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Author |
Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J. |
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Title |
Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units |
Type |
Journal Article |
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Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
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Volume |
17 |
Issue |
8 |
Pages  |
1035-1043 |
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Keywords |
Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison |
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Abstract |
The aim of this research is to provide an analysis of the scope of nursing practice and inter-professional role responsibility for ventilatory decision-making in Australian and New Zealand intensive care units (ICU). Self-administered questionnaires were sent to nurse managers of eligible ICUs within Australia and New Zealand. Survey responses were available from 54/180 ICUs. The majority (71%) were located within metropolitan areas and categorised as a tertiary level ICU (50%). The mean number of nurses employed per ICU bed was 4.7 in Australia and 4.2 in New Zealand, with 69% (IQR: 47-80%) of nurses holding a postgraduate specialty qualification. All units reported a 1:1 nurse-to-patient ratio for ventilated patients with 71% reporting a 1:2 nurse-to-patient ratio for non- ventilated patients. Key ventilator decisions, including assessment of weaning and extubation readiness, were reported as predominantly made by nurses and doctors in collaboration. Overall, nurses described high levels of autonomy and influence in ventilator decision-making. Decisions to change ventilator settings, including FiO(2) (91%, 95% CI: 80-97), ventilator rate (65%, 95% CI: 51-77) and pressure support adjustment (57%, 95% CI: 43-71), were made independently by nurses. The authors conclude that the results of the survey suggest that, within the Australian and New Zealand context, nurses participate actively in ventilation and weaning decisions. In addition, they suggest, the results support an association between the education profile and skill-mix of nurses and the level of collaborative practice in ICU. |
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Call Number |
NRSNZNO @ research @ |
Serial |
962 |
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Author |
Tweed, C.; Tweed, M. |
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Title |
Intensive care nurses' knowledge of pressure ulcers: Development of an assessment tool and effect of an educational program |
Type |
Journal Article |
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Year |
2008 |
Publication |
American Journal of Critical Care |
Abbreviated Journal |
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Volume |
17 |
Issue |
4 |
Pages |
338-347 |
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Keywords |
Intensive care nursing; Training; Evaluation |
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Abstract |
The aim of this study was to assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational programme on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed three times: before an educational programme, within two weeks after the programme, and 20 weeks later. Completion of the educational programme resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational programme. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational programme, but soon returned to baseline. |
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Call Number |
NRSNZNO @ research @ |
Serial |
958 |
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Author |
Bear, Rebecca |
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Title |
Kangaroo Mother Care: Participatory action research within a Neonatal Intensive Care Unit in Aotearoa New Zealand |
Type |
Book Whole |
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Year |
2019 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
318 p. |
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Keywords |
Neonatal Intensive Care Units; Kangaroo Mother Care (KMC); Mother-infant attachment; Participatory Action Research |
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Abstract |
Illustrates the use of participatory action research (PAR) to assist in the improvement of Kangaroo Mother Care (KMC) in one Neonatal Intensive Care Unit (NICU) in a NZ hospital, by means of audit, observation and interview. Describes the unfolding processes of PAR, as well as the inclusion of a secondary discourse analysis and parental perspectives from local and global literature. |
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Call Number |
NZNO @ research @ |
Serial |
1692 |
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Author |
Yu, Shufen [Fiona] |
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Title |
Exploring resilience in Intensive Care Nurses in New Zealand |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
314 p. |
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Keywords |
Resilience; Intensive care nurses; Physical activity; 12-hour shifts |
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Abstract |
Investigates intensive care nurses' resilience levels and their association with personal factors and physical activity behaviour; physical work activity behaviour during a 12-hour shift; and clustered physical activity profiles and associations with resilience. Performs a cross-sectional study with intensive care nurses from four units at three hospitals in Auckland. Employs accelerometry to measure participants' physical activity during four days, two at work and two in their own time, and uses the Connor-Davidson Resilience Scale to measure resilience levels. |
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Call Number |
NZNO @ research @ |
Serial |
1767 |
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Author |
Mackle, Diane |
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Title |
Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
299 p. |
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Keywords |
Oxygen therapy; Intensive Care Units (ICU); Intensive care nurses; ICU patients |
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Abstract |
Investigates the effects of participation in the Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen therapy (ICU-ROX) randomised controlled trial, on attitudes and practices in relation to ICU oxygen therapy. Distributes a practitioner attitudes survey to 112 specialist doctors and 153 ICU nurses. Performs both inception and retrospective cohort studies using the Australian and NZ ICU adult patient database before, and post-publication of the ICU-ROX trial results. |
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Call Number |
NZNO @ research @ |
Serial |
1766 |
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Author |
Minton, Claire Maree |
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Title |
A multicase study of a prolonged critical illness in the Intensive Care Unit : patient, family and nurses' trajectories |
Type |
Book Whole |
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Year |
2017 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
279 p. |
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Keywords |
Critical care; Intensive Care Units; Chronic Illness Trajectory Framework; Surveys |
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Abstract |
Examines the experiences of the patient, their family and healthcare professionals during the trajectory of a prolonged critical illness in an Intensive Care Unit (ICU). Conducts a qualitative, instrumental, multi-case study informed by the Chronic Illness Trajectory Framework. Analyses data from six linked cases (patient, family and clinicians) in four ICUs over a two-year period. Argues that identifying the sub-phases of a prolonged critical illness trajectory allows targeted interventions for each sub-phase. |
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Call Number |
NZNO @ research @ |
Serial |
1814 |
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Author |
Haji Vahabzadeh, Ali |
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Title |
Optimal Allocation of Intensive Care Unit nurses to Patient-At-Risk-Team |
Type |
Book Whole |
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Year |
2018 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
224 p. |
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Keywords |
Intensive Care Units; Intensive care nursing; Patients; Mortality; Health economics |
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Abstract |
Explains the need for nurse-led Patient-at-Risk-Teams(PART) to prevent unnecessary ICU admissions. Investigates which nurse allocation policy between PART and ICU would result in the best outcomes for patients and hospitals. Provides econometric models to estimate the impact of critical care nurses on hospital length of stay. Proposes queueing and simulation models to obtain the optimal nurse allocation policy for minimising the ICU mortality rate. Validates proposed models at Middlemore Hospital from 2015 to 2016. Estimates the financial and mortality impact of allocating another nurse to PART per shift. |
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Call Number |
NZNO @ research @ |
Serial |
1647 |
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Author |
O'Bery, Scholastica Sussanah |
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Title |
Registered Nurses experiences, knowledge and practice of kangaroo care for preterm babies in two Neonatal Intensive care units in South Island of New Zealand |
Type |
Book Whole |
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Year |
2020 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
161 p. |
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Keywords |
Kangaroo care; Premature infants; Neonatal Intensive Care Unit; Surveys |
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Abstract |
Explores registered nurses' (RN) experiences, knowledge and practice of kangaroo care (KC) for preterm infants. Highlights factors promoting or hindering the uptake of the practice in two neonatal intensive care units in both the Canterbury and Southland DHBs. Undertakes a qualitative, semi-structured interview-based study with 14 RNs highlighting the use of KC in everyday clinical practice. |
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Call Number |
NZNO @ research @ |
Serial |
1764 |
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Author |
Pirret, A.M. |
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Title |
The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making |
Type |
Journal Article |
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Year |
2007 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
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Volume |
23 |
Issue |
3 |
Pages |
145-155 |
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Keywords |
Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education |
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Abstract |
The objective of this paper is to outline a study firstly, assessing ICU nurses' ability in articulating respiratory physiology to provide rationale for their clinical decision-making and secondly, the barriers that limit the articulation of this knowledge. Using an evaluation methodology, multiple methods were employed to collect data from 27 ICU nurses who had completed an ICU education programme and were working in one of two tertiary ICUs in New Zealand. Quantitative analysis showed that nurses articulated a low to medium level of knowledge of respiratory physiology. Thematic analysis identified the barriers limiting this use of respiratory physiology as being inadequate coverage of concepts in some ICU programmes; limited discussion of concepts in clinical practice; lack of clinical support; lack of individual professional responsibility; nurses' high reliance on intuitive knowledge; lack of collaborative practice; availability of medical expertise; and the limitations of clinical guidelines and protocols. These issues need to be addressed if nurses' articulation of respiratory physiology to provide rationale for their clinical decision-making is to be improved. |
