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Author Hylton, April url  openurl
  Title Nurses' knowledge and attitudes regarding pain Type Book Whole
  Year 2019 Publication Abbreviated Journal  
  Volume Issue Pages 176 p.  
  Keywords (down) Pain; Nursing knowledge; Nursing attitudes; Registered nurses  
  Abstract Surveys the knowledge and attitudes of registered nurses (RNs) regarding pain management in the care of the post-operative patient, across five District Health Boards (DHBs). Collects data using a modified version of the Knowledge and Attitudes Survey Regarding Pain (KASRP) tool (Ferrell & McCaffery, 2014), in a cross-sectional descriptive non-experimental design.  
  Call Number NZNO @ research @ Serial 1637  
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Author Zwimpfer, Lucy Annabelle url  openurl
  Title Being with Babies: Vocal soothing for preterm infants during painful procedures in the Neonatal Intensive Care Unit Type Book Whole
  Year 2017 Publication Abbreviated Journal  
  Volume Issue Pages 290 p.  
  Keywords (down) Pain management; Premture infants; Infant mental health; NICU; Vocal soothing  
  Abstract Investigates the neonatal intensive care unit (NICU) nurse-infant relationship, with a focus on vocal soothing. Undertakes two observational studies to record the use of voice by NICU nurses during painful and non-painful procedures. Develops a model of vocal soothing and tests it for its ability to provide comfort to pre-term infants undergoing painful procedures. Measures pain using the Premature Infant Pain Profile Revised.  
  Call Number NZNO @ research @ Serial 1562  
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Author Smart, S. url  openurl
  Title Post-operative pain management knowledge and attitude of paediatric nurses: A New Zealand regional view Type
  Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords (down) Pain management; Paediatric nursing; Hospitals; Pharmacology  
  Abstract This research explored the knowledge and attitudes towards paediatric post-operative pain, within the New Zealand context of small regional hospitals. It established how nurses working in these areas obtain and update their paediatric pain management knowledge, and what is it that influences their paediatric post-operative pain management practices. A questionnaire survey of registered nurses working in three small paediatric units (5 to 12 beds), in regional secondary service hospitals was undertaken. The survey had a 79% (n=33) response rate. Findings corroborate many findings in previously published literature including that nurses do well in questions related to assessment. However pharmacological knowledge continues to be lacking. Results also indicated that while nurses have a good understanding about who is the best person to rate pain, this wasn't carried through in the clinical scenarios provided. Education is clearly an important factor in improving the knowledge and attitudes needed in clinical practice. While this survey was somewhat limited, both in size and in that a clear correlation between the results and actual clinical practice could not be made, results are significant for the areas surveyed and for the development of pain education for nurses.  
  Call Number NRSNZNO @ research @ 1194 Serial 1179  
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Author Gosnell, M. openurl 
  Title Postoperative pain assessment: A retrospective review of nursing documentation 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) Pain management; Nursing  
  Abstract An essential part of nursing practice for the nurse on the surgical floor is to relieve the discomfort of post operative pain for patients in their care. Post operative pain management encompasses a series of processes from assessing pain, providing relief, assessment of measures used to relieve pain through to documentation in the patient record. Yet literature, both internationally and from Australia and New Zealand, suggests that post operative pain continues to be poorly managed despite having the means to provide more than adequate relief. Events leading up to the commencement of this study indicated that locally, post operative pain assessment, including documentation in the patient record may be substandard. The objective of this study was to develop and test an audit tool; undertake a retrospective audit of nursing records, including nursing notes and the nursing care plan, in respect of what postoperative pain assessments nurses document in the patient record; evaluate data and make recommendations for practice. Methodology: A five part, 23 question Likert scale audit tool, designed specifically for this study was used to collect data over a period of two months. In total 40 patient records that met the inclusion criteria were audited.The results indicate that local practice reflects poor documentation standards found in other studies. The most complete recordings were those entered on specifically designed charts such as the Patient Controlled Analgesia and Epidural charts (N 28) but this did not carry over into the patient record. Despite that fact that the patient's self reports of pain is said to be the single most reliable indicator of pain, there was only four occasions when the patient's verbal response to pain was recorded. None of those responses were according to any type of pain rating scale. Evidence of evaluation following measures used to relieve pain was more likely to be recorded if pain was poorly controlled or when side effects such as nausea were experienced by the patient. The author concludes that overall the audit has highlighted many gaps in what is or is not recorded in the patient record in respect of post operative pain assessment and has highlighted the need to develop standards of practice that will improve post operative pain management practices.  
  Call Number NRSNZNO @ research @ Serial 915  
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Author Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G. url  openurl
  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 (down) 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  
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Author Coleman, R.; Sim, G. openurl 
  Title The sacredness of the head: Cultural implications for neuroscience nurses Type Journal Article
  Year 2003 Publication Australasian Journal of Neuroscience Abbreviated Journal  
  Volume 16 Issue 2 Pages 20-22  
  Keywords (down) Paediatric nursing; Transcultural nursing; Culture  
  Abstract The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting.  
