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Author Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G. url  openurl
  Title Assessment and management of acute pain in older people: barriers and facilitators to nursing practice Type Journal Article
  Year 2017 Publication Australian Journal of Advanced Nursing Abbreviated Journal  
  Volume 35 Issue (up) 1 Pages 48-57  
  Keywords Pain assessment; Pain management; Aged patients; Acute care nurses  
  Abstract Examines the pain management practices of nurses, and identifies barriers and facilitators to the assessment and management of pain for older people, within the acute hospital setting.  
  Call Number NZNO @ research @ Serial 1788  
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Author Bingham, Helen; Malone, Tara openurl 
  Title Developing compassion in nursing students through engaging with a lived experience Type Journal Article
  Year 2022 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 13 Issue (up) 1 Pages 19-25  
  Keywords Compassion; Personal narratives; Mental illness; Addiction; Nursing education  
  Abstract Considers whether an educational intervention in which mental illness and addiction sufferers share their personal experience with nursing students results in the development of empathy and compassion among nursing students. Incorporates five workshops into the bachelor of nursing curriculum, in which students listen to the stories told by mental health/addiction patients. Gathers accounts from students of their reactions afterwards.  
  Call Number NZNO @ research @ Serial 1817  
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Author Donkin, Alana; Lesa, Raewyn; Seaton, Philippa openurl 
  Title Nurse perceptions of implementing stroke guidelines in an acute stroke unit Type Journal Article
  Year 2022 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 13 Issue (up) 1 Pages 32-37  
  Keywords Clinical practice guidelines; Stroke; Documentation; Acute stroke unit; Surveys  
  Abstract Identifies nurse perspectives on the barriers and facilitators to implementing the nationally-endorsed stroke guidelines. Conducts a focus group with four nurses working in an acute stroke unit at a single hospital in 2021. Considers that nursing experience can act as both a barrier and a facilitator of guideline use.  
  Call Number NZNO @ research @ Serial 1819  
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Author Tarihoran, Elysabeth; Honey, Michelle; Slark, Julia url  doi
openurl 
  Title Younger women's experiences of stroke: A qualitative study Type Journal Article
  Year 2023 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal  
  Volume 39 Issue (up) 1 Pages  
  Keywords Stroke; Women's health; Rehabilitation; Surveys  
  Abstract Aims to explore the experiences of younger women who have had a stroke to understand their experience and support needs, using a qualitative description approach and conducting a focus group discussion to collect data. Enrols five participants aged 18 to 64 years at the time of stroke, to collect data from which four themes and 11 sub-themes emerged. Notes the complexity of younger women's burdens after stroke.  
  Call Number NZNO @ research @ Serial 1832  
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Author Barry, Christine; Severinsen, Christina; Towers, Andy openurl 
  Title Work-related quality of life for support workers and the Pay Equity Settlement Act 2017 Type Journal Article
  Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal  
  Volume 14 Issue (up) 1 Pages 5-11  
  Keywords Care and Support Worker (Pay Equity) Settlement Act 2017; Home-care support workers; Quality of life  
  Abstract Explores the impact of the Care and Support Worker (Pay Equity) Settlement Act (2017) on the quality of life of support workers on the job. Conducts semi-structured interviews with eight support workers, highlighting the following themes: work re-organisation, intensification, collegial working relations, managerial support and communication; pay increments.  
  Call Number NZNO @ research @ Serial 1846  
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Author Thomson, Patricia; Hudson, Dianne; Richardson, Anna; Campbell, Ada; Guihen, Avril openurl 
  Title The placement experience of nursing students in managed isolation and quarantine facilities Type Journal Article
  Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal  
  Volume 14 Issue (up) 1 Pages 12-18  
  Keywords COVID-19; Nursing students; Clinical placement; Managed Isolation and Quarantine Facilities (MIQF)  
  Abstract Conducts focus group interviews with seven nursing students whose third-year clinical placements occurred in Managed Isolation and Quarantine Facilities (MIQF) during level 3 lockdown in 2020. Describes the experiences of the students in terms of clinical skills, communication, support, safety and NCNZ competencies.  
