| Records |
| Author |
Perry, J.(see also C.) |
| Title |
Currents – towards professionalism |
Type |
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Year  |
1990 |
Publication |
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Abbreviated Journal |
Auckland Institute of Technology Library, NZNO Li |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Attitudes towards the concept of professionalism have not been explored to any great extent in this country, especially the attitudes of the Clinical Nurse practitioner. The importance of knowing what Nurses attitudes are to this concept is central to the recognition of the current developmental stage and growth of the profession. A twenty statement Like-style attitudinal questionnaire was given to Registered Nurses to measure current attitudes to professionalism. No statistical significance was found between the degree of positively to professionalism and years of service, educational qualifications eg, practise area, or involvement with a professional organisation. There appeared to be a positive relationship between questionnaire score and length of time in the current practise area ( the longer the service the higher the score). Further statistical significance was found in questions highlighting what Nurses think of Nursing as a profession. This study should form the basis of further research and provide some thought for Nurse leaders, educators and policy makers |
| Call Number |
NRSNZNO @ research @ 42 |
Serial |
42 |
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| Author |
White, G.E. |
| Title |
Toward autonomy: an examination of midwifery education in New Zealand 1990 |
Type |
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| Year |
1990 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 335 |
Serial |
335 |
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| Author |
McKegg, A.H. |
| Title |
Ministering angels: the government backblock nursing service and the Maori health nurses, 1909 -1939 |
Type |
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| Year |
1991 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 278 |
Serial |
278 |
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| Author |
Hay, J. |
| Title |
A needs assessment of and for people with head injuries in the greater Auckland area |
Type |
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| Year |
1991 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 308 |
Serial |
308 |
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| Author |
Brown, M.B. |
| Title |
The Auckland School of Nursing, 1883 – 1990: the rise and fall |
Type |
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| Year |
1991 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 312 |
Serial |
312 |
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| Author |
Palmer, S.G. |
| Title |
Positively positive: an experimental evaluation of the Wellness Programme, Burnett Centre |
Type |
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| Year |
1993 |
Publication |
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Abbreviated Journal |
University of Auckland |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 294 |
Serial |
294 |
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| Author |
Messervy, L. |
| Title |
The rise of the independent nurse practitioner: a comparative study of independent nurse practitioners and nurses in traditional work places |
Type |
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| Year |
1993 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 298 |
Serial |
298 |
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| Author |
Key, R.; Habashi, S.; Baber, C.; Cuthbertson, S.; Streat, S.J. |
| Title |
Long-term follow-up after Bjork flap tracheostomy |
Type |
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| Year |
1994 |
Publication |
|
Abbreviated Journal |
DCCM, Private Bag 92024, Auckland |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Because of concern about long-term complications of bjork flap tracheostomy we followed-up 136 intensive care patients who had Bjork flap tracheotomy in 1992 a median of 117 (range 5-402) hours after intubation. Twenty died in hospital, none as a result of tracheostomy. Twenty- six patients were lost to follow-up and eleven declined. The remaining 79 had measures of health status, a quality of life questionnaire, respiratory function testing and physical examination of the neck and upper airway 9-27 months (median 14) later. Various health status measures deteriorated in 9 to 51 of 77 patients. Forty-two of 77 patients were taking prescription medication and 15/32 smokers had stopped smoking. FEV1, FVC and FEV1/FVC were significantly reduced from predicted normal (n=70, 2.8+ 1.1 vs 3.2 +0.9 p<.0001, 3.7 + 1.3 vs 4.0 + 1.0 p<.0001, 76 +11vs 79 +3 p= 0.035 respectively). Pulse oximetry was normal (>92%) in 73/74 patients tested. The median horizontal scar dimension was 45mm (range 20 to 75 mm). Nine had a median vertical scar dimension 15mm (range 8 to 25mm). Nineteen scars were hypertrophic, 56 were tethered. Two patients had already undergone tracheal scar revision at follow-up and further 13 accepted scar revision. Ten patients had abnormal voice examination, four abnormal cough, two stridor, three vocal cord lesions, three tracheal polyps and fourteen asymptomatic tracheal narrowing from 10-60% (median 25%) of the tracheal luminal diameter. Patients surviving critical illness with bjork flap tracheostomy have reduced quality of life and respiratory function and poor cosmetic result but a low incidence of important airway problems |
| Call Number |
NRSNZNO @ research @ 201 |
Serial |
201 |
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| Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
| Title |
Feasibility of a nurse-based critical care follow-up clinic |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital Private Bag 92024 Aucklan |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
