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Author Clendon, J.
Title Nurse-managed clinics: Issues in evaluation Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 44 Issue (up) 6 Pages 558-565
Keywords Evaluation research; Nurse managers; Qualiltative research; Patient satisfaction
Abstract This article explores the importance of evaluation of nurse-managed clinics using the Mana Health Clinic in Auckland, as an example. Fourth generation evaluation is offered as an appropriate methodology for undertaking evaluation of nurse-managed clinics. Fourth generation evaluation actively seeks involvement of clients in the process and outcome of the evaluation, resulting in participation and empowerment of stakeholders in the service – a precept often forgotten in traditional evaluation strategies and of vital importance in understanding why people use nurse-managed clinics. The method proposed here also incorporates the need for quantitative data. The main argument is that a combination of qualitative and quantitative data sources is likely to give the greatest understanding of nurse-managed clinics' utilisation.
Call Number NRSNZNO @ research @ Serial 949
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Author Payne, D.; Goedeke, S.
Title Holding together: Caring for clients undergoing assisted reproductive technologies Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 60 Issue (up) 6 Pages 645-653
Keywords Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams
Abstract This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences.
Call Number NRSNZNO @ research @ 985 Serial 969
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Author Floyd, S.; Meyer, A.
Title Intramuscular injections: What's best practice? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue (up) 6 Pages 20-22
Keywords Professional competence; Registered nurses; Quality of health care; Evidence-based medicine
Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.
Call Number NRSNZNO @ research @ Serial 986
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Author Carter, H.; MacLeod, R.; Brander, P.; McPherson, K.
Title Living with a terminal illness: Patients' priorities Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 45 Issue (up) 6 Pages 611-620
Keywords Terminal care; Quality of life; Nursing models; Cancer
Abstract The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented.
Call Number NRSNZNO @ research @ Serial 1061
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Author Gage, J.; Everrett, K.D.; Bullock, L.
Title A review of research literature addressing male partners and smoking during pregnancy Type Journal Article
Year 2007 Publication Journal of Obstetric, Gynecologic and Neonatal Nursing Abbreviated Journal CPIT Repository
Volume 36 Issue (up) 6 Pages 574-580
Keywords Pregnancy; Smoking; Male; Parents and caregivers
Abstract The aim of this research was to gain a more complete understanding of cigarette smoking and cessation during pregnancy by examining the men's role in supporting smoking cessation of their pregnant partners. A search of online databases was made for studies published in the last 10 years, in English, that included three phenomena; pregnancy, male partners, and cigarette smoking. Data were identified and organised according to theoretical, descriptive, and intervention methods of research. A growing body of literature indicates an interaction between pregnancy, male partners, and smoking behaviors. Explicating relationships between these phenomena is necessary for understanding and encouraging behaviours that promote maternal, child, and family health. The researchers conclude that current research highlights a need to further investigate the potential relationships, interactions, and health consequences of smoking behaviours of men and women during pregnancy.
Call Number NRSNZNO @ research @ Serial 1236
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Author Seymour, P.D.
Title Improvement in the motivation of student nurses Type Journal Article
Year 1973 Publication New Zealand Nursing Journal Abbreviated Journal
Volume 66 Issue (up) 7 Pages 4-6
Keywords
Abstract
Call Number NRSNZNO @ research @ 64 Serial 64
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Author Peddie, B.
Title Whooping cough in the Northern Coromandel -1995 Type
Year 1995 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal Author
Volume 4 Issue (up) 7 Pages 14-17
Keywords
Abstract Data gathered during a whooping cough outbreak in the Northern Coromandel in 1995 highlights some distinct characteristics about how the disease manifestests itself in a defined geographical area, and about the place of prophylactic Erythromycin. This was probably the most fully documented outbreak in New Zealand, and possibly the first study conducted from a community perspective
Call Number NRSNZNO @ research @ 286 Serial 286
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Author van Rooyen, P.; Dixon, D.A.; Dixon, G.; Wells, C.C.
Title Entry criteria as predictor of performance in an undergraduate nursing degree programme Type Journal Article
Year 2006 Publication Nurse Education Today Abbreviated Journal
Volume 27 Issue (up) 7 Pages 593-600
Keywords Nursing; Education; Curriculum; Evaluation
Abstract This research explored the relationship between entry criteria and academic performance in the first and second year bioscience papers at Otago Polytechnic School of Nursing. The School's inclusion of a bioscience requirement varies from the Nursing Council criteria for acceptance into undergraduate nursing programmes. Six hundred and nineteen academic records of 1994-2002 graduates were sampled. Chi-square and correlational analyses found a relationship between entry qualifications and students' academic performance in the two papers. The entry criteria had a stronger relationship with the students' performance in the first year bioscience paper than the second year paper. Performance in the first year was predicative of second year performance. Age was also found to be a useful predictor of grades. These findings support the School's Bioscience entry criteria and provide important information for admission committees.
