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Author Lim, A.G.; Honey, M.
Title Integrated undergraduate nursing curriculum for pharmacology Type Journal Article
Year 2006 Publication Nurse Education in Practice Abbreviated Journal
Volume 6 Issue 3 Pages 163-168
Keywords (down) Pharmacology; Curriculum; Nursing; Education
Abstract This article presents an integrated approach to pharmacology education for nurses aligned with constructivist learning theory, as taught at the School of Nursing, University of Auckland. The weaving of pharmacology through the three-year undergraduate curriculum is described, showing the development of a pharmacology curricula thread. The significance of supporting curricula content in areas such as communication skills, law and ethics, as well as sound biological science and physiology knowledge are highlighted.
Call Number NRSNZNO @ research @ Serial 707
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Author Goodyear-Smith, F.; Janes, R.
Title New Zealand rural primary health care workforce in 2005: More than just a doctor shortage Type Journal Article
Year 2008 Publication Australian Journal of Rural Health Abbreviated Journal
Volume 16 Issue 1 Pages 40-46
Keywords (down) Personnel; Physicians; Rural health services; Nursing; Primary health care; Pharmacists
Abstract The aim of this study was to obtain a 2005 snapshot of the New Zealand rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists. A postal questionnaire was distributed to rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists in November 2005. The self-reported data included information on demographics, country of training, years in practice, business ownership, hours worked including on-call, and intention to leave rural practice.
Call Number NRSNZNO @ research @ Serial 966
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Author Becker, F.
Title Recruitment & retention: Magnet hospitals Type
Year 2005 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords (down) Personnel; Hospitals; Recruitment and retention; Nursing
Abstract International nursing literature indicates nursing shortages are widely recognised; however efforts to remedy poor recruitment and retention of nurses have been largely unsuccessful. This paper presents the predominant factors influencing poor recruitment and retention of nurses, such as: the image of nursing as a career, pay and conditions of employment, educational opportunities, management and decision making, and low morale and then explores how Magnet hospitals address these factors. During the 1980s, several hospitals in the United States were identified as being able to attract nursing staff when others could not, they became known as 'Magnet' hospitals. The American Nurse Credentialing Centre developed the Magnet Recognition programme to accredit hospitals that meet comprehensive criteria to support and develop excellence in nursing services. Magnet hospitals not only attract and retain satisfied nursing staff, but also have improved patient outcomes compared to non-Magnet hospitals, such as decreased patient morbidity and mortality and increased patient satisfaction. The successes of the Magnet Recognition programme in recruitment and retention of nurses is discussed in relation to its transferability outside of the United States, particularly to New Zealand as a way of improving recruitment and retention of nurses here.
Call Number NRSNZNO @ research @ Serial 567
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Author Taylor, Bronwyn (ed)
Title Nurse staffing in the operating rooms -- no longer behind closed doors Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 193 p.
Keywords (down) Perioperative nursing; Safe staffing; Decision-making; Surveys
Abstract Identifies key factors senior perioperative nurses consider when making decisions about nurse staffing and skill mix in the operating room (OR). Uses a qualitative descriptive approach in undertaking semi-structured interviews with 7 senior nurses tasked with decision-making about OR staffing. Analyses the data using Braun and Clarke's thematic analysis process.
Call Number NZNO @ research @ Serial 1822
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Author Ronaldson, A.
Title Coping with body image changes after limb loss Type Journal Article
Year 1999 Publication Abbreviated Journal
Volume 5 Issue 11 Pages 14-16
Keywords (down) People with disabilities; Nursing; Psychology
Abstract The author reviews the literature on the differences in the way people manage the process of coming to terms with amputation. The socio-cultural implications of body image construction are discussed and a new framework for clinical practice is suggested. The implications for nursing are examined and positions nurses as advocates. The importance of language is identified.
Call Number NRSNZNO @ research @ 1042 Serial 1026
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Author Seccombe, J.
Title Attitudes towards disability in an undergraduate nursing curriculum: The effects of a curriculum change Type Journal Article
Year 2007 Publication Nurse Education Today Abbreviated Journal
Volume Issue 27(5) Pages
Keywords (down) People with disabilities; Nursing; Education; Students
Abstract Through improved technology and treatment and ongoing de-institutionalisation, nurses will encounter growing numbers of people with disabilities in the New Zealand community and hospitals. Quality of nursing care is influenced by attitude and this study was to evaluate the effect of a curriculum change on the attitudes of two different streams of student nurses towards people with disabilities. During the year 2002 a focused disability unit was introduced to the revised undergraduate nursing curriculum of a major educational institution in New Zealand. The opportunity arose to consider student nurses' attitudes toward disabled people, comparing two streams of students undertaking two different curricula. A convenience sample of students completed Yuker, Block and Younng's (1970) Attitudes Toward Disabled Persons scale (ATDP) form B prior to and on completion of their relevant disability unit. No statistically significant difference in scores was demonstrated. A number of possible reasons for this are suggested.
Call Number NRSNZNO @ research @ Serial 833
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Author Watkins, B.E.
Title Making meaning of a personal experience of discrimination in relation to a disability: An exploration of the literature Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) People with disabilities; Nursing
Abstract This paper explores the reaction of the author's colleagues when she returned to work disabled after recovering from an injury. In order to understand the new experience of disability and discrimination and to help answer what changed the behaviour of colleagues, the author considered evidence from the published literature. After considering many different models of disability, the social model of disability helped clarify and frame her own experience. Reflecting on this literature and personal experience, she suggests that there is acknowledgement that society's attitudes are changing slowly through governmental action and the activism of the disabled. However, she goes on to say, it is only through progressing education, experiencing disability, and continuing emancipatory research that progress will be made to release people with disabilities from their bonds of prejudice and oppression.
