Records |
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 |
Permanent link to this record |
|
|
|
Author |
Montayre, Jed; Neville, Stephen; Dimalapang, Eliazar; Ferguson, Caleb |
Title |
Cardiovascular health profile of Filipinos living in New Zealand: A cross-sectional survey |
Type |
Journal Article |
Year |
2022 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
Volume |
38 |
Issue |
1 |
Pages |
38-48 |
Keywords |
Filipinos; Cardiovascular disease; Cardiovascular risk; Surveys |
Abstract |
Examines the status and factors contributing to the cardiovascular health of Filipino immigrants by means of a cross-sectional survey adapted from the NZ Health Survey. Presents an odds ratio for at least one cardiovascular risk factor based on a number of factors. Asserts that risk reduction strategies should be targeted to meet the specific ethno-cultural needs of Filipinos. |
Call Number |
NZNO @ research @ |
Serial |
1796 |
Permanent link to this record |
|
|
|
Author |
Beaver, Peter James |
Title |
Contemporary patient safety and the challenges for New Zealand |
Type |
Book Whole |
Year |
2015 |
Publication |
|
Abbreviated Journal |
|
Volume |
|
Issue |
|
Pages |
329 p. |
Keywords |
Patient safety; Hospitals; Accidents; Risk; Surveys |
Abstract |
Outlines the history, emergence, necessity, challenges, and strategies of the patient safety movement. Explores the challenges for staff working to reduce harm and implement safety improvement in NZ hospitals. Considers medical harm as a persistent and expensive threat to public health. Analyses health policy in the US, England and NZ using the theory of countervailing powers, and a shift from medical to managerial dominance. Reviews theories of accidents and risk, and the safety improvement literature. Provides staff perspectives from NZ by means of interviews with doctors, nurses and managers in two hospitals. |
Call Number |
NZNO @ research @ |
Serial |
1578 |
Permanent link to this record |
|
|
|
Author |
Richardson, S. |
Title |
Coping with outbreaks of the norovirus |
Type |
Journal Article |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
11 |
Issue |
7 |
Pages |
|
Keywords |
Infection control; Risk management; Occupational health and safety; Hospitals |
Abstract |
The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages. |
Call Number |
NRSNZNO @ research @ |
Serial |
981 |
Permanent link to this record |
|
|
|
Author |
Crowe, M.; Carlyle, D. |
Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
Volume |
43 |
Issue |
1 |
Pages |
19-27 |
Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
Permanent link to this record |
|
|
|
Author |
Rudd, J. |
Title |
From triage to treatment: An exploration of patient flow systems in emergency departments |
Type |
|
Year |
2005 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Emergency nursing; Hospitals; Risk management; Patient safety |
Abstract |
To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room. |
Call Number |
NRSNZNO @ research @ |
Serial |
1209 |
Permanent link to this record |
|
|
|
Author |
Smillie, A. |
Title |
Historical investigations: Risk management in a New Zealand hospital, 1888-1904 |
Type |
Journal Article |
Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
22 |
Issue |
2 |
Pages |
33-38 |
Keywords |
Risk management; History; Patient safety |
Abstract |
This article examines historical events within one hospital and compares them with contemporary risk management practices. The examples involve a nurse sustaining injury in the course of her work, a fire in the hospital and two instances of patient complaints – one concerning nursing care and the other relating to a time lag between admission to hospital and receiving medical attention. Analysis of the processes followed in investigating these occurrences reveals that these historic investigations were small in scale and less bureaucratic than contemporary practice, and were based on a culture of blame. This is contrasted with modern risk management practices which are more focused on understanding what can be learned from the incident with respect to preventing recurrence. |
Call Number |
NRSNZNO @ research @ 539 |
Serial |
525 |
Permanent link to this record |
|
|
|
Author |
Taylor, Rachel |
Title |
Investigating incidence and prevalence of preeclampsia globally and within Aotearoa/New Zealand: An integrative review |
Type |
Book Chapter |
Year |
2020 |
Publication |
|
Abbreviated Journal |
|
Volume |
|
Issue |
|
Pages |
130 p. |
Keywords |
Pre-eclampsia; Hypertension; Pregnancy; Risk factors |
Abstract |
Cites the incidence and prevalence of pre-eclampsia globally and in NZ. Identifies environmental, geographical, cultural and socio-economic factors associated with the condition. Conducts an integrative review of research on the topic between 2015 and 2020, in order to exclude pre-2014 diagnostic criteria. Highlights themes for future examination. |
