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Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
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Title  |
Critical care survivors follow-up service |
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Year |
1995 |
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Abbreviated Journal |
Private Bag, 92024, Auckland |
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Abstract |
The extent of early remediable morbidity after critical illness is unclear. We began a follow-up service to determine outcomes, facilitate rehabilitation and remedy service deficiencies. A critical care nurse identified hospital survivors (DCCM and hospital databases), completed a structured telephone interview with the patient and intervened according to predetermined guidelines. Of 261 admission 1/1/95 29/3/95 50 died in hospital (39in DCCM). Of 211 hospital survivors (M115, age 15-84 median40) 31 could not be contacted, one died at home and 179 contacts were made 21- 120 (median 51) days after DCCM. One refused interview, 178 interviews took 8-60, (median 15) minutes. Only 68/178 had resumed normal activities and 26/78 workers had returned to work. Seventy patients had contacted general practitioners because of critical illness sequelae. One hundred patients gad 191 problems (including unhealed wounds29, pain 28, impaired mobility26, neurological deficit 178, infection 10 weight loss 9, tiredness 6 depression 5, sleep disturbance 3, others 57). Sixty-five described DCCM staff as helpful, 37 had complaints (hallucinations 6, staff behaviour5, restraints5 sedation/analgesia inadequate5 or excessive 2, poor communication3, fear3, noise 2 other 4) and 5 raised serious non-DCCM issues. Forty-four patients were called again 6-84, median 42 days later when 69/112 health problems had resolved but 29/44 patients had not resumed normal activity. Four attended a clinic and were referred to other services. A follow-up service is well received. Morbidity is common but improves within three months after critical care. We are addressing service issues |
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Call Number |
NRSNZNO @ research @ 202 |
Serial |
202 |
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Author |
Perry, J.(see also C.) |
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Title |
Currents – towards professionalism |
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Year |
1990 |
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Abbreviated Journal |
Auckland Institute of Technology Library, NZNO Li |
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Attitudes towards the concept of professionalism have not been explored to any great extent in this country, especially the attitudes of the Clinical Nurse practitioner. The importance of knowing what Nurses attitudes are to this concept is central to the recognition of the current developmental stage and growth of the profession. A twenty statement Like-style attitudinal questionnaire was given to Registered Nurses to measure current attitudes to professionalism. No statistical significance was found between the degree of positively to professionalism and years of service, educational qualifications eg, practise area, or involvement with a professional organisation. There appeared to be a positive relationship between questionnaire score and length of time in the current practise area ( the longer the service the higher the score). Further statistical significance was found in questions highlighting what Nurses think of Nursing as a profession. This study should form the basis of further research and provide some thought for Nurse leaders, educators and policy makers |
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Call Number |
NRSNZNO @ research @ 42 |
Serial |
42 |
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Author |
Shadbolt, Y.T. |
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Title |
Curriculum innovation in a school of nursing – a case study |
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Year |
1984 |
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Abbreviated Journal |
University of Auckland Library |
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The study gives an account of curriculum development and innovation in a New Zealand school of nursing and focuses on some aspects of the basic diploma course. The study attempts, through the medium of case study, to illuminate the way in which significant curriculum decisions are made and ideas translated into institutional and technical form. Evidence is derived from the recorded perceptions of the participants, observations, and analyses of documented material. The findings confirm that the field of study is complex, multivariable and dynamic, and that translation of the curriculum on paper involves a multitude of deliberative and factual decisions by practicing teachers |
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Call Number |
NRSNZNO @ research @ 43 |
Serial |
43 |
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Author |
Pearce, L.; Cuthbertson, S.; Streat, S.J.; Hay, D. |
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Title |
Dental hygiene in the critically ill: a randomised controlled trial of three methods |
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Year |
1996 |
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Abbreviated Journal |
DCCM, Auckland Hospital, Private Bag 92024, Auck |
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Introduction Critically ill patients cannot clean their own teeth. A variety of methods are used but as the best method is unknown we performed a prospective randomised double-blind controlled trial of three methods.Method Of 359 consecutive admissions to the Department of Critical Care Medicine between 31/01/97 and 25/05/97, 222 were excluded (62 edentulous, 6 unexaminable, 142 transferred alive and 12 dead or dying at 24 hours). The remaining 137 patients had quantitative (picture-linked, ordinal score) assessment of caries, peridontal status and plaque (in 12 segments of teeth) before randomisation (to the use of either toothbrush, jumbo swab or sonic toothbrush) by pre-assigned sealed envelopes. All teeth were cleaned (prescribed four hourly) with 0.2% chlorhexidine solution. Daily plaque scores were obtained (by an assessor (SC) blind to treatment allocation) until withdrawal, death or transfer.Results Toothbrush Jumboswab SonicPatients assigned 50 48 39Withdrawn within 24hrs. 9 3 5Patients remaining 41 45 34Percentage of teeth segments thatare pristine: pre treatment 45 50 51 after 2 days 74 57 90 F(2.63) = 5.00 p = 0.0097 More withdrawals for patient noncompliance after randomisation occurred in the sonic group (5/34 versus 3/86). Conclusion. By the second day the sonic toothbrush was the most effective in plaque removal with the toothbrush the next most effective method |
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Call Number |
NRSNZNO @ research @ 203 |
Serial |
203 |
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Author |
Mearns, G. |
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Title |
Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice |
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Year |
2005 |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Nurse practitioners; Geriatric nursing; Older people; Registered nurses |
