| |
Records |
Links |
|
Author |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S. |
|
| |
Title |
Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
3 |
Pages |
183-186 |
|
| |
Keywords |
Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care |
|
| |
Abstract |
The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal. |
|
| |
Call Number  |
NRSNZNO @ research @ |
Serial |
514 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Truscott, J.M.; Townsend, J.M.; Arnold, E.P. |
|
| |
Title |
A successful nurse-led model in the elective orthopaedic admissions process |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
NZ Medical Association website. Access free to articles older than 6 months. |
|
| |
Volume |
120 |
Issue |
1265 |
Pages |
|
|
| |
Keywords |
Surgery; Hospitals; Nursing; Administration |
|
| |
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. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
516 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Grayson, S.; Horsburgh, M.; Lesa, R.; Lennon, D. |
|
| |
Title |
An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
|
| |
Volume |
119 |
Issue |
1243 |
Pages |
|
|
| |
Keywords |
Community health nursing; Patient compliance |
|
| |
Abstract |
The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
520 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S.; Ardagh, M.; Hider, P. |
|
| |
Title |
New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
|
| |
Volume |
119 |
Issue |
1232 |
Pages |
|
|
| |
Keywords |
Hospitals; Clinical assessment; Interprofessional relations |
|
| |
Abstract |
This study aims to examine the concept of 'inappropriate' emergency department attendances in relation to the emergency department at Christchurch Hospital. It specifically seeks to determine whether there is a consensus opinion among healthcare providers regarding a definition of 'inappropriate'. An exploratory survey of health professionals involved with the referral, assessment, transport, and treatment of emergency department patients in Christchurch was carried out. A range of health professionals, including ambulance personnel, general practitioners, emergency department physicians, emergency nurses, and hospital managers were approached. A series of questions relating to definition and response to 'inappropriate' patients was asked, with an additional open-ended question relating to the definition of 'appropriateness'. The researchers found significant differences in the attitudes and perceptions of key health professionals involved in the referral, treatment, and admission of patients to the emergency department. This has implications for any interventions aimed at addressing emergency department 'overcrowding' that assume the presence of a consensus understanding of this concept. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
526 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Incorporation of research into clinical practice: The development of a clinical nurse researcher position |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
21 |
Issue |
1 |
Pages |
33-42 |
|
| |
Keywords |
Emergency nursing; Nursing research; Hospitals |
|
| |
Abstract |
The author backgrounds the development of the role of an innovative Nurse Researcher (Emergency Medicine) role at Christchurch Hospital. She describes the emergency department and the factors leading to the creation of the role. Specific nursing research projects are reviewed, and the nature of nursing in relation to research is discussed. The author argues that the nurse researcher is integral to the expansion of evidence-based nursing, and that the role of Clinical Nurse Researcher in the emergency department has resulted in a higher profile for research, and the gradual integration of research as a clinical skill with direct practical relevance. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
536 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lyford, S.; Cook, P. |
|
| |
Title |
The Whanaungatanga model of care |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
21 |
Issue |
2 |
Pages |
26-36 |
|
| |
Keywords |
Maori; Hospitals; Nursing models |
|
| |
Abstract |
The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
538 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Spence, D. |
|
| |
Title |
Advancing nursing practice through postgraduate education, part two |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
3 |
Pages |
21-30 |
|
| |
Keywords |
Advanced nursing practice; Professional development; Education; Research |
|
| |
Abstract |
This paper continues presentation of the findings of a North Island based research project that explored the impact of clinically focused postgraduate education on advancing nursing practice. Like their international counterparts, increasing numbers of New Zealand nurses are enrolling in advanced practice programmes. Yet, despite international evidence supporting the usefulness of Masters level preparation for advancing clinical practice, questions about the need for such development persist. This paper argues that postgraduate education contributes to the development of courage and that this, in turn, is essential to overcoming the barriers that currently constrain the advancement of nursing practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
542 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Barber, A.; Charleston, A.; Anderson, N.; Spriggs, D.; Bennett, D.; Bennett, P.; Thomas, K.; Baker, Y. |
|
| |
Title |
Changes in stroke care at Auckland Hospital between 1996 and 2001 |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months |
|
| |
Volume |
117 |
Issue |
1190 |
Pages |
|
|
| |
Keywords |
Multidisciplinary care teams; Nursing specialties; Hospitals |
|
| |
Abstract |