We are about to implement a nurse-based critical care follow-up service and used a follow-up study of tracheostomy to determine the feasibility of such a service. Nine to 27 months median 14 after intensive care admission we attempted to follow-up 116 of our most severely ill survivors. Twenty six could not be found, 11 declined follow-up. A questionnaire, interview and limited examination were used to determine health status. Ten patients unable to come to a clinic were seen at home. Interview time varied between patients but 79 patients took 100 nurse-hours. Ninety percent of patients co-operated with respiratory function testing. Pulse oximetry identified one with severe chronic respiratory failure. In this highly selected group of patients with on going problems (perceived poor health, dependency, disability, changes in appearance, deterioration in personal relationships, poor sleep, pain, altered diet, unaddressed chronic health problems, poor access to health services, and continuing prescription medication) were common, and addressed to some extent by appropriate referral. Approximately 20% of patients reported improvement in their health and personal relationships after critical illness and half of the smokers had given up. Factors contributing to follow-up difficulty included distance, delay in initial contact, change of address (255 of this group), disability and poverty. A nurse-run critical care follow-up clinic is feasible, time consuming but productive. A register of current addresses and phone numbers is recommended. The optimal time for follow-up will vary with patients conditions but early follow-up with protocol- based lines of referral is recommended to reduce persistent health problems |
| Call Number |
NRSNZNO @ research @ 205 |
Serial |
205 |
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| Author |
Morrison, M. |
| Title |
Body-guarded: the social aesthetics of critical care |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 297 |
Serial |
297 |
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| Author |
MacManus, M. |
| Title |
Reflective practice: teaching the practice of nursing |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 299 |
Serial |
299 |
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| Author |
Kerslake, M.T. |
| Title |
The nurse practitioner in the South Pacific region: concerns about this innovation |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 302 |
Serial |
302 |
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| Author |
Margetts, M.; Cuthbertson, S.; Streat, S.J. |
| Title |
Bereavement follow-up service after fatal critical illness |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Fatal illness is often short. Communication between patient and family is impaired and how to best meet family needs is unclear. We began a follow-up service to determine current next-of-kins outcomes and remedy service deficiencies. A critical care nurse identified deaths from our data base and completed a structured telephone interview with the next-of-kin. There were 374 admissions from 1/1/95 – 17/5/95, 55 died. Next- of-kin of 52 patients (M29, age 19-88 median 52) were contactable 16-70 (median 33)days later. All (defacto/wives 18, husbands 9, mothers 9, daughters 8, others 8) consented to interview (5 -80, median 15 minutes). Forty-nine had resumed normal home activities and 23/25 workers had returned to work. Thirty-three still had disturbed sleep, three were taking hypnotics. Twenty-four had had contact with their general practitioner because of the death (six were prescribed sedatives or hypnotics). Nineteen had financial problems. Forty-seven described DCCM care positively, 35 specifically (nursing care and compassion 15, communication 8, flexible visitors policy8) but 13 had particular difficulties (communication 4 , waiting 2, facilities 4) and 4 serious non-DCCM issues. Forty-six considered themselves well informed and understood well the sequence of events. Forty-eight identified family and friends as primary support. Three requested information about another agency (counseling), 9 asked us to contact as further relative. A telephone bereavement service is well received by next-of-kin. Most families members resolve their early grief without external agencies but sleep and money are problems. We have improved our facilities and are addressing communication and cultural issues |
| Call Number |
NRSNZNO @ research @ 199 |
Serial |
199 |
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| Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
| Title |
Critical care survivors follow-up service |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
Private Bag, 92024, Auckland |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The extent of early remediable morbidity after critical illness is unclear. We began a follow-up service to determine outcomes, facilitate rehabilitation and remedy service deficiencies. A critical care nurse identified hospital survivors (DCCM and hospital databases), completed a structured telephone interview with the patient and intervened according to predetermined guidelines. Of 261 admission 1/1/95 29/3/95 50 died in hospital (39in DCCM). Of 211 hospital survivors (M115, age 15-84 median40) 31 could not be contacted, one died at home and 179 contacts were made 21- 120 (median 51) days after DCCM. One refused interview, 178 interviews took 8-60, (median 15) minutes. Only 68/178 had resumed normal activities and 26/78 workers had returned to work. Seventy patients had contacted general practitioners because of critical illness sequelae. One hundred patients gad 191 problems (including unhealed wounds29, pain 28, impaired mobility26, neurological deficit 178, infection 10 weight loss 9, tiredness 6 depression 5, sleep disturbance 3, others 57). Sixty-five described DCCM staff as helpful, 37 had complaints (hallucinations 6, staff behaviour5, restraints5 sedation/analgesia inadequate5 or excessive 2, poor communication3, fear3, noise 2 other 4) and 5 raised serious non-DCCM issues. Forty-four patients were called again 6-84, median 42 days later when 69/112 health problems had resolved but 29/44 patients had not resumed normal activity. Four attended a clinic and were referred to other services. A follow-up service is well received. Morbidity is common but improves within three months after critical care. We are addressing service issues |
| Call Number |
NRSNZNO @ research @ 202 |
Serial |
202 |
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| Author |
Blue, R.G. |
| Title |
A new net goes out fishing: options for change within the public health nursing service |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 314 |
Serial |
314 |
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