| Records |
Author  |
King, S.L.J.; Walsh, K. |
| Title |
'I think PCA is great, but . . .'- Surgical nurses' perceptions of patient-controlled analgesia |
Type |
Journal Article |
| Year |
2007 |
Publication |
International Journal of Nursing Practice |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
5 |
Pages |
276-283 |
| Keywords |
Nurse-patient relations; Drug administration; Pain management |
| Abstract |
This qualitative study investigated surgical nurses' perceptions of patient-controlled analgesia as a strategy for managing acute pain in a tertiary care hospital. Patient-controlled analgesia is commonly used and nurses play an essential role in caring for patients prescribed it. The study was divided into two parts. First, audiotaped semi-structured interviews were conducted with 10 nurses. The interviews were followed by a postal questionnaire to 336 nurses with 171 returned. Thematic analysis was the chosen methodology. The audiotaped transcripts and questionnaires surfaced five themes, with the dominant one being `I think PCA is great, but . . .'. The paper outlines and explores these themes and addresses the implications arising from the research for both clinical practice and education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
972 |
| Permanent link to this record |
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| Author |
Jones, Sharon Anne Sarah |
| Title |
Understanding The Experience And Perceptions Of Managers And Preceptors Involved In Competency Assessment And Performance Management Of Nursing Staff Identified As Practicing Unsafely: An Evaluation Of The Effectiveness Of The Sip/Pip Framework |
Type |
Book Chapter |
| Year |
2016 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
133 p. |
| Keywords |
Performance management; Competency; Preceptors; Insight; Feedback |
| Abstract |
Evaluates the SIP/PIP process to illuminate the views of the nurse managers and preceptors on the effectiveness of the SIP/PIP programme in ensuring competent practice and provides recommendations for improvement and strengthening of the framework. Uses a qualitative approach with data collected through individual semi-structured interviews with preceptors and nurse managers. Due to lack of participation in the quantitative arm a mixed-method study was not completed using an anonymous survey. Undertakes thematic data analysis utilising NVIVO 10 software. Draws four major themes from the qualitative data: (1) Feedback- insight loop, (2) Process clarity, (3) Relationships, commitment & reflective response to participation in the SIP/PIP process, (4) Barriers and enablers to the SIP/PIP process. |
| Call Number |
NZNO @ research @ |
Serial |
1554 |
| Permanent link to this record |
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| Author |
Huntington, A.D.; Gilmour, J.A. |
| Title |
A life shaped by pain: Women and endometriosis |
Type |
Journal Article |
| Year |
2005 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
9 |
Pages |
1124-1132 |
| Keywords |
Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique |
| Abstract |
The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition. |
| Call Number |
NRSNZNO @ research @ |
Serial |
940 |
| Permanent link to this record |
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| Author |
Holbrook, P. |
| Title |
Nurse initiated analgesia in an emergency department: Can nurses safely decrease door to analgesia times by providing analgesia before medical assessment? |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Emergency nursing; Drug administration; Nursing; Pain management |
| Abstract |
Pain management practices within emergency departments require a more patient focused approach due to extended waiting times for analgesia. This dissertation questions current methods of providing timely and appropriate delivery of analgesia. Nurses represent the biggest resource in emergency departments therefore are in a position to be able to access patients in a timely fashion. A review of the literature pertaining to nurse initiated analgesia protocols has been evaluated and information relating to efficiency and safety utilised to discuss the processes for planning and implementation of a similar protocol. The author finds that the literature provides no evidence that nurse initiated analgesic practices prior to medical assessment compromises patient safety or delays diagnosis. A discussion of the benefits to patients, nurses and the institution has been included to highlight the appropriateness of extending nursing roles. |
| Call Number |
NRSNZNO @ research @ |
Serial |
664 |
| Permanent link to this record |
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| Author |
Hernandez, Monina; King, Anna; Stewart, Lisa |
| Title |
Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices |
Type |
Journal Article |
| Year |
2019 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
35 |
Issue |
1 |
Pages |
29-42 |
| Keywords |
Catheter-associated urinary tract infection; UTIs; Infection prevention; Documentation; Indwelling catheter management |
| Abstract |
Investigates nurses' catheter management practices, by means of an audit, as documented in a newly-introduced self-administered indwelling catheter-management checklist incorporating four components of catheter care in a catheter-associated urinary tract infection (CAUTI) prevention bundle. Identifies these components of the bundle of care as: minimisation of inappropriate catheter use, aseptic insertion of catheters, adherence to catheter maintenance guidelines, and ongoing review and evaluation of catheter necessity. Shows that implementation of care components decreases bacteriuria rates and CAUTI when used together in standardised clinical checklists and performed collectively by nurses. Employs a quantitative research design as part of a mixed-methods study conducted at two surgical wards in a public hospital in Auckland where 50 nurses completed 175 checklists. |
