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Author Ho, T.; Mok, J.
Title Condensate clearance from CPAP circuit: An examination of two methods of draining condensate from the inspiratory tubing Type (down) Journal Article
Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue 4 Pages 117-120
Keywords Neonatal nursing; Infection control; Equipment and Supplies
Abstract Clinical studies on adult ventilated patients demonstrate that bacterial contamination of the condensate occurs in ventilator circuits. The purpose of this research is to find out if this is also true of the condensate in the Continuous Positive Airway Pressure (CPAP) circuit. It aims to determine whether there is bacterial contamination in the humidifier reservoir of the CPAP system when the condensate is drained back into the humidifier reservoir without disconnecting the circuit, or when the inspiratory tubing is disconnected to drain out the condensate.
Call Number NRSNZNO @ research @ Serial 889
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Author Lui, D.M.K.
Title Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 1. Literature review Type (down) Journal Article
Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue 2 Pages 45-47
Keywords Attitude of health personnel; Neonatal nursing; Ethics; Technology
Abstract This article seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Advanced technology results in the survival of increasingly premature babies with extremely low birthweights and this has inevitably led to an increase in the ethical dilemmas faced by neonatal staff as to whether continued treatment is actually in the best interests of these infants. Part 1 reviews the literature on this subject. Part 2 describes the results of a survey carried out in a New Zealand NICU.
Call Number NRSNZNO @ research @ 906 Serial 890
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Author Mears, A.
Title The role of the clinical nurse co-ordinator Type (down) Journal Article
Year 2003 Publication Journal of the Australasian Rehabilitation Nurses Association Abbreviated Journal
Volume 6 Issue 3 Pages 24-25
Keywords Nursing; Nursing specialties; Older people
Abstract
Call Number NRSNZNO @ research @ 907 Serial 891
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Author Bland, M.F.
Title Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] Type (down) Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 12 Issue 1 Pages 42-48
Keywords Nursing research; Ethics; Rest homes; Nurse-patient relations
Abstract This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for.
Call Number NRSNZNO @ research @ Serial 892
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Author Richardson, S.; Allen, J.
Title Casualization of the nursing workforce: A New Zealand perspective on an international phenomenon Type (down) Journal Article
Year 2001 Publication International Journal of Nursing Practice Abbreviated Journal
Volume 7 Issue 2 Pages 104-108
Keywords Industrial relations; Organisational change; Nursing; Personnel staffing and scheduling
Abstract A discussion of the increased use of 'casual' nursing staff (those nurses employed on a casual or 'per diem' basis) is presented. Reference is made to related literature, together with consideration of the implications associated with this trend. This issue has international significance, with the increased use of casual staff being widely recognised. A New Zealand perspective is included, with the provision of nursing care at Christchurch Hospital presented to illustrate certain aspects of the discussion. The impact of changing health-care systems and increased emphasis on efficiency and accountability are identified. This change to workplace practice will inevitably affect nursing; possible future developments are considered.
Call Number NRSNZNO @ research @ 909 Serial 893
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Author Chadwick, A.; Hope, A.
Title In pursuit of the named nurse Type (down) Journal Article
Year 2000 Publication Australasian Journal of Neuroscience Abbreviated Journal
Volume 13 Issue 4 Pages 6-9
Keywords Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations
Abstract This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required.
Call Number NRSNZNO @ research @ Serial 924
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Author Evans, S.
Title Improving nursing care of infants and children ventilated with uncuffed endotracheal tubes Type (down) Journal Article
Year 2003 Publication Pediatric Intensive Care Nursing Abbreviated Journal
Volume 4 Issue 2 Pages 7
Keywords Nursing specialties; Intensive care nursing; Equipment and Supplies
Abstract The author draws on her experience as the 'Paediatric Link Nurse' in an Intensive Care Unit (ICU) within a metropolitan area in New Zealand to examine the proposed changes to ventilation practice. Currently, due to ventilator availability and medical and nursing practice, the usual mode of mechanical ventilation is volume-limited with pressure breath triggering. The author suggests this mode can compromise effective ventilation of paediatric patients, due to air leaks around the uncuffed endotracheal tubes of infants and small children. This air leak makes a guaranteed tidal volume almost impossible and can cause ventilator breath stacking and volutrauma. This can impact on the patient's comfort, sedation requirements and airway security, and affects how these patients are nursed. Thus the ventilation of these paediatric patients by the current volume-limiting mode may be not always be optimal for the infant/child. A new ventilator will be available to the unit, with a pressure-controlled, flow breath-triggering mode available. The author critiques the possibility of using this mode of ventilation, suggesting how this will impact on nursing practice in ICU, and of the education and knowledge that will be required. She suggests this change to ventilation practice may improve comfort and safety for the intubated child/infant, through the delivery of an optimal mode of ventilation.
Call Number NRSNZNO @ research @ Serial 926
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Author DeSouza, R.
Title Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand Type (down) Journal Article
Year 2008 Publication Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages 125-135
Keywords Cultural safety; Nursing models; Cross-cultural comparison; Maori
Abstract The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process.
Call Number NRSNZNO @ research @ 943 Serial 927
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Author Koorey, R.
Title Is there a place for clinical supervision in perioperative nursing? Type (down) Journal Article
Year 2008 Publication Dissector Abbreviated Journal
Volume 35 Issue 4 Pages 15-17
Keywords Nursing models; Clinical supervision; Nursing specialties
Abstract This article explores the concept of clinical supervision and outlines a brief history of implications for nursing practice. Models of clinical supervision are outlined and examples of how they may be applicable to the clinical setting of perioperative nursing are provided.
Call Number NRSNZNO @ research @ Serial 928
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B.
