| |
Records |
Links |
|
Author |
Barber, A.; Charleston, A.; Anderson, N.; Spriggs, D.; Bennett, D.; Bennett, P.; Thomas, K.; Baker, Y. |
|
| |
Title |
Changes in stroke care at Auckland Hospital between 1996 and 2001 |
Type |
Journal Article |
| |
Year |
2004 |
Publication  |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months |
|
| |
Volume |
117 |
Issue |
1190 |
Pages |
|
|
| |
Keywords |
Multidisciplinary care teams; Nursing specialties; Hospitals |
|
| |
Abstract |
The researchers repeat the 1996 audit of stroke care in Auckland Hospital to assess changes in stroke management since the introduction of a mobile stroke team. The audit prospectively recorded information for all patients with stroke from 1 June to 30 September 2001. They describe the work of the stroke team physician and the specialist stroke nurse and allied health staff who coordinate the multidisciplinary care of patients. Variables examined include time to arrival and medical assessment, investigations, acute management, inpatient rehabilitation, and stroke outcome. The researchers then describe recent developments in stroke care and the impact of the stroke service on patient management. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
544 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tan, S.T.; Wright, A.; Hemphill, A.; Ashton, K.; Evans, J.H. |
|
| |
Title |
Correction of deformational auricular anomalies by moulding: Results of a fast-track service |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
|
| |
Volume |
116 |
Issue |
1181 |
Pages |
|
|
| |
Keywords |
Infants; Neonatal nursing; Teamwork |
|
| |
Abstract |
This paper reports the result of a fast-track referral service in treating deformational auricular anomalies using moulding therapy, by employing nurses who were familiar with the indications and technique, working in close liaison with plastic surgeons. The type and severity of the auricular anomaly were documented both clinically and photographically before and three months following cessation of treatment. Assessment of the results was made by comparing the pre- and post-treatment photographs and by a postal questionnaire, which was dispatched to the parents of the patients three months after treatment was discontinued. All parents of the 30 infants felt that auricular moulding was worthwhile. The authors conclude that this is an effective treatment strategy that will largely negate the need for surgical correction of deformational auricular anomalies. |
|
| |
Call Number |
NRSNZNO @ research @ 568 |
Serial |
554 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. |
|
| |
Title |
Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P. |
|
| |
Title |
Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
|
| |
Volume |
115 |
Issue |
1157 |
Pages |
|
|
| |
Keywords |
Emergency nursing; Time factors; Clinical assessment; Clinical decision making |
|
| |
Abstract |
The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
617 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Pitama, S.; Robertson, P.; Cram, F.; Gillies, M.; Huria, T.; Dalla-Katoa, W. |
|
| |
Title |
Meihana model: A clinical assessment framework |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
New Zealand Journal of Psychology |
Abbreviated Journal |
|
|
| |
Volume |
36 |
Issue |
3 |
Pages |
118-125 |
|
| |
Keywords |
Nursing models; Clinical assessment; Maori; Mental health |
|
| |
Abstract |
In 1984 Mason Durie documented a framework for understanding Maori health, Te Whare Tapa Wha, which has subsequently become embedded in Maori health policy. This article presents a specific assessment framework, the Meihana Model, which encompasses the four original cornerstones of Te Whare Tapa Wha, and inserts two additional elements. These form a practice model (alongside Maori beliefs, values and experiences) to guide clinical assessment and intervention with Maori clients and whanau accessing mental health services. This paper outlines the rationale for and background of the Meihana Model and then describes each dimension: whanau, wairua, tinana, hinengaro, taiao and iwi katoa. The model provides a basis for a more comprehensive assessment of clients/whanau to underpin appropriate treatment decisions. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
459 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
North, N.; Rasmussen, E.; Hughes, F.; Finlayson, M. |
|
| |
Title |
Turnover amongst nurses in New Zealand's district health boards: A national survey of nursing turnover and turnover costs |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
New Zealand Journal of Employment Relations |
Abbreviated Journal |
|
|
| |
Volume |
30 |
Issue |
1 |
Pages |
49-62 |
|
| |
Keywords |
Recruitment and retention; Nursing; Economics; Cross-cultural comparison |
|
| |
Abstract |
This article reports on the New Zealand part of an international study, using agreed study design and instruments, to determine the direct and indirect costs of nursing turnover. These costs also include the systemic costs, estimated by determining the impacts of turnover on patient and nurse outcomes. It presents the findings from the pilot study conducted in six countries to test the availability of costs and suitability of the instrument. Reports the results from a survey of directors of nursing in 20 of the 21 district health boards on turnover and workplace practices. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
533 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R. |
|
| |
Title |
Nurse employment in primary care: UK and New Zealand |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
|
| |
Volume |
35 |
Issue |
1 |
Pages |
4-10 |
|
| |
Keywords |
Primary health care; Scope of practice; Nursing models |
|
| |
Abstract |
The researchers evaluate and compare the organisation of general practice in the UK and New Zealand. A key aim of the Primary Health Care Strategy is a reduction in health inequalities. Locally, some nurse leaders suggest that changing nurse practice employment from general practitioners to Primary Health Organisations will achieve this aim. The authors take lessons from the UK and suggest that nurses organising themselves into peer groups, remuneration of general practices for the attainment of positive patient outcomes, and a statutory duty of clinical governance, all contributed to the development of practice nurses' roles and expansion of numbers of nurse practitioners in general practice. Nurses have become partners with general practitioners in general practice in the UK, which the authors suggest is a much preferable alternative for some than employment by a Primary Health Organisation. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