Call Number NRSNZNO @ research @ Serial 693
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Author Litchfield, M.
Title Nursing education: Direction with purpose Type Journal Article
Year 1991 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 84 Issue (up) 7 Pages 22-24
Keywords Nursing education
Abstract
Call Number NZNO @ research @ Serial 1316
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Author Richardson, S.
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 Bradshaw, W.
Title Helping clients move towards health change Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue (up) 7 Pages 16-18
Keywords Health promotion; Psychology; Nursing; Case studies; Smoking
Abstract The author reflects on his use of the American psychotherapist James Prochaska's stages of change theory. This model deals with individuals and how they move towards change, through stages of pre-contemplation to maintenance of changed behaviours. He presents examples of his use of the model with clients, when dealing with issues of smoking cessation and weight loss. He analyses his practice and interactions with clients, and affirms that stages of change model can be a useful tool to bring about change within clients. He suggests it gives clients the opportunity to contemplate change and gives nurses working in health promotion the opportunity to be part of the change process.
Call Number NRSNZNO @ research @ Serial 985
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Author Lindsay, N.M.
Title Family violence in New Zealand: A primary health care nursing perspective Type Journal Article
Year 2007 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 14 Issue (up) 7 Pages 7-16
Keywords Domestic violence; Primary health care; Nursing specialties
Abstract This article explores the implications of clinical decision making by primary health care nurses in relation to identifying family abuse, particularly partner abuse. The historical and sociological background to family violence in New Zealand, and government-led strategies are considered, along with issues for Maori and Pacific peoples. The concept of health literacy in relation to family violence is also briefly discussed.
Call Number NRSNZNO @ research @ 1309 Serial 1293
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Author West, S.R.; Harris, B.J.; Warren, A.; Wood, H.; Montgomery, B.; Belsham, V.L.
Title A retrospective study of patients with cancer in their terminal year Type Journal Article
Year 1986 Publication New Zealand Medical Journal Abbreviated Journal
Volume 99 Issue (up) 798 Pages 197-200
Keywords
Abstract This was a retrospective study of 100 Auckland people suffering from cancer in their terminal year. It aimed firstly to report the development of limitations in daily living activities and of dependence on help, and secondly to develop a method of assessing the functions of both patients and those who cared for them in such a way that support services could be matched to needs. The observations showed problems of progressive disability and dependence, which varied with the age of the patient and the type of malignancy. They showed clearly the long lasting emotional problems of the careers after the patients' death
Call Number NRSNZNO @ research @ 16 Serial 16
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Author O'Brien, A.P.; O'Brien, A.J.; Hardy, D.J.; Morrison-Ngatai, E.; Gaskin, C.J.; Boddy, J.M.; McNulty, N.; Ryan, T.; Skews, G.
Title The New Zealand development and trial of mental health nursing clinical indicators: A bicultural study Type Journal Article
Year 2003 Publication International Journal of Nursing Studies Abbreviated Journal
Volume 40 Issue (up) 8 Pages 853-861
Keywords Biculturalism; Psychiatric Nursing; Professional competence; Evaluation
Abstract This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.
Call Number NRSNZNO @ research @ Serial 956
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Author Chang, E.M.; Bidewell, J.W.; Huntington, A.D.; Daly, J.; Johnson, A.; Wilson, H.; Lambert, V.; Lambert, C.E.
Title A survey of role stress, coping and health in Australian and New Zealand hospital nurses Type Journal Article
Year 2008 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 44 Issue (up) 8 Pages 1354-1362
Keywords Stress; Psychology; Cross-cultural comparison; Nursing
Abstract The aim of this study was to examine and compare Australian and New Zealand nurses' experience of workplace stress, coping strategies and health status. A postal survey was administered to 328 New South Wales (Australia) and 190 New Zealand volunteer acute care hospital nurses (response rate 41%) from randomly sampled nurses. The survey consisted of a demographic questionnaire, the Nursing Stress Scale, the WAYS of Coping Questionnaire and the SF-36 Health Survey Version 2. More frequent workplace stress predicted lower physical and mental health. Problem-focused coping was associated with better mental health. Emotion-focused coping was associated with reduced mental health. Coping styles did not predict physical health. New South Wales and New Zealand scored effectively the same on sources of workplace stress, stress coping methods, and physical and mental health when controlling for relevant variables. Results suggest mental health benefits for nurses who use problem-solving to cope with stress by addressing the external source of the stress, rather than emotion-focused coping in which nurses try to control or manage their internal response to stress. Cultural similarities and similar hospital environments could account for equivalent findings for New South Wales and New Zealand.
Call Number NRSNZNO @ research @ Serial 970
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