  Call Number NZNO @ research @ Serial 1847  
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Author Moir, Chris; Taylor, Peta; Seaton, Philippa; Snell, Helen; Wood, Susan openurl 
  Title Changes noticed following a pressure-injury link-nurse programme Type Journal Article
  Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal  
  Volume 14 Issue (up) 1 Pages 19-24  
  Keywords Pressure injuries; Link nurses; Patient safety; Quality improvement  
  Abstract Identifies changes that link nurses noticed in their practice areas as a result of participating in a pressure-injury prevention programme. Uses three nurse focus groups to collect data about changes in pressure-injury prevention within their practice areas following implementation of a link-nurse programme. Talks to 22 nurses about increasing awareness of pressure injury prevention, use of assessment tools and documentation, and acquisition of injury prevention equipment.  
  Call Number NZNO @ research @ Serial 1848  
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Author Sibley, Elyse; Mercer, Christine openurl 
  Title Management of behavioural and psychological symptoms of dementia (BPSD): an integrative review Type Journal Article
  Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal  
  Volume 14 Issue (up) 1 Pages 41-49  
  Keywords Dementia; Behaviour; Psychology; Non-pharmacological interventions  
  Abstract Describes the behavioural and psychological symptoms associated with dementia, including depression, agitation, psychosis, hallucinations, delusions and apathy. Employs an integrative review to investigate why care-givers resort to anti-psychotic medication in the first instance instead of non-pharmacological interventions to manage such symptoms. Identifies three themes: low staff-to-patient ratios, insufficient specialised staff; inadequate understanding of the manifestations of dementia.  
  Call Number NZNO @ research @ Serial 1850  
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Author Weber, Heidi openurl 
  Title Deciding on a safe site for intramuscular injections in an acute mental health setting Type Journal Article
  Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal  
  Volume 14 Issue (up) 1 Pages 58-61  
  Keywords Intramuscular injections; Mental health patients  
  Abstract Aims to provide practical guidance for health-care providers to ensure the safe and effective administration of intramuscular injections, when there is the potential for violence and agitation, as well as during personal restraint. Undertakes a realist review of the evidence comparing the dorsogluteal and ventrogluteal sites.  
  Call Number NZNO @ research @ Serial 1852  
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Author Hunt, M. openurl 
  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 (up) 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  
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Author Challis-Morrison, S. url  openurl
  Title Caring for a community wanderer Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue (up) 11 Pages 20-22  
  Keywords Case studies; Older people; Community health nursing; Dementia  
  Abstract A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity.  
  Call Number NRSNZNO @ research @ Serial 977  
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Author McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. openurl 
  Title Responsible clinician role offers opportunities for nurses Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue (up) 11 Pages 12-14  
  Keywords Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health  
  Abstract The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation.  
  Call Number NRSNZNO @ research @ Serial 992  
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Author Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P. url  openurl
  Title Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial Type Journal Article
  Year 2002 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 115 Issue (up) 1157 Pages  
  Keywords Emergency nursing; Time factors; Clinical assessment; Clinical decision making  
  Abstract The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources.  
  Call Number NRSNZNO @ research @ Serial 617  
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Author Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. url  openurl
  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 (up) 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  
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Author Kiata, L.; Kerse, N.; Dixon, R. url  openurl
  Title Residential care workers and residents: The New Zealand story Type Journal Article
  Year 2005 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 118 Issue (up) 1214 Pages  
  Keywords Rest homes; Maori; Pacific peoples; Asian peoples; Ethnicity; Recruitment and retention  
  Abstract The aim of this study was to describe the nature and size of long-term residential care homes in New Zealand; funding of facilities; and the ethnic and gender composition of residents and residential care workers nationwide. A postal, fax, and email survey of all long-term residential care homes in New Zealand was undertaken, with completed surveys received from an eligible 845 facilities (response rate: 55%). The majority of these (54%) facilities housed less than 30 residents. Of the 438 (94%) facilities completing the questions about residents' ethnicity, 432 (99%) housed residents from New Zealand European (Pakeha) descent, 156 (33%) housed at least 1 Maori resident, 71 (15%) at least 1 Pacific (Islands) resident, and 61 (13%) housed at least 1 Asian resident. Facilities employed a range of ethnically diverse staff, with 66% reporting Maori staff. Less than half of all facilities employed Pacific staff (43%) and Asian staff (33%). Registered nursing staff were mainly between 46 and 60 years (47%), and healthcare assistant staff were mostly between 25 and 45 years old (52%). Wide regional variation in the ethnic make up of staff was reported. About half of all staff were reported to have moved within the previous 2 years. The authors conclude that the age and turnover of the residential care workforce suggests the industry continues to be under threat from staffing shortages. While few ethnic minority residents live in long-term care facilities, staff come from diverse backgrounds, especially in certain regions.  
  Call Number NRSNZNO @ research @ 545 Serial 531  
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