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Call Number |
NRSNZNO @ research @ |
Serial |
933 |
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Author |
Lala, Anita Carol |
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Title |
Variability in neonatal gentamicin administration influencing drug delivery kinetics |
Type |
Book Whole |
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Year |
2016 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
109 p. |
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Keywords |
Drugs; Drug delivery; Neonates; Neonatal nurses; Neonatal Intensive Care Units; Surveys |
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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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Call Number |
NZNO @ research @ |
Serial |
1574 |
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Author |
Hackney, Leah H. |
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Title |
Examining the relationship between coping strategies, burnout, bullying, and distress in Registered Nurses working in intensive care and progressive care |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
106 p. |
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Keywords |
Burnout; Bullying; Psychological distress; Coping styles; RNs; Intensive care unit; Progressive care unit; Surveys |
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Abstract |
Expands on existing research on the impact of coping constructs, derived from coping theory, on the inter-related issues of burnout, bullying, and psychological distress in RNs working in acute hospital settings, specifically Intensive Care Units (ICU) and Surgical Progressive Care Units (SPCU). Aims to demonstrate a positive relationship between burnout and bullying. Uses a quantitative cross-sectional design, collecting data via electronic questionnaire from RNs working in Christchurch Hospital's ICU and SPCU. |
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Call Number |
NZNO @ research @ |
Serial |
1841 |
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Author |
Lui, D.M.K. |
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Title |
Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Neonatal Nursing |
Abbreviated Journal |
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Volume |
9 |
Issue |
3 |
Pages |
91-96 |
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Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel |
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Abstract |
Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU. |
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Call Number |
NRSNZNO @ research @ 966 |
Serial |
950 |
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Author |
Powell, J. |
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Title |
Caring for patients after an ICU admission |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
7 |
Pages |
24-25 |
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Keywords |
Intensive care nursing; Nurse-patient relations; Trauma; Communication |
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Abstract |
The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education. |
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Call Number |
NRSNZNO @ research @ |
Serial |
954 |
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Author |
Malik, Zaffer Khan Cusi |
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Title |
Reviving resuscitation skills: Non-invasive ventilator training for ward nurses |
Type |
Journal Article |
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Year |
2021 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
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Volume |
37 |
Issue |
3 |
Pages |
22-24 |
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Keywords |
COVID-19; Intensive care; Non-invasive ventilation; Resuscitation; Clinical teaching |
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Abstract |
Describes the initiative at Wellington Regional Hospital to upskill ward nurses with non-invasive ventilation training as part of the pro-active response in anticipation of COVID-19 patients. Backgrounds the circumstances and practicalities of creating, teaching, and training advanced skills (non-invasive ventilation education) to ward nurses with limited respiratory experience. |
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Call Number |
NZNO @ research @ |
Serial |
1728 |
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Author |
Atherton, Susan; Crossan, Michael; Honey, Michelle |
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Title |
The impact of simulation education amongst nurses to raise the option of tissue donation in an intensive care unit |
Type |
Journal Article |
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Year |
2020 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
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Volume |
36 |
Issue |
1 |
Pages |
20-29 |
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Keywords |
Simulation education; Tissue donation; Intensive care unit |
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Abstract |
Explores the impact of simulation education on nurses' perception and experiences of raising the option of tissue donation with families of deceased patients in an intensive care unit. Conducts semi-structured interviews with 5 of 21 nurses participating in simulated education sessions involving family conversations about donation. Identifies four themes: rehearsal, confidence, nurse-family relationship, and sharing. |
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Call Number |
NZNO @ research @ |
Serial |
1673 |
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| Permanent link to this record |
