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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.
Title Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes Type Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 35 Issue 3 Pages 176-182
Keywords Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models
Abstract The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process.
Call Number NRSNZNO @ research @ 527 Serial 513
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Author Spence, D.; Anderson, M.
Title Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study Type Report
Year 2006 Publication Abbreviated Journal NZNO theses and research material webpage
Volume Issue Pages
Keywords Prescription authority; Nursing; Education; Students; Advanced nursing practice
Abstract This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements.
Call Number NRSNZNO @ research @ Serial 1136
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Author Cook, Deborah.
Title Open visiting: does this benefit adult patients in intensive care units Type
Year 2006 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 32 pp
Keywords
Abstract A dissertation submitted in partial fulfilment of the requirements of the degree of Master of Nursing at Otago Polytechnic, Dunedin, New Zealand.

As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. Analysis of the growing body of research can now be reviewed to enable existing visiting policies to be revised.
Call Number NZNO @ research @ Serial 1332
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Author Clendon, Dr. J
Title Motherhood and the 'Plunket Book': A social history Type
Year 2009 Publication Abbreviated Journal
Volume Issue Pages 306 pp
Keywords
Abstract The Well Child/Tamariki Ora Health Book (the Plunket book) is a small booklet given to New Zealand mothers on the birth of a child. Although use of the book has decreased since it?s inception in 1920, it is frequently kept within the family and handed on from mother to child. Utilising an oral history approach, this study has traced the development of the Plunket book over time and explored the experiences of a group of 34 women and one man who have reflected on their ownership of, or involvement with, Plunket books. The study found that the book remains an effective clinical tool for mothers and nurses. Nurses use the book as a tool to help develop a relationship with a mother and her family, and to identify and build on strengths. Mothers have used the book as a tool to link past with present, to maintain kinship ties across generations, to deal with change intergenerationally, and in a manner that contributes to their self-identity as woman and mother. The study recommends that nurses and other health professionals continue to use the Plunket book as a clinical tool mindful of the fact that the book remains in use beyond the health professional?s immediate involvement with the mother and child, playing an important role in the context of the New Zealand family across generations.
Call Number NZNO @ research @ Serial 1335
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Author Hayward, S.
Title Evaluation of a change programme: model of nursing care delivery Type
Year 2009 Publication Abbreviated Journal
Volume Issue Pages 78 pp
Keywords
Abstract A dissertation submitted in partial fulfilment for the degree of Master of Health Sciences.

Primary nursing as a framework within which nurses deliver patient care has been a nursing care delivery system of choice in New Zealand for the last two decades. A number of studies have been carried out, with a review of the literature suggesting inconclusive support for this delivery system over other functional nursing care models. However, there is support for the philosophy underpinning this model, with documented evidence that this framework can help nurses achieve a degree of professional development and autonomous practice that other models cannot. Using documented information created during the move from one model of nursing care to another this work evaluates what were the drivers for the change, how it was managed and what the outcomes were.

