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Author Jones, Sharon Anne Sarah
Title (down) Understanding The Experience And Perceptions Of Managers And Preceptors Involved In Competency Assessment And Performance Management Of Nursing Staff Identified As Practicing Unsafely: An Evaluation Of The Effectiveness Of The Sip/Pip Framework Type Book Chapter
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 133 p.
Keywords Performance management; Competency; Preceptors; Insight; Feedback
Abstract Evaluates the SIP/PIP process to illuminate the views of the nurse managers and preceptors on the effectiveness of the SIP/PIP programme in ensuring competent practice and provides recommendations for improvement and strengthening of the framework. Uses a qualitative approach with data collected through individual semi-structured interviews with preceptors and nurse managers. Due to lack of participation in the quantitative arm a mixed-method study was not completed using an anonymous survey. Undertakes thematic data analysis utilising NVIVO 10 software. Draws four major themes from the qualitative data: (1) Feedback- insight loop, (2) Process clarity, (3) Relationships, commitment & reflective response to participation in the SIP/PIP process, (4) Barriers and enablers to the SIP/PIP process.
Call Number NZNO @ research @ Serial 1554
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Author Gregory, R.; Kaplan, L.
Title (down) Understanding residuals in Guillain-Barre Syndrome Type Journal Article
Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 10 Issue 7 Pages 16-18
Keywords Diseases; Nursing; Management
Abstract The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression.
Call Number NRSNZNO @ research @ 1013 Serial 997
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Author Litchfield, M.
Title (down) The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal Accessible from www.moh.govt.nz
Volume Issue Pages
Keywords Rural health services; Management; Primary health care
Abstract A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NZNO @ research @ Serial 1328
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Author Elbe, E.
Title (down) The private world of nursing related to incident reporting Type
Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Medical errors; Organisational culture; Risk management; Nursing
Abstract The purpose of this project was to explore the experience of nurses related to incident reporting. The reporting of incidents is important as it identifies professional risks for nurses. A descriptive qualitative approach was the methodology used and individual interviews of five senior nurses was the method of data collection. Attention was given to finding out about the supports for and barriers against nurses in reporting incidents; the outcomes for nurses of incident reporting; and the organisational culture and scope of 'professional' behaviour of nurses around incident reporting. The findings revealed that nurses identified themselves as the major reporters of incidents. They considered there was not 'a level playing field' for all professionals around who, how and why incidents were reported, investigated and within the post incident processes. The nurses reported that they made daily decisions about what was an incident, and whether to report events as incidents. They identified aids and supports to the decisions they made such as the medium for reporting and fear of what happened when the incident form left the nurse and went to management. A number of significant implications were identified for nursing, management and organisations in this research. Nurses need to feel they work in organisations which have a culture of safety around incident reporting. Management need to clearly communicate policies, processes and organisational expectations related to incident reporting. This should include how incidents will be reported, investigated and the purposes for which management use incident reporting information. It is also important that adequate structures are in place to support nurses when an incident occurs as thay can have stressful consequences for the nurses involved.
Call Number NRSNZNO @ research @ Serial 1147
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Author Slight, Carol; Marsden, Janet; Raynel, Susanne
Title (down) The impact of a glaucoma nurse specialist role on glaucoma waiting lists Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 1 Pages 38-47
Keywords Glaucoma; Nurse specialist; Nurse-led clinics; Chronic care management
Abstract Reports on the effect of a 'nurse-led' glaucoma clinic at a large metropolitan hospital, in which patients were recruited from specific categories of glaucoma patients on the waiting list. Audits the impact on the waiting list over a two-year period.
Call Number NZNO @ research @ Serial 1442
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Author Perkins, Zoe
Title (down) The experiences of nurse managers navigating between two conceptual models of leadership in Aotearoa New Zealand Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 95 p.
