Records |
Author |
Malcolm, H. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Patient privacy in a shared hospital room: Right or luxury? |
Type |
Journal Article |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
20 |
Issue |
1 |
Pages |
28-35 |
Keywords |
Patient rights; Law and legislation; Nursing; Hospitals |
Abstract |
In this article the author discusses the New Zealand legislation aimed at protecting the individual's right to privacy and concludes that practice may place healthcare consumers' rights at risk. While patient privacy should be of concern to all health professionals, the focus here is on the nurse's role in relation to recently formulated competencies published by the Nursing Council of New Zealand, which includes the recommendation that care be seen to exhibit an awareness of healthcare consumers' rights to privacy alongside the expectation that nurses question practices that compromise patient privacy. |
Call Number |
NRSNZNO @ research @ 562 |
Serial |
548 |
Permanent link to this record |
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Author |
Cook, D. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Open visiting: Does this benefit adult patients in intensive care units? |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Hospitals; Intensive care nursing |
Abstract |
As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. The aim of this dissertation was to examine the benefits for the patient, family members and nurses of appropriate visiting practices within intensive care areas in order to establish if open visiting is the best regime for patients in the adult intensive care unit (ICU). This dissertation explores visiting practices in adult critical care unit settings. Specifically, the benefits of visiting for patients, and the factors that may impede or facilitate visiting practices within the ICU were critically discussed. These factors included the benefits and disadvantages of open visiting, and the nurse as an influential factor in visiting. These areas linked together to form the basis for consideration of visiting in the ICU. Review of existing literature pertaining to visiting in the ICU indicated that patients wanted open visiting hours yet also indicated that they would like some visiting restrictions. Nurses appeared to value family input into care and were aware of patient and family needs, even though they may restrict visiting to suit their own work practices. Family members can provide the patient with psychological support, provide important historical data, assist the nurse with selected aspects of physical care, and actively encourage the patient's efforts to recover. The outcome of this exploration is the recommendation of an open visiting policy tailored to individual patients, as, the author suggests, this would foster nursing practice and ultimately benefit patients and their families. |
Call Number |
NRSNZNO @ research @ |
Serial |
680 |
Permanent link to this record |
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Author |
Mossop, M.D. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Older patients' perspectives of being cared for by first year nursing students |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Older people; Nurse-patient relations; New graduate nurses; Hospitals |
Abstract |
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Call Number |
NRSNZNO @ research @ 1135 |
Serial |
1120 |
Permanent link to this record |
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Author |
Buisman, B. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Nursing 2020: How will 'Magnet' hospitals fit in? |
Type |
Journal Article |
Year |
2006 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
|
Volume |
10 |
Issue |
|
Pages |
33-41 |
Keywords |
Nursing; Leadership; Hospitals |
Abstract |
Nursing shortages, technology, advances in genetics and the knowledge explosion are trends that have an influence on the nursing profession in the future. This article will examine these trends and give an overview of what it may be like to nurse in an acute-care hospital in the year 2020. The impact of leadership, management and political influences will also be discussed. The American concept of 'Magnet' hospitals will be described as one possible solution to the issues that affect the nursing profession in New Zealand. |
Call Number |
NRSNZNO @ research @ 1209 |
Serial |
1194 |
Permanent link to this record |
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Author |
Crogan, Patricia Ann |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Nurses' perceptions of their role in quality improvement change |
Type |
Book Whole |
Year |
2010 |
Publication |
|
Abbreviated Journal |
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Volume |
|
Issue |
|
Pages |
156 p. |
Keywords |
Quality control; Quality assurance; Registered Nurses; Hospitals; Surveys |
Abstract |
Explores how nurses perceive quality improvement (QI) change, determines what is needed for nursing to further contribute to QI change and identifies the potential disconnect between the two. Undertakes a sequential, mixed-methods approach, using a questionnaire followed by a focus group representing 10 per cent of RNs at Middlemore Hospital. |
Call Number |
NZNO @ research @ |
Serial |
1823 |
Permanent link to this record |
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Author |
Hunt, M. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Nurses can enhance the pre-operative assessment process |
Type |
Journal Article |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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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 |
Permanent link to this record |
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Author |
Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
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 |
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Author |
Seldon, Lucy A |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Non-pharmacological Methods in Relieving Children's Pain in Hospital: a pilot study |
Type |
Book Whole |
Year |
2017 |
Publication |
|
Abbreviated Journal |
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Volume |
|
Issue |
|
Pages |
72 p. |
Keywords |
Non-pharmacological; Pain relief; Pain; Hospitals; Paediatric nurses; Children |
Abstract |
Adapts the questionnaire used in three international studies of the utilisation of non-pharmacological methods of post-operative pain management for paediatric surgical patients, and distributes it to registered nurses working in a paediatric surgical ward in one district health board (DHB) hospital. Discusses the non-pharmacological methods used and how they correlate with international literature. |
Call Number |
NZNO @ research @ |
Serial |
1559 |
Permanent link to this record |
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Author |
Morton, J.; Williams, Y.; Philpott, M. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
New Zealand's Christchurch Hospital at night: An audit of medical activity from 2230 to 0800 hours |
Type |
Journal Article |
Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
|
Volume |
119 |
Issue |
1231 |
Pages |
|
Keywords |
Hospitals; Teamwork; Administration; Shiftwork; Organisational culture |
Abstract |
