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Author McArthur, J.; Dickinson, A.R.
Title Decision making the explicit evidence-based way: Comparing benefits, harms and costs Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 14 Issue 1 Pages 33-42
Keywords Evidence-based medicine; Nursing; Guidelines; Clinical decision making
Abstract This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998.
Call Number NRSNZNO @ research @ Serial 639
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Author Holloway, K. T.
Title Developing an evidence base for teaching nursing practice skills in an undergraduate nursing program Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 14 Issue 1 Pages 22-32
Keywords Nursing; Education; Curriculum; New graduate nurses; Evaluation
Abstract This research seeks to determine an evidence basis for selecting content for the clinical skills curriculum in an undergraduate programme. Thirty-three senior nurse clinicians from medical-surgical areas in 2 large hospitals offering student placements were asked to rate the frequency of performance of 77 skills for the beginning registered nurse. Those skills frequently used and rated over 65% were considers for inclusion in the undergraduate programme. Clinicians were asked to list the 10 most important skills and related level of competence expected from the newly-registered nurse.
Call Number NRSNZNO @ research @ Serial 640
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Author Richardson, S.
Title Emergency departments and the inappropriate attender: Is it time for a reconceptualisation of the role of primary care in emergency facilities? Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 14 Issue 2 Pages 13-20
Keywords Emergency nursing; Primary health care
Abstract This paper reviews currently identified issues concerning emergency department attendance, and examines the core question of the role of primary care in the emergency department. Asks whether this is an appropriate use of emergency department resources, and if so, what the implications are for the role of the emergency nurse. Suggests the establishment of Minor Injury Units in New Zealand like those in the UK.
Call Number NRSNZNO @ research @ Serial 641
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Author Ross, J.
Title International perspective: The development of the advanced role of rural nurses in New Zealand Type Journal Article
Year 1999 Publication Australian Journal of Rural Health Abbreviated Journal (down)
Volume 7 Issue 4 Pages 253-257
Keywords Nursing; Education; Rural nursing; Advanced nursing practice
Abstract This paper offers an insight into the development of the advanced role of rural nursing practice in New Zealand. The concept of advanced nursing practice is discussed within the context of the interdisciplinary healthcare team. It is argued that as nurses take on advanced practice, it is essential they receive appropriate clinical and theoretical skills to ensure they are in a position to provide competent and clinically safe, effective health care in an ethical, efficient manner. A description of a survey, undertaken by the author, studying rural nurses' skills provides the recommendation for the development of an appropriate postgraduate course at Masters level, designed specifically for primary rural nurses for the advanced role.
Call Number NRSNZNO @ research @ Serial 953
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Author McKenna, B.
Title Bridging the theory-practice gap Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
Volume 5 Issue 2 Pages 14-16
Keywords Psychiatric nursing; Nursing; Education; Teaching methods
Abstract The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach.
Call Number NRSNZNO @ research @ Serial 1024
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Author Wassner, A.
Title Labour of love: Childbirth at Dunedin Hospital, 1862-1972 Type Book Whole
Year 1999 Publication Dissector Abbreviated Journal (down)
Volume Issue Pages
Keywords Hospitals; History of nursing; Maternity care; Registered nurses; Nursing; Education
Abstract This book covers obstetrical care from a nursing perspective at the Dunedin Hospital's Maternity Units. The researcher found little information on the two lying-in (maternity) wards of the first two Dunedin Hospitals. The book presents historical records outlining obstetric nursing procedures and maternity culture at the Dunedin Hospitals, The Benevolent Institution, The Batchelor Maternity Hospital, and Queen Mary Hospital. It covers cultural, social and legislative changes over the period, and examines conditions and pay for nursing staff across this time. A chapter on the evolution of baby care looks at changes in acceptable practices around nursery care, breast and bottle feeding, and medical procedures. The book has an extensive list of appendices, including staff lists, training notes for staff, duty lists, and interviews with staff and patients.
Call Number NRSNZNO @ research @ Serial 1049
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Author Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type Journal Article
Year 1999 Publication Nursing Ethics Abbreviated Journal (down)
Volume 6 Issue 5 Pages 423-433
Keywords Ethics; Nursing; Education
Abstract This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse's story taken from the study is offered and suggestions are made for nursing ethics education.
Call Number NRSNZNO @ research @ Serial 1092
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Author Litchfield, M.; Laws, M.
Title Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms Type Book Chapter
Year 1999 Publication Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) Abbreviated Journal (down)
Volume Issue Pages
Keywords Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms
Abstract The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms.
Call Number NRSNZNO @ research @ Serial 1169
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Author Fail, A.
Title Ageing in the 21st century Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal (down)
Volume 5 Issue 9 Pages 24-31
Keywords Older people; Theory; Quality of life; Quality of health care; Age factors
Abstract The author looks at demographic and statistical information to extrapolate on trends that will affect the aged through into to the next century. She reviews policy approaches to the issues of a growing aged population combined with social and economic changes that could make this group vulnerable. Effective planning for the provision of quality care is placed in the context of social changes, advances in gerontology, and social theories of ageing.