Findings indicated that this change project was a success. Analysis of the data collected pre and post implementation indicated some positive shifts, but more importantly it was the information gathered from both patients and nurses that gave creditability to the new model of nursing care.
Call Number NZNO @ research @ Serial 1336
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Author Ward, V C
Title Preoperative fluid management of the older adult patient with hip fracture Type
Year 2013 Publication Abbreviated Journal
Volume Issue Pages 162 pp
Keywords Older people --Medical care; Hip joint -- Fractures -- Treatment; Hip joint -- Fractures -- Patients -- Rehabilitation; Fluid therapy; Preoperative care; Postoperative care; Outcome assessment (Medical care)
Abstract Explores the relationships between pre-operative fluid management (PFM) and post-operative outcomes. Undertakes an observational study of 100 consecutive older adult patients admitted to a tertiary NZ hospital with traumatic hip fracture between March and Sept 2012. Gathers data regarding cohort demographics and in-hospital events, including surgical details, alongside PFM and post-operative outcomes. Itemises characteristics of the patients, predominantly female with a mean age of 85.2 years. Finds no statistically significant relationship between pre-operative fluid management and post-operative outcomes.
Call Number NZNO @ research @ Serial 1395
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Author Keer-Keer, Trudy
Title The lived experience of adults with myasthenia gravis : a phenomenological study Type
Year 2012 Publication Abbreviated Journal Available from the NZNO Library
Volume Issue Pages 120 pp
Keywords Myasthenia gravis; Myasthenia gravis --Patients --Attitudes; Myasthenia gravis --Patients --Care; Phenomenological studies
Abstract Examines the lived experiences of adults with myasthenia gravis(MG). Uses an interpretive phenomenological approach applying the research methodology of van Manen (1990). Interviews seven people living with MG and records their experiences of the disease. Poses broadly-worded questions about various topics related to MG, that include diagnosis, symptoms, treatments and coping strategies, guided by individual experiences. Reveals by means of thematic analysis that MG affects every aspect of a person?s ?lifeworld?: their sense of time, body, and space and their relationships with others. Highlights three main themes embedded in the data experienced by a person with MG: living with uncertainty, living with weakness and living with change.
Call Number NZNO @ research @ Serial 1396
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Author Scheibmair, Amanda
Title Promoting New Zealand children's active participation in healthcare: Margaret May Blackwell Travel Fellowship 2015/2016 Report Type Report
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 24 p.
Keywords Child health; Child health services; Child welfare
Abstract Cites children's right to participation in their own healthcare under the UN Convention on the Rights of the Child and describes the nature of their participation. Reports a study tour of the UK, Ireland, Belgium and the Netherlands to learn perspectives, strategies and methods of including children in their own healthcare.
Call Number NZNO @ research @ Serial 1503
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Author Darkins, Tina
Title Merging health and social day care: report on a New Zealand-based model of holistic day care service for the elderly, frail and those with disabilities Type Report
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 73 p.
Keywords Aged care -- New Zealand
Abstract Highlights the service innovation model that establishes a new community relationship between health and nursing services, and day-care providers to the elderly, frail and those with disabilities. Performs a literature review of research on the topic, outlining the goals of adult day care, and describing the Forget Me Not (FMN) programme used at the FMN Centre in Whangarei. Highlights the levels of care within the programme and the proposed outcomes.
Call Number NZNO @ research @ Serial 1504
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Author Litchfield, M
Title To advance health care: The origins of nursing research in New Zealand Type Book Whole
Year 2009 Publication Abbreviated Journal
Volume Issue Pages 129 pp
Keywords Nursing Research Section, New Zealand Nurses Organisation
Abstract This book examines in detail the confluence of personalities and professional and practice agendas, out of which emerged the research section, intent on placing research at the centre of the profession's evolution. It provides a fascinating look at how a group of women, utterly committed to nursing, drove their research agenda and it expands understandings of why nursing research is significant for the development of nursing. It also provides an insight into that web of relationships between the professional body, NZNA, the Department of Health, service delivery and education.

To order a copy:

Email: publications@nzno.org.nz

NZNO members: $25 (incl GST + p&p)

Non-NZNO members: $35 (incl GST + p&p)
Call Number NZNO @ research @ Serial 1341
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Author Truscott, J.M.; Townsend, J.M.; Arnold, E.P.
Title A successful nurse-led model in the elective orthopaedic admissions process Type Journal Article
Year 2007 Publication New Zealand Medical Journal Abbreviated Journal NZ Medical Association website. Access free to articles older than 6 months.
Volume 120 Issue 1265 Pages
Keywords Surgery; Hospitals; Nursing; Administration
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.
Call Number NRSNZNO @ research @ Serial 516
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Author Grayson, S.; Horsburgh, M.; Lesa, R.; Lennon, D.
Title An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme Type Journal Article
Year 2006 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 119 Issue 1243 Pages
Keywords Community health nursing; Patient compliance
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.
Call Number NRSNZNO @ research @ Serial 520
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Author Richardson, S.; Ardagh, M.; Hider, P.
Title New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department Type Journal Article
Year 2006 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 119 Issue 1232 Pages
Keywords Hospitals; Clinical assessment; Interprofessional relations
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.
Call Number NRSNZNO @ research @ Serial 526
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Author Barber, A.; Charleston, A.; Anderson, N.; Spriggs, D.; Bennett, D.; Bennett, P.; Thomas, K.; Baker, Y.
Title Changes in stroke care at Auckland Hospital between 1996 and 2001 Type Journal Article
Year 2004 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months
Volume 117 Issue 1190 Pages
Keywords Multidisciplinary care teams; Nursing specialties; Hospitals
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.
Call Number NRSNZNO @ research @ Serial 544
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Author Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P.
Title 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 Type Journal Article
Year 2002 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 115 Issue 1157 Pages
Keywords Emergency nursing; Time factors; Clinical assessment; Clinical decision making
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.
Call Number NRSNZNO @ research @ Serial 617
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