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Author Foster, M.J.; Al-Modaq, M.; Carter, B.; Neill, S.; O'Sullivan, T.; Quaye, A.A.; Majamanda, M.; Abdullah, K.; Hallstrom, I.K.; English, C.; Vickers, A.; Coyne, I., Adama, E.; Morelius, E. url  openurl
  Title Seeing lockdown through the eyes of children from around the world: Reflecting on a children's artwork project Type Journal Article
  Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal  
  Volume 37 Issue (up) 3 Pages 104-115  
  Keywords Child health; Mental health; Pandemics; COVID-19; Children's art  
  Abstract Illustrates the impact of the pandemic and children's experiences of lockdowns through their artwork. Describes a cross-cultural project in which members of the International Network for Child and Family-Centered Care collaborated to elicit children's responses to being locked down, compiling their artistic expressions into an eBook. Invites child and family nurses to use the insights provided to inform their interactions with children.  
  Call Number NZNO @ research @ Serial 1739  
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Author Hamer, H.P.; McCallin, A. openurl 
  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 (up) 4 Pages 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  
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Author Ho, T.; Mok, J. openurl 
  Title Condensate clearance from CPAP circuit: An examination of two methods of draining condensate from the inspiratory tubing Type Journal Article
  Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal  
  Volume 9 Issue (up) 4 Pages 117-120  
  Keywords Neonatal nursing; Infection control; Equipment and Supplies  
  Abstract Clinical studies on adult ventilated patients demonstrate that bacterial contamination of the condensate occurs in ventilator circuits. The purpose of this research is to find out if this is also true of the condensate in the Continuous Positive Airway Pressure (CPAP) circuit. It aims to determine whether there is bacterial contamination in the humidifier reservoir of the CPAP system when the condensate is drained back into the humidifier reservoir without disconnecting the circuit, or when the inspiratory tubing is disconnected to drain out the condensate.  
  Call Number NRSNZNO @ research @ Serial 889  
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Author Pirret, A.M. openurl 
  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 (up) 5 Pages 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  
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Author King, S.L.J.; Walsh, K. openurl 
  Title 'I think PCA is great, but . . .'- Surgical nurses' perceptions of patient-controlled analgesia Type Journal Article
  Year 2007 Publication International Journal of Nursing Practice Abbreviated Journal  
  Volume 13 Issue (up) 5 Pages 276-283  
  Keywords Nurse-patient relations; Drug administration; Pain management  
  Abstract This qualitative study investigated surgical nurses' perceptions of patient-controlled analgesia as a strategy for managing acute pain in a tertiary care hospital. Patient-controlled analgesia is commonly used and nurses play an essential role in caring for patients prescribed it. The study was divided into two parts. First, audiotaped semi-structured interviews were conducted with 10 nurses. The interviews were followed by a postal questionnaire to 336 nurses with 171 returned. Thematic analysis was the chosen methodology. The audiotaped transcripts and questionnaires surfaced five themes, with the dominant one being `I think PCA is great, but . . .'. The paper outlines and explores these themes and addresses the implications arising from the research for both clinical practice and education.  
  Call Number NRSNZNO @ research @ Serial 972  
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Author Macfie, B. openurl 
  Title Assessing health needs and identifying risk factors Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue (up) 6 Pages 16-18  
  Keywords Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket  
  Abstract In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas.  
  Call Number NRSNZNO @ research @ Serial 974  
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Author Richardson, S. openurl 
  Title Coping with outbreaks of the norovirus Type Journal Article
  Year 2005 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 11 Issue (up) 7 Pages  
  Keywords Infection control; Risk management; Occupational health and safety; Hospitals  
  Abstract The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages.  
  Call Number NRSNZNO @ research @ Serial 981  
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Author Gregory, R.; Kaplan, L. openurl 
  Title Understanding residuals in Guillain-Barre Syndrome Type Journal Article
  Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 10 Issue (up) 7 Pages 16-18  
  Keywords Diseases; Nursing; Management  
  Abstract The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression.  
