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Author Chiyesu, William; Rasmussen, Shayne
Title Influence of a pulmonary rehabilitation education programme on health outcimes for chronic obstructive pulmonary disease (COPD) Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 12 Issue 1 Pages 49-59
Keywords Chronic obstructive pulmonary disease (COPD); Rehabilitation; Self-management; Patient education
Abstract Considers whether the education component in a pulmonary rehabilitation programme (PRP) influences health outcomes for patients with chronic obstructive pulmonary disease (COPD) patients. Performs an integrative review of literature to integrate results from qualitative, quantitative and mixed-methods articles. Highlights the following concepts: disease knowledge, knowledge in relation to self-management, and the relationship between knowledge and education.
Call Number NZNO @ research @ Serial 1718
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Author Ryan, Timothy
Title Comparing health outcomes of rural and urban diabetes patients: an audit of a Maori health provider Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 12 Issue 1 Pages 60-62
Keywords Maori health care; Primary health care; Diabetes; Rural health services; Kaupapa Maori
Abstract Examines whether diabetes management is influenced by proximity to health-care providers for rural and urban patients with type 1 or type 2 diabetes. Includes patients living beyond a 5km radius from their health-care provider. Compares a Maori health provider, with a contract to support diabetes patients, and which employs a practice nurse who organises support under a kaupapa Maori framework, with an urban Maori health practice.
Call Number NZNO @ research @ Serial 1719
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Author Harrison, Irene; Mercer, Christine
Title Rapid antigen detection testing for diagnosis of group A streptococcus (GAS) in children Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 12 Issue 1 Pages 63-65
Keywords Infection; Diseases; Child health; Group A streptococcus (GAS); Rapid antigen detection test (RADT)
Abstract Evaluates the use of the rapid antigen detection tests (RADT) to diagnose group A streptococcus (GAS) in children with pharyngitis symptoms. Suggests that using RADT for GAS as part of diagnostic screening my help to reduce rheumatic fever hospital admission rates.
Call Number NZNO @ research @ Serial 1720
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Author Litchfield, Merian
Title Nursing is -- and has -- a methodology: a nursing voice Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 12 Issue 1 Pages 66-72
Keywords Nursing knowldege; Nursing voice; Nursing methodology
Abstract Argues that a nursing paradigm identifies and differentiates the nursing perspective on health, and reinterprets practical expertise. Posits that nurse researchers present their findings as practice wisdom. Suggests that the significance of nursing lies in its knowledgeable practitioners and that the nursing voice is a collective one. Emphasises the need for a distinctly nursing perspective on health in NZ.
Call Number NZNO @ research @ Serial 1721
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Author MacKenzie, Morag
Title Using trans-disciplinary research to explore solutions to 'wicked problems' Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 12 Issue 1 Pages 73-76
Keywords Enrolled nurses; Trans-disciplinary research; Research methodology
Abstract Explores the challenges and opportunities for enrolled nursing in NZ. Employs trans-disciplinary research (TDR) methodology to approach the question of how enrolled nurses (EN) might become more visible in the health workforce by means of potential innovations arising from collaboration between stakeholders in health-care delivery.
Call Number NZNO @ research @ Serial 1722
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Author Stodart, K.; Woods, H.
Title How international databases take Kai Tiaki Nursing Research to the world Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 12 Issue 1 Pages 77-78
Keywords Health databases; Nursing research
Abstract Explains how the journal receives international exposure through the databases in which it is indexed: AcademicOnefile, Informit, and the Cumulative Index of Nursing and Allied Health Literature (CINAHL). Details which articles were downloaded most frequently.
Call Number NZNO @ research @ Serial 1723
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Author Watson, P.B.; Feld, A.
Title Factors in stress and burnout among paediatric nurses in a general hospital Type Journal Article
Year 1996 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 11 Issue 3 Pages 38-46
Keywords
Abstract High stress and staff turnover in a multi-specialty paediatric area prompted this study that aimed to :1) measure the burnout level of nurses in a multi-specialty paediatric area2) identify and validate causes of stress3) identify new ways of preventing stress on the wardFifty four percent (n=14) of the paediatric nurses completed the questionnaire booklet that included demographic data, the Maslach Burnout Inventory, the Nursing Situations Questionnaire the Hopkins Symptom Checklist-21 the Ways of Coping Checklist and open ended questions about sources of stress and satisfaction at work. Results indicated levelsof burnout and distress comparable with larger studies. Conflict with doctors was the major source of stress followed by workload, inadequate preparation in dealing with the emotional needs of patients and their families and death and dying. Conflict with doctors has not previously been identified as the major source of stress. However workload and death and dying are commonly identified as sources in the literature. Suggestions for further research and the low response rate are discussed
Call Number NRSNZNO @ research @ 156 Serial 156
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Author Farrow, T.; McKenna, B.; O'Brien, A.J.