| Call Number |
NZNO @ research @ |
Serial |
1610 |
| Permanent link to this record |
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| Author |
Hendry, Chris; Prileszky, Gail |
| Title |
A usability study: an e-medication dispenser as part of a home-based medication management programme |
Type |
Journal Article |
| Year |
2017 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
1 |
Pages |
23-30 |
| Keywords |
Usability study; E-medication dispenser; Medication management; District nursing |
| Abstract |
Investigates the logistics and acceptability of an electronic medication dispenser (EMD) within a home-based medication management service as a substitute for face-to-face home visiting, as a means of reminding elderly clients to take their medication on time. Uses a qualitative usability study methodology to conduct the study, centred on a small group of clients receiving the service from a small group of clients receiving the service from a community nursing organisation in Christchurch. Involves patients, pharmacists, nurses and managers of the community nursing service. Identifies critical processes and protocols required to safely support a wider roll-out of the product within the service. |
| Call Number |
NZNO @ research @ |
Serial |
1539 |
| Permanent link to this record |
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| Author |
Haufe, Birgit; Honey, Michelle |
| Title |
Role of whanau in self-management for adults receiving haemodialysis in Aotearoa New Zealand: a qualitative study |
Type |
Journal Article |
| Year |
2019 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
| Volume |
35 |
Issue |
3 |
Pages |
15-24 |
| Keywords |
Kidney disease; Chronic conditions; Haemodialysis; Self-management; Whanau |
| Abstract |
Explores the role of family/whanau on self-management of end-stage renal disease (ESRD). Conducts semi-structured interviews with 7 haemodialysis patients, of which 5 were Maori, about their perspectives on whanau's role. Highlights 3 themes: whanau support, whanau importance and whanau hindrance. |
| Call Number |
NZNO @ research @ |
Serial |
1670 |
| Permanent link to this record |
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| Author |
Harrington, Karen |
| Title |
Mental health nurses' understanding of the concept of self-management of borderline personality disorder |
Type |
Book Whole |
| Year |
2014 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
159 p. |
| Keywords |
Borderline personality disorder; Mental health nurses; Self-management |
| Abstract |
Determines what mental health (MH) nurses understand the concept of self-management to mean in relation to patients with a diagnosis of Borderline Personality Disorder (BPD). Interviews 10 MH nurses using a semi-structured format and analyses data using the general inductive approach, resulting in 26 sub-themes organised into three over-arching themes: self management is self-responsibility, self-management is self-awareness, self-management is maintaining safety. |
| Call Number |
NZNO @ research @ |
Serial |
1573 |
| Permanent link to this record |
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| Author |
Gregory, R.; Kaplan, L. |
| Title |
Understanding residuals in Guillain-Barre Syndrome |
Type |
Journal Article |
| Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
10 |
Issue |
7 |
Pages |
16-18 |
| Keywords |
Diseases; Nursing; Management |
| Abstract |
The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression. |
| Call Number |
NRSNZNO @ research @ 1013 |
Serial |
997 |
| Permanent link to this record |
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| Author |
Grayson, S. |
| Title |
Nursing management of the rheumatic fever secondary prophylaxis programme |
Type |
|
| Year |
2001 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Community health nursing; Management; Nursing specialties |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 576 |
Serial |
562 |
| Permanent link to this record |
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| Author |
Gosnell, M. |
| Title |
Postoperative pain assessment: A retrospective review of nursing documentation |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Pain management; Nursing |
| Abstract |
An essential part of nursing practice for the nurse on the surgical floor is to relieve the discomfort of post operative pain for patients in their care. Post operative pain management encompasses a series of processes from assessing pain, providing relief, assessment of measures used to relieve pain through to documentation in the patient record. Yet literature, both internationally and from Australia and New Zealand, suggests that post operative pain continues to be poorly managed despite having the means to provide more than adequate relief. Events leading up to the commencement of this study indicated that locally, post operative pain assessment, including documentation in the patient record may be substandard. The objective of this study was to develop and test an audit tool; undertake a retrospective audit of nursing records, including nursing notes and the nursing care plan, in respect of what postoperative pain assessments nurses document in the patient record; evaluate data and make recommendations for practice. Methodology: A five part, 23 