453 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Henty, C.; Dickinson, A.R. |
|
| |
Title |
Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKinlay, E.M. |
|
| |
Title |
Thinking beyond Care Plus: The work of primary health care nurses in chronic conditions programmes |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
34 |
Issue |
5 |
Pages |
322-327 |
|
| |
Keywords |
Primary health care; Nursing models; Chronic diseases |
|
| |
Abstract |
This paper focuses on the work of primary health care nurses on chronic conditions, through both formal chronic care management (CCM) programmes and informal work. The author overviews the key components of CCM and describes Care Plus, a funding stream accessed via PHOs. The author gives examples of nurse led clinics and programmes in the general practice environment, and outlines the structures and processes necessary. A table summarises nurse involvement in several PHOs throughout the country. The author finds that the role of PHC nurses within a framework of inter-disciplinary chronic condition care is diverse and increasing. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
455 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J. |
|
| |
Title |
Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
|
| |
Volume |
35 |
Issue |
3 |
Pages |
176-182 |
|
| |
Keywords |
Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models |
|
| |
Abstract |
The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process. |
|
| |
Call Number |
NRSNZNO @ research @ 527 |
Serial |
513 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Alcorn, G. |
|
| |
Title |
The youth health specialty in New Zealand: Collaborative practice and future development |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
|
| |
Volume |
34 |
Issue |
3 |
Pages |
162-167 |
|
| |
Keywords |
Adolescents; Community health nursing; Primary health care; Nurse practitioners; School nursing |
|
| |
Abstract |
This paper details the workforce capacity of youth health nursing and medical staffing required for community-based and school-based youth health services. The author shows how youth health services seek to complement the care delivered by Primary Health Organisations (PHOs) and other allied health care services in the community. She outlines the development and operation at VIBE, a community-based youth health service in the Hutt Valley with school-based youth health services delivered at four low deciles secondary schools. She explains that developing workforce capacity for youth health services is a primary health care priority and an important means to address inequalities and to improve the health services of young people. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
518 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKinlay, E.M. |
|
| |
Title |
New Zealand practice nursing in the third millennium: Key issues in 2006 |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
33 |
Issue |
3 |
Pages |
162-168 |
|
| |
Keywords |
Primary health care; Practice nurses; Careers in nursing |
|
| |
Abstract |
The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team. |
|
| |
Call Number |
NRSNZNO @ research @ 541 |
Serial |
527 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Murrell-McMillan, K.A. |
|
| |
Title |
Why nurses in New Zealand stay working in rural areas |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
33 |
Issue |
3 |
Pages |
173-175 |
|
| |
Keywords |
Rural nursing; Recruitment and retention; Job satisfaction; Teamwork; Primary health care |
|
| |
Abstract |
The author investigates why nurses in New Zealand stay working in rural areas when their Australian counterparts and medical colleagues are leaving rural areas at alarming rates. She looks at international recruitment and retention issues, and particularly compares rural nursing in Australia with New Zealand. Local research shows that over 50% of rural nursing is in the practice environment. Practice nurses report high job satisfaction, specifically around working with diverse populations, autonomy, and working with GPs, the local community, and local iwi. The only perceived barrier identified in the New Zealand literature to job satisfaction and collaborative team behaviour has been the funding of nursing services in rural areas. This contrasts with many barriers to rural nursing in Australia, and the author suggests New Zealand policy makers may learn from Australia's retention issues. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
530 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Lamdin, R.; Williamson, E. |
|
| |
Title |
Multiprofessional learning: The attitudes of medical, nursing and pharmacy students to shared learning |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Medical Education |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
9 |
Pages |
876-883 |
|
| |
Keywords |
Nursing; Education; Students; Interprofessional relations |
|
| |
Abstract |
This study has sought to quantify the attitudes of first-year medical, nursing and pharmacy students' towards interprofessional learning, at course commencement. The Readiness for Interprofessional Learning Scale (RIPLS) (University of Liverpool, Department of Health Care Education), was administered to first-year medical, nursing and pharmacy students at the University of Auckland. Differences between the three groups were analysed. The majority of students reported positive attitudes towards shared learning. The benefits of shared learning, including the acquisition of teamworking skills, were seen to be beneficial to patient care and likely to enhance professional working relationships. However professional groups differed: nursing and pharmacy students indicated more strongly that an outcome of learning together would be more effective teamworking. Medical students were the least sure of their professional role, and considered that they required the acquisition of more knowledge and skills than nursing or pharmacy students. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
719 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McCloskey, B.A.; Diers, D. |
|
| |
Title |
Effects of New Zealand's health reengineering on nursing and patient outcomes |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Medical Care |
Abbreviated Journal |
|
|
| |
Volume |
43 |
Issue |
11 |
Pages |
1140-1146 |
|
| |
Keywords |
Patient safety; Organisational change; Nursing; Hospitals |
|
| |
Abstract |
This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1052 |
|
| Permanent link to this record |
