Records |
Author |
Smith, M.C. |
Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
20-22 |
Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
Abstract |
The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role. |
Call Number |
NRSNZNO @ research @ |
Serial |
993 |
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Author |
Evans, S. |
Title |
Silence kills: Challenging unsafe practice |
Type |
Journal Article |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
16-19 |
Keywords |
Medical errors; Organisational change; Organisational culture; Patient safety; Interprofessional relations |
Abstract |
The author reviews the national and international literature on medical errors and adverse events. Contributing factors are identified, such as organisational culture, the myth of infallibility, and a one size fits all approach to health care. Conflict and communication difficulties between different health professionals is discussed in detail, as is the issue of disruptive behaviour, which includes intimidation, humiliation, undermining, domination and bullying. Some strategies for addressing these issues are proposed, such as promoting a no-blame culture, and addressing conflict between health professionals. |
Call Number |
NRSNZNO @ research @ |
Serial |
994 |
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Author |
Polley, H. |
Title |
Treating wounds with oxygen |
Type |
Journal Article |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
2 |
Pages |
16-17 |
Keywords |
Technology; Evidence-based medicine |
Abstract |
This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited. |
Call Number |
NRSNZNO @ research @ 1012 |
Serial |
996 |
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Author |
Gregory, R.; Kaplan, L. |
Title |
Understanding residuals in Guillain-Barre Syndrome |
Type |
Journal Article |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
10 |
Issue |
7 |
Pages |
16-18 |
Keywords |
Diseases; Nursing; Management |
Abstract |
The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression. |
Call Number |
NRSNZNO @ research @ 1013 |
Serial |
997 |
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Author |
Warren, B.L. |
Title |
Using paracetamol before immunisation: Does it work? |
Type |
Journal Article |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
5 |
Pages |
24-26 |
Keywords |
Immunisation; Paediatric nursing; Evidence-based medicine |
Abstract |
The author presents a review of evidence on the prophylactic use of paracetamol prior to infant and child immunisation. The research was prompted when the Otago District Health Board was planning its Meningococcal B strategy. The evidence suggests that it was appropriate when the whole cell pertussis vaccine was used, but it was not recommended since the introduction of better vaccines such as acellular pertussis with fewer antigens and fewer side effects. Paracetamol may still be given orally to treat pain and fever that occasionally follows vaccination. Paracetamol pharmacology is presented, along with alternatives to paracetamol. |
Call Number |
NRSNZNO @ research @ |
Serial |
998 |
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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 |
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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 |
999 |
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Author |
Burrell, B. |
Title |
Mixed-sex rooms: Invading patients' privacy? |
Type |
Journal Article |
Year |
2003 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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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 |
McCallum, C. |
Title |
Balancing technology with the art of caring |
Type |
Journal Article |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
7 |
Pages |
21-23 |
Keywords |
Technology; Nursing; Nurse-patient relations; Ethics |
Abstract |
The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring. |
Call Number |
NRSNZNO @ research @ 1017 |
Serial |
1001 |
Permanent link to this record |
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Author |
Wilkinson, J.A. |
Title |
Creating a culture of workplace safety |
Type |
Journal Article |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
6 |
Pages |
14-15 |
Keywords |
Occupational health and safety; Workplace violence; District nursing; Organisational culture |
Abstract |
This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study. |
Call Number |
NRSNZNO @ research @ |
Serial |
1002 |
Permanent link to this record |
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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 |
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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 |
1003 |
Permanent link to this record |
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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 |
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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 |
1004 |
Permanent link to this record |
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Author |
Lowe, L. |
Title |
Linking housing and health status |
Type |
Journal Article |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
9 |
Pages |
26-27 |
Keywords |
Health status; Public health; Nursing |
Abstract |
The author examines the impact of poor housing on health, and looks at how the situation can be improved. Ways that nurses can work towards improving housing standards and thus health are discussed. |
Call Number |
NRSNZNO @ research @ 1021 |
Serial |
1005 |
Permanent link to this record |
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Author |
Christie, J. |
Title |
Managing febrile children: When and how to treat |
Type |
Journal Article |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
4 |
Pages |
15-17 |
Keywords |
Paediatric nursing; Evidence-based medicine; Children; Guidelines |
Abstract |
The author describes the nursing of febrile children in a general paediatric ward at Tauranga Hospital. She focuses on the cooling methods used and their efficacy. Ward practice is compared with clinical trials and the literature to determine best practice and evidence-based guidelines. Also discussed are fans and clothes removal, tepid sponging, paracetamol, and brufen. |
Call Number |
NRSNZNO @ research @ |
Serial |
1006 |
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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 |
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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 |
1007 |
Permanent link to this record |
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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 |
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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 |
1008 |
Permanent link to this record |