| |
Records |
Links |
|
Author |
Dredge, A. |
|
| |
Title |
An insider's view of professional nursing and care management of the critically ill patient |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
|
| |
Volume |
5 |
Issue |
8 |
Pages |
13-16 |
|
| |
Keywords  |
Intensive care nursing; Interprofessional relations; Registered nurses |
|
| |
Abstract |
This article explores the role of the registered nurse (RN) in the critical care environment. It presents the Intensive Care Unit (ICU) as a unique environment, with a specific relationship to technology, and a history that mirrors scientific development. It explores the tensions for a caring profession with a distinct culture practising in a highly medicalised, acute environment, and affirms the value of quality human care. |
|
| |
Call Number |
NRSNZNO @ research @ 1302 |
Serial |
1287 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ryder-Lewis, M. |
|
| |
Title |
Reliability study of the Sedation-Agitation Scale in an intensive care unit |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Interprofessional relations |
|
| |
Abstract |
This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the Sedation-Agitation Scale (SAS) in a natural Intensive Care Units (ICU) setting. The author notes that it is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1203 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fahey, M. |
|
| |
Title |
Family centred care in the newborn intensive care unit: Creating a supportive environment |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Infants; Nurse-family relations |
|
| |
Abstract |
The environment of the Newborn Intensive Care Unit (NICU) is a stressful one for families and is often designed to provide technical care for the infant rather than facilities that would enable and support parental and family participation in infant care. Furthermore, the author notes that the environment of the NICU emerged in literature as an obstacle to meaningful family involvement in care. However, she goes on to say that a philosophy of Family Centred Care in the NICU can offer a framework of care that supports family involvement in the infant's care and family presence in the NICU. It also promotes parental participation in decision-making for the infant and gives recognition to the importance of perspectives provided by the family. This dissertation explores the difficulties associated with the practice of Family Centred Care in the environment of the NICU. It offers recommendations for features of unit design that can promote Family Centred Care by supporting and sustaining the presence of families in the NICU and therefore facilitating their involvement in the care of their infant. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
592 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Evans-Murray, A. |
|
| |
Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
9 |
Pages |
18-20 |
|
| |
Keywords |
Intensive care nursing; Grief; Communication |
|
| |
Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
|
| |
Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Evans, S. |
|
| |
Title |
Silence kills: Communication around adverse events in ICU |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Communication; Interprofessional relations |
|
| |
Abstract |
The aim of this dissertation is to assess the preventability or reduction of adverse events in the intensive care unit (ICU) through a literature review. Research shows the ICU is at high risk for errors, nevertheless there is a huge gap between knowing something should be done and applying this knowledge to practice. That being the case, this dissertation identifies and discusses several proven and transferable quality improvement proposals. These include: instituting anonymous error reporting; documentation of a daily goal-of-care; a nurse as ICU team co-ordinator; conflict resolution processes and communication training for all ICU staff. NThe author concludes that nurse-doctor collaboration requires the support of medicine, with recognition of the unique contribution nurses make to patient safety. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
741 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Pirret, A.M. |
|
| |
Title |
The use of knowledge of respiratory physiology in critical care nurses' clinical decision-making |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Clinical decision making |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 686 |
Serial |
672 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Bell, J. |
|
| |
Title |
Blood glucose control using insulin therapy in critically ill adult patients with stress hyperglycaemia: A systematic review |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 824 |
Serial |
808 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mowat, Rebecca; Winnington, Rhona; Cook, Catherine |
|
| |
Title |
The integrative review: A threshold concept for Graduate Entry to Nursing students |
Type |
Journal Article |
| |
Year |
2023 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
39 |
Issue |
2 |
Pages |
|
|
| |
Keywords |
Integrative reviews; Graduate Entry to Nursing students; Nursing research; Threshold Concepts |
|
| |
Abstract |
Provides a critical reflection on the integration of empirical learning with the literature on integrative reviews. Avers that in undertaking an integrative review, Granduate Entry Nursing students learn how nursing care is based in evidence-based practice. Considers the common problems for nursing students which make supervisory oversight necessary at every stage. Draws on the experiences of three academic supervisors with threshold concepts to suggest that incorporating a research identity into students' developing nursing identity enhances evidence-informed practice. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1856 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Adams, Sue; Carryer, Jenny; Wilkinson, Jillian Ann |
|
| |
Title |
Institutional ethnography : an emerging approach for health and nursing research |
Type |
Journal Article |
| |
Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
31 |
Issue |
1 |
Pages |
18-26 |
|
| |
Keywords |
Institutional ethnography; Ruling relations; Nurse practitioners; Health research; Sociological inquiry |
|
| |
Abstract |