question Likert scale audit tool, designed specifically for this study was used to collect data over a period of two months. In total 40 patient records that met the inclusion criteria were audited.The results indicate that local practice reflects poor documentation standards found in other studies. The most complete recordings were those entered on specifically designed charts such as the Patient Controlled Analgesia and Epidural charts (N 28) but this did not carry over into the patient record. Despite that fact that the patient's self reports of pain is said to be the single most reliable indicator of pain, there was only four occasions when the patient's verbal response to pain was recorded. None of those responses were according to any type of pain rating scale. Evidence of evaluation following measures used to relieve pain was more likely to be recorded if pain was poorly controlled or when side effects such as nausea were experienced by the patient. The author concludes that overall the audit has highlighted many gaps in what is or is not recorded in the patient record in respect of post operative pain assessment and has highlighted the need to develop standards of practice that will improve post operative pain management practices. |
| Call Number |
NRSNZNO @ research @ |
Serial |
915 |
| Permanent link to this record |
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| Author |
Garcia, Alicia; Whitehead, Dean; Winter, Helen S |
| Title |
Oncology nurses' perception of cancer pain: a qualitative exploratory study |
Type |
Journal Article |
| Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
31 |
Issue |
1 |
Pages |
27-33 |
| Keywords |
Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education |
| Abstract |
Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients. |
| Call Number |
NZNO @ research @ |
Serial |
1500 |
| Permanent link to this record |
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| Author |
Francis, Helen; Carryer, Jenny; Cram, Fiona |
| Title |
Consulting with Maori experts to ensure mainstream health research is inclusive of Maori |
Type |
Journal Article |
| Year |
2019 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
| Volume |
35 |
Issue |
3 |
Pages |
7-14 |
| Keywords |
Chronic conditions; Health research; Maori health; Health management; Whanaungatanga |
| Abstract |
Advocates for the inclusion of Maori participants in research on long-term conditions (LTC). Presents research with 16 participants, including 6 Maori, into how they managed their conditions, and describes the role of consultation with Maori experts to support the cultural responsiveness of such research. |
| Call Number |
NZNO @ research @ |
Serial |
1669 |
| Permanent link to this record |
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| Author |
Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G. |
| Title |
Assessment and management of acute pain in older people: barriers and facilitators to nursing practice |
Type |
Journal Article |
| Year |
2017 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
35 |
Issue |
1 |
Pages |
48-57 |
| Keywords |
Pain assessment; Pain management; Aged patients; Acute care nurses |
| Abstract |
Examines the pain management practices of nurses, and identifies barriers and facilitators to the assessment and management of pain for older people, within the acute hospital setting. |
| Call Number |
NZNO @ research @ |
Serial |
1788 |
| Permanent link to this record |
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| Author |
Elbe, E. |
| Title |
The private world of nursing related to incident reporting |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Medical errors; Organisational culture; Risk management; Nursing |
| Abstract |
The purpose of this project was to explore the experience of nurses related to incident reporting. The reporting of incidents is important as it identifies professional risks for nurses. A descriptive qualitative approach was the methodology used and individual interviews of five senior nurses was the method of data collection. Attention was given to finding out about the supports for and barriers against nurses in reporting incidents; the outcomes for nurses of incident reporting; and the organisational culture and scope of 'professional' behaviour of nurses around incident reporting. The findings revealed that nurses identified themselves as the major reporters of incidents. They considered there was not 'a level playing field' for all professionals around who, how and why incidents were reported, investigated and within the post incident processes. The nurses reported that they made daily decisions about what was an incident, and whether to report events as incidents. They identified aids and supports to the decisions they made such as the medium for reporting and fear of what happened when the incident form left the nurse and went to management. A number of significant implications were identified for nursing, management and organisations in this research. Nurses need to feel they work in organisations which have a culture of safety around incident reporting. Management need to clearly communicate policies, processes and organisational expectations related to incident reporting. This should include how incidents will be reported, investigated and the purposes for which management use incident reporting information. It is also important that adequate structures are in place to support nurses when an incident occurs as thay can have stressful consequences for the nurses involved. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1147 |
| Permanent link to this record |
