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Author |
Wilkinson, J.A.; Huntington, A.D. |
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Title |
The personal safety of district nurses: A critical analysis |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
31-44 |
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Keywords  |
District nursing; Occupational health and safety; Organisational culture; Risk factors |
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Abstract |
A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses. |
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Call Number |
NRSNZNO @ research @ |
Serial |
549 |
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Author |
Arcus, K.J. |
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Title |
Often wearisome, sometimes saddening, but always interesting: A hundred years of district nursing in Wellington, 1903-2003 |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
District nursing; History |
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Abstract |
October 2003 marked the centenary of Wellington district nursing. Annie Holgate, a 'trained, professional' nurse, was employed to care for the sick poor in 1903. The Wellington St John Ambulance District Nursing Guild funded district nursing for over fifty years. The first president, Sarah Ann Rhodes, left a legacy of a solid financial and administrative base for the whole of the Guild's existence. From 1945 the Wellington Hospital Board assumed responsibility for district nursing and expanded the service to the greater Wellington region. In 1974 the Community Health Services were formed, with Pauline MacInnes as the nurse leader. Expansion of healthcare in the community ensued, with district nurses pivotal to client-centred, community-based, collaborative healthcare. This service was dismantled in the wake of health sector restructuring in 1989. The philosophy and operation of the Community Health Service of this period bears a striking resemblance to the current concept of Primary Health Care. Primary sources from Wellington St John, Kai Tiaki and data from official publications were used to compile this history. Emergent themes are the autonomy of district nurses' practice, the invisibility of district nursing and the impact of visionary leadership. All have implications for the future of district nursing. District nursing, initially dependent on philanthropy, has been publicly funded in New Zealand since 1944. District nursing is now an essential component of health care. |
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Call Number |
NRSNZNO @ research @ 851 |
Serial |
835 |
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Author |
Sutton, D.M. |
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Title |
Nurses have an important role in managing intermittent claudication |
Type |
Journal Article |
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Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
4 |
Pages |
20-22 |
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Keywords |
Diseases; Nursing; Quality of life |
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Abstract |
The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition. |
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Call Number |
NRSNZNO @ research @ 1006 |
Serial |
990 |
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Author |
Gregory, R.; Kaplan, L. |
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Title |
Understanding residuals in Guillain-Barre Syndrome |
Type |
Journal Article |
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Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
10 |
Issue |
7 |
Pages |
16-18 |
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Keywords |
Diseases; Nursing; Management |
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Abstract |
The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression. |
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Call Number |
NRSNZNO @ research @ 1013 |
Serial |
997 |
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Author |
Lynch, T.M. |
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Title |
A qualitative descriptive study of youth with Crohn's disease |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
NZNO Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Diseases; Adolescents; Nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1143 |
Serial |
1128 |
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Author |
Robertson, Heather; Carryer, Jenny; Neville, Stephen |
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Title |
Diffusion of the Primary Health Care Strategy in a small District Health Board in New Zealand |
Type |
Journal Article |
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Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
31 |
Issue |
3 |
Pages |
17-26 |
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Keywords |
Diffusion; innovation; primary health care (PHC); primary health care nursing |
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Abstract |
Reports the findings of a study examining aspects of the implementation of the Primary Health Care Strategy on primary health care nursing in a small district health board (DHB) in NZ. Conducts an instrumental case study informed by onstructionism and underpinned by a qualitative interpretive design. Collects data from policy documents and strategic plans and by means of interviews with managers at middle and senior levels at the local DHB and two PHOs. |
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Call Number |
NZNO @ research @ |
Serial |
1511 |
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Author |
Johnstone, C. |
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Title |
Linking diet and respiratory distress |
Type |
Journal Article |
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Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
7 |
Issue |
5 |
Pages |
22-23 |
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Keywords |
Diet; Chronic diseases; District nursing |
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Abstract |
The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1011 |
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Author |
Litchfield, M. |
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Title |
Thinking through diagnosis: Process in nursing practice |
Type |
Journal Article |
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Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
4 |
Pages |
9-12 |
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Keywords |
Diagnosis; Nursing philosophy; Nursing research |
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Abstract |
A paper following on from the paper “Between the idea and reality” (Nursing Praxis in New Zealand 1(2), 17-29) proposing the focus for the discipline of nursing – practice and research – is diagnosis. For nursing practice, diagnosis is a practice that collapses “The Nursing Process”; for research to develop nursing practice, diagnosis is one continuous relational process that merges and makes the separate tasks od assessment, intervention and evaluation redundant. |
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Call Number |
NZNO @ research @ |
Serial |
1314 |
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Author |
Sadlier, C. |
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Title |
Gaining insight into the experience of diabetes |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
1 |
Pages |
14-16 |
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Keywords |
Diabetes Type 2; Maori; Nursing |
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Abstract |
This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition. |
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Call Number |
NRSNZNO @ research @ 1020 |
Serial |
1004 |
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Author |
Adams, J |
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Title |
Life Experience for an Adolescent with Type 1 Diabetes: Nursing Strategies to Support a Healthy Lifestyle |
Type |
Journal Article |
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Year |
