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Author King, A.; Parsons, M. url  openurl
  Title An evaluation of two respite models for older people and their informal caregivers Type Journal Article
  Year 2005 Publication (down) New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 118 Issue 1214 Pages  
  Keywords Older people; Evaluation  
  Abstract The researchers evaluate two case-management models of respite relief care at Waitemata District Health Board. The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals. Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models.  
  Call Number NRSNZNO @ research @ 549 Serial 535  
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Author Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. url  openurl
  Title Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori Type Journal Article
  Year 2003 Publication (down) New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 116 Issue 1176 Pages  
  Keywords Advanced nursing practice; Hospitals; Clinical assessment; Evaluation  
  Abstract Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive.  
  Call Number NRSNZNO @ research @ 625 Serial 611  
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Author Henty, C.; Dickinson, A.R. url  openurl
  Title Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study Type Journal Article
  Year 2007 Publication (down) New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website  
  Volume 34 Issue 5 Pages 335-338  
  Keywords Primary health care; Chronic diseases; Nursing; Evaluation  
  Abstract The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme.  
  Call Number NRSNZNO @ research @ 468 Serial 454  
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Author Gohns, A. url  openurl
  Title Management of opioid substitution treatment in the primary health care setting: A national training course for service providers Type Journal Article
  Year 2002 Publication (down) New Zealand Family Physician Abbreviated Journal Full text online from the Royal New Zealand College of General Practitioners' website  
  Volume 29 Issue 3 Pages 172-175  
  Keywords Pharmacology; Evaluation; Primary health care  
  Abstract The aim of this research was to describe a national opioid treatment training programme that was introduced into primary health care, and evaluate its effectiveness following its first year of operation. The programme was introduced as a strategy to recruit, train and support a primary health care workforce in the provision of methadone treatment. For the evaluation a written questionnaire was sent to the general practitioner, practice nurse and pharmacist participants of training programmes held throughout New Zealand in 2000. One hundred and forty-five (98%) participants reported that the overall quality of the course was good or better, and that relevant issues were, in general, covered. However a recurring theme related to difficulties in designing a course relevant to the three different professional groups, with some material not equally applicable to all. Another prominent theme pertained to the issue of funding. general practitioners lamented the failure to address the issue of transferring patients from a free specialist clinic to their practice for care. The evaluation of this pilot programme indicates that this training in methadone maintenance treatment was well-received by primary health care providers. However, the author notes that there is no benchmark with which to compare it.  
  Call Number NRSNZNO @ research @ Serial 1099  
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Author Chenery, K. openurl 
  Title Building child health nurses' confidence and competence Type Journal Article
  Year 2007 Publication (down) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 5 Pages 26-38  
  Keywords 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 Brinkman, A.; Caughley, B. openurl 
  Title Measuring on-the-job stress accurately Type Journal Article
  Year 2004 Publication (down) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 18 Issue 8 Pages 12-15  
  Keywords Stress; Evaluation research; Workplace; Occupational health and safety  
  Abstract The authors discuss the usefulness of a generic tool to measure job stress in New Zealand workplaces, and report on a study using one such generic tool. The study involved sending questionnaires to all staff (193) who had worked at a regional women's health service for a minimum of six months. The mailed package contained the Job Stress Survey (JSS), the General Health Questionnaire (GHQ-12), demographic questions (including cultural safety), shift work questions, and a blank page for “qualitative comment”. Over 12,000 pieces of data were collected from the study but this article focuses only on the results of the JSS. The JSS can be used to determine a “job stress index” and can also be used to measure “job pressure” and “lack of organisational support”. For this study, job stress index scores were calculated and organised by occupational groupings. Midwives, nurses and doctors all cited inadequate or poor quality equipment, excessive paperwork, insufficient personal time, and frequent interruptions, as their top stressors. Three of these four stressors fall within the job pressure index. The results of the survey prompted organisational changes, including: extensive discussions; equipment being updated; management being made aware of the depth of concern felt by staff; the creation of a place for staff to have personal time; and coping intervention strategies were initiated. The authors suggest that no generic measure of job stress can fully evaluate stressors unique to a particular work setting. They support additional items being constructed and administered to assess stressors that are idiosyncratic to a particular occupational group.  
  Call Number NRSNZNO @ research @ 1003 Serial 987  
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Author Smith, M.C. openurl 
  Title Reviewing the role of a mental health nurse practitioner Type Journal Article
  Year 2008 Publication (down) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 14 Issue 3 Pages 20-22  
  Keywords Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence  
  Abstract The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role.  
  Call Number NRSNZNO @ research @ Serial 993  
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Author Wynne-Jones, Jacqui; Martin-Babin, Margot; Hayward, Brooke; Villa, Luis openurl 
  Title Patient safety leadership walk-rounds: lessons learrned from a mixed-methods evaluaion Type Journal Article
  Year 2020 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 11 Issue 1 Pages 24-33  
  Keywords Patient safety; Nurse leaders; Walk-round; Evaluation  
  Abstract Assesses the impact of a patient safety leadership walk-rounds (PSLWR) programme in an Auckland hospital to provide recommendations for programme improvement. Involves senior leaders and other departmental representatives visiting wards to conduct staff and patient interviews to capture their experiences, and to assess the environment. Proposes recommendations for organisations intending to or currently implementing a PSLWR programme.  
