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Author |
Harris, C.; Crozier, I.; Smyth, J.; Elliot, J.; Watson, P.B.; Sands, J.; Cuddihy, R. |
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Title |
An audit of percutaneous coronary intervention (PCI) patients representing acutely with chest pain within six months of PCI |
Type |
Manuscript |
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Year |
2007 |
Publication |
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Abbreviated Journal |
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Issue |
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Pages |
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Keywords |
Hospitals; Clinical assessment; Cardiovascular diseases; Guidelines; Teaching methods |
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Abstract |
This reports an audit of the assessment practices at Christchurch Hospital, compared to international guidelines. The clinical notes of all patients who were re- admitted acutely with chest pain within six months of PCI procedures performed between 1/4/05 and 30/9/05 were audited. Ethics approval was granted and an audit tool was designed based on the 2000 ACC/AHA Guidelines for the management of patients with unstable angina. The purpose of the audit was to determine to what extent best practice guidelines were followed in the assessment of patients re-admitted with chest pain and to determine if there were any indicators (lesional, procedural or risk factors for restenosis) that predicted a normal or abnormal repeat coronary angiogram. 448 consecutive patients had PCI procedures, 36 patients represented acutely with chest pain and had repeat coronary angiography. In 18 patients the coronary angiogram was unchanged, 11 patients demonstrated instent restenosis, one patient demonstrated thrombus and six patients developed new lesions. The authors concluded that at Christchurch Hospital assessment practices are consistent with international guidelines. Of the patients who had repeat angiography, 50% had no coronary obstruction for the cause of pain. There was a relatively low incidence of acute representation with chest pain. These results suggest a revision of the guidelines for repeat angiography following PCI is warranted. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1157 |
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Permanent link to this record |
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Author |
Whitehead, N. |
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Title |
Quality and staffing: Is there a relationship in aged residential care |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Issue |
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Pages |
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Keywords |
Rest homes; Patient safety; Older people; Nursing specialties |
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Abstract |
This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1159 |
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Permanent link to this record |
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Author |
Kirkman, A.; Dixon, D.A. |
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Title |
Nurses at university: Negotiating academic, work and personal pathways |
Type |
Book Chapter |
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Year |
2003 |
Publication |
Davey,J., Neale, J., Morris Mathews, K. , Living and learning: Experiences of university after age 40 (pp. 93-108) |
Abbreviated Journal |
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Issue |
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Pages |
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Keywords |
Nursing; Education; Careers in nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1160 |
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Permanent link to this record |
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Author |
Kennedy, W. |
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Title |
How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? |
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Year |
2008 |
Publication |
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Abbreviated Journal |
Eastern Institute of Technology Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Professional development; Registered nurses |
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Abstract |
This thesis describes an exploratory study of registered nurses within a local district health board which pursued 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice. Self assessment and performance appraisal are identified as critical elements of professional development by the Nursing Council of New Zealand, and this became the focus of the author's research. A qualitative descriptive framework was utilised to explore the research question, where experiences of registered nurses employed within inpatient adult medical and surgical settings were collected through questionnaire. Analysis of the data was through general inductive thematic approach. Eight themes arose, of which, two have sub-themes. The first four themes relate to self assessment and performance appraisal and the second four themes relate to professional practice. The findings from the participant's perspective provide an understanding of how participants' utilised self assessment and performance appraisal to inform their professional practice. There are significant implications for professional practice within the findings of this study, which are presented along with recommendations for future practice, and future avenues for research. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1161 |
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Permanent link to this record |
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Author |
Litchfield, M.; Laws, M. |
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Title |
Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms |
Type |
Book Chapter |
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Year |
1999 |
Publication |
Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) |
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Pages |
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Keywords |
Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms |
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Abstract |
The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1169 |
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Permanent link to this record |
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Author |
Jonsdottir, H.; Litchfield, M.; Pharris, M. |
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Title |
Partnership in practice |
Type |
Journal Article |
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Year |
2003 |
Publication |
Research & Theory for Nursing Practice |
Abbreviated Journal |
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Volume |
17 |
Issue |
1 |
Pages |
51-63 |
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Keywords |
Nurse-patient relations; Nursing philosophy; Nursing research |
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Abstract |
This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1172 |
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Permanent link to this record |
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Author |
Litchfield, M.; Jonsdottir, H. |
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Title |
A practice discipline that's here and now |
Type |
Journal Article |
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Year |
2008 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
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Volume |
31 |
Issue |
1 |
Pages |
79-92 |
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Keywords |
Nursing research; Policy; Nursing philosophy |
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Abstract |
The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1174 |
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Permanent link to this record |
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Author |
Litchfield, M. |
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Title |
Towards a people-pivotal paradigm for healthcare: Report of the Turangi primary health care nursing innovation 2003-2006 |
Type |
Manuscript |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Held by the Ministry of Health, publication pending |
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Volume |
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Issue |
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Pages |
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Keywords |
Evaluation; Community health nursing; Nursing models; Interprofessional relations |
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Abstract |
