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Author Pirret, A.M.
Title The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making Type Journal Article
Year 2007 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 23 Issue 3 Pages 145-155
Keywords (up) Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education
Abstract The objective of this paper is to outline a study firstly, assessing ICU nurses' ability in articulating respiratory physiology to provide rationale for their clinical decision-making and secondly, the barriers that limit the articulation of this knowledge. Using an evaluation methodology, multiple methods were employed to collect data from 27 ICU nurses who had completed an ICU education programme and were working in one of two tertiary ICUs in New Zealand. Quantitative analysis showed that nurses articulated a low to medium level of knowledge of respiratory physiology. Thematic analysis identified the barriers limiting this use of respiratory physiology as being inadequate coverage of concepts in some ICU programmes; limited discussion of concepts in clinical practice; lack of clinical support; lack of individual professional responsibility; nurses' high reliance on intuitive knowledge; lack of collaborative practice; availability of medical expertise; and the limitations of clinical guidelines and protocols. These issues need to be addressed if nurses' articulation of respiratory physiology to provide rationale for their clinical decision-making is to be improved.
Call Number NRSNZNO @ research @ Serial 933
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Author Cameron, Megan
Title Evaluation report of a postgraduate specialty programme: is a specialty nursing qualification delivering what it says it does? Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 37-45
Keywords (up) Evaluation; Primary health care; Nursing; Well Child/Tamariki Ora; Postgraduate study; Surveys
Abstract Examines whether a postgraduate programme for Well Child/Tamariki Ora (WCTO) nurses prepares nurses new to child health to understand primary health care, health promotion, community nursing and nursing theory. Uses on online survey devised by Plunket National Educators to evaluate the (WCTO) strand of the Postgraduate Certificate in Primary Health Care Specialty Nursing curriculum against the delivery of the programme. Assesses student experience and student perceptions of the impact of their learning on their nursing practice. Considers whether it enables nurses to consider the specific populations in their care, or to encourage individuals, families and communities to increase their skills in health-focused daily living. Seeks to ascertain whether the structure of the programme, based on the clinical integration approach, supports nursing practice and academic study.
Call Number NZNO @ research @ Serial 1549
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Author Litchfield, M.
Title The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages
Volume Issue Pages
Keywords (up) Evaluation; Rural health services; Primary health care
Abstract This is the report of the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of “successful design and delivery of rural health services” as a step towards a measurement tool. Participants were grouped as general practitioners, nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NRSNZNO @ research @ Serial 1177
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Author Manning, J.
Title Formative assessment: Using feedback to enhance learning Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 47-65) Abbreviated Journal
Volume Issue Pages
Keywords (up) Evaluation; Teaching methods; Nursing; Education
Abstract This paper explores the literature surrounding the development, definition, process and value of formative feedback. In particular, this review considers how formative assessment can be used by a clinical educator in the practice setting. At the end of the chapter, discussion questions are provided by Rebecca Hennephof.
Call Number NRSNZNO @ research @ Serial 766
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Author Reilly, S.
Title Barriers to evidence based practice by nurses in the clinical environment Type
Year 2005 Publication Abbreviated Journal
Volume Issue Pages
Keywords (up) Evidence-based medicine; Nursing
Abstract
Call Number NRSNZNO @ research @ 1123 Serial 1108
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Author Thompson, L.
Title Suctioning adults with an artifical airway: A systematic review Type Book Whole
Year 2000 Publication Abbreviated Journal Subscriber access at the Joanna Briggs Institute
Volume Issue Pages
Keywords (up) Evidence-based medicine; Nursing research
Abstract This systematic review was conducted by the New Zealand Centre for Evidence Based Nursing, a collaborating centre of The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. The aim was to present the best available evidence on interventions, which are effective in preventing or reducing the prevalence of complications associated with suctioning, in hospitalised adult patients with an artificial airway who are breathing spontaneously or are artificially ventilated and who require suctioning. The specific questions addressed were as follows: Which methods of suctioning reduce the prevalence of mucosal trauma or mucosal dysfunction, and promote the removal of respiratory secretions? Which techniques or methods are effective in reducing the occurrence of suctioning -induced hypoxaemia, during or following the suctioning procedure? Which techniques or methods are effective in minimising the haemodynamic or pulmonary complications associated with the suctioning procedure?
Call Number NRSNZNO @ research @ 1136 Serial 1121
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Author Hughes, C.
Title Perioperative nurses in NZ & evidence-based practice Type Journal Article
Year 2004 Publication Dissector Abbreviated Journal
Volume 31 Issue 4 Pages 8, 10-1
Keywords (up) Evidence-based medicine; Nursing specialties; Access
Abstract This project is a study of the barriers perceived by perioperative nurses to accessing and using research-based information. A survey questionnaire was distributed to 184 perioperative nurses working in five public and two private hospitals in the Auckland area. The number of completed questionnaires was 106 (57.6%). The results showed that the lack of time during work hours was ranked as the highest barrier. The results also showed that many nurses feel they do not have the skills to find and appraise research articles.