Keywords Leadership; Nurse managers; Professional Practice Model; Generic Management Model; Professional development
Abstract Confronts the inherent conflict for nurse managers (NM) in the dual nature of their leadership role, the Professional Practice Model (PPM) and the Generic Management Model (GMM). Examines the challenges for NMs in trying to balance the conflicting requirements of their roles. Surveys five NMs about their main challenges: role confusion, expectations, support, and professional development. Contributes to the ongoing evolution of the NM role.
Call Number NZNO @ research @ Serial 1765
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Author Haufe, Birgit; Honey, Michelle
Title (down) Role of whanau in self-management for adults receiving haemodialysis in Aotearoa New Zealand: a qualitative study Type Journal Article
Year 2019 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 35 Issue 3 Pages 15-24
Keywords Kidney disease; Chronic conditions; Haemodialysis; Self-management; Whanau
Abstract Explores the role of family/whanau on self-management of end-stage renal disease (ESRD). Conducts semi-structured interviews with 7 haemodialysis patients, of which 5 were Maori, about their perspectives on whanau's role. Highlights 3 themes: whanau support, whanau importance and whanau hindrance.
Call Number NZNO @ research @ Serial 1670
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Author McKenna, B.
Title (down) Risk assessment of violence to others: Time for action Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 1 Pages 36-43
Keywords Mental health; Workplace violence; Risk management; Nursing; Nurse-patient relations; Psychiatric nursing
Abstract The author performs a literature search on the topics of risk assessment, dangerousness, aggression, and violence in order to determine an evidence-based approach to risk assessment of patient violence towards others. This is set in the context of possible expansion in the scope of practice of mental health nurses, and the prevalence of nurses being assaulted by patients. In the absence of reliable and valid nursing risk assessment measures, the approach suggested here focuses on the use of observation skills to detect behaviour antecedent to physical assault, and the ability to adapt evidence to specific clinical settings.
Call Number NRSNZNO @ research @ Serial 621
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Author Spence, D.; Wood, E.E.
Title (down) Registered nurse participation in performance appraisal interviews Type Journal Article
Year 2007 Publication Journal of Professional Nursing Abbreviated Journal
Volume 23 Issue 1 Pages 55-59
Keywords Registered nurses; Management; Professional development; Attitude of health personnel
Abstract This article presents the findings of an interpretive study that explored and documented the meaning and impact of nurse participation in performance appraisal interviews. Data gleaned from nine New Zealand registered nurses employed by a single district health board provide evidence that nurses are often disappointed by the process of performance appraisal. Although they believe in the potential value of performance appraisal interviews, they seldom experience the feedback, direction, and encouragement necessary for an effective appraisal process. It is suggested that changes to the current professional development program and its accompanying performance appraisal will require skilled commitment on the part of nurses, managers, and the employing organisation to improve and develop the assessment and promotion of nursing practice.
Call Number NRSNZNO @ research @ Serial 840
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Author Gosnell, M.
Title (down) Postoperative pain assessment: A retrospective review of nursing documentation Type
Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Pain management; Nursing
Abstract An essential part of nursing practice for the nurse on the surgical floor is to relieve the discomfort of post operative pain for patients in their care. Post operative pain management encompasses a series of processes from assessing pain, providing relief, assessment of measures used to relieve pain through to documentation in the patient record. Yet literature, both internationally and from Australia and New Zealand, suggests that post operative pain continues to be poorly managed despite having the means to provide more than adequate relief. Events leading up to the commencement of this study indicated that locally, post operative pain assessment, including documentation in the patient record may be substandard. The objective of this study was to develop and test an audit tool; undertake a retrospective audit of nursing records, including nursing notes and the nursing care plan, in respect of what postoperative pain assessments nurses document in the patient record; evaluate data and make recommendations for practice. Methodology: A five part, 23 question Likert scale audit tool, designed specifically for this study was used to collect data over a period of two months. In total 40 patient records that met the inclusion criteria were audited.The results indicate that local practice reflects poor documentation standards found in other studies. The most complete recordings were those entered on specifically designed charts such as the Patient Controlled Analgesia and Epidural charts (N 28) but this did not carry over into the patient record. Despite that fact that the patient's self reports of pain is said to be the single most reliable indicator of pain, there was only four occasions when the patient's verbal response to pain was recorded. None of those responses were according to any type of pain rating scale. Evidence of evaluation following measures used to relieve pain was more likely to be recorded if pain was poorly controlled or when side effects such as nausea were experienced by the patient. The author concludes that overall the audit has highlighted many gaps in what is or is not recorded in the patient record in respect of post operative pain assessment and has highlighted the need to develop standards of practice that will improve post operative pain management practices.
