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Lim, G., Roberts, K., Marshall, D., & Honey, M. (2020). Factors that influence registered nurse prescribers' antibiotic prescribing practices. Nursing Praxis in Aotearoa New Zealand, 36(1). Retrieved June 1, 2024, from http://dx.doi.org/10.36951/27034542.2020.005
Abstract: Investigates the attitudes of RN prescribers towards prescribing antibiotics, in the context of increasing antimicrobial resistance (AMR). Focuses on six nurse prescribers in primary health and specialty teams, who are permitted to prescribe antibiotics, asking about their clinical assessments of patients and safety considerations of prescribed antibiotics.
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Lilley, S. (2006). Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives. Ph.D. thesis, , .
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Lally, E. (2014). Symbiotic relationships in patients' engagements with practice nurses. Doctoral thesis, Victoria University of Wellington, Wellington. Retrieved June 1, 2024, from http://hdl.handle.net/10063/3281
Abstract: Records from patient perspectives the nature of the engagements patients have with practice nurses which influence patients' health and well-being. Posits this mutually-beneficial close association as a form of symbiosis. Surveys 15 patients from seven rural and urban general practices in NZ about aspects of the participants' relationships and engagements with nurses, analysing the results using Narrative Inquiry methodology.
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Lally, E. J. (2002). An exploration of language and nursing practice to improve communication in the context of ear syringing. Ph.D. thesis, , .
Abstract: This action research inquiry explores communication and nursing practice in an effort to improve practice and enhance patient care. Action research is a critical reflective process that involves spirals or cycles of planning, acting, reflecting/evaluating and replanning the next cycle. Using ear syringing as a procedure, in the general practice setting and at two separate surgeries, the author and another practice nurse co-researched this study during working hours. Twelve people consented to participate in the research that involved the audiotaping of each ear syringing interaction. Following each transcription of the recording, the researchers read their own and then each other's transcripts, and listened to the recordings. They discussed and reflected on their findings and planned the next cycle. Throughout the process, the researchers found a number of areas of practice to change or enhance. Changes included the use of technical language such as “contraindications” and “auditory meatus”, the side effects of syringing, improvements in communicating situations where ear syringing is not recommended and the options available, and post procedure information. These changes became a significant challenge, for example when both researchers forgot the changes, thus repeating previous errors and omissions. This factor highlighted the need to practise any changes prior to interactions, and to have a cue card on hand to facilitate recollection and to cement improvements into practice. Although time constraints limited this inquiry to three cycles, at the final meeting the researchers agreed to continue the reflective process they had begun to explore their practice.
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Lala, A. C. (2016). Variability in neonatal gentamicin administration influencing drug delivery kinetics. Master's thesis, , .
Abstract: Distributes a self-administered questionnaire to Dunedin Hospital Neonatal Intensive Care Unit (NICU) nurses to investigate: the site of administration, comparing peripheral intravenous line (PIV) or umbilical venous catheter (UVC); and which dose of gentamicin would be used in two clinical scenarios describing babies of 24 and 32-weeks' gestation. Simulates gentamycin delivery and notes clinical variability.
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Kwai, K. (2004). The value of a programme of clinical supervision for graduate nurses: An evaluative study. Ph.D. thesis, , .
Abstract: The function and implementation of clinical supervision in the practice setting presents a number of challenges for new graduate programmes for registered comprehensive nurses. There have been numerous reports and papers promoting its benefits as important and providing the impetus for change. Clinical supervision has been well established as part of social work, counselling, psychotherapy and psychoanalytic practice, and in mental health nursing and midwifery. Its utilisation for graduate nurses is clearly important and should be seen as integral to professional practice. This study evaluated a programme of clinical supervision as a component of a new graduate nurse programme in a secondary health care practice environment. The clinical supervision component aimed to support graduate registered nurses' transition from the role of student nurse to staff nurse in the context of professional clinical practice. This report is also intended to inform the ongoing provision of clinical supervision at Hutt Valley District Health Board. The evaluation process was guided by the work of Owen (1990) and used utilisation focussed evaluation as the framework on which to undertake the evaluation. A mix of quantitative and qualitative methodology was used to collect and analyse the data. Data were collected from nurse graduates of the new graduate programme using a postal questionnaire that covered three areas; clinical supervision, the Hutt Valley District Health Board new graduate programme and an evaluation of stakeholder roles. Twelve of the new graduates responded to the survey. Findings suggest clinical supervision provided professional support and assisted the new graduate in the identification of education needs. Difficulties associated with accessing the structured component of the new graduate programme and clinical supervision were highlighted. The recommendations made to Hutt Valley District Health Board to improve the programme include considering accessibility, consumer rights, acceptability, a comprehensive approach, the Treaty of Waitangi, efficiency and a coordinated approach.
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Kussmaul, J. (2020). An investigation of occupational health and safety workplaces and working conditions in comparison to nursing care quality in residential aged care facilities (RACFs) in New Zealand. Doctoral thesis, University of Auckland, Auckland. Retrieved June 1, 2024, from http://hdl.handle.net/2292/50165
Abstract: Identifies critical factors related to the occupational health and safety of workplaces and working conditions in residential aged-care facilities (RACF), from the perspective of nursing staff. Correlates quality indicators for occupational health and safety for workplaces and in working conditions with nursing care quality based on the InterRAI Clinical Assessment Protocols (CAP). Uses a mixed-method approach to conduct an audit of workplace health and safety and environmental conditions in 17 RACFs. Surveys 398 registered nurses (RN), enrolled nurses (EN), and Healthcare Assistants (HCA) about the mental and physical stressors in their work.
