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Author Weber, Heidi openurl 
  Title Deciding on a safe site for intramuscular injections in an acute mental health setting Type Journal Article
  Year 2023 Publication (down) Kaitiaki Nursing Research Abbreviated Journal  
  Volume 14 Issue 1 Pages 58-61  
  Keywords Intramuscular injections; Mental health patients  
  Abstract Aims to provide practical guidance for health-care providers to ensure the safe and effective administration of intramuscular injections, when there is the potential for violence and agitation, as well as during personal restraint. Undertakes a realist review of the evidence comparing the dorsogluteal and ventrogluteal sites.  
  Call Number NZNO @ research @ Serial 1852  
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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 (down) 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 (down) 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 (down) 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 (down) 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 (down) 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 (down) 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 (down) 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 (down) 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 (down) 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 (down) 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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Author Hughes, Margaret E.; Rose, Gayle M.; Trip, Henrietta openurl 
  Title Registered nurses' experiences and perceptions of practising with a disability Type Journal Article
  Year 2021 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 12 Issue 1 Pages 7-15  
  Keywords Impairment; Disability; Disclosure  
  Abstract Explores and describes the experiences of RNs who have a disability or impairment, in their interactions with colleagues and managers in clinical practice. Discovers strategies used by them to ensure safe practice. Conducts 60-90-minute interviews with 10 RNs who identified as living with a disability or impairment.  
  Call Number NZNO @ research @ Serial 1713  
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Author Walker, Leonie openurl 
  Title Hardships and hurdles: The experiences of migrant nurses in New Zealand Type Journal Article
  Year 2010 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal NZNO Library  
  Volume 1 Issue 1 Pages 4-8  
  Keywords Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying  
  Abstract The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.  
  Call Number NZNO @ research @ Serial 1337  
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Author Fischer, R; Roy, D E; Niven, E. openurl 
  Title Different folks, different strokes: becoming and being a sroke family Type Journal Article
  Year 2014 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 5 Issue 1 Pages 5-11  
  Keywords Stroke; Lived experience; Phenomenology; Family; Caregivers; Life change  
  Abstract Reports a study exploring family experiences of stroke during the first six months following a stroke. Performs a hermeneutic phenomenological study in which four participants from two Auckland families are interviewed in 2011 and 2012, at three time-intervals within the first six months post-stroke. Identifies three themes of the families' experiences: loss of a life once lived; navigation of an unfamiliar path; re-creation of a sense of normality. Stresses the importance of contact with the health-care team in facilitating the transition to post-stroke life.  
  Call Number NZNO @ research @ Serial 1398  
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Author Norton, V. openurl 
  Title Don't wait until we are struggling: what patients and family caregivers tell us about using a syringe driver Type Journal Article
  Year 2014 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 5 Issue 1 Pages 12-16  
  Keywords Patients and family caregiver; Syringe driver; Palliative care; Symptom management  
  Abstract Undertakes a study to ascertain the experiences, perceptions and assumptions of patients and their family caregiver(s) about the use of a syringe driver in palliative care. Enrols hospice cancer patients who use syringe drivers to provide continuous delivery of drugs. Conducts interviews with 27 individuals: 12 patient/family caregiver pairs, and 3 caregivers. Uses thematic analysis to apply codes to data to reveal shared versus unique experiences.  
  Call Number NZNO @ research @ Serial 1399  
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