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Author Walker, Leonie
Title Hardships and hurdles: The experiences of migrant nurses in New Zealand Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages (up) 4-8
Keywords Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying
Abstract The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.
Call Number NZNO @ research @ Serial 1337
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Author Hendry, C.; East, S.
Title Impact of the Christchurch earthquakes on clients receiving health care in their homes Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages (up) 4-10
Keywords Stress Disorders, Post-traumatic; older people; disaster response
Abstract Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.
Call Number NZNO @ research @ Serial 1388
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Author Richardson, F
Title Editorial: Cultural Safety 20 Years On Time to Celebrate or Commiserate? Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages (up) 5-8
Keywords Cultural Safety -- Education; Curriculum; Education- Nursing
Abstract There needs to be more practice-focused research about how cultural safety is experienced by the recipient of care and how it is applied in nursing and healthcare delivery. [...]sociology, science, and knowledge developed from within northern hemisphere societies. Because the ground is different for knowledge arising from the New Zealand experience, theorising cultural safety must be different too.
Call Number NZNO @ research @ Serial 1379
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Author Honey, M.L.L.
Title Methodological issues with case study research Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages (up) 9-11
Keywords Research, nursing; Research methodology; Study design; data analysis; Data collection methods
Abstract Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted.
Call Number NZNO @ research @ Serial 1338
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Author MacIvor, K
Title Critical Elements of Pre-hospital Cardiopulmonary Resuscitation Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages (up) 9-17
Keywords Death, Sudden; Cardiac Defibrillators Automated; External Prehospital Care; Resuscitation; Cardiopulmonary Ventricular Fibrillation
Abstract Baker et al., (2008) showed diminished rates of survival in the CPR-first group. Based largely on the evidence of the two Australian RCTs, the 2010 ILCOR guidelines removed the recommendation for CPR first, stating that 'there is inconsistent evidence to support or refute a delay in defibrillation to provide a period (90 s to 3 min) of CPR for patients in VF/pulseless ventricular tachycardia (VT) cardiac arrest' (ILCOR, 2010, p. e6).\n For this reason, and due to the increased chance of accidental defibrillation, it is the recommendation of the author that it only be used by health professionals who are able practise on a regular basis.
Call Number NZNO @ research @ Serial 1380
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Author Seaton, L.; Seaton, P.; Yarwood, J.
Title Preparedness: Lessons for educators from the Christchurch disaster Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages (up) 11-16
Keywords Education, Nursing; Case studies; Disasters
Abstract This study describes the impact of a sudden, traumatic natural disaster on a bachelor of nursing programme, and the capacity and processes required to minimise disruption to programme delivery and student learning. This descriptive case study, undertaken across 2011-2012, collected data through interviews, a survey and artefact collection. Six key themes emerged from the inductive and descriptive statistical analyses: context; communication; leadership and followership; decision making; the need to balance shifting priorities around professional responsibilities and personal imperatives; and taking action and action plans. The conclusions reached emphasise safety as the first priority, encourage personal risk mitigation, and emphasise the importance of ongoing support and flexibility for all staff and students as well as the need for clear communication and decision-making. What is perhaps most important to take from this experience is that a plan does not, by itself, equal preparedness; every institution must look to its own context, consider its own priorities, and formulate its own approach to preparedness.
Call Number NZNO @ research @ Serial 1389
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Author Watson, P, B.
Title Positive pressure intravenous access ports on central venous devices in children: An evidence-based review Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages (up) 12-18
Keywords Venous pressure; Central venous pressure; Central venous catheters; Catheter-related infections; Children
Abstract This research aimed to assess the evidence for benefits and risks of positive pressure mechanical valve (PPMV) intravenous access ports on central nervous system devices (CVADs) in children. PPMVs on CVADs have been promoted as preventing occlusion and the need for heparin flushing. A search for primary research to March 2010 was conducted using MEDLINE, EMBASE and CINAHL. There is sufficient evidence that some models of PPMV intravenous access ports on CVADs, when flushed with normal saline, are associated with increased bloodstream infections in children. Further research is required.
Call Number NZNO @ research @ Serial 1340
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Author Salt, L.
Title Evaluating critical care outreach and the early warning score tool ? The ward nurse?s viewpoint Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages (up) 17-24
Keywords Early warning scores; Critical care nursing; nursing skills
Abstract The aim of this research was to ascertain the opinions of ward nurses (registered and enrolled nurses) on a critical care outreach (CCO) service and the early warning score (EWS) tool and how CCO helps them care for ward patients whose condition is deteriorating. An 18-item Likert scale questionnaire was adapted to gain opinions on three aspects of the service: The usability of the EWS tool and the escalation protocol; the role and usefulness of the critical care outreach nurse (CCON); and education and sharing of critical care skills. The research was conducted in a 270-bed New Zealand hospital with a nurse-led outreach team. The survey was distributed to adult general wards. It found 45 percent of ward nurses found EWS useful in identifying patients whose condition was deteriorating, 58 percent found EWS easy to use and 82 percent found EWS helped them prioritise workloads. On the role and usefulness of the CCON, 41 percent of surveyed nurses found the post-ICU review helpful, 65 said CCONs were approachable, 71 percent found the CCON shift time of 3pm-11pm was useful, 69 percent said the CCON demonstrated sound clinical knowledge, and 54 percent rated CCONs teaching as sufficient for their needs. When CCO was present, nurses were able to formulate an effective management plan for potentially deteriorating patients and acquired critical care skills needed to manage such patients. The results are comparable with other research which sought nurse opinion of CCO. It indicates nurses believe CCO to be instrumental in increasing critical care skills to prevent deterioration in the clinical area.
