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Author |
Tipa, Zoe; Wilson, Denise; Neville, Stephen; Adams, Jeffery |
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Title |
Cultural Responsiveness and the Family Partnership Model |
Type |
Journal Article |
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Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
31 |
Issue |
2 |
Pages |
35-47 |
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Keywords |
Well-child care; Family partnership model; Child and family nursing; Maori; Biculturalism; Nurse-patient relationship |
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Abstract |
Investigates the bicultural nature of the Family Partnership Model for working with Maori whanau in the context of well-child care services. Reports a mixed-methods study in 2 phases: an online survey of 23 nurses trained in the Family Partnership Model and 23 not trained in the model; observation of nurses' practice and interviews with 10 matched nurse-Maori client pairs. Identifies 3 aspects of the findings: respectful relationships, allowing clients to lead, and lack of skills. |
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Call Number |
NZNO @ research @ |
Serial |
1501 |
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Permanent link to this record |
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Author |
Topliss, J. |
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Title |
Nursing by telephone in mental health emergency settings: What underpins and informs clinical practice? |
Type |
Miscellaneous |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Bill Robertson Library, Otago Polytechnic |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Emergency nursing |
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Abstract |
This dissertation is an exploration of what underpins and informs clinical nursing practice by telephone in mental health emergency settings. A critical review of the literature provides the foundation for discussion. Points of reflection explore links between the literature and the author's own experience and thoughts about clinical practice. Findings are presented within three main sections. 'Historical Context' considers the development and function of mental health emergency service telephone work. Practical aspects are discussed under `Service Provision Context.' 'Nursing Context' explores the fundamental skills involved in clinical reasoning and the preparation of staff for telephone work. Whilst 'Best practice' in the area of nursing by telephone is yet to be well defined, this work aims to provide a foundation for further inquiry, research and dialogue. |
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Call Number |
NRSNZNO @ research @ 676 |
Serial |
662 |
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Permanent link to this record |
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Author |
Tracy, C. |
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Title |
Comparison of catheter-securing devices |
Type |
Journal Article |
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Year |
2000 |
Publication |
Urologic Nursing |
Abbreviated Journal |
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Volume |
20 |
Issue |
1 |
Pages |
43-46 |
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Keywords |
Nursing specialties; Evaluation |
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Abstract |
This study evaluates methods of securing urethral urinary catheters, which are a major part of urologic nursing. Basic procedures such as these are poorly researched or reported in the literature. The question of how to secure a urinary catheter and with what device often relies on knowledge, availability of equipment, and on information supplied by manufacturers of commercial devices. This study finds that sometimes the cheaper option of adhesive tape and pin device can still be the best for patients. |
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Call Number |
NRSNZNO @ research @ 704 |
Serial |
690 |
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Permanent link to this record |
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Author |
Trimmer, W.C. |
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Title |
The way things are done around here: Perceptions of clinical leadership in mental health nursing |
Type |
Journal Article |
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Year |
2006 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
13 |
Issue |
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Pages |
68-69 |
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Keywords |
Psychiatric Nursing; Leadership; Clinical supervision |
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Abstract |
Based on the author's thesis, this research project explored nurses' perceptions of clinical leadership in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. |
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Call Number |
NRSNZNO @ research @ 1057 |
Serial |
1041 |
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Permanent link to this record |
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Author |
Trimmer, W.C. |
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Title |
The way things are done around here: Perceptions of clinical leadership in mental health nursing |
Type |
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Year |
2006 |
Publication |
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Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
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Volume |
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Issue |
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Pages |
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Keywords |
Leadership; Psychiatric Nursing; Clinical supervision: Mental health |
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Abstract |
This research project explored nurses' perceptions of clinical leadership in mental health nursing practice. Within New Zealand no research exists that evaluates the role and impact the clinical leadership has in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. The prime objective of this study was to increase knowledge about clinical leadership in mental health nursing practice. This research used a quantitative descriptive methodology, utilising survey design. A questionnaire was used to rank the attributes of the person the respondents identified as a clinical leader. The data was collected from 30 registered nurses working in mental health settings within the central region of New Zealand. Findings indicate that there is room for improvement with regard to clinical leadership in mental health nursing practice. Clinical leadership is perceived to be more effective by nurses in their second year of practice and in community settings. A statistically significant difference was indicated between nurses in their second year of practice and nurses in their third year of practice in terms of their ranking of clinical leadership abilities. Overall the respondents perceived poor communication and poor attitude as the biggest barriers to effective leadership. Support and good role models were said to influence nursing practice positively and the skills that were identified as being helpful in assisting and retaining nurses were mentorship and good communication. The results of the study are discussed in relation to the literature on transformational leadership skills. Finally, the general limitations of the study are outlined and implications for future research are discussed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1149 |
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Permanent link to this record |
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Author |