  Call Number NRSNZNO @ research @ 1083 Serial 1068  
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Author Manning, J. openurl 
  Title Skin-to-skin care of the very low birth weight infant: Taking a risk and making it happen 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) Paediatric nursing; Premature infants; Nursing; Hospitals  
  Abstract Parent-infant skin-to-skin care has become an advocated aspect of care in neonatal intensive care units nationally within New Zealand and internationally. However the implementation of this care by nurses can be limited by a number of factors within the practice environment. This dissertation presents a critical analysis of literature alongside reflection on the author's own practice experience to explore factors that may be constraining the use of skin-to-skin care with the very low birth weight infant in the neonatal intensive care unit. These factors are examined through a lens of risk taking behaviour underpinned by the grounded theory work of Dobos (1992). The concept of risk is explored in order to develop an understanding of why, in the author's view, the practice of skin-to-skin care of very low birth weight infants may have declined in recent years. For neonatal nurses skin-to-skin care of the very low birth weight infant presents challenges related to the environment, physiological stability of the infant and changes over the past 10 years in the clinical management of very low birth weight infants. As progress is made toward the design, development and eventual move to a new unit in Dunedin recommendations pertaining to the change in physical space, the introduction of a structured model for nursing care and implications for nursing practice development in relation to skin-to-skin care are described.  
  Call Number NRSNZNO @ research @ Serial 800  
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Author McKelvie, R. openurl 
  Title Partnership in paediatric nursing: A descriptive exploration of the concept and its practice Type
  Year 2001 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords (down) Paediatric nursing; Parents and caregivers; Children; Relationships  
  Abstract A 50 point research project presented in partial fulfilment of the requirements for the degree of Master of Nursing at Massey University.  
  Call Number NRSNZNO @ research @ 484 Serial 471  
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Author Chenery, K. openurl 
  Title Building child health nurses' confidence and competence Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 5 Pages 26-38  
  Keywords (down) Paediatric nursing; Nursing; Education; Evaluation  
  Abstract This article describes the development of the Generic Orientation Programme, Child Health Nursing and its perceived impact on practice after ten months, through two simultaneous evaluation surveys, seeking the views of programme participants and their nurse managers. The programme aims to equip the newly appointed RN in the child health cluster or the nurse working in a non-designated children's area with the knowledge and skills to safely care for children. These include basic anatomical and physiological differences; fluid and electrolyte management; safe administration of medication; pain management; recognition of the seriously ill child; and building partnerships with children and their families. A survey instrument eliciting qualitative and quantitative responses was used. The majority of nurse respondents believed they had gained new knowledge and described how they were incorporating it into everyday practice. Similarly, several nurse managers observed that nurses' clinical knowledge and skills had improved since attending the programme. In particular, responses from those working in non-designated children's areas suggested the programme had provided them with greater insight into the care of children.  
  Call Number NRSNZNO @ research @ Serial 975  
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Author Grant-Mackie, D. openurl 
  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 (down) 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  
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Author Wilson, H.V. openurl 
  Title Power and partnership: A critical analysis of the surveillance discourses of child health nurses Type Journal Article
  Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 36 Issue 2 Pages 294-301  
  Keywords (down) Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket  
  Abstract The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work.  
  Call Number NRSNZNO @ research @ Serial 1085  
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Author Lichfield, M. openurl 
  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 (down) 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  
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Author Manning, J. openurl 
  Title Building trust with families in neonatal intensive care units Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 6 Pages 18-20  
  Keywords (down) Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication  
  Abstract Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care.  
  Call Number NRSNZNO @ research @ Serial 976  
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Author Christie, J. openurl 
  Title Managing febrile children: When and how to treat Type Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 8 Issue 4 Pages 15-17  
  Keywords (down) Paediatric nursing; Evidence-based medicine; Children; Guidelines  
  Abstract The author describes the nursing of febrile children in a general paediatric ward at Tauranga Hospital. She focuses on the cooling methods used and their efficacy. Ward practice is compared with clinical trials and the literature to determine best practice and evidence-based guidelines. Also discussed are fans and clothes removal, tepid sponging, paracetamol, and brufen.  
  Call Number NRSNZNO @ research @ Serial 1006  
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Author Sye, J. url  openurl
  Title A fine balance Type
  Year 2008 Publication Abbreviated Journal AUT University Library  
  Volume Issue Pages  
  Keywords (down) Paediatric nursing; Community health nursing; Nurse-patient relations; Children; Patient rights  
  Abstract The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children's rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children's rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society's interest in children's rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children's health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children's health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children's rights whilst respecting the role of parents and families. The author argues that children's rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. She proposes that children's community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children's rights advocates.  
  Call Number NRSNZNO @ research @ 911 Serial 895  
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