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Author |
Richardson, S.; Ardagh, M.; Hider, P. |
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Title |
New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department |
Type |
Journal Article |
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Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
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Volume |
119 |
Issue |
1232 |
Pages |
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Keywords  |
Hospitals; Clinical assessment; Interprofessional relations |
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Abstract |
This study aims to examine the concept of 'inappropriate' emergency department attendances in relation to the emergency department at Christchurch Hospital. It specifically seeks to determine whether there is a consensus opinion among healthcare providers regarding a definition of 'inappropriate'. An exploratory survey of health professionals involved with the referral, assessment, transport, and treatment of emergency department patients in Christchurch was carried out. A range of health professionals, including ambulance personnel, general practitioners, emergency department physicians, emergency nurses, and hospital managers were approached. A series of questions relating to definition and response to 'inappropriate' patients was asked, with an additional open-ended question relating to the definition of 'appropriateness'. The researchers found significant differences in the attitudes and perceptions of key health professionals involved in the referral, treatment, and admission of patients to the emergency department. This has implications for any interventions aimed at addressing emergency department 'overcrowding' that assume the presence of a consensus understanding of this concept. |
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Call Number |
NRSNZNO @ research @ |
Serial |
526 |
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Author |
Harris, C.; Crozier, I.; Smyth, J.; Elliot, J.; Watson, P.B.; Sands, J.; Cuddihy, R. |
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Title |
An audit of percutaneous coronary intervention (PCI) patients representing acutely with chest pain within six months of PCI |
Type |
Manuscript |
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Year |
2007 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Hospitals; Clinical assessment; Cardiovascular diseases; Guidelines; Teaching methods |
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Abstract |
This reports an audit of the assessment practices at Christchurch Hospital, compared to international guidelines. The clinical notes of all patients who were re- admitted acutely with chest pain within six months of PCI procedures performed between 1/4/05 and 30/9/05 were audited. Ethics approval was granted and an audit tool was designed based on the 2000 ACC/AHA Guidelines for the management of patients with unstable angina. The purpose of the audit was to determine to what extent best practice guidelines were followed in the assessment of patients re-admitted with chest pain and to determine if there were any indicators (lesional, procedural or risk factors for restenosis) that predicted a normal or abnormal repeat coronary angiogram. 448 consecutive patients had PCI procedures, 36 patients represented acutely with chest pain and had repeat coronary angiography. In 18 patients the coronary angiogram was unchanged, 11 patients demonstrated instent restenosis, one patient demonstrated thrombus and six patients developed new lesions. The authors concluded that at Christchurch Hospital assessment practices are consistent with international guidelines. Of the patients who had repeat angiography, 50% had no coronary obstruction for the cause of pain. There was a relatively low incidence of acute representation with chest pain. These results suggest a revision of the guidelines for repeat angiography following PCI is warranted. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1157 |
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Author |
Banks, J.; McArthur, J.; Gordon, G. |
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Title |
Flexible monitoring in the management of patient care process: A pilot study |
Type |
Journal Article |
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Year |
2000 |
Publication |
Lippincott's Case Management |
Abbreviated Journal |
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Volume |
5 |
Issue |
3 |
Pages |
94-106 |
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Keywords |
Hospitals; Cardiovascular diseases; Nursing |
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Abstract |
This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1091 |
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Author |
Richardson, S. |
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Title |
Incorporation of research into clinical practice: The development of a clinical nurse researcher position |
Type |
Journal Article |
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Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
21 |
Issue |
1 |
Pages |
33-42 |
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Keywords |
Emergency nursing; Nursing research; Hospitals |
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Abstract |
The author backgrounds the development of the role of an innovative Nurse Researcher (Emergency Medicine) role at Christchurch Hospital. She describes the emergency department and the factors leading to the creation of the role. Specific nursing research projects are reviewed, and the nature of nursing in relation to research is discussed. The author argues that the nurse researcher is integral to the expansion of evidence-based nursing, and that the role of Clinical Nurse Researcher in the emergency department has resulted in a higher profile for research, and the gradual integration of research as a clinical skill with direct practical relevance. |
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Call Number |
NRSNZNO @ research @ |
Serial |
536 |
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Author |
Rudd, J. |
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Title |
From triage to treatment: An exploration of patient flow systems in emergency departments |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Emergency nursing; Hospitals; Risk management; Patient safety |
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Abstract |
To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1209 |
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Author |
Baur, P. |
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Title |
Patients who present to the emergency department but do not wait: An exploratory study |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Emergency nursing; Hospitals |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
849 |
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Author |
MacGeorge, J.M.; Nelson, K. |
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Title |
The experience of the nurse at triage influences the timing of CPAP intervention |
Type |
Journal Article |
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Year |
2003 |
Publication |
Accident & Emergency Nursing |
Abbreviated Journal |
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Volume |
11 |
Issue |
4 |
Pages |
234-238 |
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Keywords |
Emergency nursing; Clinical decision making; Hospitals; Quality of health care |
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Abstract |
This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP. |
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Call Number |
NRSNZNO @ research @ |
Serial |
847 |
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Author |
Schroyen, B.; Finlayson, M. |
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Title |
Clinical teaching and learning: An action research study |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