This report presents the findings of the developmental evaluation programme for the three-year innovation project. It includes the model of the integrative nursing service scheme with mobile whanau/family nurses as the hub of healthcare provision for a new paradigm of service design and delivery spanning primary-secondary-tertiary sectors. The form of healthcare the local people received, the nature of the nursing practice and role, service delivery and employment parameters required to support the nurses in practice are presented. The service configuration model subsequently gave the structure to Lake Taupo Primary Health Organisation with the hub of family nurses with a mobile comprehensive practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1178 |
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Permanent link to this record |
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Author |
Anderson, P.R. |
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Title |
Determining competency for entry to nursing practice: A grounded theory study |
Type |
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Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Professional competence; Clinical supervision; Nursing; Education |
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Abstract |
Critical Comparative Nursing Assessment (CCNA) is a theory about how the competence of completing Bachelor of Nursing students in New Zealand is determined. Semi-structured, audio-taped interviews and field notes were used to collect data from twenty-seven nurses with experience in undertaking competency assessment. A Glaserian grounded theory approach was used to guide the data collection and analysis. This utilised the processes of constant comparative analysis, theoretical sampling and saturation to generate a middle range substantive grounded theory. This is presented as a model consisting of four emergent categories that explain how nurses formulate professional judgements about competence. These are a) gathering, which describes the processes used to collect evidence of practice to inform decisions; b) weighing up, which explains how evidence is analysed using the processes of benchmarking and comparative analysis; c) judging brings into focus the tensions inherent in making professional judgements about competence and how nurses formulated these, and d) moderating, which describes the processes nurses use to validate decisions and ensure that professional responsibilities and public safety are upheld. The basic social psychological process of comparing integrates these categories to explain how nurses resolve the tensions associated with making decisions about competence. This research presents a new way of viewing and understanding how nurses assess competence. It identifies where the challengers and tensions related to the assessment of competence lie and suggests strategies that if implemented, the author suggests could further enhance the validity and reliability of assessment outcomes. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1182 |
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Permanent link to this record |
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Author |
Litchfield, M. |
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Title |
The nation's health and our response |
Type |
Conference Article |
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Year |
1992 |
Publication |
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Abbreviated Journal |
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Volume |
Keynote address at the 1992 NERF/NZNZ National Nur |
Issue |
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Pages |
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Keywords |
Nursing; Health reforms; Nurse-family relations |
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Abstract |
An analysis of the challenges for the nursing profession of the Government's health reforms. The findings of the 10-month Wellington Nurse Case Management Project 1991-1992, including the description of family nursing practice, what it achieved for health and the service delivery model that would position family nurses in the health reforms were used to provide an exemplar for the nuyrising contribution to health policy for the health reforms. The paper identified a vacum for the reorientating of health care provision to patients/clients and health need and the call to nursesw to take leadership in goving direction to the reorientation. |
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Call Number |
NZNO @ research @ |
Serial |
1319 |
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Permanent link to this record |
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Author |
Kidd, J.D. |
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Title |
What's going on? Mental health nursing in New Zealand |
Type |
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Year |
2002 |
Publication |
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Abbreviated Journal |
Otago Polytechnic Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychiatric Nursing; Nursing research |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1255 |
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Permanent link to this record |
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Author |
Hinder, G. |
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Title |
Challenging the boundaries: An initiative to extend public health nursing practice |
Type |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University, Palmerston North, Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Public health; Scope of practice; Nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1264 |
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Permanent link to this record |
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Author |
Delugar, A. |
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Title |
An historical inquiry to identify the contribution Beatrice Salmon's writings made to nursing education in New Zealand, 1969-1972 |
Type |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
History of nursing; Nursing; Education |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1271 |
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Permanent link to this record |
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Author |
Crawford, R. |
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Title |
Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? |
Type |
Journal Article |
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Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
7 |
Issue |
13 |
Pages |
10-15 |
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Keywords |
Paediatric nursing; Community health nursing; Nurse-family relations; Socioeconomic factors; Diet |
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Abstract |
Using nursing and associated literature, the relevance of nutrition in the care of children and families is highlighted in this article. The role of a nurse in providing nutrition advice and interventions is examined, in the context of social and economic pressures on the provision of a healthy diet. Relevant examples of the provision of such advice is provided, along with competencies required to achieve this in practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1276 |
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Permanent link to this record |
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Author |
Lichfield, M. |
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Title |
The paediatric nurse and the child in hospital |
Type |
Journal Article |
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Year |
1974 |
Publication |
New Zealand Nursing Journal |
Abbreviated Journal |
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Volume |
67 |
Issue |
11 |
Pages |
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Keywords |
Paediatric nursing; Nurse-family relations; Nurse managers |
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Abstract |
A paper intended to inform paediatric nurses and influence service policy and management, adapted from a presentation at an inservice education study day for nurses at Wellington Hospital. The paper grew out of the findings of a small research project undertaken by the author as part of nursing practice in a paediatric ward of Wellington Hospital. The observations of the stress in the experience of infants and parents and the ambiguities inherent in the relationships between parents and nurses were the basis for arguing for changes in nursing practice and ward management. |
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Call Number |
NZNO @ research @ |
Serial |
1312 |
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Permanent link to this record |