| |
Records |
Links |
|
Author |
Woods, M. |
|
| |
Title |
Balancing rights and duties in 'life and death' decision making involving children: A role for nurses? |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Nursing Ethics |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
5 |
Pages |
397-408 |
|
| |
Keywords  |
Parents and caregivers; Children; Ethics; Clinical decision making; Nurse-family relations; Chronically ill |
|
| |
Abstract |
This article examines a growing number of cases in New Zealand in which parents and guardians are required to make life and death ethical decisions on behalf of their seriously ill child. Increasingly, nurses and other practitioners are expected to more closely inform, involve and support the rights of parents or guardians in such situations. Differing moral and ethical values between the medical team and parents or guardians can lead to difficult decision making situations. The article analyses the moral parameters, processes, outcomes and ethical responses that must be considered when life and death ethical decisions involving children are made. It concludes with a recommendation that nurses should be recognised as perhaps the most suitable of all health care personnel when careful mediation is needed to produce an acceptable moral outcome in difficult ethical situations. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1086 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Westenra, Belinda |
|
| |
Title |
A framework for cultural safety in paramedic practice |
Type |
Journal Article |
| |
Year |
2019 |
Publication |
Whitireia Journal of Nursing, Health and Social Services |
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
26 |
Pages |
11-17 |
|
| |
Keywords |
Paramedic; Diversity; Cultural safety; Sociological framework |
|
| |
Abstract |
Critically considers the application of cultural safety to working with diversity in paramedic practice in NZ. Presents a sociological framework, based on Mills's concept of 'sociological imagination' to analyse the connections between social and cultural factors in NZ and the author's professional experience. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1631 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hammond, S. |
|
| |
Title |
Parallel journeys: Perceptions of palliative care |
Type |
|
| |
Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Palliative care; Policy; Geriatric nursing |
|
| |
Abstract |
The delivery of palliative care within contemporary New Zealand society is discussed, in the light of the recent publication of The New Zealand Palliative Care Strategy (2001). The viewpoint taken is largely descriptive rather than prescriptive, being based on a literature survey of international research and academic theory, which is also informed by the author's professionally gained knowledge. Four different perspectives, comprising a mix of providers and recipients of care are investigated: those of central government planning; specialist palliative care units; aged-care complexes; and patients, family and whanau. As an area of healthcare which current demographic projections indicate will become increasingly significant, the provision of palliative care to residents of and patients within aged-care complexes receives special attention. A metaphor of “parallel travellers” on “parallel journeys” is used to provide a thematic basis to the paper. The lived experiences and perceptions of each group of “parallel travellers” are explored. Difficulties in defining and evaluating palliative care, the implications of main-streaming, the scope of palliative care provision, the educative role of specialist palliative care providers and the current focus on mechanistic outcome measures are discussed. It is contended that the values and goals, both explicit and implicit, of the four specified groups may not at present be sufficiently congruent to optimise the effective provision of palliative care from the point of view of all concerned. While adequate resourcing and a genuinely collaborative approach among healthcare providers are both acknowledged to be critical, the potential for palliative care nurse practitioners to be appointed to the role of “care co-ordinator” alluded to within The New Zealand Palliative Care Strategy (2001), is also seen as pivotal. Insights from a postmodern perspective are offered as one possible way of achieving greater congruence. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1215 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
English, Wendy |
|
| |
Title |
The moments we meet : lived experiences of rapport for nurses, patients and families in palliative care |
Type |
Book Whole |
| |
Year |
2018 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
135 p. |
|
| |
Keywords |
Palliative care; Patients; Palliative care nursing; Connectedness; Person-centred care |
|
| |
Abstract |
Undertakes 12 in-depth interviews with nurses, patients and families about their experiences of rapport and inter-connectedness in the context of palliative care. By means of thematic analysis identifies major themes and associated emotions deriving from connectedness or disconnectedness. Links rapport and connection to holistic care. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1644 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Meldrum, L.B.B. |
|
| |
Title |
Navigating the final journey: Dying in residential aged care in Aotearoa New Zealand |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Palliative care; Older people; Rest homes |
|
| |
Abstract |