Call Number NRSNZNO @ research @ Serial 1063
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Author Harding, T.S.
Title New strategies in evidence based practice Type Journal Article
Year 2006 Publication Klinisk sygepleje Abbreviated Journal
Volume 20 Issue 3 Pages 4-11
Keywords (up) Evidence-based medicine; Nursing; Education; Curriculum
Abstract This article considers wider organisational issues that impact on the implementation of evidence based practice. It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand. This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education. Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice.
Call Number NRSNZNO @ research @ Serial 778
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Author McArthur, J.; Dickinson, A.R.
Title Decision making the explicit evidence-based way: Comparing benefits, harms and costs Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 1 Pages 33-42
Keywords (up) Evidence-based medicine; Nursing; Guidelines; Clinical decision making
Abstract This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998.
Call Number NRSNZNO @ research @ Serial 639
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Author McKillop, A.M.
Title Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway Type Journal Article
Year 2004 Publication JBI Reports Abbreviated Journal
Volume 2 Issue 9 Pages 293-308
Keywords (up) Evidence-based medicine; Nursing; Guidelines; Evaluation
Abstract This report presents an evaluation of the implementation of a best practice information sheet related to tracheal suctioning of adults with an artificial airway. The Centre for Evidence-Based Nursing Aotearoa, based in Auckland, conducted a systematic review of the evidence and produced the best practice information sheet. A survey of 105 nurses was conducted at three sites, in New Zealand and Australia. Using a before/after design, data were collected at the time of release of the information sheet and then approximately 12 months later. The study suggests a trend towards a modest uptake of best practice recommendations into nursing practice demonstrated by some behavioural changes within a 12-month period in the context of an implementation plan and the best practice information sheet.
Call Number NRSNZNO @ research @ Serial 696
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Author Dobbs, L.
Title Can evidence improve nursing practice? Type Journal Article
Year 2006 Publication Nursing Journal Northland Polytechnic Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume 10 Issue Pages 27-32
Keywords (up) Evidence-based medicine; Nursing; Professional development
Abstract Evidenced Based Practice is aimed at providing safe, effective and cost-appropriate health care. The utilisation of EBP in nursing has proved to be valuable not only for patients and nurses, but also for other health professionals and the wider community. However, despite the recognised benefits of EBP, a significant gap between theory and practice exists. This paper explores some of the issues behind not implementing EBP, such as comfort with traditional practices, lack of engagement with EBP, and time constraints.
Call Number NRSNZNO @ research @ 1226 Serial 1211
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Author Kent, B.; Fineout-Overholt, E.; Wimpenny, P.
Title Teaching EBP: Part 2 – making sense of clinical practice guidelines Type Journal Article
Year 2007 Publication Worldviews on Evidence-Based Nursing Abbreviated Journal
Volume 4 Issue 3 Pages 164-169
Keywords (up) Evidence-based medicine; Teaching methods; Guidelines
Abstract
Call Number NRSNZNO @ research @ Serial 845
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Author Water, Tineke; McCall, Elaine; Britnell, Sally; Rea, Miriam; Thompson, Sarah; Mearns, Gael
Title Paediatric nurses' understanding and utilisation Type Journal Article
Year 2018 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 34 Issue 1 Pages 32-45
Keywords (up) Evidence-based practice; Paediatric nursing; Nursing practice; Surveys
Abstract Explores how nurses working in a tertiary-level paediatric health-care facility understand research and evidence-based practice. Offers a descriptive, self-reporting, anonymous questionnaire to 600 paediatric nurses, asking both quantitative and qualitative questions on attitudes, knowledge and barriers relating to research and evidence-based practice utilisation. Identifies the barriers to undertaking research/evidence-based practice in paediatric nursing practice.
Call Number NZNO @ research @ Serial 1592
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Author Prior, Patsy; Wilkinson, Jill; Neville, Stephen
Title Practice nurse use of evidence in clinical practice : a descriptive survey Type Journal Article
Year 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 26 Issue 2 Pages 14-25
Keywords (up) Evidencxe-based practice; Primary health care; Nursing; Education
Abstract Describes nurses' perceptions of their use of evidence-based practice, attitudes toward evidence-based practice and perceptions of their knowledge/skills associated with evidence-based practice. Determines the effect of educational preparation on practice, attitudes, and knowledge/skills toward evidence-based practice. Utilises a descriptive survey design to poll 55 West Auckland practice nurses working the general practice setting.
Call Number NZNO @ research @ Serial 1455
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Author O'Shea, M.; Reddy, L.
Title Action change in New Zealand mental health nursing: One team's perspective Type Journal Article
Year 2007 Publication Practice Development in Health Care Abbreviated Journal
Volume 6 Issue 2 Pages 137-142
Keywords (up) Experiential learning; Psychiatric Nursing; Communication; Community health nursing
Abstract This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change.
Call Number NRSNZNO @ research @ 897 Serial 881
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