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Amankwaa, I., Nelson, K., Rook, M., & Hales, C. (2022). Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data. BMC Geriatrics, 22(1). Retrieved June 2, 2024, from http://dx.doi.org/https://doi.org/10.1186/s12877-021-02696-8
Abstract: Undertakes a retrospective review of nursing home residents' data obtained from the NZ International Residential Assessment Instrument national dataset, 2015-2018. Includes 198,790 aged care residents, calculating weight in kilograms divided by height in metres squared. Defines multi-morbidity as the presence of 2 or more health conditions. Measures the risk of disability by a self-performance scale. Highlights an inverse relationship between activities of daily living (ADL) and BMI.
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Chen, C., Shannon, K., Napier, S., & Neville, S. (2022). Loneliness among older adults living in aged residential care in Aotearoa New Zealand and Australia: An integrative review. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved June 2, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.02
Abstract: Synthesises available evidence on loneliness among older adults in aged residential care settings and identifies interventions that ameliorate loneliness for residents. Undertakes an extensive literature search in online databases, highlighting the main themes about loneliness interventions. Determines that interventions must foster reciprocal relationships and promote quality social engagement with others, while residents must receive personalised care to reduce loneliness.
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Burrow, M., Gilmour, J., & Cook, C. (2017). Healthcare assistants and aged residential care: A challenging policy and contractual environment. Nursing Praxis in New Zealand, 33(2), http://www.nursingpraxis.org.
Abstract: Examines NZ policy and care demands in aged residential care. Maintains that registered nurses need to understand the socio-political, economic and educational factors that influence care delivery in aged residential care. Presents an overview of the current role of healthcare assistants (HCAs)in aged residential care, based on a review of the existing grey literature, current national policy, DHB contract agreements and NZNO collective agreements.
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Jenkins, B., & Huntington, A. (2016). 'We are the international nurses': an exploration of internationally-qualified nurses' experiences of transitioning to New Zealand and working in aged care. Nursing Praxis in New Zealand, 32(2). Retrieved June 2, 2024, from http://www.nursingpraxis.org
Abstract: Explores the experiences of Filipino and Indian internationally-qualified nurses who have immigrated to NZ to work as registered nurses in aged care. Conducts a small-scale study in a large retirement facility in urban NZ using a qualitative approach comprising semi-structured interviews and one focus group. Discusses the physical, social and professional transitions the nurses made to work in aged care in this country.
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Thomson, P., Hudson, D., Richardson, A., Campbell, A., & Guihen, A. (2023). The placement experience of nursing students in managed isolation and quarantine facilities. Kaitiaki Nursing Research, 14(1), 12–18.
Abstract: Conducts focus group interviews with seven nursing students whose third-year clinical placements occurred in Managed Isolation and Quarantine Facilities (MIQF) during level 3 lockdown in 2020. Describes the experiences of the students in terms of clinical skills, communication, support, safety and NCNZ competencies.
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Grinlinton, A., Merrick, E., Napier, S., & Neville, S. (2022). Pressure injury prevention in Aotearoa New Zealand aged care facilities: A case study. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved June 2, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.03
Abstract: Identifies factors affecting pressure injury prevention in aged residential care. Interviews 10 staff from two aged care facilities, along with relevant policy and practice documents. Analyses data using triangulation and pattern matching to pinpoint three themes: staffing; leadership, teamwork, and communication; and assessment and early intervention. Finds a correlation between difficult work conditions with high-dependency patients and complex care needs, and prevalence of pressure injuries.
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Gilmer, M. J., Meyer, A., Davidson, J., & Koziol-McLain, J. (2010). Staff beliefs about sexuality in aged residential care. Nursing Praxis in New Zealand, 26(3), 17–24.
Abstract: Surveys 52 staff members from the rest-home component of aged-care facilities in one District Health Board, about how staff in such facilities approach and manage the sexuality needs of residents.
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Burrow, M., Cook, C., & Gilmour, J. (2017). Life in the round and aged care: A theoretical exemplar for research with marginalised populations in institutional settings. Nursing Praxis in New Zealand, 33(3). Retrieved June 2, 2024, from www.nursingpraxis.org
Abstract: Employs the concept of 'life in the round', drawn from social network theory and the model of information dissemination, including the supporting theories of information poverty and normative behaviours, to explore the information behaviours of marginalised populations participating in small institutionalised worlds. Uses the context of residential aged care as an exemplar for the application of the theory of 'life in the round' and provides examples to support application of these concepts to the information practices of health-care assistants.