New Zealand statistics project that the aging population of people aged 65 years and over will more than double in the next decade. This has implications for palliative care providers including hospices and hospitals because long-term inpatient care is not generally provided by hospitals and hospices. When dying patients need long-term care, residential settings become an option. The level of palliative care in these facilities is dependent on staff training and numbers. In general, staff are not trained in palliative care, neither do they provide the multidisciplinary facets that define palliative care as undertaken by hospices. This paper describes a practice development initiative using storytelling as the vehicle for introducing the concept of the Liverpool Care Pathway (LCP) for the dying patient into residential aged care settings. With the emergence of a reflective paradigm in nursing the concept of storytelling as a teaching/learning tool has grown. Many staff in residential care settings come from diverse ethnic backgrounds where for some, English is their second language. Storytelling therefore can be a useful approach for learning because it can increase their communication skills. The author suggests that the Liverpool Care Pathway for the dying patient is a model that can be translated across care settings, hospice, hospital, and community. It can demonstrate a framework that facilitates multiprofessional communication and documentation and embraces local needs, culture and language to empower health care workers to deliver high quality care to dying patients and their family/whanau and carers. This paper also explores the role of a facilitator as an agent of change and discusses how the interplay of evidence, context and facilitation can result in the successful implementation of the LCP into residential aged care settings. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
683 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sheward, K.A. |
|
| |
Title |
Exploring the juxtaposition of end of life care in the acute setting and the integrated care pathway for the care of the dying |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Palliative care; Hospitals; Communication; Nurse-patient relations |
|
| |
Abstract |
The primary aim of this research paper is to draw on the literature to offer some insight into end of life care in the acute hospital setting. The secondary purpose is to provide an understanding of the integrated clinical pathway (ICP) for the care of the dying, consider its influence related to some of the challenges shaping end of life care and the positive effect it can generate on the quality of care experienced. There are significant challenges that impact on both the delivery and receipt of care for dying patients and their families. Six key influential barriers are considered within the context of the acute setting. Communication and the acute environment are two areas that significantly impact on the quality of care delivered, and are explored in more depth. Narratives from nursing and medical staff convey the realities encountered and difficulties experienced when they are unable to provide the care to which they aspire. Stories are shared by patients and families, which reflect on their experience of end of life care in the acute setting, and offer heath professionals some insight into the lives of the people nurses care for. The literature in relation to the development and implementation of the Liverpool Care of the Dying Pathway, and an overview of the Pathway document is presented. The strengths and limitations of its use are considered, alongside its influence beyond the documentation of clinical care. It is not possible to transfer the hospice service into the hospital setting, however the author suggests that through the implementation of the clinical pathway there is an opportunity to transfer best practice guidelines and positively influence the palliative culture in the acute setting. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
772 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. |
|
| |
Title |
Impact of a hospital palliative care service: Perspective of the hospital staff |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
JBI Reports |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
3 |
Pages |
160-167 |
|
| |
Keywords |
Palliative care; Hospitals; Attitude of health personnel; Cancer |
|
| |
Abstract |
The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1075 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McDonald, Christine |
|
| |
Title |
Working collaboratively in hospice and palliative care: Sharing time; a grounded theory |
Type |
Book Whole |
| |
Year |
2018 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
230 p. |
|
| |
Keywords |
Palliative care; Hospice care; Collaboration |
|
| |
Abstract |
Addresses the concerns of health professionals working collaboratively in palliative care. Conducts 25 interviews wit 23 participants to arrive at a theory of sharing time to explain the social process of collaboration while individually managing and maintaining their own areas of concern. Explains the concept of health professionals making time in their work days for and with each other to find common ground. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1784 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G. |
|
| |
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Grant-Mackie, D. |
|
| |
Title |
A literature review of competence in relation to speciality nursing |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library, NZNO Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Paediatric nursing; Nursing specialties; Professional competence; Nursing; Education |
|
| |
Abstract |
