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Author MacGeorge, J.M.; Nelson, K.
Title (up) The experience of the nurse at triage influences the timing of CPAP intervention Type Journal Article
Year 2003 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 11 Issue 4 Pages 234-238
Keywords Emergency nursing; Clinical decision making; Hospitals; Quality of health care
Abstract This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP.
Call Number NRSNZNO @ research @ Serial 847
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Author DeSouza, R.
Title (up) Transforming possibilities of care: Goan migrant motherhood in New Zealand Type Journal Article
Year 2005 Publication Contemporary Nurse Abbreviated Journal
Volume 20 Issue 1 Pages 87-101
Keywords Pregnancy; Transcultural nursing; Quality of health care; Attitude to health
Abstract This paper reports on a study of the maternity care experiences of women from Goa (India) in Auckland. Multiple research strategies were incorporated into the process to prevent reproduction of deficiency discourses. Interviews were carried out with Goan women who had experiences of migration and motherhood. The findings revealed that as a consequence of motherhood and migration, migrant mothers were able to reclaim and re-invent innovative solutions. Nurses and other health professionals can have a significant role in supporting women and their families undergoing the transition to parenthood in a new country and develop their knowledge and understanding of this dual transition.
Call Number NRSNZNO @ research @ Serial 942
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