2012 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Available through NZNO library |
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Volume |
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Issue |
19 |
Pages |
18-26 |
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Keywords |
Diabetes Mellitus Type 1; Psychosocial Factors -- In Adolescence; Diabetic Patients- Life Experiences; Nursing Role |
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Abstract |
This article explores the impact a chronic illness has on an adolescent patient, their family, and social, work, cultural and spiritual aspects of their life. The discussion will focus on the patient's healthcare experience and the nursing strategies undertaken to help maintain her optimum health. The personal information used in this article was gathered from an interview with the patient during a second-year undergraduate nursing student clinical learning experience. |
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Call Number |
NZNO @ research @ |
Serial |
1381 |
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Author |
Joyce, Sophie |
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Title |
Running some tests: essays on doctors, nurses and hospital health care |
Type |
Book Whole |
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Year |
2013 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
242 p. |
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Keywords |
Demographics; Decision-making; Nursing hours; Patient outcomes; Caesarean sections; Health economics |
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Abstract |
Comprises three essays on the economics of health-care delivery in hospitals: considers the relationship between gender and/or ethnic concordance between a doctor and patient, and the number of diagnostic tests ordered during a hospital stay; estimates the impact of doctor-patient demographic concordance (where doctor and patient share the same ethnic group and/or gender) on a doctor's decision-making for diagnostic resources and medical treatments; calculates the relationship between ward-level nursing hours and a patient's health outcome, e.g. mortality and length of ward stay. Uses a detailed nursing-staff dataset, a novel instrumental variable for nursing hours (the amount of sick and bereavement leave taken by nurses on a ward) and the separate effect of nursing and patient hours in a ward, on a patient's health outcome. |
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Call Number |
NZNO @ research @ |
Serial |
1577 |
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Author |
Neville, S.J.; Gilmour, J.A. |
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Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
9 |
Pages |
22-25 |
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Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
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Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
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Call Number |
NRSNZNO @ research @ |
Serial |
983 |
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Author |
O'Reilly, A.F. |
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Title |
Relinquishing personhood in dementia: Discordant discourses: A nurse's inquiry |
Type |
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Year |
2002 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Dementia; Nursing; Nurse-patient relations; Relationships |
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Abstract |
This thesis traces the journey of the author's inquiry into family members' experience of the relinquishment of the personhood of a loved one with a dementia; a journey in which she reports that her own prior understandings were significantly challenged. The study was prompted by her experience of working in the area of dementia care and hearing, in the course of the working day, comments such as 'there's nobody there' made in relation to someone suffering from severe dementia. Such comments appear to imply that the person of the dementia sufferer in some way is no longer present. They are comments which relate to the very nature of personhood. The study takes impetus from the fact that the ways in which nurses view the personhood of dementia sufferers has significant consequences for the ways in which they respond to dementia sufferers and their families. This thesis, which retells the stories of four family members who each have a loved one with a dementia illness, reveals that rather than there being a unified concept of personhood in dementia, and in spite of the fact that particular understandings of dementia and personhood dominate our cultural conversations, in their day to day lives these four family members managed and made sense of their experience through particular and different ways of looking at the impact dementia has on the personhood of dementia sufferers. Not all did, in fact, relinquish the personhood of their family member. In their lived lives, the four research participants had recourse, each in different ways, to multiple discourses of personhood. For some, in addition to loss, there was also unexpected gain. This finding necessitated and shaped further inquiry into discourse and the role of discourse in shaping, constraining and opening up possibilities for meaning, and into the two substantive areas of dementia and personhood. Nurses work closely alongside the family of dementia sufferers who are daily faced with the challenge of managing and making meaning of that situation. It is critically important that they are able to recognise, validate and support the variety of needs that family members have. Nurses, whose education is traditionally based on a biomedical framework, are nevertheless often required to mediate between different understandings. Not only do they need currency of knowledge in the rapidly changing biomedical field of dementia, but they need also an understanding of the role and the power of discursive constructions of both dementia and personhood. Such understanding will provide insight into alternate ways of understanding these concepts. However, although such understanding is critical for nurses working in this area, the author suggests that nursing literature has not brought these discussions to the fore. |
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Call Number |
NRSNZNO @ research @ 792 |
Serial |
776 |
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Author |
Kyle, W. |
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Title |
Dementia specific nursing in New Zealand: History and practice today |
Type |
Journal Article |
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Year |
2002 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
8 |
Issue |
14 |
Pages |
3-9 |
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Keywords |
Dementia; Nursing specialties |
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Abstract |
The author examines influences on contemporary dementia specific nursing practice. She addresses the current situation and future developments in this area. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1079 |
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Author |
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Title |
Dementia care: A literature review |
Type |
Journal Article |
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Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
7 |
Issue |
13 |
Pages |
33-36 |
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Keywords |
Dementia; Nurse-patient relations; Quality of health care; Nursing; Education |
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Abstract |
This article defines dementia, and explores recent trends in relation to why it is such a misunderstood condition in the health care setting. Within a theoretical framework of literature development, nurse client relationships, and quality of care and attitudes are analysed. Gaps, inconsistencies and consistencies are outlined, with the implications for nursing practice and education explored. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1279 |
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