The original aim of the study was to find out through a questionnaire what child health/paediatric nurses in New Zealand/Aotearoa saw as their needs for post-registration education. Nurses were completing courses in the United Kingdom and returning to New Zealand/Aotearoa and realising that their nursing capabilities had improved. They became senior nurses with education responsibilities and exhibited political leadership among their colleagues in the field of child health/paediatric nursing. They were becoming increasingly concerned at the lack of any clinical courses in the specialty of child health/paediatric nursing to promote an appropriate standard of practice. It was intended that a research project about post-registration child health/paediatric education would assist concerned nurses to develop a programme. The time needed for such a project did not fit with a limited research paper. It was decided to reduce the project to a review of the literature on competence in nursing, with some comment on the specialty of child health/paediatric nursing. In order for nurses to find what they need to learn and know, an understanding of competence in nursing practice is required. Competence is defined as the ability of the nurse to carry out specific work in a designated area at a predetermined standard. Issues around competence, defining a scope of practice, development and assessment of competence, and regulation of nursing, are part of the context in which accountability for the practice of nurses sits. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1123 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lichfield, M. |
|
| |
Title |
The paediatric nurse and the child in hospital |
Type |
Journal Article |
| |
Year |
1974 |
Publication |
New Zealand Nursing Journal |
Abbreviated Journal |
|
|
| |
Volume |
67 |
Issue |
11 |
Pages |
|
|
| |
Keywords |
Paediatric nursing; Nurse-family relations; Nurse managers |
|
| |
Abstract |
A paper intended to inform paediatric nurses and influence service policy and management, adapted from a presentation at an inservice education study day for nurses at Wellington Hospital. The paper grew out of the findings of a small research project undertaken by the author as part of nursing practice in a paediatric ward of Wellington Hospital. The observations of the stress in the experience of infants and parents and the ambiguities inherent in the relationships between parents and nurses were the basis for arguing for changes in nursing practice and ward management. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1312 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Crawford, R. |
|
| |
Title |
Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
|
| |
Volume |
7 |
Issue |
13 |
Pages |
10-15 |
|
| |
Keywords |
Paediatric nursing; Community health nursing; Nurse-family relations; Socioeconomic factors; Diet |
|
| |
Abstract |
Using nursing and associated literature, the relevance of nutrition in the care of children and families is highlighted in this article. The role of a nurse in providing nutrition advice and interventions is examined, in the context of social and economic pressures on the provision of a healthy diet. Relevant examples of the provision of such advice is provided, along with competencies required to achieve this in practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1276 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Smith, V.A.; Kivell, D. |
|
| |
Title |
South Auckland community paediatric nursing service: A framework for evaluation |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
3 |
Pages |
40-49 |
|
| |
Keywords |
Paediatric nursing; Community health nursing; Evaluation research |
|
| |
Abstract |
This paper describes the Kidz First paediatric community homecare nursing team in South Auckland. While the service was not initially planned as an integrated approach to child health, its evolution reflects the move to more community based care delivery and the expansion of nurse-led initiatives in New Zealand. The components of a community paediatric home nursing team as described by Eaton (2000) are used to provide the framework with which to describe the service. A focus group held with the Kidz First paediatric community homecare nurses has enabled definition of the key nursing components provided to children and their families living in South Auckland. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
622 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mackle, Diane |
|
| |
Title |
Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study |
Type |
Book Whole |
| |
Year |
2021 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
299 p. |
|
| |
Keywords |
Oxygen therapy; Intensive Care Units (ICU); Intensive care nurses; ICU patients |
|
| |
Abstract |
Investigates the effects of participation in the Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen therapy (ICU-ROX) randomised controlled trial, on attitudes and practices in relation to ICU oxygen therapy. Distributes a practitioner attitudes survey to 112 specialist doctors and 153 ICU nurses. Performs both inception and retrospective cohort studies using the Australian and NZ ICU adult patient database before, and post-publication of the ICU-ROX trial results. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1766 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kumari, Poonam; Ritchie, Stephen; Thomas, Mark; Jull, Andrew |
|
| |
Title |
Patient experience of care delivered by an outpatient intravenous antibiotic service |
Type |
Journal Article |
| |
Year |
2018 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
|
| |
Volume |
9 |
Issue |
1 |
Pages |
18-26 |
|
| |
Keywords |
Outpatient parenteral antibiotics (OPIVA); Outpatient antibiotic therapy (OPAT); Hospital in the home (HITH); Peripherally-inserted central catheter (PICC); PICC line; Elastomeric pump; Patient experience |
|
| |
Abstract |
Surveys patients' experience of the care provided by the outpatient intravenous antibiotic (OPIVA) service at Auckland City Hospital. Invites 101 patients to participate, of whom 75 completed the questionnaire. Asks about communication with the OPIVA nurses and doctors, the information provided about the service, the training for it and the convenience of attending the OPIVA clinic. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1596 |
|
| Permanent link to this record |
