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Author Lesa, R.
Title Advanced physical assessment skills: Factors that influence registered nurses' use of skills in the clinical setting, on completion of an advanced health assessment course Type
Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords (down) Nursing; Primary health care; Nursing specialties; Education
Abstract Traditionally the use of advanced physical assessment skills when assessing a patient or client has been the domain of the medical profession. The last few decades has seen many changes in health provision that have influenced nursing practice, as a result of the social and economic trends impacting on New Zealand society. A notable change in nursing practice has been an increased emphasis on the use of advanced physical assessment skills by registered nurses, as an expected part of the registered nurse's health assessment. Nurses in the United States, and more recently Canada and Australia, readily include these skills as an expansion of their health assessment into their nursing practice. The purpose of this research is to investigate whether New Zealand registered nurses have done the same. The factors that influence the registered nurses' use of these skills are also explored. This descriptive design was chosen in order to focus on exploring and describing this phenomenon in a holistic fashion. Data collection involved one hour semi- structured interviews with seven participants who all completed the same postgraduate advanced health assessment educational course. Three themes were identified as influencing the use of advanced physical assessment skills; the registered nurse's work environment, the registered nurse's attributes and the registered nurse's original nursing education. The findings from this research have implications for nurses in practice and nurse educators, in both undergraduate and postgraduate education.
Call Number NRSNZNO @ research @ Serial 498
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Author Scrymgeour, G.
Title Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online at Eastern Institute of Technology
Volume 13 Issue 1 Pages 13-17
Keywords (down) Nursing; Pregnancy; Clinical assessment
Abstract This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome.
Call Number NRSNZNO @ research @ Serial 1305
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Author Stewart, R.
Title Opportunistic chlamydia testing: Improving nursing practice through self-audit and reflection Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 1 Pages 43-52
Keywords (down) Nursing; Practice nurses; Diseases; Case studies
Abstract This article details how an individual family planning nurse's practice concerning opportunistic testing for sexually transmitted chlamydia was improved through an audit of her testing rates and reflection on the outcome. The leading curable sexually transmitted infection in New Zealand, chlamydia, (including the incidence and spread of the infection and why it is a public health issue) is discussed, and the audit examined. The first audit of fifty consecutive client visits exposed a lack of opportunistic testing. The second looking at a similar but more recent group of client visits, made after the results of the first (zero opportunistic testing) were known, shows an increase in testing and education about chlamydia. Important clinical issues concerning chlamydia testing and treatment are considered. In conclusion the article challenges other nurses in the community to take a lead in raising awareness of the consequences of undiagnosed chlamydial infection and find ways of increasing opportunistic testing for chlamydia within their practice.
Call Number NRSNZNO @ research @ 554 Serial 540
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Author McBride-Henry, K.; Foureur, M.
Title Medication administration errors: Understanding the issues Type Journal Article
Year 2006 Publication Australian Journal of Advanced Nursing Abbreviated Journal
Volume 23 Issue 3 Pages 33-41
Keywords (down) Nursing; Patient safety; Medical errors; Drug administration; Quality assurance
Abstract This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety.
Call Number NRSNZNO @ research @ Serial 715
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Author Richardson, C.A.
Title Ever decreasing circles: Non-curative terminal illness, empowerment and decision making: Lessons for nursing practice Type
Year 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords (down) Nursing; Palliative care; Terminal care; Psychology
Abstract
Call Number NRSNZNO @ research @ 683 Serial 669
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Author Archer, L.K.
Title We talk what we do: An exploration of the value, role and function of storytelling in nursing from one nurse's practice perspective Type
Year 2001 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Nursing; Palliative care; Professional development
Abstract The role of storytelling in any society fulfils multiple functions such as maintaining culture, holding history, teaching genealogical lessons, imparting wisdom, entertaining, passing on knowledge. The author suggests that nursing, historically described as a craft with an oral tradition, could be seen to be quietly moving away from the practice of storytelling. Or has it? She asked this question and began to realise that her practice and relationships with colleagues had always been based on stories and storying. To explore this phenomenon, she began to describe her day to day practice in story form, and began to position stories she had previously written. In her work of oncology palliative care nursing within a community setting in New Zealand, the stories proved crucial to her role as an educator, and companion of patients and their families. In this paper she examines how she uses story for her benefit, the patients' benefit, but mainly for the benefit of nursing. She examines from her own perspective, some underlying themes that reinforce the need to continue this ancient tradition and explore the role, value and function of storytelling within nursing.
Call Number NRSNZNO @ research @ Serial 788
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Author Gleeson, Erica; Carryer, Jenny
Title Nursing staff satisfaction with the acute pain service in surgical ward setting Type Journal Article
Year 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 26 Issue 1 Pages 14-26
Keywords (down) Nursing; Pain; Acute pain service; Staff sataisfaction; Surveys
Abstract Traces the establishment of acute pain services (APS) in the 1990s within hospitals both nationally and internationally. Explores, by means of a survey, the level of nursing satisfaction within one large hospital. Distributes questionnaires to 58 nursing staff working in association with the APS to ascertain satisfaction with regard to availability, communication and contribution to increased knowledge..
Call Number NZNO @ research @ Serial 1452
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Author Barton, J.
Title Pain knowledge and attitudes of nurses and midwives in a New Zealand context Type
Year 2001 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords (down) Nursing; Pain management; Attitude of health personnel
Abstract
Call Number NRSNZNO @ research @ 1140 Serial 1125
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Author Woodward, J.
