| |
Records |
Links |
|
Author |
Challis-Morrison, S. |
|
| |
Title |
Caring for a community wanderer |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume  |
12 |
Issue |
11 |
Pages |
20-22 |
|
| |
Keywords |
Case studies; Older people; Community health nursing; Dementia |
|
| |
Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
977 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. |
|
| |
Title |
Responsible clinician role offers opportunities for nurses |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
11 |
Pages |
12-14 |
|
| |
Keywords |
Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health |
|
| |
Abstract |
The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
992 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Crowe, M.; Luty, S. |
|
| |
Title |
Recovery from depression: A discourse analysis of interpersonal psychotherapy |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
1 |
Pages |
43-50 |
|
| |
Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
|
| |
Abstract |
This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions. |
|
| |
Call Number |
NRSNZNO @ research @ 1070 |
Serial |
1055 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Nadeem, Arshi; Healee, David |
|
| |
Title |
Utility of the Waterlow scale in acute care settings: a literature review |
Type |
Journal Article |
| |
Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
1 |
Pages |
44-48 |
|
| |
Keywords |
Pressure injury; Waterlow scale; Clinical judgement |
|
| |
Abstract |
Explains the implications of pressure injuries as an indicator of quality of care and how the Waterlow scale is used in international guidelines for prevention of such injuries. Explores the effectiveness and validity of the Waterlow scale in acute care settings for the prevention of pressure injuries by means of a synthesis of the information from 11 studies examining the validity, reliability, feasibility and cost implications of using the Waterlow scale. Recommends its use in conjunction with clinical judgement. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1717 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Coping with outbreaks of the norovirus |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Flint, V. |
|
| |
Title |
The place of ECT in mental health care |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mackay, B. |
|
| |
Title |
Leadership strategies for role development in primary health care nursing |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
11 |
Issue |
|
Pages |
31-39 |
|
| |
Keywords |
Primary health care; Leadership; Professional development |
|
| |
Abstract |
This paper has been developed from part of the writer's doctoral thesis on forces influencing the development of innovative roles in primary health care nursing. The focus of this paper is leadership strategies designed to reduce the issue of poor professional identity and support. |
|
| |
Call Number |
NRSNZNO @ research @ 1049 |
Serial |
1033 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tabakakis, Costantinos; McAllister, Margaret; Bradshaw, Julie |
|
| |
Title |
Burnout in New Zealand resgistered nurses: the role of workplace factors |
Type |
Journal Article |
| |
Year |
2020 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
1 |
Pages |
9-16 |
|
| |
Keywords |
Burnout; Harassment; Workplace stress; Registered nurses; Surveys |
|
| |
Abstract |
Investigates the impact of workplace factors on burnout in NZ RNs. Conducts a cross-sectional survey among 480 RNs in which burnout, practice environment and negative acts in the workplace were self-reported by means of the Copenhagen Burnout Inventory (CBI), the Practice Environment Scale (PES), and the Negative Acts Questionnaire (NAQ). |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1656 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Briscoe, Jeanette; Harding, Thomas |
|
| |
Title |
Promoting the use of the SOAP (IE) documentation framework in medical nurses' practice |
Type |
Journal Article |
| |
Year |
2020 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
1 |
Pages |
17-23 |
|
| |
Keywords |
Nursing documentation; SOAP; SOAP(IE); Documetation frameworks |
|
| |
Abstract |
Promotes the use of the SOAP(IE) framework for nursing documentation. Conducts action research to identify areas within cycles of planning, implementation, evaluation and reflection in need of improvement. Undertakes three cycles of action research using audits, surveys and a focus group interview with RNs in two DHB medical wards. Increases the uptake of SOAP through education sessions and tools, and nurse champions. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1657 |
|
| Permanent link to this record |
