| Records |
| Author |
Turnwald, A.B. |
| Title |
Acute Hypercarbia in Chronic Obstructive Pulmonary Disease (COPD): Presentations to a New Zealand emergency department |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages  |
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| Keywords |
Chronically ill; Clinical assessment; Emergency nursing |
| Abstract |
A retrospective descriptive design was used to examine the records of all presentations to the emergency department of patients with COPD over a 3-month period to determine whether there is a subset group of people who present with hypercarbia. There were 114 presentations, amongst those there were 71 individuals, a number presenting more than once within the three months. 80% of the 71 individuals had a smoking history of which 53% were female. Of the 114 presentations, 76 had arterial blood gases taken during their emergency department presentation. Of these 76 presentations 30 had hypercarbia and 46 were non-hypercarbia. These 76 presentations involved 58 individuals, with some individuals presenting five times over the three-month period. Three groups emerged, some who were only hypercarbia (n= 18), some in the non-hypercarbia group (n=35) and 5 individuals who had presentations in both the hypercarbia and non-hypercarbia groups. Data showed that there was no definable subset group of hypercarbia patients within acute exacerbations of COPD presenting to the emergency department according to the variables. However the sample of presentations (with a blood gas) found within the study suffering hypercarbia was much higher (31.1%) than anticipated. Further analysis showed that the hypercarbia group had a significant lower forced expiratory volume in one second (FEV1) and a combination diagnosis of emphysema or asthma and congestive heart failure. An implication to the clinician is that identification of hypercarbia within COPD exacerbation is problematically difficult until the late signs are shown with the individual. By that time effective treatment patterns may have changed from the initial presenting problem. The author concludes that future areas of research within this field needs to lie within the community, and look at when these people start the exacerbation, what leads them to progression presentation to the emergency department, and whether these people are chronic sufferers of hypercarbia or presenting after a period of days exacerbation within their own home. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1210 |
| Permanent link to this record |
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| Author |
Gare, L. |
| Title |
Patient experience of joint replacement education: A joint venture |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Nurse-patient relations; Health education; Communication |
| Abstract |
The aim of this research was to explore patients' educational experiences and the usefulness and benefits of this health education in the rehabilitation period, when undertaking a total joint replacement. An exploratory, qualitative descriptive study method was used to describing patients' experiences of health education. Five participants, convenience sampled, were interviewed eight to twelve weeks post surgery following unilateral total joint replacement in a tertiary hospital. Participants valued the education they received pre operatively, which included written material, video and individual interaction with varied health professionals. Although this was provided in a timely manner, evidence showed limited post operative reinforcement and follow up of given education and preparation for discharge. Three 'partnership' themes were identified from data, Communicative, Subservient and Knowledge. 'Communicative Partnership' conceptualised the participants' experiences of the nurse-patient relationship, whilst 'Subservient Partnership' captured the participants' experiences of 'being' patients. 'Knowledge Partnership' combined the participants' ideas about knowledge and their retention of this knowledge to assist with their rehabilitation post surgery. The needs and experiences of patients after total joint replacement reflect on transitional change – changes in roles, behaviour, abilities and relationships. Educational contents need to reflect a realistic recovery process to assist with this transitional period, delivered by health care professionals in a manner best suited for patients. |
| Call Number |
NRSNZNO @ research @ 1235 |
Serial |
1220 |
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| Author |
Atkinson,J. |
| Title |
Experiences of relatives in an emergency department accompanying a non-critically ill family member [electronic resource] : a hermeneutic study |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Held by Lakes DHB Library (ROM) |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
A dissertation presented in part fulfillment of the requirements for Master of Health Science, Auckland University of Technology. |
| Call Number |
NZNO @ research @ |
Serial |
1368 |
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| Author |
Phibbs, S.; Curtis, B. |
| Title |
Gender, nursing and the PBRF |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
22 |
Issue |
2 |
Pages |
4-11 |
| Keywords |
Research; Sex discrimination; Administration; Education |
| Abstract |
The authors examine gender based disparities for academics with respect to remuneration, academic grading and Perfomance Based Research Fund (PBRF) scores, whereby women do less well than men in each of these areas. In this article individualised explanations for the failure of women to progress are set in the context of a critical exploration of the PBRF evaluation methodology. It is argued that both academia and the PBRF research assessment exercise embody a form of academic masculinity that systematically disadvantages women in general and nursing in particular. |
| Call Number |
NRSNZNO @ research @ 538 |
Serial |
524 |
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| Author |
Harding, T.S. |
| Title |
New strategies in evidence based practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Klinisk sygepleje |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
3 |
Pages |
4-11 |
| Keywords |
Evidence-based medicine; Nursing; Education; Curriculum |
| Abstract |
This article considers wider organisational issues that impact on the implementation of evidence based practice. It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand. This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education. Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
778 |
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| Author |
Neville, S.J.; Alpass, F. |
| Title |
Older men and worries: The impact on well-being |
Type |
Journal Article |
| Year |
2006 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
| Volume |
14 |
Issue |
1 |
Pages |
4-7 |
| Keywords |
Older people; Male; Geriatric nursing |
| Abstract |
