Records |
Author |
Kaviani, N.; Stillwell, Y. |
Title |
An evaluative study of clinical preceptorship |
Type |
Journal Article |
Year |
2000 |
Publication |
Nurse Education Today |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
218-226 |
Keywords |
Preceptorship; Nursing; Education; Evaluation research |
Abstract |
A preceptorship programme of 100 hours duration was developed and delivered by a nurse education institute, in consultation with a health care organisation. The purpose of the study was to examine preceptors, preceptees, and nurse managers' preceptions of the preceptor role and factors which influenced the performance of preceptors. Using focus groups, participants were each asked to identify the outcomes of the programme in practice. Study findings highlighted the importance of formal preceptor preparation, personal and professional development of the preceptors, and the promotion of positive partnerships between nurse educators and nurse practitioners. The need for formal recognition of the preceptor role in practice, particularly in relation to the provision of adequate time and resources, emerged from the study. The research findings enabled the development of an evaluative model of preceptorship, which highlights the intrinsic and extrinsic factors impacting on the preceptor role |
Call Number |
NRSNZNO @ research @ |
Serial |
654 |
Permanent link to this record |
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Author |
Banks, J.; McArthur, J.; Gordon, G. |
Title |
Flexible monitoring in the management of patient care process: A pilot study |
Type |
Journal Article |
Year |
2000 |
Publication |
Lippincott's Case Management |
Abbreviated Journal |
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Volume |
5 |
Issue |
3 |
Pages |
94-106 |
Keywords |
Hospitals; Cardiovascular diseases; Nursing |
Abstract |
This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas. |
Call Number |
NRSNZNO @ research @ |
Serial |
1091 |
Permanent link to this record |
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Author |
Chadwick, A.; Hope, A. |
Title |
In pursuit of the named nurse |
Type |
Journal Article |
Year |
2000 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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Volume |
13 |
Issue |
4 |
Pages |
6-9 |
Keywords |
Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations |
Abstract |
This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required. |
Call Number |
NRSNZNO @ research @ |
Serial |
924 |
Permanent link to this record |
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Author |
Teekman, B.; Stillwell, Y. |
Title |
Exploring reflective thinking in nursing practice |
Type |
Journal Article |
Year |
2000 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
31 |
Issue |
5 |
Pages |
1125-1135 |
Keywords |
Nursing; Problem solving; Experiential learning |
Abstract |
Sense-Making, a qualitative research method, was used to obtain and analyse data from interviews with 10 registered nurses, in order to study reflective thinking in actual nursing practice. Ten non-routine nursing situations were analysed for the presence of reflective thinking. Reflective thinking was extensively manifest, especially in moments of doubt and perplexity, and consisted of such cognitive activities as comparing and contrasting phenomena, recognising patterns, categorising perceptions, framing, and self-questioning in order to create meaning and understanding. Self-questioning was identified as a significant process within reflective thinking. By exploring and analysing the type of questions respondents were asking themselves, the study uncovered three hierarchical levels of reflective thinking, focussed on action, evaluation and critical enquiry. The findings of this study resulted in the development of a model of reflective thinking, which is discussed in terms of the implications for learning in nursing practice. |
Call Number |
NRSNZNO @ research @ |
Serial |
655 |
Permanent link to this record |
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Author |
Paterson, M. |
Title |
Dealing with life and death decisions |
Type |
Journal Article |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
7 |
Pages |
14-16 |
Keywords |
Ethics; Nursing; Patient rights; Clinical decision making; Euthanasia |
Abstract |
This article examines the implications for nurses of not-for-resuscitation orders and orders to withdraw treatment. The rights of patients and correct procedure in the case of not-for-resuscitation or do-not-resuscitate orders are considered, as well as the ethical dilemma facing nurses in cases of the withdrawal of treatment. Guidelines are offered to assist nurses in reaching an ethical decision to withdraw treatment. Euthanasia is defined and case law decisions on not-for-resuscitation and treatment withdrawal are cited. |
Call Number |
NRSNZNO @ research @ |
Serial |
1017 |
Permanent link to this record |
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Author |
Carr, J. |
Title |
Ensuring consent is informed |
Type |
Journal Article |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
7 |
Pages |
22-23 |
Keywords |
Patient rights; Law and legislation |
Abstract |
The author examines the concept of informed consent as it applies to patients and as it is obtained by nurses. The principles of autonomy, beneficence and non-maleficence are discussed. How these principles inform critical care nursing is explored and five inappropriate uses of technology in resuscitation are used as examples. |
Call Number |
NRSNZNO @ research @ |
Serial |
1018 |
Permanent link to this record |
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Author |
Ho, T. |
Title |
Ethical dilemmas in neonatal care |
Type |
Journal Article |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
7 |
Pages |
17-19 |
Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Clinical decision making |
Abstract |
The author explores possible approaches to the ethical dilemma confronting nurses of critically ill premature infants with an uncertain or futile outcome despite aggressive neonatal intensive care. A case history illustrates the issues. The morality of nursing decisions based on deontological and utilitarian principles is examined, as are the concepts of beneficence and non-maleficence. A fusion of virtue ethics and the ethic of care is suggested as appropriate for ethical decision-making in the neonatal intensive care environment. |
Call Number |
NRSNZNO @ research @ 1035 |
Serial |
1019 |
Permanent link to this record |
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Author |
Perry, I. |
Title |
Identifying the 'norms' of nursing culture |
Type |
Journal Article |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
9 |
Pages |
20-22 |
Keywords |
Nursing; Nursing philosophy |
Abstract |
The author investigates the premises that form the basis of nursing practice in acute care. Assumptions about patients and caregiving are often at odds with each other. The origins of these tenets are mapped from Florence Nightingale through to present nursing theorists. Overlapping areas of nursing and medical care in the acute care setting are examined, and the conflict that can arise between traditional nursing care and the expected medical nursing role is examined. He argues that the challenge for acute care nurses is to find a balance between normative nursing and the medical model. |
Call Number |
NRSNZNO @ research @ 1036 |
Serial |
1020 |
Permanent link to this record |