The researchers repeat the 1996 audit of stroke care in Auckland Hospital to assess changes in stroke management since the introduction of a mobile stroke team. The audit prospectively recorded information for all patients with stroke from 1 June to 30 September 2001. They describe the work of the stroke team physician and the specialist stroke nurse and allied health staff who coordinate the multidisciplinary care of patients. Variables examined include time to arrival and medical assessment, investigations, acute management, inpatient rehabilitation, and stroke outcome. The researchers then describe recent developments in stroke care and the impact of the stroke service on patient management. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
544 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Drake, M.; Stokes, G. |
|
| |
Title |
Managing pre-registration student risk: A professional and legislative minefield |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
1 |
Pages |
15-27 |
|
| |
Keywords |
Risk management; Education; Law and legislation; Nursing |
|
| |
Abstract |
This article reports data from 15 schools of nursing, surveyed to identify difficulties experienced by nurse educators with respect to entry, progression and programme completion of undergraduate nursing students. Risk assessment, along with a lack of clear policy and procedures were found to be the main problem areas. Difficulties were exacerbated for educators when there were challenges to their professional judgement, either from the Nursing Council of New Zealand or from within their own institution. The authors argue for more recognition of the dual role of nurse educators, and greater clarification of the Nursing Council of New Zealand role in regulating the student's programme entry and progression, and ultimate admission to the Register. It is suggested that the recently passed Health Practitioners Competence Assurance Act (2003) provides nursing with an opportunity to address some of these issues. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
546 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Clendon, J.; Krothe, J. |
|
| |
Title |
The nurse-managed clinic: An evaluative study |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
2 |
Pages |
15-23 |
|
| |
Keywords |
Evaluation research; Nurse managers; Primary health care; Cross-cultural comparison |
|
| |
Abstract |
Part of an international project, the aim of this study was to evaluate a nurse managed primary health care clinic (Mana Health Clinic) from the perspectives of users, funders, and providers of clinical services in order to identify factors which contribute to success. The method used was Fourth Generation Evaluation (FGE) whereby, consistent with the methodological precepts of the constructivist enquiry paradigm, there was active involvement of clients in the process and outcome of the evaluation. Open-ended interviews were conducted with 13 individuals and one focus group. The data yielded four main categories: factors that contribute to success; contrasting past experience of health care with that of nurse-managed care; the effectiveness of nurse-managed care; and suggestions for change in current practice. The authors note that the results to date support a tentative conclusion of success for the clinic. As the study is on-going, summaries of the four categories were fed back to the participants for further discussion and interpretation and eventual integration with data from the similar study being undertaken in the United States. The authors conclude that this paper demonstrates how the use of an appropriate method of evaluation can itself contribute to the success of the nurse managed clinic. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
547 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wilkinson, J.A.; Huntington, A.D. |
|
| |
Title |
The personal safety of district nurses: A critical analysis |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
3 |
Pages |
31-44 |
|
| |
Keywords |
District nursing; Occupational health and safety; Organisational culture; Risk factors |
|
| |
Abstract |
A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
549 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Boyd, M.E. |
|
| |
Title |
Advancing nursing knowledge: The experience of a nurse working with dying people in a highly remote rural area |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Terminal care; Rural nursing; Rural health services |
|
| |
Abstract |
By describing and gaining insight into one rural nurse's experience working with dying people in a highly, remote rural area, this project seeks to advance nursing practice. Key findings indicate that, through community partnership and teamwork, nurses can act to assist rural people by: increasing public awareness of health resources; exposing barriers to access; and identifying different health service needs. The author makes a case that some rural nurses may feel insufficiently prepared for rural nursing. To understand death and dying, key ideas from Kuebler-Ross's (1969) framework for dying are examined: denial, fear of dying, spirituality, hope, depression and how to die well. Nurses require a blend of end-of-life and rural nursing postgraduate education and skills, to manage well. Key findings imply that dying people can be helped by: improving function and independence to promote autonomy; encouraging faith, hope, and love within the person's personal concept of spirituality; listening to dying people, to oneself, to one's own reactions, and knowing oneself. Parse's theory (1981) indicates nurses can help rural dying people by the following key factors: encouraging the person to live life to the full while dying; accepting humans cannot be separated from their perspectives, circumstances or environments; focusing on quality of life from the person's perspective: encouraging the person to live life fully while dying; and offering new possibilities. The author goes on to say that Parse's human-universe-health process aids nurses to live their beliefs indicating Parse's theory could guide and advance nursing practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