Call Number |
NZNO @ research @ |
Serial |
1783 |
Permanent link to this record |
|
|
|
Author |
Nicol, M.J.; Manoharan, H.; Marfell-Jones, M.; Meha-Hoerara, K.; Milne, R.; O'Connell, M.; Oliver, J.D.; Teekman, B. |
Title |
Issues in adolescent health: A challenge for nursing |
Type |
Journal Article |
Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
Volume |
12 |
Issue |
2 |
Pages |
155-163 |
Keywords |
Adolescents; Health education; Health promotion; Nursing; Risk factors; Suicide; Sexual health; Smoking; Mental health |
Abstract |
This review provides an overview of the health issues for adolescents, and the implications for nursing practice, particularly around health promotion. It looks at the social context of adolescents including peer pressure, along with health issues such as suicide, mental health, sexual health, and smoking. |
Call Number |
NRSNZNO @ research @ |
Serial |
712 |
Permanent link to this record |
|
|
|
Author |
MacDonald, R. |
Title |
Mammography screening for breast cancer: Does it reduce the mortality rate? |
Type |
Journal Article |
Year |
2005 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
Volume |
|
Issue |
|
Pages |
8-12 |
Keywords |
Breast cancer; Screening; Risk management; Health education; Cancer |
Abstract |
This paper critically examines the literature on mammography as a breast cancer screening modality. It looks at what the New Zealand consumer is being told about the scientific uncertainties about the effectiveness of mammography and the substantial risks involved with it. This literature review raises concerns about the lack of information available for healthy women to make a fully informed decision about mammography screening. |
Call Number |
NRSNZNO @ research @ |
Serial |
1304 |
Permanent link to this record |
|
|
|
Author |
Drake, M.; Stokes, G. |
Title |
Managing pre-registration student risk: A professional and legislative minefield |
Type |
Journal Article |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
20 |
Issue |
1 |
Pages |
15-27 |
Keywords |
Risk management; Education; Law and legislation; Nursing |
Abstract |
This article reports data from 15 schools of nursing, surveyed to identify difficulties experienced by nurse educators with respect to entry, progression and programme completion of undergraduate nursing students. Risk assessment, along with a lack of clear policy and procedures were found to be the main problem areas. Difficulties were exacerbated for educators when there were challenges to their professional judgement, either from the Nursing Council of New Zealand or from within their own institution. The authors argue for more recognition of the dual role of nurse educators, and greater clarification of the Nursing Council of New Zealand role in regulating the student's programme entry and progression, and ultimate admission to the Register. It is suggested that the recently passed Health Practitioners Competence Assurance Act (2003) provides nursing with an opportunity to address some of these issues. |
Call Number |
NRSNZNO @ research @ |
Serial |
546 |
Permanent link to this record |
|
|
|
Author |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J. |
Title |
Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes |
Type |
Journal Article |
Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
Volume |
35 |
Issue |
3 |
Pages |
176-182 |
Keywords |
Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models |
Abstract |
The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process. |
Call Number |
NRSNZNO @ research @ 527 |
Serial |
513 |
Permanent link to this record |
|
|
|
Author |
McKenna, B. |
Title |
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 |
Permanent link to this record |
|
|
|
Author |
Neville, Stephen; Adams, Jeffery; Holdershaw, Judith |
Title |
Social marketing campaigns that promote condom use among MSM : a literature review |
Type |
Journal Article |
Year |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
30 |
Issue |
1 |
Pages |
5-16 |
Keywords |
Gay men's health; Men who have sex with men; Condom use; Sexual risk behaviour; Health promotion; Social marketing |
Abstract |
Presents a review of the literature on research-based social marketing initiatives designed to decrease sexually-transmitted infections, including HIV, through condom use by men who have sex with men. |
Call Number |
NZNO @ research @ |
Serial |
1488 |
Permanent link to this record |
|
|
|
Author |
Wilkinson, J.A.; Huntington, A.D. |
Title |
The personal safety of district nurses: A critical analysis |
Type |
Journal Article |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
20 |
Issue |
3 |
Pages |
31-44 |
Keywords |
District nursing; Occupational health and safety; Organisational culture; Risk factors |
Abstract |
A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses. |
Call Number |
NRSNZNO @ research @ |
Serial |
549 |
Permanent link to this record |