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Author Vermeulen, J.
Title “And there's the likes of me”: A phenomenological study of the experience of four women inpatients at a mental health unit Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages (up)
Keywords Psychiatric Nursing; Patient satisfaction; Hospitals; Nurse-patient relations
Abstract This research draws on the experiences of four women whilst they were inpatients at the Mental Health Unit in Southland. The Husserlian path of phenomenology was followed and in-depth interviewing used to collect data. Colaizzi's method of analysis enabled accurate interpretation of transcripts. The overall goal of this research was to provide health professionals with an opportunity to inform their practice, based on what consumers were saying about their experience of hospitalisation. Themes emerged through participants relating their experience by using comparisons with either their outside world or previous episodes of hospitalisation. Through analysis, two fundamental structures became evident within the findings. These were 'the environment as containment' and 'the road to recovery'. The author concludes that this study raises significant issues surrounding the experience of hospitalisation at the Mental Health Unit that have implications for future research and for future service delivery.
Call Number NRSNZNO @ research @ Serial 1246
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Author Walsh, C.; Boyd, L.; Baker, P.; Gavriel, A.; McClusky, N.; Puckey, T.C.; Sadler, D.; Stidworthy, A.
Title It was time for me to leave: A participatory action research study into discharge planning from an acute mental health setting Type Report
Year 2001 Publication Abbreviated Journal
Volume Issue Pages (up)
Keywords Psychiatric Nursing; Patient satisfaction; Hospitals; Administration
Abstract
Call Number NRSNZNO @ research @ 1275 Serial 1260
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Author McDonald, S.
Title A study to investigate the role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality Type Report
Year 2000 Publication Abbreviated Journal
Volume Issue Pages (up)
Keywords Registered nurses; Hospitals; Psychiatric Nursing
Abstract
Call Number NRSNZNO @ research @ 1283 Serial 1268
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Author Litchfield, M.
Title The language of nursing practice in hospitals Type Conference Article
Year 1997 Publication Abbreviated Journal held by NZNO Library and author
Volume Proceedings of the National Nursing Informatics Co Issue Pages (up)
Keywords Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans
Abstract A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions.
Call Number NZNO @ research @ Serial 1322
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Author Chadwick, A.; Hope, A.
Title In pursuit of the named nurse Type Journal Article
Year 2000 Publication Australasian Journal of Neuroscience Abbreviated Journal
Volume 13 Issue 4 Pages (up) 6-9
Keywords Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations
Abstract This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required.
Call Number NRSNZNO @ research @ Serial 924
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Author Marcinkowski, K.; McDonald, B.
Title Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 3 Pages (up) 15-21
Keywords Surgery; Hospitals; Economics
Abstract This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty.
Call Number NRSNZNO @ research @ 533 Serial 519
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Author Carryer, J.B.; Budge, C.; Russell, A.
Title Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 3 Pages (up) 18-29
Keywords Professional development; Careers in nursing; Nursing; Hospitals
Abstract The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not.
Call Number NRSNZNO @ research @ 634 Serial 620
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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 (up) 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
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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 (up) 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
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Author Burrell, B.
Title Mixed-sex rooms: Invading patients' privacy? Type Journal Article
Year 2003 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 9 Issue 4 Pages (up) 26-28
Keywords Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender
Abstract The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993.
Call Number NRSNZNO @ research @ Serial 1000
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Author Finlayson, M.; Gower, S.E.
Title Hospital restructuring: Identifying the impact on patients and nurses Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 2 Pages (up) 27-35
Keywords Quality of health care; Hospitals; Organisational change
Abstract The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes.
Call Number NRSNZNO @ research @ Serial 615
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Author Malcolm, H.
Title Patient privacy in a shared hospital room: Right or luxury? Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages (up) 28-35
Keywords Patient rights; Law and legislation; Nursing; Hospitals
Abstract In this article the author discusses the New Zealand legislation aimed at protecting the individual's right to privacy and concludes that practice may place healthcare consumers' rights at risk. While patient privacy should be of concern to all health professionals, the focus here is on the nurse's role in relation to recently formulated competencies published by the Nursing Council of New Zealand, which includes the recommendation that care be seen to exhibit an awareness of healthcare consumers' rights to privacy alongside the expectation that nurses question practices that compromise patient privacy.
Call Number NRSNZNO @ research @ 562 Serial 548
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Author Moore, Justin
Title Breaking down barriers in child healthcare (0-5) years. Margaret May Blackwell Travelling Fellowship 2005 Type Report
Year 2005 Publication Abbreviated Journal
Volume Issue Pages (up) 29
Keywords Child health services; Children's Hospitals; Emergency Departments; Drugs; Reports
Abstract Travels to Australia, Canada, the US and the UK to investigate various methods of procedural sedation for 0-5-year-olds in paediatric Emergency Departments. Describes the types of sedation used and the recovery periods. Transcribes the interviews he conducted with Emergency Department staff in each country. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1427
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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 (up) 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
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Author Buisman, B.
Title Nursing 2020: How will 'Magnet' hospitals fit in? Type Journal Article
Year 2006 Publication Nursing Journal Northland Polytechnic Abbreviated Journal
Volume 10 Issue Pages (up) 33-41
Keywords Nursing; Leadership; Hospitals
Abstract Nursing shortages, technology, advances in genetics and the knowledge explosion are trends that have an influence on the nursing profession in the future. This article will examine these trends and give an overview of what it may be like to nurse in an acute-care hospital in the year 2020. The impact of leadership, management and political influences will also be discussed. The American concept of 'Magnet' hospitals will be described as one possible solution to the issues that affect the nursing profession in New Zealand.
Call Number NRSNZNO @ research @ 1209 Serial 1194
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