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Richardson, S. (1999). Emergency departments and the inappropriate attender: Is it time for a reconceptualisation of the role of primary care in emergency facilities? Nursing Praxis in New Zealand, 14(2), 13–20.
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.
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Litchfield, M. (1998). The scope of advancing nursing practice. Nursing Praxis in New Zealand, 13(3), 13–24.
Abstract: An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the changing New Zealand health system. The emphasis is on the complementary nature of the practice of family nurses taking a generic integrative service delivery hub role and the practice of other nurses advancing in specialist roles. Nursing care is presented as a professional, collective practice of registered nurses spread across all health service sectors and employment settings. Nurse roles are differentiated according to the interplay of two factors influencing the extent of practice autonomy the nurses assume (educationally supported) in responding to health need. A diagram depicts the interrelationship of competency and scope for the inclusive three different career trajectories of nurses advancing in practice. NOTE: This paper was published with an error in the title of the article (stated correctly on the journal contents page). An apology from the journal editor with an explanation of the importance of the use of the term ?advancing? and not ?advanced? was published in the subsequent issue (Nursing Praxis in NZ,14(1)).
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Mackay, B.(and others). (2011). Utilising the hand model to promote a culturally-safe environment for international nursing students. Nursing Praxis in New Zealand, 27(1), 13–24.
Abstract: Backgrounds and describes the Hand Model, developed by a nurse teacher to assist her in teaching cultural safety, and suggests its potential to provide a framework for creating a culturally-safe environment for international students in NZ, including those aspects of cultural safety specific to NZ.
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Rodgers, V., & Gilmour, J. (2011). Shaping student nurses' attitudes towards older people through learning and experience. Nursing Praxis in New Zealand, 27(3), 13–20.
Abstract: Presents findings of a study comparing student nurse attitudes towards older people before and after an introductory nursing paper that included gerontology theory and clinical practice in an aged-care setting. Administers The Kogan Attitudes Towards Old People Scale to 56 nursing studies students at the beginning and end of the semester of study.
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Hedley, C. and others. (2012). The B4 school check behaviour measures : findings from the Hawke's Bay evaluation. Nursing Praxis in New Zealand, 28(3), 13–23.
Abstract: Evaluates the B4 School Checks in Hawke's Bay, focusing on children assessed as having behaviour issues, as determined by the Strengths and Difficulties Questionnaire (SDQ). Reviews Health Hawke's Bay (HHB) records for the number and demographics of the children assessed, and the interventions recommended. Interviews 36 parents to discover what difference the B4 check made to children's behaviour and which aspects of the check contributed to successful outcomes.
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Gleeson, E., & Carryer, J. (2010). Nursing staff satisfaction with the acute pain service in surgical ward setting. Nursing Praxis in New Zealand, 26(1), 14–26.
Abstract: Traces the establishment of acute pain services (APS) in the 1990s within hospitals both nationally and internationally. Explores, by means of a survey, the level of nursing satisfaction within one large hospital. Distributes questionnaires to 58 nursing staff working in association with the APS to ascertain satisfaction with regard to availability, communication and contribution to increased knowledge..
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Prior, P., Wilkinson, J., & Neville, S. (2010). Practice nurse use of evidence in clinical practice : a descriptive survey. Nursing Praxis in New Zealand, 26(2), 14–25.
Abstract: Describes nurses' perceptions of their use of evidence-based practice, attitudes toward evidence-based practice and perceptions of their knowledge/skills associated with evidence-based practice. Determines the effect of educational preparation on practice, attitudes, and knowledge/skills toward evidence-based practice. Utilises a descriptive survey design to poll 55 West Auckland practice nurses working the general practice setting.
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Adams, S., Cook, C., & Jones, M. (2021). Jocelyn Keith's prescient question about the human right to health and healthcare. Nursing Praxis in New Zealand, 37(1). Retrieved June 12, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2021.003
Abstract: Reflects on a paper by Jocelyn Keith delivered at the conference of the Australian and New Zealand Association for the Advancement of Science, entitled 'The Right to Health or the Right to Health Care'. Places the article in the context of the UN Convention on the Rights of Persons with Disabilities, 2006, the UN Declaration of the Rights of Indigenous Peoples. 2007, and the WHO Sustainable Development Goals, 2015. Considers the need to redress disparities in health in relation to the Health and Disability Systems Review, 2020.
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Wheeler, C. (1994). The diagnosis of schizophrenia and its impact on the primary caregiver. Nursing Praxis in New Zealand, 9(3), 15–23.
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Coats, A., & Marshall, D. (2013). Inpatient hypoglycaemia : a study of nursing management. Nursing Praxis in New Zealand, 29(2), 15–24.
Abstract: Uses a retrospective audit of inpatient treatment and progress notes to examine nursing adherence to a hypoglycaemic protocol. Includes adult medical and surgical inpatients with type 1 or 2 diabetes who had experienced hypoglycaemia during a three-month period. Describes the treatment of hypoglycaemic episodes and variation from the established protocol. Identifies a high degree of recurrent and prolonged hypoglycaemia.
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Marcinkowski, K., & McDonald, B. (2006). Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative. Nursing Praxis in New Zealand, 22(3), 15–21.
Abstract: This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty.
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Hughes, M., & Farrow, T. (2005). Invisible borders: Sexual misconduct in nursing. Nursing Praxis in New Zealand, 21(2), 15–25.
Abstract: This paper identifies the issue of sexual misconduct by nurses in New Zealand. There is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, the authors make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
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Drake, M., & Stokes, G. (2004). Managing pre-registration student risk: A professional and legislative minefield. Nursing Praxis in New Zealand, 20(1), 15–27.
Abstract: This article reports data from 15 schools of nursing, surveyed to identify difficulties experienced by nurse educators with respect to entry, progression and programme completion of undergraduate nursing students. Risk assessment, along with a lack of clear policy and procedures were found to be the main problem areas. Difficulties were exacerbated for educators when there were challenges to their professional judgement, either from the Nursing Council of New Zealand or from within their own institution. The authors argue for more recognition of the dual role of nurse educators, and greater clarification of the Nursing Council of New Zealand role in regulating the student's programme entry and progression, and ultimate admission to the Register. It is suggested that the recently passed Health Practitioners Competence Assurance Act (2003) provides nursing with an opportunity to address some of these issues.
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Clendon, J., & Krothe, J. (2004). The nurse-managed clinic: An evaluative study. Nursing Praxis in New Zealand, 20(2), 15–23.
Abstract: Part of an international project, the aim of this study was to evaluate a nurse managed primary health care clinic (Mana Health Clinic) from the perspectives of users, funders, and providers of clinical services in order to identify factors which contribute to success. The method used was Fourth Generation Evaluation (FGE) whereby, consistent with the methodological precepts of the constructivist enquiry paradigm, there was active involvement of clients in the process and outcome of the evaluation. Open-ended interviews were conducted with 13 individuals and one focus group. The data yielded four main categories: factors that contribute to success; contrasting past experience of health care with that of nurse-managed care; the effectiveness of nurse-managed care; and suggestions for change in current practice. The authors note that the results to date support a tentative conclusion of success for the clinic. As the study is on-going, summaries of the four categories were fed back to the participants for further discussion and interpretation and eventual integration with data from the similar study being undertaken in the United States. The authors conclude that this paper demonstrates how the use of an appropriate method of evaluation can itself contribute to the success of the nurse managed clinic.
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Farrow, T., McKenna, B., & O'Brien, A. J. (2002). Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice. Nursing Praxis in New Zealand, 18(2), 15–23.
Abstract: The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients.
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