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Author Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type Journal Article
Year 1999 Publication Nursing Ethics Abbreviated Journal
Volume 6 Issue 5 Pages 423-433
Keywords (up) Ethics; Nursing; Education
Abstract This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse's story taken from the study is offered and suggestions are made for nursing ethics education.
Call Number NRSNZNO @ research @ Serial 1092
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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
Volume 6 Issue 7 Pages 14-16
Keywords (up) 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
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Author Johns, S.
Title Being constrained and enabled: A study of pre-registration nursing students ethical practice Type
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords (up) Ethics; Nursing; Students
Abstract This study uncovers the experience of being ethical from the perspective of pre-registration nursing students. Using the qualitative methodology of phenomenology, specifically that outlined by van Manen, it seeks to show how students act ethically within everyday practice. Providing nursing care is an ethically charged undertaking and despite ethics taking an increasingly important place in nursing education, the author suggests that few studies show the contextual nature of ethical practice from the perspective of students. This study aims to partly redress this situation. In this study the author has interpreted the experiences of twelve pre-registration students. Using seventeen stories shared by the student participants, the author's personal understandings and literature, the meaning of being ethical has been illuminated. Three themes emerged from the interpretation. These include 'keeping things 'nice'', 'being true to yourself' and 'being present'. This thesis asserts that the overarching theme within these themes is that of 'being constrained and enabled'. Being constrained shows the experiences of students as they live through the tensions of being and doing as they strive to be ethical. Being enabled shows the experience of self-determination. Finally the study maintains that the shaping of ethical practice for undergraduate students may be enhanced when their reality is positioned and valued within educational processes.
Call Number NRSNZNO @ research @ 614 Serial 600
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Author Song, Jenny
Title Ethics education in nursing: challenges for nurse educators Type Journal Article
Year 2018 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 9 Issue 1 Pages 12-17
Keywords (up) Ethics; Undergraduate nursing education; Case studies; Nursing students
Abstract Explores the experiences of a group of nurse educators responsible for teaching ethics to undergraduate nursing students. Discusses the ethical challenges they encounter in their classroom practice. Employs a case study approach to explore the experiences of seven educators working at a large tertiary institution. Interviews them to ascertain the challenges they face in teaching ethics to nursing students, and how best to overcome them.
Call Number NZNO @ research @ Serial 1595
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Author Litchfield, M.
Title Towards a people-pivotal paradigm for healthcare: Report of the Turangi primary health care nursing innovation 2003-2006 Type Manuscript
Year 2006 Publication Abbreviated Journal Held by the Ministry of Health, publication pending
Volume Issue Pages
Keywords (up) Evaluation; Community health nursing; Nursing models; Interprofessional relations
Abstract This report presents the findings of the developmental evaluation programme for the three-year innovation project. It includes the model of the integrative nursing service scheme with mobile whanau/family nurses as the hub of healthcare provision for a new paradigm of service design and delivery spanning primary-secondary-tertiary sectors. The form of healthcare the local people received, the nature of the nursing practice and role, service delivery and employment parameters required to support the nurses in practice are presented. The service configuration model subsequently gave the structure to Lake Taupo Primary Health Organisation with the hub of family nurses with a mobile comprehensive practice.
Call Number NRSNZNO @ research @ Serial 1178
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Author Johnson, H.
Title Clinical trials in the intensive care setting: A nursing perspective Type
Year 2008 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords (up) Evaluation; Intensive care nursing
Abstract As carers of patients who are clinical research participants, nurses' contribution to the success of clinical trials is acknowledged in the literature. Ethical dilemmas and challenges that clinical trials may present for nurses are also recognised. Although there is some discussion regarding these issues, few studies explore and identify the perceptions of intensive care nurses regarding clinical trials and how they may impact on nursing practice. This thesis explores and describes the viewpoints and experiences of sixty intensive care nurses from a tertiary level referral centre in New Zealand engaged in clinical research activities. The descriptive study utilised a self-administered questionnaire to gather information regarding nurses' roles in clinical trials, associated issues encountered and contributory factors, and the impact of issues on nursing practice, stress and satisfaction levels. Suggestions for potential strategies to minimise the impact of issues on nurses' practice were also sought. Descriptive statistical and content data analyses identified three key areas in which nurses' encounter issues associated with clinical trials and their practice: nurses' workload; ethical concerns; educational preparation and support. The findings indicate that, when issues exist in these areas, routine patient care can be delayed, the enactment of nurses' patient advocacy role can be affected, and nurses' stress and satisfaction levels can be negatively impacted upon. The perceptions of a group of intensive care nurses who are enveloped in the daily balance of patient care, the need for clinical research, and their professional obligations are discussed in this thesis. While the study's findings are reflective of one group of nurses in a distinct practice setting, their experiences can prompt other nurses, research teams and clinical leaders to reflect upon their own clinical research environment.
Call Number NRSNZNO @ research @ Serial 923
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Author Pirret, A.M.