Call Number NRSNZNO @ research @ Serial 1275
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Author Rickard, Debbie
Title Parents as experts: partnership in the care of the chronically ill children : Margaret May Blackwell Travel Study, Fellowship for Nurses of Young Children, 1999 Type Report
Year 1999 Publication Abbreviated Journal (down)
Volume Issue Pages 65p.
Keywords Chronically ill children – home care; Child health services; Paediatric nursing; Community health nursing; Reports
Abstract Visits paediatric community nursing services in the UK and Australia to report on how specialist and children's community nurses work with parents to deliver health care to children with asthma, diabetes and other endocrine disorders, cystic fibrosis, eczema, cardiac diseases, and liver transplants. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1414
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Author Baldwin, Angela
Title Effective home based care to enhance the health status of children under five years. Margaret May Blackwell Study Fellowship Report 1998 Type Report
Year 1999 Publication Abbreviated Journal (down)
Volume Issue Pages 44
Keywords Child health services; Family health; Home care services; Community health services; Reports
Abstract Highlights well-child and family health programmes in the US, Canada, and the UK. Provides an overview of the programmes and their clinical effectiveness, focusing on the themes that emerged. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1425
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Author Ross, J.
Title Rural practice nurse skills project 1996 Type Journal Article
Year 1999 Publication Journal of Australian Rural Health Abbreviated Journal (down)
Volume Issue 7 Pages 7
Keywords
Abstract
Call Number NRSNZNO @ research @ 338 Serial 338
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Author Crowe, M.
Title Mad talk: attending to the language of distress Type Journal Article
Year 1999 Publication Nursing Inquiry Abbreviated Journal (down)
Volume Issue March Pages
Keywords
Abstract This paper will examine how one woman, Madeleine's narrative can be constructed as symptomatic of the diagnosis of schizophrenia and how it can also be read from other perspectives, particularly a post-structural feminist one. The readings are presented as possibilities for understanding the woman's experiences and the implications of this for mental health nursing practice. A post-structural feminist reading acknowledges the gendered experiences of subjectivity and how those experiences are constructed in language.The purpose of this paper is to identify for mental health nursing practice an approach which recognises the figurative and literal characteristics of language in order to provide nursing care which positions the individual's experience of mental distress as central. This requires an acknowledgment of Madeleine's path into mental distress rather than simply a categorisation of what is observed in a clinical setting. Intervention may need to include a range of strategies: medical and non-medical, psychotherapeutic and social, physical and environmental. It may also require the provision of sanctuary and security while these options are explored
Call Number NRSNZNO @ research @ 438 Serial 438
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Author McKenna, B.
Title Patient perception of coercion on admission to acute psychiatric services: the New Zealand experience Type Journal Article
Year 1999 Publication International Journal of Law and Psychiatry Abbreviated Journal (down)
Volume 22 Issue 2 Pages 143-153
Keywords
Abstract This study considers the influence of legal status, interactive processes, and mediating factors upon patient perception of coercion, within the context of admission to mental health services in New Zealand. The admission experiences of 69 involuntary inpatient psychiatric admissions and 69 informal admissions are compared using the MacArthur Admission Experience Survey. The influence of demographic, clinical and situational variables on the experience are considered. The results indicate there is a strong significant difference in the perception of coercion between involuntary and informal patients, with legal status having predictive value in relation to patient perception of coercion. Patient perception of procedural justice is strongly negatively correlated with perception of coercion. Perception of negative interactive processes is strongly felt by involuntary patients. This experience is not fully explained by identifiable incidents throughout the admission process. In the New Zealand context, there remains a need to highlight the aspects of procedural justice which could be improved in order to reduce patient perception of coercion. Current methodology focuses on the experience of admission rather than the expectation of that experience. This point needs to be considered in relation to the experience of Maori (the indigenous people of New Zealand)
Call Number NRSNZNO @ research @ 443 Serial 443
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Author McKenna, B.
Title Joint appointment: bridging the 'theory-practice' gap through collaboration Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
Volume 5 Issue 2 Pages 14-16
Keywords
Abstract In New Zealand, there is a festering debate over a theory-practice gap in nursing. Joint appointments present as a potential solution to this issue. Joint appointments refer to a variety of arrangements whereby concurrent employment occurs within an educational institution and a clinical setting.Advantages for the appointees include job satisfaction, and professional growth. Clinical credibility for nurse educators enables improved facilitation of student learning. In clinical areas, benefits in patient care are associated with the marrying of academic rigor with clinical practice. Some appointees input into staff development, act as consultants on nursing issues and undertake research. Disadvantages in the concept focus on role conflict (incongruity between the roles) and role ambiguity (lack of clarity concerning expectations). Success of the ventures depends upon the personal attributes of appointees; realistic expectations; flexibility to allow the concept to evolve; and support from colleagues and management.This research describes a case study of a joint appointment between a nurse lecturer and a senior staff nurse in an acute forensic psychiatry unit. Advantages, disadvantages and reasons for success are discussed in relation to the literature findings. The discussion focuses on the need to develop research methodology to further clarify potential benefits and advantages
Call Number NRSNZNO @ research @ 444 Serial 444
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