Tritschler, E.; Yarwood, J. |
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Title |
Relating to families through their seasons of life: An indigenous practice model |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
5 |
Pages |
18-3 |
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Keywords |
Parents and caregivers; Nursing models; Nurse-family relations; Communication |
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Abstract |
In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective. |
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Call Number |
NRSNZNO @ research @ 1007 |
Serial |
991 |
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Permanent link to this record |
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Author |
Trout, F. |
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Title |
Health needs assessment within the ecology of caring |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Community health nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
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Permanent link to this record |
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Author |
Truscott, J.M.; Townsend, J.M.; Arnold, E.P. |
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Title |
A successful nurse-led model in the elective orthopaedic admissions process |
Type |
Journal Article |
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Year |
2007 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
NZ Medical Association website. Access free to articles older than 6 months. |
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Volume |
120 |
Issue |
1265 |
Pages |
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Keywords |
Surgery; Hospitals; Nursing; Administration |
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Abstract |
This paper documents a successful nurse-led admissions process for same day orthopaedic surgery, on relatively fit patients under 70 years of age. During the 6-month study, 31 patients with a median age of 38 years were categorised into 3 streams. 252 patients (76%) underwent a nursing-admission process without the need for further consultation with a junior medical officer or an anaesthetist. The remaining patients not included in the study were admitted and clerked by a house officer. No safety issues arose and the surgeons and anaesthetists were satisfied with the process. The junior medical officers described improved job satisfaction by being able to attend theatre, other educational opportunities, and working more closely with the consultant. The process has now been incorporated into elective orthopaedic admissions at Burwood Hospital. |
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Call Number |
NRSNZNO @ research @ |
Serial |
516 |
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Permanent link to this record |
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Author |
Tucakovic, M. |
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Title |
Nursing as an aesthetic praxis |
Type |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Nursing philosophy |
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Abstract |
This thesis focuses on the experience of being human as process in order to reveal being. Illness and health are seen as reflections of this process of revelation. This work argues that health and illness are physical expressions of consciousness and therefore an outcome of what a human being has thought. In this way, this work shows how thought/intent serves to create life in the moment. In this understanding lies the potential to change reality, to change life. The thesis identifies self-responsibility as the key to changing consciousness. Taking responsibility for the creation of one's reality eliminates the human tendency to blame another for what is experienced in life. To that end, this work argues, we are each free to choose what is felt in response to life. In so doing, we can become conscious that life is a choice, that is to be approached from either the position of perfection, or excellence. The author proposes that, in the understanding that human beings are the creators of their reality, it is possible to conceive of care in nursing that is directed at changing thinking/thought. Such change would be to focus on the excellence of life, and in that way enact care in nursing that is an enabling through a process of being that is an emotional allowance in response to life. To this end, this work is titled Nursing as an Aesthetic Praxis. The aesthetic is emotion and feeling. Praxis, is presented in its dialectical relationship of thought and action that is then bound to emotion and feeling in such a way that it illuminates the nature of thinking. This way of thinking, this work shows, is transformatory. Where transformation is a process of being that as a state of excellence is one of incremental human freedom accompanied by incremental responsibility. |
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Call Number |
NRSNZNO @ research @ 574 |
Serial |
560 |
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Permanent link to this record |
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Author |
Tuitaupe, Suli Robert |
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Title |
Becoming a Pasefika registered nurse: reflections of their student nurse experiences in Aotearoa New Zealand |
Type |
Book Whole |
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Year |
2018 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
73 p. |
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Keywords |
Pacifis Island nurses; Registered nurses; Nursing students |
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Abstract |
Invites participants in the study to share their experiences, as Pasefika students, of enrolment in the Bachelor of Nursing degree. Uses a focus group to identify the prominent themes by means of thematic analysis: common facilitators and barriers encountered; relationships within the nursing profession; their sense of achievement; and their view of the prgamees as Pasefika students. Makes recommendations to improve the programme for Pasefika nursing students. |
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Call Number |
NZNO @ research @ |
Serial |
1640 |
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Permanent link to this record |
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Author |
Tuitea, I. |
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Title |
Solution focused nursing: An alternative model for assessing psychosis and mai aitu in mental health |
Type |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Pacific peoples; Mental health; Psychiatric Nursing; Culture |
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Abstract |
The objective of this paper is to establish if there is any documented research and literature evidence that describe what the presenting clinical symptoms of Mai Aitu is, and also to explore an alternative frame-work to assess Pacific Islanders who present to mental health in crisis. As a community mental health nurse in the Crisis Assessment and Treatment Team (CATT), the author reports being confronted almost every day with an increasing number of Pacific Islanders presenting in crisis with symptoms consistent with the well documented signs of psychosis. For instance, symptoms like hallucinations, delusion and paranoid ideation which are also well known for describing schizophrenia. Her concern is that mental health nurses may be compromising their practice, the safety of the Pacific Island population and possibly the credibility of the profession with what appears like a lack of knowledge and awareness regarding the clinical symptoms of some Pacific Island mental illness. In Tonga it is called Avea Avanga, in Fiji it is referred to as Lialia, in Samoa it is known as Mai Aitu. The author notes that the issue becomes apparent when Samoan clients present in crisis with what appears to be psychosis but the fanau believe their love one is not mentally unwell, that he or she is simply suffering a traditional Samoan illness. Therefore they insist he or she be treated at home, instead of through admission to the psychiatric hospital, and also that they be seen by a Samoan healer instead of a psychiatrist. |