Call Number NRSNZNO @ research @ Serial 915
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Author Smart, S.
Title (down) Post-operative pain management knowledge and attitude of paediatric nurses: A New Zealand regional view Type
Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Pain management; Paediatric nursing; Hospitals; Pharmacology
Abstract This research explored the knowledge and attitudes towards paediatric post-operative pain, within the New Zealand context of small regional hospitals. It established how nurses working in these areas obtain and update their paediatric pain management knowledge, and what is it that influences their paediatric post-operative pain management practices. A questionnaire survey of registered nurses working in three small paediatric units (5 to 12 beds), in regional secondary service hospitals was undertaken. The survey had a 79% (n=33) response rate. Findings corroborate many findings in previously published literature including that nurses do well in questions related to assessment. However pharmacological knowledge continues to be lacking. Results also indicated that while nurses have a good understanding about who is the best person to rate pain, this wasn't carried through in the clinical scenarios provided. Education is clearly an important factor in improving the knowledge and attitudes needed in clinical practice. While this survey was somewhat limited, both in size and in that a clear correlation between the results and actual clinical practice could not be made, results are significant for the areas surveyed and for the development of pain education for nurses.
Call Number NRSNZNO @ research @ 1194 Serial 1179
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Author Barton, J.
Title (down) Pain knowledge and attitudes of nurses and midwives in a New Zealand context Type
Year 2001 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Nursing; Pain management; Attitude of health personnel
Abstract
Call Number NRSNZNO @ research @ 1140 Serial 1125
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Author Garcia, Alicia; Whitehead, Dean; Winter, Helen S
Title (down) Oncology nurses' perception of cancer pain: a qualitative exploratory study Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 1 Pages 27-33
Keywords Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education
Abstract Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients.
Call Number NZNO @ research @ Serial 1500
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Author Grayson, S.
Title (down) Nursing management of the rheumatic fever secondary prophylaxis programme Type
Year 2001 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Community health nursing; Management; Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 576 Serial 562
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Author Bryson, L.W.
Title (down) Nurse-led heart failure services: A review of the literature Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing specialties; Management; Nurse practitioners; Cardiovascular diseases
Abstract This research paper reports on the findings of a literature review conducted to establish and analyse the international magnitude, context and effectiveness of nurse-led heart failure initiatives. The research revealed that the underlying philosophy in establishing nurse-led disease management programmes of care is that, by treating chronic heart failure as a continuum, it is possible to decrease exacerbations and improve patient outcomes. Regardless of the type of heart failure management programme, critical components of care include a collaborative supportive approach that educates and empowers the patient (including family/whanau) to recognise the early indicators of exacerbation, access expedient care, and to adhere to evidence based treatments. The author points to significant evidence to support the establishment of nurse-led heart failure programmes. The positive outcomes associated with this model of care delivery include decreased readmissions, reduction in mortality, and cost efficiencies. However, the organisational model of care, or programme components that are the most effective in optimising patient outcomes, need to be selected on the basis of local healthcare infrastructure, services and resources. The author suggests that New Zealand has a unique opportunity to encompass the recent emergence of the Nurse Practitioner role in facilitating, coordinating and monitoring of heart failure programmes across the continuum of care. The delivery of evidence-based, cost effective, heart failure programmes is a prerequisite to improving the delivery of optimal treatment and ensuring that heart failure patients have the opportunity to attain quality care outcomes.
Call Number NRSNZNO @ research @ Serial 558
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