Call Number NZNO @ research @ Serial 1390
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Author Adams, J
Title Life Experience for an Adolescent with Type 1 Diabetes: Nursing Strategies to Support a Healthy Lifestyle Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages (up) 18-26
Keywords Diabetes Mellitus Type 1; Psychosocial Factors -- In Adolescence; Diabetic Patients- Life Experiences; Nursing Role
Abstract This article explores the impact a chronic illness has on an adolescent patient, their family, and social, work, cultural and spiritual aspects of their life. The discussion will focus on the patient's healthcare experience and the nursing strategies undertaken to help maintain her optimum health. The personal information used in this article was gathered from an interview with the patient during a second-year undergraduate nursing student clinical learning experience.
Call Number NZNO @ research @ Serial 1381
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Author Gibbons, V.; Rice, S.; Lawrenson, R
Title Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages (up) 19-22
Keywords Medication compliance; Diabetes Mellitus, Non-Insulin-Dependent; Primary health care
Abstract It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
Call Number NZNO @ research @ Serial 1339
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Author Miskelly, P; Neal, P; Green, A
Title Communities of Practice: Supporting innovation to improve public health nurse and school community relationships Type Journal Article
Year 2011 Publication Kai Tiaki Nursing Research Abbreviated Journal Held by NZNO Library
Volume 2 Issue 1 Pages (up) 21-26
Keywords
Abstract Public health nursing has been an integral part of health delivery services in New Zealand since the development of a public health service in the early 1900s.

This paper details a qualitative study of a practice innovation undertaken by a group of nurses to reconnect with their school communities. Questions focused on whether the relationship between the public health nurses and their school communities improved as a result of the innovation and what impact, if any, the project had on the public health nurse team itself. Community of practice theory revealed the importance of collaboration and the benefits that can accrue from this approach for both nurse and school communities.
Call Number NZNO @ research @ Serial 1358
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Author Ha, I.; Huggard, P.; Huggard, J.
Title Staff support and quality of care provided by palliative care nurses: A systematic literature review Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages (up) 25-32
Keywords Hospice and palliative nursing; Systematic review; Staff support; Quality of health care
Abstract There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
Call Number NZNO @ research @ Serial 1391
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Author Trim, S.P.
Title Report on the pilot NZNO practice nurse accreditation programme March 1995 – April 1998 Type
Year 1998 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal NZNO Library
Volume 4 Issue 7 Pages (up) 26
Keywords
Abstract The New Zealand Nurses organsation agreed to become the accrediting body for nurses in NZ in 1994 and Susanne Trim, NZNO Professional Nursing Adviser, worked with the National Practice Nurse Section to develop and pilot a model for accreditation.A consultative process was used to develop a framework and process during 1995 and this was unanimously endorsed in the April 1996 National Practice Nurse Section AGM.Implementation occurred from May 1996 to March 1998 with a comprehensive evaluation of the model collection of data from practice nurse applicants, non-applicants, the Practice Nurse Accreditation Board, National PN Sections and the project co-ordinator.The number of applications received exceeded expectations 212 (14% NZNO practice nurse members). There was a high level of satisfaction expressed by applicants.A number of content issues were identified during the pilot as needing review, clarification and amendment. These were of a minor nature rather than recommended changes to the structure itself.The accreditation Board processes were modified part way through the implementation to improve efficiencies and were found to be satisfactory. The training model and timing were appropriate.Administrative support and central co-ordination through designated NZNO staff member proved to be time consuming but vital.Practice Nurses embraced accreditation however as a group they have some minor unique characteristics. This should caution NZNO to proceed gradually with accreditation of other Section Nurses and monitor progress closely
Call Number NRSNZNO @ research @ 340 Serial 340
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Author Warren, B; Dovey, S; Griffin, F
Title The evidence behind more than a decade of policy recommending influenza vaccination for young New Zealanders with long term medical conditions Type Journal Article
Year 2011 Publication Kai Tiaki Nursing Research Abbreviated Journal Held by NZNO Library
Volume 2 Issue 1 Pages (up) 27-32
Keywords
Abstract This article reviews the recent evidence underpinning the New Zealand Ministry of Health's recommendation to offer free annual influenza vaccination to people aged six months to 64 years who have certain chronic medical conditions (eligible younger people). These results show there is relatively limited research providing evidence underpinning recommendations for influenza vaccination among people aged <65 years. These results show that there is a need to increase nurses' awareness of the rationale behind the New Zealand influenza vaccination policy, that this may in turn increase their willingness to recommend influenza vaccine to more eligible younger people.
Call Number NZNO @ research @ Serial 1359
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Author Cook, Deborah.
Title Open visiting: does this benefit adult patients in intensive care units Type
Year 2006 Publication Abbreviated Journal NZNO Library
Volume Issue Pages (up) 32 pp
Keywords
Abstract A dissertation submitted in partial fulfilment of the requirements of the degree of Master of Nursing at Otago Polytechnic, Dunedin, New Zealand.

As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. Analysis of the growing body of research can now be reviewed to enable existing visiting policies to be revised.
Call Number NZNO @ research @ Serial 1332
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