Title Nurse case management: A review of the literature Type
Year 1999 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Nursing; Nursing specialties; Surgery; Care plans
Abstract This literature review is an exploration of nurse case management and it will provide the background for the introduction of a nursing case management model in the acute surgical environment at Western Bay Health. Case management is a collaborative process which assesses, plans, implements, co-ordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes (Newell, 1996:.3). In undertaking this review it was the author's intention to include the findings as background to a business case seeking the introduction of a surgical nurse case management model within the surgical service.
Call Number NRSNZNO @ research @ 483 Serial 470
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Author Mears, A.
Title The role of the clinical nurse co-ordinator Type Journal Article
Year 2003 Publication Journal of the Australasian Rehabilitation Nurses Association Abbreviated Journal
Volume 6 Issue 3 Pages 24-25
Keywords (down) Nursing; Nursing specialties; Older people
Abstract
Call Number NRSNZNO @ research @ 907 Serial 891
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Author Keene, J.M.
Title The role of the nurse in the outpatient setting Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Nursing; Nursing specialties
Abstract Outpatient nurses are often seen as nurses who are less important or skilled and can no longer physically cope with working in busy wards. This report is aimed to challenge this presumption and show that there are many educated and highly skilled nurses working in these departments. The diversity of the role of the nurse within the continued advancement of nursing practice in the outpatient department is evidence to disprove the perceptions other nurses have of the outpatient nurse. The purpose of this report was to discuss the changing role of the outpatient nurse from 'handmaiden' to 'autonomous practitioner', and secondly, to discuss nurse-led services and what experience and/or skills these nurses are expected to have to fulfill these roles. Literature was gathered to inform this report from the academic circles, policy from the Ministry of Health, the District Health Board website, and in relation to the author's own role with the outpatient department.
Call Number NRSNZNO @ research @ 493 Serial 479
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Author Neehoff, S.M.
Title Pedagogical possibilities for nursing Type
Year 1999 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords (down) Nursing; Nursing philosophy; Feminist critique
Abstract This thesis is about what the author terms the 'invisible bodies of nursing'. The physical body of the nurse, the body of practice, and the body of knowledge. The physical body of the nurse is absent in most nursing literature, it is sometimes inferred but seldom discussed. The contention is that the physical body of the nurse is invisible because it is tacit. Much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. These issues are approach through an evolving 'specular' lens. Luce Irigaray's philosophy of the feminine and her deconstructing and reconstructing of psychoanalytic structures for women inform this work. Michel Foucault's genealogical approach to analysing discourses is utilized, along with Maurice Merleau-Ponty's phenomenology. Nursing's struggle for recognition is ongoing. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures. The exploration of the embodied self of the nurse and through this the embodied knowledge of nursing is nascent.
Call Number NRSNZNO @ research @ 1287 Serial 1272
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Author Tucakovic, M.
Title Nursing as an aesthetic praxis Type
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (down) Nursing; Nursing philosophy
Abstract This thesis focuses on the experience of being human as process in order to reveal being. Illness and health are seen as reflections of this process of revelation. This work argues that health and illness are physical expressions of consciousness and therefore an outcome of what a human being has thought. In this way, this work shows how thought/intent serves to create life in the moment. In this understanding lies the potential to change reality, to change life. The thesis identifies self-responsibility as the key to changing consciousness. Taking responsibility for the creation of one's reality eliminates the human tendency to blame another for what is experienced in life. To that end, this work argues, we are each free to choose what is felt in response to life. In so doing, we can become conscious that life is a choice, that is to be approached from either the position of perfection, or excellence. The author proposes that, in the understanding that human beings are the creators of their reality, it is possible to conceive of care in nursing that is directed at changing thinking/thought. Such change would be to focus on the excellence of life, and in that way enact care in nursing that is an enabling through a process of being that is an emotional allowance in response to life. To this end, this work is titled Nursing as an Aesthetic Praxis. The aesthetic is emotion and feeling. Praxis, is presented in its dialectical relationship of thought and action that is then bound to emotion and feeling in such a way that it illuminates the nature of thinking. This way of thinking, this work shows, is transformatory. Where transformation is a process of being that as a state of excellence is one of incremental human freedom accompanied by incremental responsibility.
Call Number NRSNZNO @ research @ 574 Serial 560
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Author Perry, I.
Title Identifying the 'norms' of nursing culture Type Journal Article
Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue 9 Pages 20-22
Keywords (down) Nursing; Nursing philosophy
Abstract The author investigates the premises that form the basis of nursing practice in acute care. Assumptions about patients and caregiving are often at odds with each other. The origins of these tenets are mapped from Florence Nightingale through to present nursing theorists. Overlapping areas of nursing and medical care in the acute care setting are examined, and the conflict that can arise between traditional nursing care and the expected medical nursing role is examined. He argues that the challenge for acute care nurses is to find a balance between normative nursing and the medical model.
Call Number NRSNZNO @ research @ 1036 Serial 1020
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Author Walker, L.
Title ?Holding up?: The first biennial NZNO Employment Survey Type Report
Year 2009 Publication Abbreviated Journal Available from http://www.nzno.org.nz
Volume Issue Pages
Keywords (down) Nursing; New Zealand Nurses' Organisation; Workplace; Personnel staffing and scheduling; Industrial relations
Abstract In this report, the New Zealand Nurses Organisation (NZNO) releases the findings from its first-ever members' employment survey. The questionnaire, based on the United Kingdom?s Royal College of Nurse?s annual survey (which has been running for 21 years) covered core employment issues: employment agreements, hours, pay, job change, along with demographic details, as well as questions around plans for and perceptions of working life for over 800 NZNO members.
Call Number NZNO @ research @ Serial 1331
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