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Author Currie, J.; Edwards, L.; Colligan, M.; Crouch, R.
Title A time for international standards? Comparing the Emergency Nurse Practitioner role in the UK, Australia and New Zealand Type Journal Article
Year 2007 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 15 Issue 4 Pages 210-216
Keywords Emergency nursing; Cross-cultural comparison; Nursing; Education
Abstract The aim of this paper is to compare the Emergency Nurse Practitioner role in the UK, Australia and New Zealand. Whilst geographically distant, the role of the Emergency Nurse Practitioner within these three countries shares fundamental similarities, causing the researchers to question, is this a time to implement international standards for the role? The Emergency Nurse Practitioner role in all three countries is gradually establishing itself, yet there are shared concerns over how the role is regulated and deficits in standardisation of scope of practice and educational level. Together these issues generate confusion over what the role embodies. The authors suggest that one method of demystifying the Emergency Nurse Practitioner role would be to progress towards international standards for regulation, education and core components of practice.
Call Number NRSNZNO @ research @ Serial (up) 971
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Author Dellagiacoma, T.
Title Contracting as a career option for nurses Type Journal Article
Year 2007 Publication 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 (up) 980
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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 (up) 981
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Author Bradshaw, W.
Title Helping clients move towards health change Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 7 Pages 16-18
Keywords Health promotion; Psychology; Nursing; Case studies; Smoking
Abstract The author reflects on his use of the American psychotherapist James Prochaska's stages of change theory. This model deals with individuals and how they move towards change, through stages of pre-contemplation to maintenance of changed behaviours. He presents examples of his use of the model with clients, when dealing with issues of smoking cessation and weight loss. He analyses his practice and interactions with clients, and affirms that stages of change model can be a useful tool to bring about change within clients. He suggests it gives clients the opportunity to contemplate change and gives nurses working in health promotion the opportunity to be part of the change process.
Call Number NRSNZNO @ research @ Serial (up) 985
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Author Floyd, S.; Meyer, A.
Title Intramuscular injections: What's best practice? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 6 Pages 20-22
Keywords Professional competence; Registered nurses; Quality of health care; Evidence-based medicine
Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.
Call Number NRSNZNO @ research @ Serial (up) 986
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Author Sutton, D.M.
Title Nurses have an important role in managing intermittent claudication Type Journal Article
Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 14 Issue 4 Pages 20-22
Keywords Diseases; Nursing; Quality of life
Abstract The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition.
Call Number NRSNZNO @ research @ 1006 Serial (up) 990
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Author Tritschler, E.; Yarwood, J.
Title Relating to families through their seasons of life: An indigenous practice model Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 5 Pages 18-3
Keywords Parents and caregivers; Nursing models; Nurse-family relations; Communication
Abstract In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective.
Call Number NRSNZNO @ research @ 1007 Serial (up) 991
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Author McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K.
Title Responsible clinician role offers opportunities for nurses Type Journal Article
Year 2006 Publication 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 (up) 992
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Author Harding, T.S.
Title Male nurses: The struggle for acceptance Type Journal Article
Year 2004 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 9 Issue 4 Pages 17-19
Keywords Sex discrimination; Male nurses; History of nursing; Law and legislation
Abstract This article describes the role of men in the nursing profession in New Zealand from colonial times to the 1970s. It considers attitudes towards male nurses, the provision of training for men and the various laws and regulations dealing with the issue.
Call Number NRSNZNO @ research @ Serial (up) 999
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Author Woods, M.
Title Dissecting a brave new nursing world Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 20-22, 36
Keywords Nursing; Education; Nursing Council of New Zealand; Policy
Abstract This article critiques the 'Strategic Review of Undergraduate Education' commissioned by the Nursing Council. The premise of the review is examined, along with the foundations of nursing practice and the role of nursing education.
Call Number NRSNZNO @ research @ Serial (up) 1003
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Author Sadlier, C.
Title Gaining insight into the experience of diabetes Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 1 Pages 14-16
Keywords Diabetes Type 2; Maori; Nursing
Abstract This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition.
Call Number NRSNZNO @ research @ 1020 Serial (up) 1004
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Author Hales, A.; Dignam, D.
Title Nurse prescribing lessons from the US Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 12-15
Keywords Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education
Abstract The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed.
Call Number NRSNZNO @ research @ Serial (up) 1007
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Author Crowe, M.; O'Malley, J.; Bigwood, S.
Title Nursing mental health consumers in the community Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 8 Pages 14-15
Keywords Community health nursing; Psychiatric Nursing
Abstract The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories.
Call Number NRSNZNO @ research @ 1024 Serial (up) 1008
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Author Skadiang, K.
Title Researching post-tonsillectomy bleeding Type Journal Article
Year 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 4 Pages 22-23
Keywords Surgery; Health status; Nursing
Abstract This article reports findings from an audit of post-tonsillectomy haemorrhage among patients at South Auckland Health from October 1998 to April 1999. All patients who underwent tonsillectomy or adenotonsillectomy were contacted by telephone, after the 14th day and before the 21st day following surgery.
Call Number NRSNZNO @ research @ Serial (up) 1015
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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 (up) 1016
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