| |
Records |
Links |
|
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 |
Tweed, C.; Tweed, M. |
|
| |
Title |
Intensive care nurses' knowledge of pressure ulcers: Development of an assessment tool and effect of an educational program |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
American Journal of Critical Care |
Abbreviated Journal |
|
|
| |
Volume |
17 |
Issue |
4 |
Pages |
338-347 |
|
| |
Keywords |
Intensive care nursing; Training; Evaluation |
|
| |
Abstract |
The aim of this study was to assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational programme on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed three times: before an educational programme, within two weeks after the programme, and 20 weeks later. Completion of the educational programme resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational programme. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational programme, but soon returned to baseline. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
958 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J. |
|
| |
Title |
Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
|
|
| |
Volume |
17 |
Issue |
8 |
Pages |
1035-1043 |
|
| |
Keywords |
Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison |
|
| |
Abstract |
The aim of this research is to provide an analysis of the scope of nursing practice and inter-professional role responsibility for ventilatory decision-making in Australian and New Zealand intensive care units (ICU). Self-administered questionnaires were sent to nurse managers of eligible ICUs within Australia and New Zealand. Survey responses were available from 54/180 ICUs. The majority (71%) were located within metropolitan areas and categorised as a tertiary level ICU (50%). The mean number of nurses employed per ICU bed was 4.7 in Australia and 4.2 in New Zealand, with 69% (IQR: 47-80%) of nurses holding a postgraduate specialty qualification. All units reported a 1:1 nurse-to-patient ratio for ventilated patients with 71% reporting a 1:2 nurse-to-patient ratio for non- ventilated patients. Key ventilator decisions, including assessment of weaning and extubation readiness, were reported as predominantly made by nurses and doctors in collaboration. Overall, nurses described high levels of autonomy and influence in ventilator decision-making. Decisions to change ventilator settings, including FiO(2) (91%, 95% CI: 80-97), ventilator rate (65%, 95% CI: 51-77) and pressure support adjustment (57%, 95% CI: 43-71), were made independently by nurses. The authors conclude that the results of the survey suggest that, within the Australian and New Zealand context, nurses participate actively in ventilation and weaning decisions. In addition, they suggest, the results support an association between the education profile and skill-mix of nurses and the level of collaborative practice in ICU. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
962 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kool, B.; Thomas, D.; Moore, D.; Anderson, A.; Bennetts, P.; Earp, K. |
|
| |
Title |
Innovation and effectiveness: Changing the scope of school nurses in New Zealand secondary schools |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Australian & New Zealand Journal of Public Health |
Abbreviated Journal |
|
|
| |
Volume |
32 |
Issue |
2 |
Pages |
177-180 |
|
| |
Keywords |
School nursing; Maori; Pacific peoples; Socioeconomic factors; Evaluation; Scope of practice |
|
| |
Abstract |
The aim of this research was to describe the changing role of school nurses in eight New Zealand secondary schools from low socio-economic areas with high Pacific Island and Maori rolls. An evaluation of a pilot addressing under-achievement in low-decile schools in Auckland(2002-05) was made. Annual semi-structured school nurse interviews and analysis of routinely collected school health service data were undertaken. Two patterns of school nurse operation were identified: an embracing pattern, where nurses embraced the concept of providing school-based health services; and a Band-Aid pattern, where only the basics for student health care were provided by school nurses. The researchers conclude that school nurses with an embracing pattern of practice provided more effective school-based health services. School health services are better served by nurses with structured postgraduate education that fosters the development of a nurse-practitioner role. The researchers go on to say that co-ordination of school nurses either at a regional or national level is required. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
963 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Curtis, K.; Donoghue, J. |
|
| |
Title |
The trauma nurse coordinator in Australia and New Zealand: A progress survey of demographics, role function, and resources |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Journal of Trauma Nursing |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
2 |
Pages |
34-42 |
|
| |
Keywords |
Emergency nursing; Personnel; Nurse managers; Economics |
|
| |
Abstract |