2 |
Pages |
36-45 |
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Keywords |
Education; Nursing; Hospitals |
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Abstract |
Using an educational action research model, a nursing lecturer based in a polytechnic and ten students formed a research group to address one issue that was important to them. The research group chose to plan, implement and evaluate a practical change strategy aimed at improving the teaching and learning relationship between students and staff nurses in clinical settings. A sample of five staff nurses working closely with five students in the group was invited to join the study in order to gain their perspectives on the issues. The findings were that contract learning provides a strategy which, under certain conditions, offers both students and staff nurses an opportunity to improve the effectiveness of their interactions. |
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Call Number |
NRSNZNO @ research @ |
Serial |
545 |
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Author |
Kirkham, S.; Smye, V.; Tang, S.; Anderson, J.; Blue, C.; Browne, A.; Coles, R.; Dyck, I.; Henderson, A.; Lynam, M.J.; Perry, J.(see also C.); Semeniuk, P.; Shapera, L. |
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Title |
Rethinking cultural safety while waiting to do fieldwork: Methodological implications for nursing research |
Type |
Journal Article |
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Year |
2002 |
Publication |
Research in Nursing & Health |
Abbreviated Journal |
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Volume |
25 |
Issue |
3 |
Pages |
222-232 |
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Keywords |
Cultural safety; Hospitals; Health behaviour; Culture; Nursing research |
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Abstract |
The authors trace a series of theoretical explorations, centered on the concept of cultural safety, with corresponding methodological implications, engaged in during preparation for an intensive period of fieldwork to study the hospitalisation and help-seeking experiences of diverse ethnocultural populations. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1078 |
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Author |
Burrell, B. |
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Title |
Mixed-sex rooms: Invading patients' privacy? |
Type |
Journal Article |
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Year |
2003 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
9 |
Issue |
4 |
Pages |
26-28 |
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Keywords |
Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender |
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Abstract |
The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1000 |
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Author |
Bickley, J. |
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Title |
A study of medical, nursing, and institutional not-for-resuscitation (NFR) discourses |
Type |
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Year |
2002 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
317 pp |
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Keywords |
Clinical decision making; Attitude of health personnel; Hospitals; Terminal care |
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Abstract |
This study investigates the way that medical, nursing and institutional discourses construct knowledge in the specific context of Not-for-resuscitation (NFR)in a New Zealand general hospital where NFR guidelines are available in the wards and from the regional ethics committee. The thesis argues that there are ranges of techniques that staff use to construct NFR knowledge, enacted through various forms of speech and silence, which result in orderly and disorderly experiences for patients nearing death. The study was conducted through a critical analysis of the talk of health professionals and the Chairperson of the Regional Ethics Committee. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1117 |
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Author |
Payne, Sharon |
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Title |
The nurse's role in promoting health of vulnerable children (0-5 yr olds) through coordinated care: Margaret May Blackwell Study Fellowship |
Type |
Report |
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Year |
2007 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
50 p. |
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Keywords |
Child health services; Hospitals; Emergency services; Reports |
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Abstract |
Explores the provision of emergency paediatric care internationally. Visits children's hospitals in the US, Canada, the UK and Australia. Part of the Margaret May Blackwell Scholarship Reports series. |
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Call Number |
NZNO @ research @ |
Serial |
1416 |
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Author |
Mockford, Andrea |
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Title |
The exploration of systems and technologies to enhance the healthcare of children under five |
Type |
Report |
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Year |
2009 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
130p |
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Keywords |
Child health services; Children's hospitals; Family nursing; Reports |
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Abstract |
The well known premise that 'healthy children grow into healthy adults' should reinforce the need for us to engage with parents and caregivers to ensure that we support them with meeting their child's health care needs. This scholarship enabled the author to see what the UK, Sweden, the US, and Canada were doing to strengthen and support children under five and their families across the continuum of care. Part of the Margaret May Blackwell Scholarship Reports series. |
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Call Number |
NZNO @ research @ |
Serial |
1422 |
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Author |
Moore, Justin |
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Title |
Breaking down barriers in child healthcare (0-5) years. Margaret May Blackwell Travelling Fellowship 2005 |
Type |
Report |
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Year |
2005 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
29 |
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Keywords |
Child health services; Children's Hospitals; Emergency Departments; Drugs; Reports |
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Abstract |
Travels to Australia, Canada, the US and the UK to investigate various methods of procedural sedation for 0-5-year-olds in paediatric Emergency Departments. Describes the types of sedation used and the recovery periods. Transcribes the interviews he conducted with Emergency Department staff in each country. Part of the Margaret May Blackwell Scholarship Reports series. |
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Call Number |
NZNO @ research @ |
Serial |
1427 |
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Author |
Chadwick, A.; Hope, A. |
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Title |
In pursuit of the named nurse |
Type |
Journal Article |
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Year |
2000 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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Volume |
13 |
Issue |
4 |
Pages |
6-9 |
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Keywords |
Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations |
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Abstract |
This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required. |
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Call Number |
NRSNZNO @ research @ |
Serial |
924 |
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