Title From competence to capability: A study of nurse practitioners in clinical practice Type (down) Journal Article
Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal Author copy available 12 months after publication from QUT ePrints
Volume 17 Issue 2 Pages 250-258
Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation
Abstract This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners.
Call Number NRSNZNO @ research @ 945 Serial 929
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Author Gage, J.; Hornblow, A.R.
Title Development of the New Zealand nursing workforce: Historical themes and current challenges Type (down) Journal Article
Year 2007 Publication Nursing Inquiry Abbreviated Journal
Volume 14 Issue 4 Pages 330-334
Keywords History of nursing; Nursing research; Personnel; Interprofessional relations
Abstract This article reviews the development of the New Zealand nursing workforce, which has been shaped by social, political, scientific and interprofessional forces. The unregulated, independent and often untrained nurses of the early colonial period were succeeded in the early 1900s by registered nurses, with hospital-based training, working in a subordinate role to medical practitioners. In the mid/late 1900s, greater specialisation within an expanding workforce, restructuring of nursing education, health sector reform, and changing social and political expectations again reshaped nursing practice. Nursing now has areas of increasing autonomy, expanding opportunities for postgraduate education and leadership roles, and a relationship with medicine, which is more collaborative than in the past. Three current challenges are identified for nursing in New Zealand's rapidly evolving health sector; development of a nursing-focused knowledge culture, strengthening of research capacity, and dissemination of new nursing knowledge.
Call Number NRSNZNO @ research @ 946 Serial 930
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Author Gallagher, P.
Title Preconceptions and learning to be a nurse Type (down) Journal Article
Year 2007 Publication Nurse Education Today Abbreviated Journal
Volume 27 Issue 8 Pages 878-884
Keywords Nursing; Education; Attitude of health personnel; Theory
Abstract This article discusses the important role that preconceptions play in the process by which students learn to be nurses. The importance of preconceptions emerged from the analysis of data in a grounded theory study that sought to gain a greater understanding of how undergraduate student nurses in New Zealand experienced and responded to differences they perceived between the theory and the practice of nursing. It became clear that the preconceptions each student nurse held about the nature of nurses and nursing care were the standards against which the worth of the formal, practical and personal theories to which students were exposed during their nursing degree was evaluated. It was clear that preconceptions functioned as the mediator between the intentions of nursing education and the learning that eventuated for each student from practicum experiences. The implications for nursing education, for which preconceptions are not generally highly valued as a basis for learning about professional nursing, are that the individual experience and personal characteristics of each student receive significant focus when a nursing programme is planned. This means that the orthodox principles that underpin the design of nursing curricula should be reviewed and an overtly constructivist perspective adopted for nursing education for which the prior experiences of the student are the starting point.
Call Number NRSNZNO @ research @ Serial 931
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Author Pirret, A.M.
Title The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making Type (down) Journal Article
Year 2007 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 23 Issue 3 Pages 145-155
Keywords Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education
Abstract The objective of this paper is to outline a study firstly, assessing ICU nurses' ability in articulating respiratory physiology to provide rationale for their clinical decision-making and secondly, the barriers that limit the articulation of this knowledge. Using an evaluation methodology, multiple methods were employed to collect data from 27 ICU nurses who had completed an ICU education programme and were working in one of two tertiary ICUs in New Zealand. Quantitative analysis showed that nurses articulated a low to medium level of knowledge of respiratory physiology. Thematic analysis identified the barriers limiting this use of respiratory physiology as being inadequate coverage of concepts in some ICU programmes; limited discussion of concepts in clinical practice; lack of clinical support; lack of individual professional responsibility; nurses' high reliance on intuitive knowledge; lack of collaborative practice; availability of medical expertise; and the limitations of clinical guidelines and protocols. These issues need to be addressed if nurses' articulation of respiratory physiology to provide rationale for their clinical decision-making is to be improved.
Call Number NRSNZNO @ research @ Serial 933
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Author Wilkinson, A.
Title New age informatics & the management of perioperative nursing documentation Type (down) Journal Article
Year 2007 Publication Dissector Abbreviated Journal
Volume 35 Issue 1 Pages 20-23
Keywords Nursing; Administration
Abstract Investigates the requirements for documentation by nurses. Research by Millar & Araquiza (1999) suggests that nurses spend an estimated 30% of their time documenting patient care.
Call Number NRSNZNO @ research @ 950 Serial 934
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Author Fisher, M.
Title Resuscitation guidelines: Managing change in practice Type (down) Journal Article
Year 2007 Publication Pediatric Intensive Care Nursing Abbreviated Journal
Volume 8 Issue 1 Pages 7-10
Keywords Nursing specialties; Guidelines; Training
Abstract This article describes the effect of an education programme for Paediatric Intensive Care Unit (PICU) staff, developed as part of the roll out of revised clinical guidelines. In 2005, the International Liaison Committee on Resuscitation released advisory statements and a revised universal algorithm for Infant, Child and Adult Cardiopulmonary Resuscitation (CPR). Subsequently the New Zealand Resuscitation Council developed and disseminated revised guidelines for use within the New Zealand Healthcare System. Within the PICU the challenge of integrating new practice standards whilst ensuring compliance with CPR guidelines, was how to disseminate information to over 80 staff nurses working 12 hour shifts. Following implementation of an education programme, a survey completed by 20 staff members demonstrated that staff felt well supported with the introduction of the new CPR guidelines (90%) and confident that they understood the changes to the resuscitation guidelines (90%). Staff identified that the poster display (95%) and the mail sleeve “flyer” (80%) helped them understand the changes to CPR.
Call Number NRSNZNO @ research @ Serial 935
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