Records |
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 ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
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 |
Neville, S.J.; Gilmour, J.A. |
Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
13 |
Issue |
9 |
Pages ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
22-25 |
Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
Call Number |
NRSNZNO @ research @ |
Serial |
983 |
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 ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
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 |
Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N. |
Title |
Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand |
Type |
Journal Article |
Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
Volume |
46 |
Issue |
1 |
Pages ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
95-109 |
Keywords |
Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori |
Abstract |
The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements. |
Call Number |
NRSNZNO @ research @ |
Serial |
1060 |
Permanent link to this record |
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Author |
Pitama, S.; Robertson, P.; Cram, F.; Gillies, M.; Huria, T.; Dalla-Katoa, W. |
Title |
Meihana model: A clinical assessment framework |
Type |
Journal Article |
Year |
2007 |
Publication |
New Zealand Journal of Psychology |
Abbreviated Journal |
|
Volume |
36 |
Issue |
3 |
Pages ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
118-125 |
Keywords |
Nursing models; Clinical assessment; Maori; Mental health |
Abstract |
In 1984 Mason Durie documented a framework for understanding Maori health, Te Whare Tapa Wha, which has subsequently become embedded in Maori health policy. This article presents a specific assessment framework, the Meihana Model, which encompasses the four original cornerstones of Te Whare Tapa Wha, and inserts two additional elements. These form a practice model (alongside Maori beliefs, values and experiences) to guide clinical assessment and intervention with Maori clients and whanau accessing mental health services. This paper outlines the rationale for and background of the Meihana Model and then describes each dimension: whanau, wairua, tinana, hinengaro, taiao and iwi katoa. The model provides a basis for a more comprehensive assessment of clients/whanau to underpin appropriate treatment decisions. |
Call Number |
NRSNZNO @ research @ |
Serial |
459 |
Permanent link to this record |
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Author |
Lesa, R.; Dixon, D.A. |
Title |
Physical assessment: Implications for nurse educators and nursing practice |
Type |
Journal Article |
Year |
2007 |
Publication |
International Nursing Review |
Abbreviated Journal |
|
Volume |
54 |
Issue |
2 |
Pages ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
166-172 |
Keywords |
Advanced nursing practice; Clinical assessment; Cardiovascular diseases; Nursing; Education |
Abstract |
In New Zealand, the physical assessment of a patient has traditionally been the domain of the medical profession. Recent implementation of advanced practice roles has expanded the scope of practice and nurse practitioners may now be expected to perform physical assessments. The aim of this literature review was to discover what could be learnt from the experiences of Western countries. Nurses from the USA, Canada and Australia readily incorporate physical assessment skills into their nursing practice as a component of health assessment. The international literature identified that any change to the nurse's role in health assessment, to include physical assessment skills, requires strategies that involve the regulatory, educational and practice components of nursing. |
Call Number |
NRSNZNO @ research @ |
Serial |
786 |
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 ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
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 |
Hamer, H.P.; McCallin, A. |
Title |
Cardiac pain or panic disorder? Managing uncertainty in the emergency department |
Type |
Journal Article |
Year |
2006 |
Publication |
Nursing & Health Sciences |
Abbreviated Journal |
|
Volume |
8 |
Issue |
4 |
Pages ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
224-230 |
Keywords |
Emergency nursing; Clinical assessment; Diagnosis |
Abstract |
This paper presents research findings from a New Zealand study that explored emergency nurses' differentiation of non-cardiac chest pain from panic disorder and raised significant issues in the nursing assessment and management of such clients. The data were gathered from focus group interviews and were analysed thematically. Three themes, prioritising time, managing uncertainty and ambiguity, and the life-threatening lens, were identified. The findings confirm that a panic disorder is not always diagnosed when biomedical assessment is used in isolation from a psychosocial assessment. Emergency nurses are pivotal in reversing the cycle of repeat presenters with non-cardiac chest pain. Recommendations for assessing and managing this complex condition are presented. |
Call Number |
NRSNZNO @ research @ |
Serial |
689 |
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 ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
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 |
Kussmaul, Joerg |
Title |
An investigation of occupational health and safety workplaces and working conditions in comparison to nursing care quality in residential aged care facilities (RACFs) in New Zealand |
Type |
Book Whole |
Year |
2020 |
Publication |
|
Abbreviated Journal |
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Volume |
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Issue |
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Pages ![sorted by First Page field, ascending order (up)](img/sort_asc.gif) |
270 p. |
Keywords |
Residential Aged Care Facilities; Ocuupational health and safety; Working conditions; InterRAI; Clinical Assessment Protocols Job stress; Registered nurses; Enrolled nurses; Healthcare assistants |
Abstract |
Identifies critical factors related to the occupational health and safety of workplaces and working conditions in residential aged-care facilities (RACF), from the perspective of nursing staff. Correlates quality indicators for occupational health and safety for workplaces and in working conditions with nursing care quality based on the InterRAI Clinical Assessment Protocols (CAP). Uses a mixed-method approach to conduct an audit of workplace health and safety and environmental conditions in 17 RACFs. Surveys 398 registered nurses (RN), enrolled nurses (EN), and Healthcare Assistants (HCA) about the mental and physical stressors in their work. |
Call Number |
NZNO @ research @ |
Serial |
1655 |
Permanent link to this record |