Call Number NRSNZNO @ research @ 734 Serial 720
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Author Macklin, Nicki
Title Hearing the patient voice: the importance of caring in care Type Book Whole
Year 2018 Publication Abbreviated Journal
Volume Issue Pages n.p.
Keywords (down) Patients; Transitional care nursing; Primary health care nursing; Integrated care; Person-centred care; Surveys
Abstract Backgrounds the primary health care initiative, the Transitional Care Nursing service, which aims to facilitate integrated care between primary, secondary and community health care services. Explores whether support in the form of the Transitional Care Nursing service influences the experience of patients who receive assistance during the transition between hospital and home. Conducts qualitative, semi-structured interviews with 12 patients whose responses are thematically analysed. Highlights the characteristics of care offered by Transitional Care nurses that describe the person-centred care patients received.
Call Number NZNO @ research @ Serial 1642
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Author Rydon, S.E.
Title The attitudes, knowledge and skills needed in mental health nurses: The perspective of users of mental health services Type Journal Article
Year 2005 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 14 Issue 2 Pages 78-87
Keywords (down) Patient satisfaction; Psychiatric Nursing; Attitude of health personnel
Abstract In this study a qualitative descriptive methodology with focus group interviews was used to explore with users of mental health services, the attitudes, knowledge and skills that they need in mental health nurses. Users of mental health services valued the therapeutic work of mental health nurses, and identified positive attitudes towards users of mental health services as essential in mental health nurses. However, they did not consistently experience a therapeutic approach in their interactions with mental health nurses. In a sociopolitical climate where the views of users of mental health services are increasingly incorporated into education and the planning and delivery of services, there is a need for more research that reflects the perspective of users.
Call Number NRSNZNO @ research @ 961 Serial 945
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Author McCloskey, B.A.; Diers, D.
Title Effects of New Zealand's health reengineering on nursing and patient outcomes Type Journal Article
Year 2005 Publication Medical Care Abbreviated Journal
Volume 43 Issue 11 Pages 1140-1146
Keywords (down) Patient safety; Organisational change; Nursing; Hospitals
Abstract This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care.
Call Number NRSNZNO @ research @ Serial 1052
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Author Hughes, M.; Farrow, T.
Title Invisible borders: Sexual misconduct in nursing Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 2 Pages 15-25
Keywords (down) Patient safety; Nursing; Guidelines
Abstract This paper identifies the issue of sexual misconduct by nurses in New Zealand. There is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, the authors make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
Call Number NRSNZNO @ research @ Serial 537
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Author McBride-Henry, K.; Foureur, M.
Title Organisational culture, medication administration and the role of nurses Type Journal Article
Year 2006 Publication Practice Development in Health Care Abbreviated Journal
Volume 5 Issue 2 Pages 208-222
Keywords (down) Patient safety; Medical errors; Organisational culture; Nursing; Drug administration
Abstract This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety.
Call Number NRSNZNO @ research @ Serial 784
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Author Fairhall, M.
Title An observational study of Peripherally Inserted Central Cather(PICC)-related complications amongst oncology patients Type
Year 2008 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (down) Patient safety; Equipment and Supplies; Nursing specialties; Cancer; Oncology
Abstract This thesis reports on a retrospective observational study that examined the complication rate of peripherally inserted central catheters (PICCs) within a regional cancer centre. PICCs are increasingly used for delivery of chemotherapy and other intravenous therapies in oncology patients. A literature review revealed that almost all published research on PICC complications reported on silicone (Groshong(TM)) catheter use, rather than the polyurethane (Arrow(TM)) PICCs used at Christchurch Hospital. Also, much literature referred to PICCs being inserted by non-nurses, whereas the Christchurch service uses specially-trained nurses to insert them. The purpose of the study was to identify the nature, incidence and rates of polyurethane (Arrow(TM)) PICC complications in an adult oncology cohort. Ethics Committee approval was gained to retrospectively follow all PICCs inserted in adult oncology patients at Christchurch Hospital over a 13-month period from 1st March 2006 until 31st March 2007. Data collected were analysed utilising the statistical computer package SPSS. One hundred and sixty-four PICCs were inserted into 156 individual oncology patients over this period. The median dwell time was 68 days for a total of 14,276 catheter-days. Complications occurred in 25 (15%) out of 164 PICC lines, in 22 (15%) of the 156 patients for an overall complication rate of 1.75 per 1000 catheter-days. However, only 16 of the 25 PICCs with complications required early removal (9.75% of the cohort) for a favourably low serious complication rate of 1.12 per 1000 catheter-days. The three commonest complications were infection at 4.3% (7/164) or 0.49 infection complications/1000 PICC-days, PICC migration at 3% (5/164) or 0.35/1000 catheter days, and thrombosis at 2.4% (4/164) or 0.28/1000 catheter days. The median time to complication was 41 days. Those with complications were more likely to have a gastro-intestinal or an ovarian cancer diagnosis, and less likely to have colorectal cancer. These findings provide support for the safe and effective use of polyurethane (Arrow(TM)) PICCs for venous access within the adult oncology context. Furthermore, it suggests that cost effective nurse-led (Arrow(TM)) PICC insertions can contribute to a low complication rate.
Call Number NRSNZNO @ research @ Serial 1222
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Author McBride-Henry, K.; Foureur, M.
Title A secondary care nursing perspective on medication administration safety Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 60 Issue 1 Pages 58-66
Keywords (down) Patient safety; Drug administration; Organisational culture; Nursing
Abstract This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives.
Call Number NRSNZNO @ research @ Serial 648
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Author Hames, P.V.M.
Title Patient advocacy: A concept analysis Type
Year 2006 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords (down) Patient rights; Nursing; Nurse-patient relations
Abstract
Call Number NRSNZNO @ research @ 689 Serial 675
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