An initial profile of the demographics and current practice of Australian trauma nurse coordinators (TNCs) was conducted in 2003. The study identified common and differing role components, provided information to assist with establishing national parameters for the role, and identified the resources perceived necessary to enable the role to be performed effectively. This article compares the findings of the 2003 study with a 2007 survey, expanded to include New Zealand trauma coordinators. Forty-nine people, identified as working in a TNC capacity in Australia and New Zealand, were invited to participate in February 2007. Participation in the research enabled an update of the previously compiled Australia/New Zealand trauma network list. Thirty-six surveys (71.5% response rate) were returned. Descriptive statistics were undertaken for each item, and comparisons were made among states, territories, and countries. Participants reported that most of their time was spent fulfilling the trauma registry component of the role (27% of total hours), followed by quality and clinical activities (19% of total hours), education, and administration. The component associated with the least amount of time was outreach (3% of total hours). Although the proportion of time has almost halved since 2003, TNCs still spend the most time maintaining trauma registries. Compared to the 2003 survey, Australian and New Zealand TNCs are working more unpaid overtime, spending more time performing quality and clinical activities and less time doing data entry. Despite where one works, the role components identified are fulfilled to a certain extent. However, the authors conclude that trauma centres need to provide the TNC with adequate resources if trauma care systems are to be optimally effective |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
964 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Diers, D. |
|
| |
Title |
“Noses and eyes”: Nurse practitioners in New Zealand |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
24 |
Issue |
1 (Mar) |
Pages |
4-10 |
|
| |
Keywords |
Cross-cultural comparison; Nurse practitioners; History of nursing |
|
| |
Abstract |
Principles for understanding and evolving nurse practitioner practice, politics and policy are distilled from 40 years of experience in the United States and Australia. The issues in all countries are remarkably similar. The author suggests that some historical and conceptual grounding may assist the continuing development of this expanded role for nursing in New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
965 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Goodyear-Smith, F.; Janes, R. |
|
| |
Title |
New Zealand rural primary health care workforce in 2005: More than just a doctor shortage |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Australian Journal of Rural Health |
Abbreviated Journal |
|
|
| |
Volume |
16 |
Issue |
1 |
Pages |
40-46 |
|
| |
Keywords |
Personnel; Physicians; Rural health services; Nursing; Primary health care; Pharmacists |
|
| |
Abstract |
The aim of this study was to obtain a 2005 snapshot of the New Zealand rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists. A postal questionnaire was distributed to rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists in November 2005. The self-reported data included information on demographics, country of training, years in practice, business ownership, hours worked including on-call, and intention to leave rural practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
966 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Darbyshire, P. |
|
| |
Title |
'Never mind the quality, feel the width': The nonsense of 'quality', 'excellence', and 'audit' in education, health and research |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Collegian: Journal of the Royal College of Nursing Australia |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
1 |
Pages |
35-41 |
|
| |
Keywords |
Accountability; Quality assurance; Organisational change; Nursing research; Nursing; Education |
|
| |
Abstract |
The author contends that health care and education have been colonised by 'The Audit Society' and managerialism. It is argued that under the benign guise of 'improving quality' and 'ensuring value for money' a more Orwellian purpose operates. Academics had to be transformed into a workforce of 'docile bodies', willing to scrutinise and survey themselves and their 'performance' as outcome deliverers and disciples of the new 'Qualispeak'. This paper critiques the current obsession with audit and performativity, and the constant and often pointless 'change' that is held to be so self-evidently 'a good thing' and identifies policy discussion as a linguistic wasteland. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
967 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Chang, E.M.; Bidewell, J.W.; Huntington, A.D.; Daly, J.; Johnson, A.; Wilson, H.; Lambert, V.; Lambert, C.E. |
|
| |
Title |
A survey of role stress, coping and health in Australian and New Zealand hospital nurses |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
|
| |
Volume |
44 |
Issue |
8 |
Pages |
1354-1362 |
|
| |
Keywords |
Stress; Psychology; Cross-cultural comparison; Nursing |
|
| |
Abstract |
The aim of this study was to examine and compare Australian and New Zealand nurses' experience of workplace stress, coping strategies and health status. A postal survey was administered to 328 New South Wales (Australia) and 190 New Zealand volunteer acute care hospital nurses (response rate 41%) from randomly sampled nurses. The survey consisted of a demographic questionnaire, the Nursing Stress Scale, the WAYS of Coping Questionnaire and the SF-36 Health Survey Version 2. More frequent workplace stress predicted lower physical and mental health. Problem-focused coping was associated with better mental health. Emotion-focused coping was associated with reduced mental health. Coping styles did not predict physical health. New South Wales and New Zealand scored effectively the same on sources of workplace stress, stress coping methods, and physical and mental health when controlling for relevant variables. Results suggest mental health benefits for nurses who use problem-solving to cope with stress by addressing the external source of the stress, rather than emotion-focused coping in which nurses try to control or manage their internal response to stress. Cultural similarities and similar hospital environments could account for equivalent findings for New South Wales and New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