The aim of this research was to investigate the relationship between worries and psychological well-being, and self-rated health in older men. A cross-sectional survey method was used to investigate the research aim. A group of men aged 65 years and over (n = 217), who lived in a small New Zealand city, participated in this study. Results from this research revealed that worries about physical abilities and health were significantly related to a decrease in psychological well-being and self-rated health. Gerontological nurses are challenged to be cognisant of older men's concerns about their health and physical ability. |
| Call Number |
NRSNZNO @ research @ 1323 |
Serial |
1307 |
| Permanent link to this record |
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| Author |
Gardner, G.; Dunn, S.; Carryer, J.B.; Gardner, A. |
| Title |
Competency and capability: Imperative for nurse practitioner education |
Type |
Journal Article |
| Year |
2006 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
The author-version of article, available online from Queensland University of Technology ePrints arc |
| Volume |
24 |
Issue |
1 |
Pages |
8-14 |
| Keywords |
Nursing; Education; Nurse practitioners; Curriculum |
| Abstract |
The objective of this study was to conduct research to inform the development of standards for nurse practitioner education in Australia and New Zealand and to contribute to the international debate on nurse practitioner practice. The research was conducted in all states of Australia where the nurse practitioner is authorised, and in New Zealand. The research was informed by multiple data sources including nurse practitioner programme curricula documents from relevant universities in Australia and New Zealand, interviews with academic convenors of these programmes and interviews with nurse practitioners. Findings include support for masters level of education as preparation for the nurse practitioner. These programs need to have a strong clinical learning component and in-depth education for the sciences of specialty practice. Additionally an important aspect of education for the nurse practitioner is the centrality of student directed and flexible learning models. This approach is well supported by the literature on capability. |
| Call Number |
NRSNZNO @ research @ |
Serial |
882 |
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| Author |
Strickland, A. |
| Title |
Nurse-initiated retinoblastoma service in New Zealand |
Type |
Journal Article |
| Year |
2006 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
1 |
Pages |
8-10 |
| Keywords |
Case studies; Nursing specialties; Children; Quality of health care; Evaluation |
| Abstract |
This article describes the implementation of a nurse-led, dedicated support network and service for children with a diagnosis of retinoblastoma and their families. Nurses with an interest in retinoblastoma at an Auckland Ophthalmology Department realised that the service provided was not meeting the needs of patients and families, particularly since the numbers had increased over the past two years. This article outlines the development of a cost-effective approach that improved the service. |
| Call Number |
NRSNZNO @ research @ |
Serial |
884 |
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| Author |
Wiffin, L. |
| Title |
Treating depression during pregnancy: Cognitive behavioural therapy as a treatment option |
Type |
Journal Article |
| Year |
2006 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
| Volume |
14 |
Issue |
1 |
Pages |
8-12 |
| Keywords |
Pregnancy; Mental health; Stress |
| Abstract |
This article reviews the use of cognitive behavioural therapy (CBT) for pregnant women suffering from depressive symptoms. CBT provides a structured, short-term, collaborative process between clinician and client, using strategies and techniques to identify dysfunctional thinking and beliefs, challenge and change these beliefs, then implement new rational beliefs and behaviours. A process of engagement, assessment and conceptualisation is followed by treatment planning and implementation, and modification of dysfunctional thinking and behaviours. Use of CBT to treat depression in women during pregnancy is supported by the literature, especially where pharmacological intervention is declined or contraindicated. Pregnancy can bring stressors that combine with biological factors and core beliefs to contribute to depressive symptoms. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1308 |
| Permanent link to this record |
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| Author |
Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H. |
| Title |
Characteristics of adolescent depression |
Type |
Journal Article |
| Year |
2006 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
15 |
Issue |
1 |
Pages |
10-18 |
| Keywords |
Psychiatric Nursing; Mental health; Adolescents |
| Abstract |
This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively. |
| Call Number |
NRSNZNO @ research @ 1065 |
Serial |
1050 |
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| Author |
McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. |
| Title |
Responsible clinician role offers opportunities for nurses |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
11 |
Pages |
12-14 |
| Keywords |
Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health |
| Abstract |
The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
992 |
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| Author |
Arcus, K.J.; Wilson, D. |
| Title |
Choosing Whitireia as a political act: Celebrating 20 years of a nurse education at Whitireia Community Polytechnic 1986-2006 |
Type |
Journal Article |
| Year |
2006 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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| Volume |
13 |
Issue |
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Pages |
12-24 |
| Keywords |
Cultural safety; Curriculum; Nursing; Education |
| Abstract |
In 2006, Whitireia Community Polytechnic celebrates 20 years of tertiary education. Nursing was one of the first courses to start at the new Parumoana Community College in February 1986. Oral histories, gathered from the women who have been the leaders of the undergraduate nursing programme throughout these two decades, form the basis of this article. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1038 |
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| Author |
Marcinkowski, K.; McDonald, B. |
| Title |
Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
22 |
Issue |
3 |
Pages |
15-21 |
| Keywords |
Surgery; Hospitals; Economics |
| 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. |
| Call Number |
NRSNZNO @ research @ 533 |
Serial |
519 |
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| Author |
Macfie, B. |
| Title |
Assessing health needs and identifying risk factors |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
6 |
Pages |
16-18 |
| Keywords |
Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket |
| Abstract |
In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas. |
| Call Number |
NRSNZNO @ research @ |
Serial |
974 |
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| Author |
Polley, H. |
| Title |
Treating wounds with oxygen |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
2 |
Pages |
16-17 |
| Keywords |
Technology; Evidence-based medicine |
| Abstract |
This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited. |
| Call Number |
NRSNZNO @ research @ 1012 |
Serial |
996 |
| Permanent link to this record |