The authors conduct an audit of medical activity at Christchurch Hospital, a 650 bed tertiary centre, between 2230 and 0800 hours. They measured the volumes of tasks requiring completion overnight and identified the competencies required for this as well as the level of teamwork that existed. They found several organisational areas of concern, that indicate new approaches are required to staff the “hospital at night,” and an Out of Hours Multidisciplinary Team is recommended. Specific issues included the lack of teamwork from the Resident Medical Officers (RMOs), with some overextended while others were inactive. House officer tasks were largely generic rather than specialty specific; there was no formal handover from the afternoon or day shifts and the level of hospital medical staffing did not reflect the activity levels over the time period studied. The researchers also recommend an urgent review of the beep policy. A third of the admissions were to General Medicine, and basic medical activities (including admitting, reviewing, and prescribing drugs and fluids) for patients admitted under all specialties represented the majority of the night workload. Medical registrars had reduced some of the traditional multiple clerking by admitting patients themselves. |
Call Number |
NRSNZNO @ research @ |
Serial |
528 |
Permanent link to this record |
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Author |
Richardson, S.; Ardagh, M.; Hider, P. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department |
Type |
Journal Article |
Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
Volume |
119 |
Issue |
1232 |
Pages |
|
Keywords |
Hospitals; Clinical assessment; Interprofessional relations |
Abstract |
This study aims to examine the concept of 'inappropriate' emergency department attendances in relation to the emergency department at Christchurch Hospital. It specifically seeks to determine whether there is a consensus opinion among healthcare providers regarding a definition of 'inappropriate'. An exploratory survey of health professionals involved with the referral, assessment, transport, and treatment of emergency department patients in Christchurch was carried out. A range of health professionals, including ambulance personnel, general practitioners, emergency department physicians, emergency nurses, and hospital managers were approached. A series of questions relating to definition and response to 'inappropriate' patients was asked, with an additional open-ended question relating to the definition of 'appropriateness'. The researchers found significant differences in the attitudes and perceptions of key health professionals involved in the referral, treatment, and admission of patients to the emergency department. This has implications for any interventions aimed at addressing emergency department 'overcrowding' that assume the presence of a consensus understanding of this concept. |
Call Number |
NRSNZNO @ research @ |
Serial |
526 |
Permanent link to this record |
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Author |
Walsh, K.; McAllister, M.; Morgan, A.; Thornhill, J. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Motivating change: Using motivational interviewing in practice development |
Type |
Journal Article |
Year |
2004 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
|
Volume |
3 |
Issue |
2 |
Pages |
92-100 |
Keywords |
Psychiatric Nursing; Hospitals; Motivation; Older people |
Abstract |
The present paper draws on experiences and insights gained by a group of psychiatric nurse practice development facilitators whilst working with consumers, carers, clinicians and managers in the context of a practice development programme in a large metropolitan psychiatric hospital. The paper describes how the practice development facilitators were able to adapt techniques of motivational interviewing, commonly used in drug and alcohol treatment services, to help motivate change in an aged care setting. The lessons embedded within this experience are that people do want change, and that sustained change requires ownership and support. Practice development facilitators can assist in this process though the use of principles and strategies of motivational interviewing, which include increasing awareness of the need for change, supporting self-efficacy and managing resistance to change. |
Call Number |
NRSNZNO @ research @ |
Serial |
718 |
Permanent link to this record |
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Author |
Burrell, B. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Mixed-sex rooms: Invading patients' privacy? |
Type |
Journal Article |
Year |
2003 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
9 |
Issue |
4 |
Pages |
26-28 |
Keywords |
Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender |
Abstract |
The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993. |
Call Number |
NRSNZNO @ research @ |
Serial |
1000 |
Permanent link to this record |
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Author |
Carryer, J.B.; Budge, C.; Russell, A. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital |
Type |
Journal Article |
Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
18 |
Issue |
3 |
Pages |
18-29 |
Keywords |
Professional development; Careers in nursing; Nursing; Hospitals |
Abstract |
The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not. |
Call Number |
NRSNZNO @ research @ 634 |
Serial |
620 |
Permanent link to this record |
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Author |
Challis-Morrison, S. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Management and guidance of patient resuscitations within secondary rural hospitals |
Type |
Book Chapter |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 111-122) |
Abbreviated Journal |
Ministry of Health publications page |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Hospitals; Rural health services; Resuscitation |
Abstract |
This chapter firstly offers background information relating to the management and guidance of resuscitation within secondary rural hospitals. Secondly, it discusses the evidence related to issues concerning resuscitation and not-for-resuscitation, including issues involving medical and nursing staff, the patient experience, appropriate documentation, and cultural factors. Thirdly, it presents the findings through an implementation and evaluation plan. |
Call Number |
NRSNZNO @ research @ 771 |
Serial |
755 |
Permanent link to this record |
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Author |
Stojanovic, J.E.E. |
Title ![sorted by Title field, descending order (down)](img/sort_desc.gif) |
Leaving your dignity at the door: Maternity in Wellington 1950 – 1970 |
Type |
|
Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Hospitals; Nursing specialties; Maternity care; Patient satisfaction |
Abstract |
This thesis describes the maternity system in Wellington between 1950 and 1970 particularly from the perspectives of consumers and midwives. Four women consumers who experienced maternity in Wellington and two midwives who worked in Wellington's maternity hospitals during this period provided their oral testimonies as the main primary sources for this study. The author's experience of being a student nurse and a consumer in Wellington and other primary and secondary sources are used to substantiate, explore and explain the topic. The study traces the socio-political changes in New Zealand maternity from 1900 to 1970 creating a backdrop against which Wellington's maternity system, including the women, the hospitals, the workforce, maternity practices and the childbearing process are illuminated using the insights of women and midwives who experienced them. The oral testimonies of the six participants described positive and negative aspects of their maternity experiences, but the three strong themes that arose from their accounts included 'being alone', 'lack of autonomy' and 'uncaring attitudes'. |
Call Number |
NRSNZNO @ research @ 1223 |
Serial |
1208 |
Permanent link to this record |