Introduces institutional ethnography as an approach to sociological inquiry for health and nursing research in NZ. Provides an overview, introducing key concepts, and describing how institutional ethnography is used in research on the establishment of nurse practitioners and their services in rural primary health care. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1499 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Conroy, E. |
|
| |
Title |
Nursing informatics in New Zealand: Evolving towards extinction? |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Informatics; Technology; Education; Nursing |
|
| |
Abstract |
This project undertakes a critique and review of a decade (1990-2000) of available New Zealand literature to reveal the current state of nursing informatics utilisation in nursing practice. Since the early 1990s, nurses from diploma and baccalaureate nursing programs have been graduating with knowledge and skills in nursing informatics. Yet, when scrutinising the two main nursing publications for New Zealand, the author found scant publication of articles that pertain to this topic area of nursing. Competencies as product of the 1989 Guidelines for Teaching Nursing Informatics are a key consideration in this discussion, including ways in which the articles may reflect the content or intent of the Nursing Informatics curriculum as prescribed in these guidelines. This commentary discusses how nursing informatics has evolved in New Zealand nursing practice, situating its growth, or lack of, in the context of concurrent sociopolitical influences as well as conditions created by national and international nursing trends. Several recommendations are discussed to guide the future direction of nursing informatics for nursing education and practice in New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
501 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Prentice, D.; Hathaway, M. |
|
| |
Title |
Responding to a death from meningococcal disease: A case study |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
7 |
Issue |
5 |
Pages |
16-18 |
|
| |
Keywords |
Infectious diseases; Public health; Infection control |
|
| |
Abstract |
The public health nurses present a case study on adapting meningococcal disease public health protocols to work with the situation of a Cook Island family following the death of a member from meningococcal disease. They discuss the meningococcal disease epidemic in New Zealand and outline the signs and symptoms of the disease. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1016 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Harrison, Irene; Mercer, Christine |
|
| |
Title |
Rapid antigen detection testing for diagnosis of group A streptococcus (GAS) in children |
Type |
Journal Article |
| |
Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
1 |
Pages |
63-65 |
|
| |
Keywords |
Infection; Diseases; Child health; Group A streptococcus (GAS); Rapid antigen detection test (RADT) |
|
| |
Abstract |
Evaluates the use of the rapid antigen detection tests (RADT) to diagnose group A streptococcus (GAS) in children with pharyngitis symptoms. Suggests that using RADT for GAS as part of diagnostic screening my help to reduce rheumatic fever hospital admission rates. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1720 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Stodart, Jo |
|
| |
Title |
Infection prevention and control clinical governance in New Zealand District Health Boards |
Type |
Book Whole |
| |
Year |
2017 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
62 |
|
| |
Keywords |
Infection control; Standards; Clinical governance; Hospitals; Surveys |
|
| |
Abstract |
Explores the current climate of infection prevention control (IPC) clinical governance in NZ. Audits IPC management plans in NZ District Health Boards (DHB) to evaluate which clinical governance factors facilitate or hinder IPC best practice. Employs a mixed-method, exploratory, qualitative study design to conduct semi-structured interviews with ten IPC nurses across NZ. Seeks to understand their perceptions of the IPC Standard, how it is implemented in their DHB, how the IPC risks are managed, and which barriers hinder IPC engagement. Analyses IPC documentation from all 20 DHBs to examine IPC clinical governance in each DHB. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1593 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Coping with outbreaks of the norovirus |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
7 |
Pages |
|
|
| |
Keywords |
Infection control; Risk management; Occupational health and safety; Hospitals |
|
| |
Abstract |
The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
981 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Barratt, Ruth |
|
| |
Title |
Behind barriers: patients' perceptions of hospital isolation for methicillin-resistant Staphylococcus aureus (MRSA) |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Infection control; Patient satisfaction; Nursing specialties; Hospitals |
|
| |
Abstract |
This study explored the experiences of hospitalised patients in methicillin resistant Staphylococcus aureus (MRSA) isolation in New Zealand and the meaning that those patients made of those experiences. The research question of this study was 'What is the lived experience of patients in MRSA isolation?' An interpretive phenomenological approach was undertaken for this research, informed by the philosophical hermeneutic tenets of Heidegger (1927/1962). Audio-taped, semi-structured interviews were used to collect data from a purposive sample of ten adults who were in MRSA isolation in various wards in a large acute care hospital in the central North Island. Three salient themes emerged from the data. The first, 'being MRSA positive', summarises the meaning of having an identity of being MRSA positive. The second theme, 'being with others', is concerned with the effect that being in isolation for MRSA has on interpersonal relations. 'Living within four walls' is the third theme and reveals the significance that the physical environment of the MRSA isolation room has on the experience of MRSA isolation. Within the discussion of these themes, excerpts from the interviews are provided to illuminate the meanings and interpretations made. Recommendations are made for nursing practice and education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1167 |
|
| Permanent link to this record |