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Abstract |
The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner. |
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Call Number |
NRSNZNO @ research @ |
Serial |
585 |
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Author |
Butler, A.M. |
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Title |
Development of patient dependency rating scales for use in psychiatric hosptials |
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Year |
1976 |
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Abbreviated Journal |
Auckland Hospital Board |
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Call Number |
NRSNZNO @ research @ 47 |
Serial |
47 |
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Author |
McArthur, J. |
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Title |
Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Advanced nursing practice; Organisational culture |
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Call Number |
NRSNZNO @ research @ 1280 |
Serial |
1265 |
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Author |
Seton, K.M. |
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Title |
Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand |
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2004 |
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Abbreviated Journal |
University of Auckland Library |
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Keywords |
Nursing; Cross-cultural comparison; Education |
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NRSNZNO @ research @ |
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1110 |
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Author |
Shelah, G.E. |
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Title |
Enabling pedagogy: An enquiry into New Zealand students' experience of bioscience in pre-registration nursing education |
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2003 |
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University of Auckland Library |
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Teaching methods; Nursing; Education |
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Call Number |
NRSNZNO @ research @ |
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856 |
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Author |
Betts, J.A. |
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Title |
Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey |
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Year |
2005 |
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Abbreviated Journal |
University of Auckland Library |
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Nurse practitioners; Community health nursing |
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Call Number |
NRSNZNO @ research @ 684 |
Serial |
670 |
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Author |
Alexander, S.M. |
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Title |
Evaluation as an aged-care management tool: a case study |
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Year |
1989 |
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University of Auckland Library |
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Call Number |
NRSNZNO @ research @ 317 |
Serial |
317 |
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Author |
Doughty, L. |
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Title |
Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme |
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2004 |
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University of Auckland Library |
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Clinical supervision; Nursing; Education |
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Call Number |
NRSNZNO @ research @ |
Serial |
1113 |
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Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
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Title |
Feasibility of a nurse-based critical care follow-up clinic |
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Year |
1994 |
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Abbreviated Journal |
DCCM, Auckland Hospital Private Bag 92024 Aucklan |
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We are about to implement a nurse-based critical care follow-up service and used a follow-up study of tracheostomy to determine the feasibility of such a service. Nine to 27 months median 14 after intensive care admission we attempted to follow-up 116 of our most severely ill survivors. Twenty six could not be found, 11 declined follow-up. A questionnaire, interview and limited examination were used to determine health status. Ten patients unable to come to a clinic were seen at home. Interview time varied between patients but 79 patients took 100 nurse-hours. Ninety percent of patients co-operated with respiratory function testing. Pulse oximetry identified one with severe chronic respiratory failure. In this highly selected group of patients with on going problems (perceived poor health, dependency, disability, changes in appearance, deterioration in personal relationships, poor sleep, pain, altered diet, unaddressed chronic health problems, poor access to health services, and continuing prescription medication) were common, and addressed to some extent by appropriate referral. Approximately 20% of patients reported improvement in their health and personal relationships after critical illness and half of the smokers had given up. Factors contributing to follow-up difficulty included distance, delay in initial contact, change of address (255 of this group), disability and poverty. A nurse-run critical care follow-up clinic is feasible, time consuming but productive. A register of current addresses and phone numbers is recommended. The optimal time for follow-up will vary with patients conditions but early follow-up with protocol- based lines of referral is recommended to reduce persistent health problems |
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Call Number |
NRSNZNO @ research @ 205 |
Serial |
205 |
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Author |
Caldwell, S. |
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Title |
From “beloved imbecile” to critical thinker: producing the politicized nurse |
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Year |
1998 |
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University of Auckland Library |
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Call Number |
NRSNZNO @ research @ 311 |
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311 |
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Author |
Vandergoot, A. |
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Title |
From ward nurse to proficient critical care nurse: A narrative inquiry study |
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Year |
2005 |
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Abbreviated Journal |
Akoranga Theses Collection, Auckland University of Technology |
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Keywords |
Nursing specialties |
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Call Number |
NRSNZNO @ research @ 602 |
Serial |
588 |
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