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Author Kennedy, Wendy Lynette
Title How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Type Book Whole
Year 2008 Publication Abbreviated Journal
Volume (up) Issue Pages 97 p.
Keywords Registered Nurses; Self-assessment; Performance appraisal; Surveys
Abstract Describes an exploratory study of Registered Nurses (RNs) within a local District Health Board which pursued the question of 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice, specifically self-assessment and performance appraisal. Utilises a qualitative descriptive framework to explore the experiences of RNs in inpatient settings, via questionnaire. Identifies 8 themes related to self-assessment, performance appraisal, and professional practice.
Call Number NZNO @ research @ Serial 1703
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Author Hinvest, Kate
Title The meaning of nurses' caring for clinically-deteriorating patients Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume (up) Issue Pages 166 p.
Keywords Deterioration; Patients; Acute Assessment Unit; Phenomenology; Registered Nurses
Abstract Reveals and explores the stories of ten Registered Nurses working in Acute Assessment Units caring for clinically-deteriorating patients. Uses the perspectives of hermeneutic phenomenology to explore the meaning of nurses caring for such patients. Conducts semi-structured interviews with the RNs identifying three main themes.
Call Number NZNO @ research @ Serial 1746
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Author Quiding, Janine
Title Improving assessment inter-rater reliability of a nursing ePortfolio: An Integrative Review Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume (up) Issue Pages 66 p.
Keywords ePortfolios; Professional Development and Recognition Programmes (PDRP); Nursing assessment
Abstract Analyses 13 articles using an integrative review methodology framework and thematic analysis to support the data analysis process, seeking to clarify the inter-rater reliability of nursing ePortfolio assessment. Identifies two themes emerging from the data: the subjective nature of the assessor, and external factors due to the nature of nursing portfolio requirements. Considers how to minimise assessment variability due to subjective factors.
Call Number NZNO @ research @ Serial 1749
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Author Harvey, Geoffrey
Title 'Thank you for telling our story...': An exploration of the needs of migrant nurses undergoing competence assessment for New Zealand registration Type Book Whole
Year 2022 Publication Abbreviated Journal
Volume (up) Issue Pages 108 p.
Keywords Internationally qualified nurses (IQN); Migrant nurses; Competency assessment; Nursing registration; Surveys
Abstract Seeks to give voice to migrant nurses, using case-study methodology to highlight their experience of the competence assessment process. Distributes a questionnaire to a group of 22 newly-arrived IQNs, and conducts interviews with 10 IQNs who had been working in NZ for several years. Uncovers the motivations among the first group and reflections on the Competence Assessment Programme (CAP) among the second. Makes recommendations for CAP training based on the results of the study.
Call Number NZNO @ research @ Serial 1836
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Author Christensen, Martin
Title Nurses' knowledge of delirium: a survey of theoretical knowing Type Journal Article
Year 2016 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (up) 7 Issue 1 Pages 11-18
Keywords Delirium; Delirium assessment; ICU psychosis; ICU syndrome
Abstract Conducts an exploratory study to assess whether nurses at a regional base hospital have sufficient theoretical knowledge to assess and manage delirium in the clinical setting. Uses a self-administered survey based on a true/false questionnaire, and a Likert scale to assess nurses' perceived levels of confidence in detecting and managing the delirious patient. Administers the questionnaire to 130 nurses from acute adult wards.
Call Number NZNO @ research @ Serial 1526
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Author Hamer, H.P.; McCallin, A.
Title Cardiac pain or panic disorder? Managing uncertainty in the emergency department Type Journal Article
Year 2006 Publication Nursing & Health Sciences Abbreviated Journal
Volume (up) 8 Issue 4 Pages 224-230
Keywords Emergency nursing; Clinical assessment; Diagnosis
Abstract This paper presents research findings from a New Zealand study that explored emergency nurses' differentiation of non-cardiac chest pain from panic disorder and raised significant issues in the nursing assessment and management of such clients. The data were gathered from focus group interviews and were analysed thematically. Three themes, prioritising time, managing uncertainty and ambiguity, and the life-threatening lens, were identified. The findings confirm that a panic disorder is not always diagnosed when biomedical assessment is used in isolation from a psychosocial assessment. Emergency nurses are pivotal in reversing the cycle of repeat presenters with non-cardiac chest pain. Recommendations for assessing and managing this complex condition are presented.
Call Number NRSNZNO @ research @ Serial 689
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Author Macfie, B.
Title Assessing health needs and identifying risk factors Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 12 Issue 6 Pages 16-18
Keywords Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket
Abstract In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas.
Call Number NRSNZNO @ research @ Serial 974
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Author Hunt, M.
Title Nurses can enhance the pre-operative assessment process Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 12 Issue 10 Pages 20-22
Keywords Nursing specialties; Clinical assessment; Hospitals; Surgery
Abstract This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented.
Call Number NRSNZNO @ research @ 1005 Serial 989
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Author Bishop, D.; Ford-Bruins, I.
Title Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (up) 12 Issue 3 Pages 203-212
Keywords Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models
Abstract This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed.
Call Number NRSNZNO @ research @ 1082 Serial 1067
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Author Palmer, S.G.
Title Application of the cognitive therapy model to initial crisis assessment Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (up) 12 Issue 1 Pages 30-38
Keywords Mental health; Clinical assessment; Psychiatric Nursing
Abstract This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment.
Call Number NRSNZNO @ research @ 1085 Serial 1070
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Author Neville, S.J.; Gilmour, J.A.
Title Differentiating between delirium and dementia Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 13 Issue 9 Pages 22-25
Keywords Dementia; Psychiatric Nursing; Clinical assessment; Older people
Abstract Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources.
Call Number NRSNZNO @ research @ Serial 983
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Author Scrymgeour, G.
Title Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online at Eastern Institute of Technology
Volume (up) 13 Issue 1 Pages 13-17
Keywords Nursing; Pregnancy; Clinical assessment
Abstract This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome.
Call Number NRSNZNO @ research @ Serial 1305
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Author Holloway, K. T.
Title The future for nursing education: UKCC review has relevance for New Zealand Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 16 Issue 2 Pages 17-24
Keywords Nursing; Education; Recruitment and retention; Clinical assessment; Policy
Abstract The author reviews the report 'Fitness for Practice' by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) noting many areas of relevance for New Zealand educators in outlining possible strategies for nursing education. Discussion of some of the recommendations is put in the context of a strategic review of undergraduate nursing education recently commissioned by the Nursing Council of New Zealand. Issues such as recruitment and access to education; retention; clinical assessment and placements; clinical skill acquisition and partnership are valid concerns for educators here also. Internationally, the author suggests, the commonalties in issues of concern lend validity to the concept of the global village and the necessity for a global perspective in health care workforce planning, including educational preparation.
Call Number NRSNZNO @ research @ Serial 848
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Author Pirret, A.M.
Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume (up) 19 Issue 5 Pages 267-275
Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
Call Number NRSNZNO @ research @ 904 Serial 888
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Author Mahoney, Laurie
Title Children living with a mentally ill parent : the role of public health nurses Type Journal Article
Year 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (up) 26 Issue 2 Pages 4-13
Keywords Public health nurses; Parental mental illness; Advocacy; Assessment; Focus group
Abstract Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified.
Call Number NZNO @ research @ Serial 1454
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