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Dillon, D. R. (2008). Rural contexts: Islands. In Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 19-30). [Dunedin]: Rural Health Opportunities.
Abstract: This chapter explores the concept of islands particularly in relation to rurality, individual and community identities, and nursing. The author argues that all New Zealanders are islanders, and considers the implications of this on personal and community values, when they are shaped by geographic isolation and structural separateness. She explores commonalities between islanders and rural peoples in areas such as identity, isolation, and health, and outlines the impacts this has on rural nursing practice and competencies. A case study of a nurse on Stewart Island is briefly discussed.
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Pedersen, C. (2008). Nurse-led telephone triage service in a secondary rural hospital. In Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110). [Dunedin]: Rural Health Opportunities.
Abstract: This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice.
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Marshall, D., & Finlayson, M. (2022). Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved July 5, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.04
Abstract: Aims to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient, and to elicit insight into the potential errors in decision-making inexperienced nurses commonly make in the same situation. Conducts three sequential in-depth interviews with six experienced surgical nurses to identify five cognitive demands required of nurses to ascertain deterioration and the cognitive skills necessary to respond to these cognitive demands: the task diagram interview, the knowledge audit interview and the simulation interview.
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Tipa, Z., Wilson, D., Neville, S., & Adams, J. (2015). Cultural Responsiveness and the Family Partnership Model. Nursing Praxis in New Zealand, 31(2). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Investigates the bicultural nature of the Family Partnership Model for working with Maori whanau in the context of well-child care services. Reports a mixed-methods study in 2 phases: an online survey of 23 nurses trained in the Family Partnership Model and 23 not trained in the model; observation of nurses' practice and interviews with 10 matched nurse-Maori client pairs. Identifies 3 aspects of the findings: respectful relationships, allowing clients to lead, and lack of skills.
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Roy, D., Gasquoine, S., Caldwell, S., & Nash, D. (2015). Health Professional and Family Perceptions of Post-Stroke Information. Nursing Praxis in New Zealand, 31(2). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Undertakes a mixed-methods descriptive survey to ascertain the information needs of stroke families through identifying current practice and resources, their appropriateness, accessibility, timeliness and the information gaps. Collects qualitative and quantitative data via face-to-face interviews. Identifies barriers to effective provision of information, including language and other communication barriers, time constraints and workload issues for health professionals. Highlights the discrepancy between health professionals' theoretical understanding of information provision and their actual practice.
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Ward, C., Evans, A., Ford, R., & Glass, N. (2015). Health Professionals Perspectives of Care for Seriously Ill Children Living at Home. Nursing Praxis in New Zealand, 31(2). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Reports the findings of health professional's perceptions of beneficial care for seriously ill children and their families. Represents one component of a PhD qualitative evaluation study investigating care provided by a child health trust in NZ. Uses a focus group to identify key aspects of beneficial care and subsequent themes, including: collaboration between health providers, effective communication, expert skills, support for colleagues and after-hours care. availability.
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Duthie, A., Roy, D. E., & Niven, E. (2015). Duty of care following stroke: family experiences in the first six months. Nursing Praxis in New Zealand, 31(3). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Uses hermeneutic phenomenology to examine how stroke affects the survivor’s wider
family. Investigates the experience of becoming and being a family member of someone who has had a stroke, during the first six months from the initial stroke. Interviews three participants from the same extended family at six weeks, three months and six months. Identifies the emerging themes and sub-themes of their care for the survivor.
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Gillmour, J., Huntington, A., & Robson, B. (2016). Oral Health Experiences of Maori with Dementia and Whanau perspectives – Oranga Waha Mo Nga Iwi Katoa. Nursing Praxis in New Zealand, 32(1). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Reports a study of the oral health experiences and needs of Maori with dementia, and their whanau. Uses a descriptive qualitative research design to develop an in-depth understanding of oral health issues from the perspective of the people being interviewed. Talks to 17 whanau members and describes the four themes that emerge from the interviews. Suggests service improvements.
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Yarwood, J., Richardson, A., & Watson, P. (2016). Public health nurses' endeavours with families using the 15-minute interview. Nursing Praxis in New Zealand, 32(3). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Explores 16 public health nurses'(PHN) knowledge and use of the five components of the 15-minute interview: manners, therapeutic questions, therapeutic conversations, commendations, and the genogram and ecomap. Employs a qualitative, collaborative, educative study to conduct focus groups for gathering data in pre-and post-intervention phases with PHNs who used either a genogram or eco-map in practice over a three-month period during the intervention phase.
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Yeung, P., & Rodgers, V. (2017). Quality of long-term care for older people in residential settings -- perceptions of quality of life and care satisfaction from residents and their family members. Nursing Praxis in New Zealand, 33(1). Retrieved July 5, 2024, from http://www.nursingpraxis.org
Abstract: Explores long-term care-home residents’ quality of life and their family's satisfaction with the care provided. Uses descriptive and correlational analyses, collecting secondary data from 39 residents of two long-term care facilities with a resident-directed care approach. Asks residents to complete a survey of quality-of-life and overall satisfaction measures, and asks 31 of their family members to complete a survey on care satisfaction provided by the facilities. Presents a number of practical considerations for nursing care staff to improve residents' quality of life and staff-family relationships.
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Truscott, J. M., Townsend, J. M., & Arnold, E. P. (2007). A successful nurse-led model in the elective orthopaedic admissions process. NZ Medical Association website. Access free to articles older than 6 months., 120(1265).
Abstract: This paper documents a successful nurse-led admissions process for same day orthopaedic surgery, on relatively fit patients under 70 years of age. During the 6-month study, 31 patients with a median age of 38 years were categorised into 3 streams. 252 patients (76%) underwent a nursing-admission process without the need for further consultation with a junior medical officer or an anaesthetist. The remaining patients not included in the study were admitted and clerked by a house officer. No safety issues arose and the surgeons and anaesthetists were satisfied with the process. The junior medical officers described improved job satisfaction by being able to attend theatre, other educational opportunities, and working more closely with the consultant. The process has now been incorporated into elective orthopaedic admissions at Burwood Hospital.
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Grayson, S., Horsburgh, M., Lesa, R., & Lennon, D. (2006). An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme. Access is free to articles older than 6 months, and abstracts., 119(1243).
Abstract: The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance.
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Richardson, S., Ardagh, M., & Hider, P. (2006). New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department. Access is free to articles older than 6 months, and abstracts., 119(1232).
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.
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Barber, A., Charleston, A., Anderson, N., Spriggs, D., Bennett, D., Bennett, P., et al. (2004). Changes in stroke care at Auckland Hospital between 1996 and 2001. Access is free to articles older than 6 months, 117(1190).
Abstract: The researchers repeat the 1996 audit of stroke care in Auckland Hospital to assess changes in stroke management since the introduction of a mobile stroke team. The audit prospectively recorded information for all patients with stroke from 1 June to 30 September 2001. They describe the work of the stroke team physician and the specialist stroke nurse and allied health staff who coordinate the multidisciplinary care of patients. Variables examined include time to arrival and medical assessment, investigations, acute management, inpatient rehabilitation, and stroke outcome. The researchers then describe recent developments in stroke care and the impact of the stroke service on patient management.
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Ardagh, M., Wells, E., Cooper, K., Lyons, R., Patterson, R., & O'Donovan, P. (2002). Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial. Access is free to articles older than 6 months, and abstracts., 115(1157).
Abstract: The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources.
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