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Author Field, Jenny; McClunie-Trust, Patricia; Kearney, Celine; Jeffcoat, Jane openurl 
  Title Language and communication: a vital component of health for people with refugee backgrounds Type Journal Article
  Year 2020 Publication (up) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 11 Issue 1 Pages 42-49  
  Keywords Refugees; Language development; Well-being; Primary health care; Surveys  
  Abstract Reports on a collaborative project that explores trans-disciplinary understanding of the implications of learning English for the health and well-being of refugees. Argues that English literacy is a significant factor in health literacy and access to health care. Uses secondary analysis to analyse primary research with 60 predominantly female adult refugees aged 18 to 64 years. Highlights the experiences of these English language learners and reflects on their relevance for primary health care and nursing practice.  
  Call Number NZNO @ research @ Serial 1660  
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Author Nadeem, Arshi; Healee, David openurl 
  Title Utility of the Waterlow scale in acute care settings: a literature review Type Journal Article
  Year 2021 Publication (up) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 12 Issue 1 Pages 44-48  
  Keywords Pressure injury; Waterlow scale; Clinical judgement  
  Abstract Explains the implications of pressure injuries as an indicator of quality of care and how the Waterlow scale is used in international guidelines for prevention of such injuries. Explores the effectiveness and validity of the Waterlow scale in acute care settings for the prevention of pressure injuries by means of a synthesis of the information from 11 studies examining the validity, reliability, feasibility and cost implications of using the Waterlow scale. Recommends its use in conjunction with clinical judgement.  
  Call Number NZNO @ research @ Serial 1717  
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Author Chiyesu, William; Rasmussen, Shayne openurl 
  Title Influence of a pulmonary rehabilitation education programme on health outcimes for chronic obstructive pulmonary disease (COPD) Type Journal Article
  Year 2021 Publication (up) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 12 Issue 1 Pages 49-59  
  Keywords Chronic obstructive pulmonary disease (COPD); Rehabilitation; Self-management; Patient education  
  Abstract Considers whether the education component in a pulmonary rehabilitation programme (PRP) influences health outcomes for patients with chronic obstructive pulmonary disease (COPD) patients. Performs an integrative review of literature to integrate results from qualitative, quantitative and mixed-methods articles. Highlights the following concepts: disease knowledge, knowledge in relation to self-management, and the relationship between knowledge and education.  
  Call Number NZNO @ research @ Serial 1718  
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Author Bingham, Helen; Malone, Tara openurl 
  Title Developing compassion in nursing students through engaging with a lived experience Type Journal Article
  Year 2022 Publication (up) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 13 Issue 1 Pages 19-25  
  Keywords Compassion; Personal narratives; Mental illness; Addiction; Nursing education  
  Abstract Considers whether an educational intervention in which mental illness and addiction sufferers share their personal experience with nursing students results in the development of empathy and compassion among nursing students. Incorporates five workshops into the bachelor of nursing curriculum, in which students listen to the stories told by mental health/addiction patients. Gathers accounts from students of their reactions afterwards.  
  Call Number NZNO @ research @ Serial 1817  
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Author Donkin, Alana; Lesa, Raewyn; Seaton, Philippa openurl 
  Title Nurse perceptions of implementing stroke guidelines in an acute stroke unit Type Journal Article
  Year 2022 Publication (up) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 13 Issue 1 Pages 32-37  
  Keywords Clinical practice guidelines; Stroke; Documentation; Acute stroke unit; Surveys  
  Abstract Identifies nurse perspectives on the barriers and facilitators to implementing the nationally-endorsed stroke guidelines. Conducts a focus group with four nurses working in an acute stroke unit at a single hospital in 2021. Considers that nursing experience can act as both a barrier and a facilitator of guideline use.  
  Call Number NZNO @ research @ Serial 1819  
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Author Murphy, R. openurl 
  Title A day in the life of an acute hospital psychiatric nurse Type Journal Article
  Year 2005 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 11 Issue 9 Pages 24-25  
  Keywords Nursing; Psychiatric Nursing; Interprofessional relations; Mental health; Multidisciplinary care teams  
  Abstract A nurse presents a personal account of a typical day at Middlemore Hospital's 50-bed acute inpatient mental health unit Tiaho Mai. The article covers aspects of shift handover, working with multidisciplinary teams, developing care plans, working with families, and responding to emergencies.  
  Call Number NRSNZNO @ research @ Serial 957  
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Author Macfie, B. openurl 
  Title Assessing health needs and identifying risk factors Type Journal Article
  Year 2006 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 6 Pages 16-18  
  Keywords Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket  
  Abstract In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas.  
  Call Number NRSNZNO @ research @ Serial 974  
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Author Challis-Morrison, S. url  openurl
  Title Caring for a community wanderer Type Journal Article
  Year 2006 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 11 Pages 20-22  
  Keywords Case studies; Older people; Community health nursing; Dementia  
  Abstract A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity.  
  Call Number NRSNZNO @ research @ Serial 977  
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Author Dellagiacoma, T. openurl 
  Title Contracting as a career option for nurses Type Journal Article
  Year 2007 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 1 Pages 20-22  
  Keywords Professional development; Nursing; Work  
  Abstract A nurse presents research and her own experiences of contracting. Contracting, as defined in this article, refers to a nurse not employed permanently on a wage. It covers agency nursing, short and long fixed-term contracts and secondments. The author identifies the need to continue to develop professionally, which is now a mandatory requirement under the Health Practitioners Competence Assurance (HPCA) Act. Contractors have little, if any financial support to develop professionally, and time taken to do courses is not paid. Taking study leave within a contract may also not be an option. Options for managing professional development in these conditions are offered, including goal setting, investing in education or training, and considering some longer contracts. Practical financial advice and examples are given, including managing accounts and consideration of employment law. The author recommends that skilled nurses looking for interesting ways to develop their careers and to branch out in an entrepreneurial way should seriously consider taking up contract work.  
  Call Number NRSNZNO @ research @ 996 Serial 980  
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Author Richardson, S. openurl 
  Title Coping with outbreaks of the norovirus Type Journal Article
  Year 2005 Publication (up) 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  
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Author Neville, S.J.; Gilmour, J.A. openurl 
  Title Differentiating between delirium and dementia Type Journal Article
  Year 2007 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 9 Pages 22-25  
  Keywords Dementia; Psychiatric Nursing; Clinical assessment; Older people  
  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.  
  Call Number NRSNZNO @ research @ Serial 983  
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Author Hunt, M. openurl 
  Title Nurses can enhance the pre-operative assessment process Type Journal Article
  Year 2006 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 10 Pages 20-22  
  Keywords Nursing specialties; Clinical assessment; Hospitals; Surgery  
  Abstract This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented.  
  Call Number NRSNZNO @ research @ 1005 Serial 989  
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Author McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. openurl 
  Title Responsible clinician role offers opportunities for nurses Type Journal Article
  Year 2006 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 11 Pages 12-14  
  Keywords Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health  
  Abstract The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation.  
  Call Number NRSNZNO @ research @ Serial 992  
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Author Gregory, R.; Kaplan, L. openurl 
  Title Understanding residuals in Guillain-Barre Syndrome Type Journal Article
  Year 2008 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 10 Issue 7 Pages 16-18  
  Keywords Diseases; Nursing; Management  
  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.  
  Call Number NRSNZNO @ research @ 1013 Serial 997  
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Author Lewer, D. openurl 
  Title Analysing the Mental Health Act Type Journal Article
  Year 1999 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 5 Issue 8 Pages 14-16  
  Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics  
  Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.  
  Call Number NRSNZNO @ research @ 1039 Serial 1023  
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