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Foster, P., Payne, D., & Neville, S. (2022). An exploration of how nurse education practices may influence nursing students' perception of working in aged care as a registered nurse: A Foucauldian discourse analysis. Nursing Praxis in Aotearoa New Zealand, 38(2). Retrieved June 2, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542
Abstract: Argues that undergraduate nurse education contributes to the problem of too few nurses choosing to work in aged care, by constructing working in aged care as a lower-status or less valuable area of work than other health-care areas. Examines the issue using Foucauldian discourse analysis to explore the dominant discourses being deployed in relation to clinical experience in aged care. Collects data through semi-structured interviews with 10 senior academic staff members from NZ tertiary institutions. Analyses interview data to reveal how a 'nurse education discourse' and a 'work-ready discourse' were shaping perceptions of aged care as a clinical experience in a variety of ways. Suggests that how and why aged care is utilised as a space to learn a range of nursing skills has the unintended effect of devaluing and discouraging employment in aged care settings.
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Hales, C., Amankwaa, I., Gray, L., & Rook, H. (2020). Providing care for older adults with extreme obesity in aged residential care facilities: an environmental scan. Nursing Praxis in New Zealand, 36(3). Retrieved June 2, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.012
Abstract: Reports findings of an environmental scan undertaken as part of a larger study s to assess the current state of bariatric (extreme obesity) services within aged
residential care (ARC). Identifies bariatric-resident needs, and gaps in service provision to inform policy and service development.
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Hughes, F., Blackwell, A., Bish, T., Chalmers, C., Foulkes, K., Irvine, L., et al. (2021). The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved June 2, 2024, from www.nursingpraxis.org
Abstract: Provides a commentary on the work of executive nurses within the Nursing Leadership Group of the New Zealand Aged Care Association as COVID-19 spread into some aged residential care (ARC) facilities in early 2020 and threatened the health and wellbeing of many residents and nurses. Examines how the Group influenced the agenda and implementation of policies for ARC and brought the voice of nursing and residents of aged care to the forefront at national and regional levels.
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Whitehead, N., Parsons, J., & Dixon, R. (2015). Quality and staffing : is there a relationship in residential aged care? Kai Tiaki Nursing Research, 6(1), 28–35.
Abstract: Explores whether there is a relationship between staffing and quality indicators in residential care of older people, in both rest homes and continuing-care hospitals. Conducts a longitudinal survey of 18 residential-care rest homes and 16 continuing-care hospitals in the greater Auckland region to explore the relationship between direct-care staffing levels, skill mix and quality indicators. Collects data over a 6-month period on type of staffing, including registered nurses, enrolled nurses, and support workers; quality indicators, including falls, new fractures, pressure ulcers, weight loss, urinary tract infections (UTI), poly-pharmacy or multiple medications, presence of indwelling catheters and use of daily restraints. Uses logistic analysis to analyse the inverse relationship between staffing levels and adverse events, and whether there is an association between staff type and the incidence of the five quality indicators.
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Yeung, P., & Rodgers, V. (2017). Quality of long-term care for older people in residential settings -- perceptions of quality of life and care satisfaction from residents and their family members. Nursing Praxis in New Zealand, 33(1). Retrieved June 2, 2024, from http://www.nursingpraxis.org
Abstract: Explores long-term care-home residents’ quality of life and their family's satisfaction with the care provided. Uses descriptive and correlational analyses, collecting secondary data from 39 residents of two long-term care facilities with a resident-directed care approach. Asks residents to complete a survey of quality-of-life and overall satisfaction measures, and asks 31 of their family members to complete a survey on care satisfaction provided by the facilities. Presents a number of practical considerations for nursing care staff to improve residents' quality of life and staff-family relationships.
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Rodgers, V., Marshall, B., Hey, F., Blackwell, A., & Lewer, P. (2017). Readiness for providing primary palliative care. Nursing Praxis in New Zealand, 33(3). Retrieved June 2, 2024, from www.nursingpraxis.org
Abstract: Undertakes a pilot study by specialist Supportive Education and Quality (SEQUAL) palliative care team in 5 aged residential care (ARC) facilities in regional NZ. Conducts a clinical staff survey and facility desktop document review to determine readiness, need for and level of support required, to enhance primary palliative care for residents. Identifies lack of experience and palliative care education among clinical staff.
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Hendry, C., & Ogden, E. (2016). Hydration in aged residential care: a practical audit process. Kai Tiaki Nursing Research, 7(1), 41–45.
Abstract: Presents the findings of an audit of 34 hospital-level aged-residential-care clients' hydration over a 24-hour period. Describes the audit, undertaken by health-care assistants, and the strategies implemented to meet daily fluid requirements.
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