573 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ward, C.R. |
|
| |
Title |
Children matter: What is important to the child living with a life-threatening illness |
Type |
Miscellaneous |
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Children; Nurse-patient relations; Nursing; Chronically ill |
|
| |
Abstract |
When a child lives with a life-threatening illness there is a range of emotions that affect the child, family and people close to the child. This study utilises a narrative approach to explore what the child puts emphasis on in what is important to them as they live with serious illness. The study incorporates the nurse as narrator with the 'narratives' of the children integrated into her reflections to gain a broader understanding. The focus is on listening intently to the spoken needs of children, their story and the meaning they make of their situation when they live with their illness. 'Children' in this study are between the ages of six years to 15 years. The aim of this research is to provide a clear understanding of the lived experience, which may illuminate the needs of the child and what is required throughout the time of illness; therefore informing health professionals of a culture of care that may support these needs. A broader understanding and deeper insight into the complexity of children living with life-threatening illnesses provides a basis for the development of sensitive, humanistic quality nursing care for both the child and his/her family, this then enhances the potential for best practice for children living with a life-threatening illness. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
577 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Dulieu, F. |
|
| |
Title |
Collaborative practice: A study in bridging the gap to transform the delivery of specialist palliative nursing care in residential aged care facilities |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rest homes; Palliative care; Older people; Nursing; Advanced nursing practice; Terminal care; Geriatric nursing |
|
| |
Abstract |
This paper documents a practice development initiative with the aim of formulating a rationale for the professional practice development of a relatively recently conceived nursing initiative; that of a Palliative Care Liaison Nurse (PCLN) role. The project involved conducting an inquiry through a search of the literature with the aim of discovering ways to articulate, then develop, the role to meet the needs of elderly people living in Residential Aged Care Facilities (RACFs), their family and the whanau. The paper initially explores the concept of liaison roles globally, to consider how this role might be located as an interagency position between palliative care and aged care within the context of Aotearoa/New Zealand. The paper then reveals the perceived skills and personal attributes required by a person in the PCLN role that the author, drawing from personal and professional experience of having been appointed to this position, considers are necessary to effectively manage the diverse dimensions of this role. Bridging the gap is a key role discussed which centres on the capacity to organise and present an effective education programme while supporting, encouraging and role modeling for staff providing the day to day nursing care. This role involves practice wisdom and advocating for change and tolerance within everyday practice. An example of this dimension is discussed in depth, because the researcher considers that through staff working together, they can effectively bridge the knowledge-practice gap which exists between specialist palliative and gerontological nursing care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
580 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sims, D.A. |
|
| |
Title |
The benefits and challenges of one New Zealand nursing undergraduate clinical education model: A case study |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Clinical supervision; Preceptorship; Education; Students; Nursing |
|
| |
Abstract |
This research project utilised a case study approach to give ward managers a voice in the literature, by exploring and describing from their perspective the benefits and challenges of one particular nursing undergraduate clinical education model. The tertiary education provider contracts the health provider to provide Clinical Nurse Educators (CNEs) to support second and third year undergraduate nursing students during their clinical experiences. The CNEs are seconded from their respective wards to meet the organisation's contractual obligations. Data were gathered from two ward managers using semi-structured interviews. The findings elucidate the role of the undergraduate CNE, highlighting benefits such as the CNE being supernumerary to ward rosters and having time to teach, not only supervise students. CNEs are student-focused and easily accessible as they are based on site. The CNE was the one person who was 'there' for a student as a student's preceptor can change shift-by-shift and day-by-day. One significant challenge which emerged was the replacement of ward staff, not only of senior nurses who can leave their wards for up to 12 weeks to undertake the CNE role but also that of the student's preceptor if the student's preceptor was on annual, sick or study leave. Other challenges such as the inability of ward managers to pre-book casual staff; preceptor work-loads; skill-mix issues and fluctuating fulltime equivalents are also discussed. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
598 |
|
| Permanent link to this record |
