Haji Vahabzadeh, Ali |
|
| |
Title |
Optimal Allocation of Intensive Care Unit nurses to Patient-At-Risk-Team |
Type |
Book Whole |
| |
Year |
2018 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
224 p. |
|
| |
Keywords |
Intensive Care Units; Intensive care nursing; Patients; Mortality; Health economics |
|
| |
Abstract |
Explains the need for nurse-led Patient-at-Risk-Teams(PART) to prevent unnecessary ICU admissions. Investigates which nurse allocation policy between PART and ICU would result in the best outcomes for patients and hospitals. Provides econometric models to estimate the impact of critical care nurses on hospital length of stay. Proposes queueing and simulation models to obtain the optimal nurse allocation policy for minimising the ICU mortality rate. Validates proposed models at Middlemore Hospital from 2015 to 2016. Estimates the financial and mortality impact of allocating another nurse to PART per shift. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1647 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hackney, Leah H. |
|
| |
Title |
Examining the relationship between coping strategies, burnout, bullying, and distress in Registered Nurses working in intensive care and progressive care |
Type |
Book Whole |
| |
Year |
2021 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
106 p. |
|
| |
Keywords |
Burnout; Bullying; Psychological distress; Coping styles; RNs; Intensive care unit; Progressive care unit; Surveys |
|
| |
Abstract |
Expands on existing research on the impact of coping constructs, derived from coping theory, on the inter-related issues of burnout, bullying, and psychological distress in RNs working in acute hospital settings, specifically Intensive Care Units (ICU) and Surgical Progressive Care Units (SPCU). Aims to demonstrate a positive relationship between burnout and bullying. Uses a quantitative cross-sectional design, collecting data via electronic questionnaire from RNs working in Christchurch Hospital's ICU and SPCU. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1841 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fogarty, K. |
|
| |
Title |
The assessment of competence in the novice nurse in the adult intensive care unit |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Nursing specialties; Clinical assessment |
|
| |
Abstract |
This dissertation explores the assessment of nurses' clinical competence in the adult ICU setting. Specifically, methods for the assessment of competence are critiqued for their practical application to the novice nurse with less than six months experience in ICU. The assessment methods considered are continuous clinical assessment, self-assessment, peer review, objective structured clinical examination (OSCE), portfolio and computer assisted assessment. Several criteria are applied to the methods including the ability of each method to assess skills, knowledge and attitudes or values. Each method is critiqued for its implications in terms of cost and staffing resource, benefits and barriers to implementation. In addition, reliability and validity issues are considered for each method. The outcome of this exploration is the recommendation of a combination of methods; namely, portfolio and OSCE, for the assessment of competence in the ICU novice. The author concludes that this finding enhances current understanding within the ICU specialty of the multidimensional nature of competence assessment. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
574 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fielding, S. |
|
| |
Title |
Learning to do, learning to be: The transition to competence in critical care nursing |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Preceptorship; Nursing specialties |
|
| |
Abstract |
Making the transition to an area of specialist nursing practice is challenging for both the learner and staff who are responsible for education and skill development. This study uses grounded theory methodology to explore the question: “How do nurses learn critical care nursing?” The eight registered nurses who participated in this study were recruited from a range of intensive care settings. The criteria for inclusion in the study included the participant having attained competency within the critical care setting. Data was collected from individual interviews. This study found that nurses focus on two main areas during their orientation and induction into critical care nursing practice. These are learning to do (skill acquisition) and learning to be (professional socialisation). The process of transition involves two stages: that of learning to do the tasks related to critical care nursing practice, and the ongoing development of competence and confidence in practice ability. The relationship of the learner with the critical care team is a vital part of the transition to competency within the specialist area. This study identifies factors that influence the learner during transition and also provides an understanding of the strategies used by the learners to attain competency. These findings are applicable to educators and leaders responsible for the education and ongoing learning of nurses within critical care practice. The use of strategies such as simulated learning and repetition are significant in skill acquisition. However attention must also be paid to issues that influence the professional socialisation process, such as the quality of preceptor input during orientation and the use of ongoing mentoring of the learner. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
509 |
|
| Permanent link to this record |