  Call Number NRSNZNO @ research @ 1013 Serial 997  
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Author Hughes, F. openurl 
  Title Reconnecting with policy: Requirements for survival as a mental health nurse Type Journal Article
  Year 2006 Publication Journal of Psychosocial Nursing & Mental Health Services Abbreviated Journal  
  Volume 44 Issue (up) 8 Pages 30-39  
  Keywords Policy; Mental health; Nursing specialties  
  Abstract This article discusses the disconnection between mental health nurses and policy, and the importance of reconnecting such relationships. It is suggested this will benefit consumers, provide influence in health care policies and, ultimately, contribute to strategies to improve the health of our nation. In this article, the author draws on her own experiences and applies these to a discussion of how mental health nurses can influence and strengthen their relationships with nursing policy.  
  Call Number NRSNZNO @ research @ Serial 938  
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Author Egan, M. openurl 
  Title The nursing and midwifery practice structure at Healthcare Hawkes Bay: An evaluation and improvement process Type Journal Article
  Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal  
  Volume 5 Issue (up) 8 Pages 27-29  
  Keywords Professional development; Nursing; Midwifery  
  Abstract This article describes the Nursing and Midwifery Practice Structure, which has been in place at Healthcare Hawkes Bay since 1996. It was developed to provide nurses and midwives in clinical positions with a professional development structure, and uses a framework to recognise and reward competence. It encourages clinical progression and was developed to link nursing competence with remuneration. The Practice Structure, based on the work of Patricia Benner (Benner, 1984), is made up of 4 levels: Beginner/Advance Beginner Practitioner, Competent Practitioner, Proficient Practitioner, Expert Practitioner. The Structure was reviewed in 1998, and a Steering Group was formed to collect feedback from nurses and midwives, identify areas of concern, and make recommendations for improvements. At the time of writing, these recommendations are being implemented and systems are being developed to ensure the Nursing and Midwifery Practice Structure continues to develop.  
  Call Number NRSNZNO @ research @ 971 Serial 955  
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Author Lewer, D. openurl 
  Title Analysing the Mental Health Act Type Journal Article
  Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 5 Issue (up) 8 Pages 14-16  
  Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics  
  Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.  
  Call Number NRSNZNO @ research @ 1039 Serial 1023  
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Author Huntington, A.D.; Gilmour, J.A. openurl 
  Title A life shaped by pain: Women and endometriosis Type Journal Article
  Year 2005 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 14 Issue (up) 9 Pages 1124-1132  
  Keywords Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique  
  Abstract The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.  
  Call Number NRSNZNO @ research @ Serial 940  
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Author Murphy, R. openurl 
  Title A day in the life of an acute hospital psychiatric nurse Type Journal Article
  Year 2005 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 11 Issue (up) 9 Pages 24-25  
  Keywords Nursing; Psychiatric Nursing; Interprofessional relations; Mental health; Multidisciplinary care teams  
  Abstract A nurse presents a personal account of a typical day at Middlemore Hospital's 50-bed acute inpatient mental health unit Tiaho Mai. The article covers aspects of shift handover, working with multidisciplinary teams, developing care plans, working with families, and responding to emergencies.  
  Call Number NRSNZNO @ research @ Serial 957  
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Author Neville, S.J.; Gilmour, J.A. openurl 
  Title Differentiating between delirium and dementia Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue (up) 9 Pages 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  
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Author Flint, V. openurl 
  Title The place of ECT in mental health care Type Journal Article
  Year 2005 Publication Abbreviated Journal  
  Volume 11 Issue (up) 9 Pages 18-20  
  Keywords Psychiatric Nursing; Trauma; Mental health  
  Abstract The author reviews the controversial treatment of electroconvulsive therapy (ECT) which has re-emerged as a safe and effective treatment for major depressive disorders. She first addresses the popular conceptions of ECT, which are based on early misuse of the treatment when it was delivered unmodified, or forcefully and without anaesthetic. She then uses a case study to illustrate the benefits of ECT for catatonia and catatonic states. Diagnostic criteria for catatonia include motoric immobility, excessive motor activity, extreme negativism or mutism, peculiarities of voluntary movement, and echolalia or echopraxia. The treatment of a patient is detailed, and the role of the ECT nurse is outlined. The ECT nurse is a co-ordinator, an educator, liaises with other services and families, and is a point of contact about ECT within the mental health service generally and in the ECT unit in particular. The case study showed successful use of ECT. A series of eight ECT treatments were administered to the catatonic patient, after which he was discharged home with minor depression and showing signs of enjoying life once again.  
  Call Number NRSNZNO @ research @ 1011 Serial 995  
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