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Komene, E., Sami, L., Wiapo, C., Davis, J., & Adams, S. (2023). Whakaropu: an exemplar fostering professional development and cultural growth with a collective grouping of Maori and Pacific nurses. Nursing Praxis in Aotearoa New Zealand, 39(2). Retrieved June 1, 2024, from http://dx.doi.org/https://doi.org/10.36951/001c.90845
Abstract: Reports on the experiences of five Maori and two Pacific nurses, and three senior indigenous nurse leaders, of being involved in a whakaropu (collective grouping) to attend and present at the National Enrolled Nurse Conference. Conducts face-to-face and online interviews with the members of the group to determine the value of the innovation to foster learning experiences for Maori and Pacific nurses.
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Kinealy, T., Arroll, B., Kenealy, H., Docherty, B., Scott, D., Scragg, R., et al. (2004). Diabetes care: Practice nurse roles, attitudes and concerns. Journal of Advanced Nursing, 48(11), 68–75.
Abstract: The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients.
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Kerr, C. (2016). The key components of cancer nurse coordination: an integrative review. (115 p.). University of Canterbury.
Abstract: Backgrounds the creation of the Cancer Nurse Coordinator (CNC) role in NZ. Identifies common key components associated with care-coordination services for cancer patients provided by nurses, and compares these with the NZ Cancer Nurse Coordinator Initiative (CNCI), which was launched in 2013. Undertakes an integrative review of international literature to examine the topic, focusing on the care given to the patient, interactions with health professionals and the system surrounding the patient, and the characteristics surrounding the role of the nurse.
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Kennedy, W. L. (2008). How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Master's thesis, Eastern Institute of Technology, Taradale. Retrieved June 1, 2024, from https://www.nzno.org.nz/resources/library/theses
Abstract: Describes an exploratory study of Registered Nurses (RNs) within a local District Health Board which pursued the question of 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice, specifically self-assessment and performance appraisal. Utilises a qualitative descriptive framework to explore the experiences of RNs in inpatient settings, via questionnaire. Identifies 8 themes related to self-assessment, performance appraisal, and professional practice.
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Kennedy, W. (2008). How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Ph.D. thesis, , .
Abstract: This thesis describes an exploratory study of registered nurses within a local district health board which pursued 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice. Self assessment and performance appraisal are identified as critical elements of professional development by the Nursing Council of New Zealand, and this became the focus of the author's research. A qualitative descriptive framework was utilised to explore the research question, where experiences of registered nurses employed within inpatient adult medical and surgical settings were collected through questionnaire. Analysis of the data was through general inductive thematic approach. Eight themes arose, of which, two have sub-themes. The first four themes relate to self assessment and performance appraisal and the second four themes relate to professional practice. The findings from the participant's perspective provide an understanding of how participants' utilised self assessment and performance appraisal to inform their professional practice. There are significant implications for professional practice within the findings of this study, which are presented along with recommendations for future practice, and future avenues for research.
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Kaur, H. (2018). What are the factors affecting patients with diabetes in regards to their attendance and non-attendance with Diabetes Nurse-Led Clinics in Counties Manukau Health? Master's thesis, University of Auckland, Auckland. Retrieved June 1, 2024, from https://www.nzno.org.nz/resources/library/theses
Abstract: Performs a retrospective audit of eight Diabetes Nurse-Led Clinics (DNLC) in two regions of DNLC provision in Auckland over a 12-month period from 2016-2017, at which 707 patients were booked for appointments. Undertakes a nested sampling of two randomly-selected DNLCs, in which 71 participants were invited to participate. Explores patients' perspectives of attendance or non-attendance at their booked appointments. Examines whether patients perceive any benefits of attendance at the clinics, and identifies factors that might improve their experiences with DNLCs.
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Jarden, A. J. (2018). Before-school check nurses' experiences of motivational interviewing during the weight-related referral process : an interpretive phenomenological study. Master's thesis, University of Canterbury, Christchurch. Retrieved June 1, 2024, from http://hdl.handle.net/10092/16678
Abstract: Investigates nurses' experiences of weight-related conversations with whanau, and their level of understanding and application of motivational interviewing, during the Before-School Check programme to identify 95% of high-weight children. Uses a questionnaire focussed on competencies in conjunction with recorded interviews concentrated on process-oriented accounts of the referral process.
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Janssen, J., & Nelson, K. (2014). Meeting the needs of Maori with diabetes : evaluation of a nurse-led service. Nursing Praxis in New Zealand, 30(3), 6–18.
Abstract: Explores the effectiveness and acceptability of a nurse-led Maori diabetes programme run by Te Hauora O Ngati Rarua for their clients. Uses embedded case study evaluation to assess the programme in relation to the Wagner Chronic Care Model. Confirms the importance of providing culturally-appropriate health services by Maori specialist nurses.
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