Title The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making Type Journal Article
Year 2007 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 23 Issue 3 Pages 145-155
Keywords (up) Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education
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.
Call Number NRSNZNO @ research @ Serial 933
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Author Cameron, Megan
Title Evaluation report of a postgraduate specialty programme: is a specialty nursing qualification delivering what it says it does? Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 37-45
Keywords (up) Evaluation; Primary health care; Nursing; Well Child/Tamariki Ora; Postgraduate study; Surveys
Abstract Examines whether a postgraduate programme for Well Child/Tamariki Ora (WCTO) nurses prepares nurses new to child health to understand primary health care, health promotion, community nursing and nursing theory. Uses on online survey devised by Plunket National Educators to evaluate the (WCTO) strand of the Postgraduate Certificate in Primary Health Care Specialty Nursing curriculum against the delivery of the programme. Assesses student experience and student perceptions of the impact of their learning on their nursing practice. Considers whether it enables nurses to consider the specific populations in their care, or to encourage individuals, families and communities to increase their skills in health-focused daily living. Seeks to ascertain whether the structure of the programme, based on the clinical integration approach, supports nursing practice and academic study.
Call Number NZNO @ research @ Serial 1549
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Author Manning, J.
Title Formative assessment: Using feedback to enhance learning Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 47-65) Abbreviated Journal
Volume Issue Pages
Keywords (up) Evaluation; Teaching methods; Nursing; Education
Abstract This paper explores the literature surrounding the development, definition, process and value of formative feedback. In particular, this review considers how formative assessment can be used by a clinical educator in the practice setting. At the end of the chapter, discussion questions are provided by Rebecca Hennephof.
Call Number NRSNZNO @ research @ Serial 766
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Author Reilly, S.
Title Barriers to evidence based practice by nurses in the clinical environment Type
Year 2005 Publication Abbreviated Journal
Volume Issue Pages
Keywords (up) Evidence-based medicine; Nursing
Abstract
Call Number NRSNZNO @ research @ 1123 Serial 1108
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Author Thompson, L.
Title Suctioning adults with an artifical airway: A systematic review Type Book Whole
Year 2000 Publication Abbreviated Journal Subscriber access at the Joanna Briggs Institute
Volume Issue Pages
Keywords (up) Evidence-based medicine; Nursing research
Abstract This systematic review was conducted by the New Zealand Centre for Evidence Based Nursing, a collaborating centre of The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. The aim was to present the best available evidence on interventions, which are effective in preventing or reducing the prevalence of complications associated with suctioning, in hospitalised adult patients with an artificial airway who are breathing spontaneously or are artificially ventilated and who require suctioning. The specific questions addressed were as follows: Which methods of suctioning reduce the prevalence of mucosal trauma or mucosal dysfunction, and promote the removal of respiratory secretions? Which techniques or methods are effective in reducing the occurrence of suctioning -induced hypoxaemia, during or following the suctioning procedure? Which techniques or methods are effective in minimising the haemodynamic or pulmonary complications associated with the suctioning procedure?
Call Number NRSNZNO @ research @ 1136 Serial 1121
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Author Hughes, C.
Title Perioperative nurses in NZ & evidence-based practice Type Journal Article
Year 2004 Publication Dissector Abbreviated Journal
Volume 31 Issue 4 Pages 8, 10-1
Keywords (up) Evidence-based medicine; Nursing specialties; Access
Abstract This project is a study of the barriers perceived by perioperative nurses to accessing and using research-based information. A survey questionnaire was distributed to 184 perioperative nurses working in five public and two private hospitals in the Auckland area. The number of completed questionnaires was 106 (57.6%). The results showed that the lack of time during work hours was ranked as the highest barrier. The results also showed that many nurses feel they do not have the skills to find and appraise research articles.
Call Number NRSNZNO @ research @ Serial 1063
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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 (up) 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 McArthur, J.; Dickinson, A.R.
Title Decision making the explicit evidence-based way: Comparing benefits, harms and costs Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 1 Pages 33-42
Keywords (up) Evidence-based medicine; Nursing; Guidelines; Clinical decision making
Abstract This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998.
Call Number NRSNZNO @ research @ Serial 639
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Author McKillop, A.M.
Title Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway Type Journal Article
Year 2004 Publication JBI Reports Abbreviated Journal
Volume 2 Issue 9 Pages 293-308
Keywords (up) Evidence-based medicine; Nursing; Guidelines; Evaluation
Abstract This report presents an evaluation of the implementation of a best practice information sheet related to tracheal suctioning of adults with an artificial airway. The Centre for Evidence-Based Nursing Aotearoa, based in Auckland, conducted a systematic review of the evidence and produced the best practice information sheet. A survey of 105 nurses was conducted at three sites, in New Zealand and Australia. Using a before/after design, data were collected at the time of release of the information sheet and then approximately 12 months later. The study suggests a trend towards a modest uptake of best practice recommendations into nursing practice demonstrated by some behavioural changes within a 12-month period in the context of an implementation plan and the best practice information sheet.
Call Number NRSNZNO @ research @ Serial 696
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