Title Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation Type Journal Article
Year 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (down) 11 Issue 3 Pages 164-169
Keywords Mental health; Law and legislation; Psychiatric Nursing; Scope of practice
Abstract A new approach to mental health legislation has seen the involvement of a range of health professionals in legislated mental health roles, including the power of registered nurses to detain patients in hospital under Section 111 of the New Zealand Mental Health (Compulsory Assessment and Treatment) Act (1992). Under this Section, a nurse who believes that a voluntary patient meets the legal criteria of the Act can independently detain the patient for a period of up to six hours, pending further assessment by a medical practitioner. However, anecdotal evidence and a clinical audit undertaken by the authors suggest some doctors 'prescribe' Section 111 at the time of admission. This practice instructs nurses to initiate Section 111 if particular voluntary patients choose to leave hospital. This study outlines practice issues resulting from 'prescribing' Section 111; provides a legal critique of medical practitioners' involvement in this practice; and makes recommendations for guidelines toward a more constructive use of Section 111.
Call Number NRSNZNO @ research @ Serial 651
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Author McCallin, A.
Title Interdisciplinary team leadership: A revisionist approach for an old problem? Type Journal Article
Year 2003 Publication Journal of Nursing Management Abbreviated Journal
Volume (down) 11 Issue 6 Pages 364-370
Keywords Leadership; Multidisciplinary care teams; Organisational change
Abstract In this paper the author argues that the term interdisciplinary team leadership should be embraced cautiously. Preliminary research suggests that interdisciplinary team leadership is a model of shared leadership that requires more development if it is to become the cornerstone of interdisciplinary team practice in a radically reforming health sector. Stewardship is proposed as a potential philosophy for interdisciplinary team leadership, and a new, shared leadership role of practice leader is suggested.
Call Number NRSNZNO @ research @ 724 Serial 710
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Author Giddings, D.L.S.
Title Mixed-methods research: Positivism dressed in drag Type Journal Article
Year 2006 Publication Journal of Research in Nursing Abbreviated Journal
Volume (down) 11 Issue 3 Pages 195-203
Keywords Methodology; Nursing research
Abstract The author critiques the claim that mixed method research is a third methodology, and the implied belief that the mixing of qualitative and quantitative methods will produce the 'best of both worlds'. The author suggests that this assumption, combined with inherent promises of inclusiveness, takes on a reality and certainty in research findings that serves well the powerful nexus of economic restraint and evidence-based practice. The author argues that the use of the terms 'qualitative' and 'quantitative' as normative descriptors reinforces their binary positioning, effectively marginalising the methodological diversity within them. Ideologically, mixed methods covers for the continuing hegemony of positivism, albeit in its more moderate, postpositivist form. If naively interpreted, mixed methods could become the preferred approach in the teaching and doing of research. The author concludes that rather than the promotion of more co-operative and complex designs for increasingly complex social and health issues, economic and administrative pressures may lead to demands for the 'quick fix' that mixed methods appears to offer.
Call Number NRSNZNO @ research @ Serial 717
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Author Farrow, T.
Title Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments Type Journal Article
Year 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (down) 11 Issue 4 Pages 214-219
Keywords Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide
Abstract 'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly.
Call Number NRSNZNO @ research @ Serial 785
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Author MacGeorge, J.M.; Nelson, K.
Title The experience of the nurse at triage influences the timing of CPAP intervention Type Journal Article
Year 2003 Publication Accident & Emergency Nursing Abbreviated Journal
Volume (down) 11 Issue 4 Pages 234-238
Keywords Emergency nursing; Clinical decision making; Hospitals; Quality of health care
Abstract This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP.
Call Number NRSNZNO @ research @ Serial 847
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Author Murphy, R.
Title A day in the life of an acute hospital psychiatric nurse Type Journal Article
Year 2005 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 11 Issue 9 Pages 24-25
Keywords Nursing; Psychiatric Nursing; Interprofessional relations; Mental health; Multidisciplinary care teams
Abstract A nurse presents a personal account of a typical day at Middlemore Hospital's 50-bed acute inpatient mental health unit Tiaho Mai. The article covers aspects of shift handover, working with multidisciplinary teams, developing care plans, working with families, and responding to emergencies.
Call Number NRSNZNO @ research @ Serial 957
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Author Richardson, S.
Title Coping with outbreaks of the norovirus Type Journal Article
Year 2005 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 11 Issue 7 Pages
Keywords Infection control; Risk management; Occupational health and safety; Hospitals
Abstract The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages.
Call Number NRSNZNO @ research @ Serial 981
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Author Flint, V.
Title The place of ECT in mental health care Type Journal Article
Year 2005 Publication Abbreviated Journal
Volume (down) 11 Issue 9 Pages 18-20
Keywords Psychiatric Nursing; Trauma; Mental health
Abstract The author reviews the controversial treatment of electroconvulsive therapy (ECT) which has re-emerged as a safe and effective treatment for major depressive disorders. She first addresses the popular conceptions of ECT, which are based on early misuse of the treatment when it was delivered unmodified, or forcefully and without anaesthetic. She then uses a case study to illustrate the benefits of ECT for catatonia and catatonic states. Diagnostic criteria for catatonia include motoric immobility, excessive motor activity, extreme negativism or mutism, peculiarities of voluntary movement, and echolalia or echopraxia. The treatment of a patient is detailed, and the role of the ECT nurse is outlined. The ECT nurse is a co-ordinator, an educator, liaises with other services and families, and is a point of contact about ECT within the mental health service generally and in the ECT unit in particular. The case study showed successful use of ECT. A series of eight ECT treatments were administered to the catatonic patient, after which he was discharged home with minor depression and showing signs of enjoying life once again.
Call Number NRSNZNO @ research @ 1011 Serial 995
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