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Call Number |
NRSNZNO @ research @ 753 |
Serial |
739 |
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Permanent link to this record |
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Author |
Turner, C.L.E. |
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Title |
A process evaluation of a shared leadership model in an intensive care unit |
Type |
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Year |
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Publication |
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Abbreviated Journal |
Massey University, Palmerston North, Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Leadership; Intensive care nursing; Nursing models |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1277 |
Serial |
1262 |
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Permanent link to this record |
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Author |
Turnwald, A.B. |
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Title |
Acute Hypercarbia in Chronic Obstructive Pulmonary Disease (COPD): Presentations to a New Zealand emergency department |
Type |
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Year |
2006 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Chronically ill; Clinical assessment; Emergency nursing |
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Abstract |
A retrospective descriptive design was used to examine the records of all presentations to the emergency department of patients with COPD over a 3-month period to determine whether there is a subset group of people who present with hypercarbia. There were 114 presentations, amongst those there were 71 individuals, a number presenting more than once within the three months. 80% of the 71 individuals had a smoking history of which 53% were female. Of the 114 presentations, 76 had arterial blood gases taken during their emergency department presentation. Of these 76 presentations 30 had hypercarbia and 46 were non-hypercarbia. These 76 presentations involved 58 individuals, with some individuals presenting five times over the three-month period. Three groups emerged, some who were only hypercarbia (n= 18), some in the non-hypercarbia group (n=35) and 5 individuals who had presentations in both the hypercarbia and non-hypercarbia groups. Data showed that there was no definable subset group of hypercarbia patients within acute exacerbations of COPD presenting to the emergency department according to the variables. However the sample of presentations (with a blood gas) found within the study suffering hypercarbia was much higher (31.1%) than anticipated. Further analysis showed that the hypercarbia group had a significant lower forced expiratory volume in one second (FEV1) and a combination diagnosis of emphysema or asthma and congestive heart failure. An implication to the clinician is that identification of hypercarbia within COPD exacerbation is problematically difficult until the late signs are shown with the individual. By that time effective treatment patterns may have changed from the initial presenting problem. The author concludes that future areas of research within this field needs to lie within the community, and look at when these people start the exacerbation, what leads them to progression presentation to the emergency department, and whether these people are chronic sufferers of hypercarbia or presenting after a period of days exacerbation within their own home. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1210 |
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Permanent link to this record |
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Author |
Tustin-Payne, W. |
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Title |
Self esteem, competence assessment and nurses ability to write reflectively: Is there any connection? |
Type |
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Year |
2008 |
Publication |
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Abbreviated Journal |
Wintec Research Archive |
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Volume |
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Issue |
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Pages |
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Keywords |
Professional competence; Nursing; Psychology; Quality of health care; Feminist critique |
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Abstract |
The Health Practitioners Competence Assurance Act 2003 requires nurses to have evidence to support they are competent to practice. Many nurses have become distraught and / or angry at this prospect, and the researcher suggests that this response appears to be more commonly related to the expectation of undertaking reflective writing, which is a key component of the competence evidence. This study explores the predisposing factors relating to nursing, reflective writing and competence to determine how this may impact on a nurse's self esteem. Utilisation of Critical Social Theory informed by feminist framework allows for exploration of the historical, social, political and cultural factors that shape and form female nurses reality in practice. It is a theory that relates to oppression and power, with the primary intent being to raise consciousness in order to emancipate. Although no definitive findings were made, there are multiple factors relating to nurse's history, socialisation, political imperatives and cultural beliefs that have the potential to impact on their self esteem. Competence, competence assessment and reflective practice are complex, therefore presenting multiple challenges. In order for nurses to understand their contextual reality and opportunities for change there is a need for them to engage in critical reflection. |
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Call Number |
NRSNZNO @ research @ 1198 |
Serial |
1183 |
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Permanent link to this record |
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Author |
Tweed, C.; Tweed, M. |
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Title |
Intensive care nurses' knowledge of pressure ulcers: Development of an assessment tool and effect of an educational program |
Type |
Journal Article |
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Year |
2008 |
Publication |
American Journal of Critical Care |
Abbreviated Journal |
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Volume |
17 |
Issue |
4 |
Pages |
338-347 |
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Keywords |
Intensive care nursing; Training; Evaluation |
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Abstract |
The aim of this study was to assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational programme on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed three times: before an educational programme, within two weeks after the programme, and 20 weeks later. Completion of the educational programme resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational programme. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational programme, but soon returned to baseline. |
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Call Number |
NRSNZNO @ research @ |
Serial |
958 |
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Permanent link to this record |