970 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Currie, J.; Edwards, L.; Colligan, M.; Crouch, R. |
|
| |
Title |
A time for international standards? Comparing the Emergency Nurse Practitioner role in the UK, Australia and New Zealand |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Accident & Emergency Nursing |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
4 |
Pages |
210-216 |
|
| |
Keywords |
Emergency nursing; Cross-cultural comparison; Nursing; Education |
|
| |
Abstract |
The aim of this paper is to compare the Emergency Nurse Practitioner role in the UK, Australia and New Zealand. Whilst geographically distant, the role of the Emergency Nurse Practitioner within these three countries shares fundamental similarities, causing the researchers to question, is this a time to implement international standards for the role? The Emergency Nurse Practitioner role in all three countries is gradually establishing itself, yet there are shared concerns over how the role is regulated and deficits in standardisation of scope of practice and educational level. Together these issues generate confusion over what the role embodies. The authors suggest that one method of demystifying the Emergency Nurse Practitioner role would be to progress towards international standards for regulation, education and core components of practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
971 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Polaschek, L.; Polaschek, N. |
|
| |
Title |
Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
59 |
Issue |
2 |
Pages |
111-119 |
|
| |
Keywords |
Telenursing; Communication; Evaluation |
|
| |
Abstract |
This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
973 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Chenery, K. |
|
| |
Title |
Building child health nurses' confidence and competence |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
5 |
Pages |
26-38 |
|
| |
Keywords |
Paediatric nursing; Nursing; Education; Evaluation |
|
| |
Abstract |
This article describes the development of the Generic Orientation Programme, Child Health Nursing and its perceived impact on practice after ten months, through two simultaneous evaluation surveys, seeking the views of programme participants and their nurse managers. The programme aims to equip the newly appointed RN in the child health cluster or the nurse working in a non-designated children's area with the knowledge and skills to safely care for children. These include basic anatomical and physiological differences; fluid and electrolyte management; safe administration of medication; pain management; recognition of the seriously ill child; and building partnerships with children and their families. A survey instrument eliciting qualitative and quantitative responses was used. The majority of nurse respondents believed they had gained new knowledge and described how they were incorporating it into everyday practice. Similarly, several nurse managers observed that nurses' clinical knowledge and skills had improved since attending the programme. In particular, responses from those working in non-designated children's areas suggested the programme had provided them with greater insight into the care of children. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
975 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Manning, J. |
|
| |
Title |
Building trust with families in neonatal intensive care units |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
6 |
Pages |
18-20 |
|
| |
Keywords |
Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication |
|
| |
Abstract |
Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
976 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
Shaw, S. |
|
| |
Title |
Constructing media images of nursing: How does the media represent nurses when reporting on nurse prescribing? |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
1 |
Pages |
16-18 |
|
| |
Keywords |
Drug administration; Interprofessional relations; Professional competence; Nursing; Eucation; Quality of health care |
|
| |
Abstract |
This research presents a discourse analysis of articles published in the New Zealand Herald between October 1999 and September 2005. The terms “nurse prescribing” and “prescribing fights” identified seven articles published which referred specifically to this issue. They were predominantly editorial comments and statements attributed to senior doctors. Examples of comments from these articles are presented and discussed in this article, and three inter-related themes are identified – competence, responsibility and competition. Discussion on competence centred on education, skill and experience level of nurses, as described by editorial comment and senior doctors. Positive international research and experience of nurse prescribing did not feature. A number of comments in the articles analysed could be seen to represent concerns about competition between medicine and nursing. One interpretation of the comments contained in these articles is to see medical practitioner groups defending their status and desire to define and control nursing practice. The media has the power to select the information conveyed and, in these instances, appears to have demonstrated a bias towards the medical community's perspective. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
979 |
|
| Permanent link to this record |
