| 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 |
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 |
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 |
| Permanent link to this record |
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| Author |
Hunt, M. |
| Title |
Nurses can enhance the pre-operative assessment process |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
10 |
Pages |
20-22 |
| Keywords |
Nursing specialties; Clinical assessment; Hospitals; Surgery |
| Abstract |
This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented. |
| Call Number |
NRSNZNO @ research @ 1005 |
Serial |
989 |
| Permanent link to this record |
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| Author |
Bishop, D.; Ford-Bruins, I. |
| Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
| Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
3 |
Pages |
203-212 |
| Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
| Abstract |
This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed. |
| Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
| Permanent link to this record |
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| Author |
Palmer, S.G. |
| Title |
Application of the cognitive therapy model to initial crisis assessment |
Type |
Journal Article |
| Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
1 |
Pages |
30-38 |
| Keywords |
Mental health; Clinical assessment; Psychiatric Nursing |
| Abstract |
This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment. |
| Call Number |
NRSNZNO @ research @ 1085 |
Serial |
1070 |
| Permanent link to this record |
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| Author |
Carter, G.E. |
| Title |
Critical thinking abilities: Evidence from students' clinical self-evaluation responses: A pilot study |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Clinical assessment; Critical thinking |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 597 |
Serial |
583 |
| 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 |
Neville, S.J.; Gillon, D.; Milligan, K. |
| Title |
New Zealand registered nurses' use of physical assessment skills: A pilot study |
Type |
Journal Article |
| Year |
2006 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
|
Issue |
14(1) |
Pages |
|
| Keywords |
Clinical assessment; Nursing; Evaluation |
| Abstract |
The objective of this project was to ascertain registered nurses' use of selected physical assessment skills before and after participation in a health assessment course. A pre- (also referred to as part I) and post- (part II) test design was used to investigate the research aim. Participants were obtained via a convenience sample. A questionnaire was completed at the beginning of the educational programme and then four to six weeks after completion of the assessment course. A two tailed t-test was used to identify any significant differences in the characteristics of participants from part I (N = 206) to part II (N = 145), with no differences identified. However, there was an overall mean percentage difference of 17.1% in the use of physical assessment skills after having completed the educational programme. In conclusion, the researchers found that four to six weeks after completion of a health assessment course, nurses were using the skills learned to improve their nursing practice more frequently than before the programme. |
| Call Number |
NRSNZNO @ research @ 879 |
Serial |
863 |
| Permanent link to this record |
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| Author |
Pirret, A.M. |
| Title |
A preoperative scoring system to identify patients requiring postoperative high dependency care |
Type |
Journal Article |
| Year |
2003 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
| Volume |
19 |
Issue |
5 |
Pages |
267-275 |
| Keywords |
Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment |
| Abstract |
The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions. |
| Call Number |
NRSNZNO @ research @ 904 |
Serial |
888 |
| 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 |
Mahoney, Laurie |
| Title |
Children living with a mentally ill parent : the role of public health nurses |
Type |
Journal Article |
| Year |
2010 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
26 |
Issue |
2 |
Pages |
4-13 |
| Keywords |
Public health nurses; Parental mental illness; Advocacy; Assessment; Focus group |
| Abstract |
Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified. |
| Call Number |
NZNO @ research @ |
Serial |
1454 |
| Permanent link to this record |
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| Author |
Garcia, Alicia; Whitehead, Dean; Winter, Helen S |
| Title |
Oncology nurses' perception of cancer pain: a qualitative exploratory study |
Type |
Journal Article |
| Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
1 |
Pages |
27-33 |
| Keywords |
Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education |
| Abstract |
Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients. |
| Call Number |
NZNO @ research @ |
Serial |
1500 |
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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 |
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 |
Nakarada-Kordic, Ivana |
| Title |
Assessing mental models in multidisciplinary operating room teams |
Type |
Book Whole |
| Year |
2016 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
238 p. |
| Keywords |
Mental models; Operating room; Surgery; Assessment; Software; Momento |
| Abstract |
Aims to develop a new empirical method for assessing the similarity of mental models in surgery, focusing on laparotomy; to begin the process of validation of the new approach; and to demonstrate how the new approach could be used in clinical practice. Develops a software application (Momento) to sort key tasks in order to capture the information on mental models regarding task sequence and responsibility. Asks 20 6-person operating room (OR) teams, each comprising 3 sub-teams consisting of anaesthesia, surgery and nursing, to complete Momento prior to 2 simulated emergency laparotomies. Suggests the Momento approach could be used to improve teamwork in OR. |
| Call Number |
NZNO @ research @ |
Serial |
1561 |
| Permanent link to this record |