  Call Number NZNO @ research @ Serial 1658  
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Author Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B. openurl 
  Title Promoting independence in residential care: Successful recruitment for a randomized controlled trial Type Journal Article
  Year 2008 Publication (down) Journal of the American Medical Directors Association Abbreviated Journal  
  Volume 9 Issue 4 Pages 251-256  
  Keywords Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel  
  Abstract The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success.  
  Call Number NRSNZNO @ research @ 803 Serial 787  
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Author Cook, N.; Phillips, B.N.; Sadler, D. openurl 
  Title The Tidal Model as experienced by patients and nurses in a regional forensic unit Type Journal Article
  Year 2005 Publication (down) Journal of Psychiatric & Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 5 Pages 536-540  
  Keywords Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations  
  Abstract This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four registered nurses and four “special patients”. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery.  
  Call Number NRSNZNO @ research @ Serial 941  
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Author Gage, J.; Everrett, K.D.; Bullock, L. openurl 
  Title Integrative review of parenting in nursing research Type Journal Article
  Year 2006 Publication (down) Journal of Nursing Scholarship Abbreviated Journal  
  Volume 38 Issue 1 Pages 56-62  
  Keywords Parents and caregivers; Nursing research; Evaluation  
  Abstract The authors synthesise and critically analyse parenting research in nursing. They focused on studies published between 1993 and 2004 by nurse researchers in peer-reviewed journals. Data were organised and analysed with a sample of 17 nursing research studies from core nursing journals. The majority of parenting research has been focused on mothers, primarily about parenting children with physical or developmental disabilities. Research about fathers as parents is sparse. Parenting across cultures, parenting in the context of family, and theoretical frameworks for parenting research are not well developed. The authors conclude that the scope of nursing research on parenting is limited.  
  Call Number NRSNZNO @ research @ Serial 709  
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Author Honey, M.; Waterworth, S.; Baker, H.; Lenzie-Smith, K. openurl 
  Title Reflection in the disability education of undergraduate nurses: An effective learning tool? Type Journal Article
  Year 2006 Publication (down) Journal of Nursing Education Abbreviated Journal  
  Volume 15 Issue 11 Pages 449-453  
  Keywords Nursing; Education; People with disabilities; Teaching methods; Evaluation  
  Abstract The aim of this qualitative study was to evaluate the usefulness of formal reflection in the context of undergraduate nursing education during the teaching of a disability module. Reflection is defined as examination and exploration of an issue of concern to help create or clarify meaning.Twelve reflection assignments written by second-year nursing students were analysed. The analysis indicated that students' reflection focused less on their experience of working with people with disabilities and more on their overall learning experience and coping with clinical practice. A central theme, Coping with Clinical Practice, and four sub-themes were identified. Students acknowledged reflection as beneficial to their learning and linked to their clinical practice.  
  Call Number NRSNZNO @ research @ Serial 839  
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B. url  openurl
  Title From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
  Year 2008 Publication (down) Journal of Clinical Nursing Abbreviated Journal Author copy available 12 months after publication from QUT ePrints  
  Volume 17 Issue 2 Pages 250-258  
  Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation  
  Abstract This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners.  
  Call Number NRSNZNO @ research @ 945 Serial 929  
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Author Carryer, J.B.; Gardner, G.; Dunn, S.; Gardner, A. openurl 
  Title The core role of the nurse practitioner: Practice, professionalism and clinical leadership Type Journal Article
  Year 2007 Publication (down) Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 10 Pages 1818-1825  
  Keywords Professional competence; Nurse practitioners; Evaluation research; Cross-cultural comparison  
  Abstract This article draws on empirical evidence to illustrate the core role of nurse practitioners in Australia and New Zealand. A study jointly commissioned by both countries' Regulatory Boards developed information of the newly created nurse practitioner role, to develop shared competency and educational standards. This interpretive study used multiple data sources, including published and grey literature, policy documents, nurse practitioner programme curricula and interviews with 15 nurse practitioners from the two countries. The core role of the nurse practitioner was identified as having three components: dynamic practice, professional efficacy and clinical leadership. Nurse practitioner practice is dynamic and involves the application of high level clinical knowledge and skills in a wide range of contexts. The nurse practitioner demonstrates professional efficacy, enhanced by an extended range of autonomy that includes legislated privileges. The nurse practitioner is a clinical leader with a readiness and an obligation to advocate for their client base and their profession at the systems level of health care.  
  Call Number NRSNZNO @ research @ Serial 932  
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Author Clendon, J. openurl 
  Title Nurse-managed clinics: Issues in evaluation Type Journal Article
  Year 2003 Publication (down) Journal of Advanced Nursing Abbreviated Journal  
  Volume 44 Issue 6 Pages 558-565  
  Keywords Evaluation research; Nurse managers; Qualiltative research; Patient satisfaction  
  Abstract This article explores the importance of evaluation of nurse-managed clinics using the Mana Health Clinic in Auckland, as an example. Fourth generation evaluation is offered as an appropriate methodology for undertaking evaluation of nurse-managed clinics. Fourth generation evaluation actively seeks involvement of clients in the process and outcome of the evaluation, resulting in participation and empowerment of stakeholders in the service – a precept often forgotten in traditional evaluation strategies and of vital importance in understanding why people use nurse-managed clinics. The method proposed here also incorporates the need for quantitative data. The main argument is that a combination of qualitative and quantitative data sources is likely to give the greatest understanding of nurse-managed clinics' utilisation.  
  Call Number NRSNZNO @ research @ Serial 949  
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