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Records |
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Author |
Thompson, L. |
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Title |
Suctioning adults with an artifical airway: A systematic review |
Type |
Book Whole |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Subscriber access at the Joanna Briggs Institute |
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Volume |
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Issue |
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Pages |
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Keywords |
Evidence-based medicine; Nursing research |
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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? |
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Call Number |
NRSNZNO @ research @ 1136 |
Serial |
1121 |
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Permanent link to this record |
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Author |
McArthur, J.; Dickinson, A.R. |
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Title |
Decision making the explicit evidence-based way: Comparing benefits, harms and costs |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
1 |
Pages |
33-42 |
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Keywords |
Evidence-based medicine; Nursing; Guidelines; Clinical decision making |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
639 |
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Permanent link to this record |
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Author |
McKillop, A.M. |
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Title |
Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway |
Type |
Journal Article |
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Year |
2004 |
Publication |
JBI Reports |
Abbreviated Journal |
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Volume |
2 |
Issue |
9 |
Pages |
293-308 |
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Keywords |
Evidence-based medicine; Nursing; Guidelines; Evaluation |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
696 |
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Permanent link to this record |
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Author |
Honey, M.; North, N.; Gunn, C. |
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Title |
Improving library services for graduate nurse students in New Zealand |
Type |
Journal Article |
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Year |
2006 |
Publication |
Health Information & Libraries Journal |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
102-109 |
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Keywords |
Nursing; Education; Evidence-based medicine; Teaching methods |
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Abstract |
This paper describes a collaboration between library staff and nurse educators, where information literacy skills are strengthened and embedded in the curriculum. A case-study approach was used with both quantitative and qualitative data. An anonymous questionnaire was distributed to all nurses enrolled in graduate courses in the second semester of 2002. Interviews were then undertaken with library staff. It was found that the university library services were not used by 43% of graduate nursing students . The library staff responded by developing a number of initiatives which aimed to improve awareness of services, access and provide education in a bid to improve literacy skills. |
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Call Number |
NRSNZNO @ research @ |
Serial |
708 |
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Permanent link to this record |
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Author |
Harding, T.S. |
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Title |
New strategies in evidence based practice |
Type |
Journal Article |
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Year |
2006 |
Publication |
Klinisk sygepleje |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
4-11 |
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Keywords |
Evidence-based medicine; Nursing; Education; Curriculum |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
778 |
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Permanent link to this record |
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Author |
Kent, B.; Fineout-Overholt, E.; Wimpenny, P. |
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Title |
Teaching EBP: Part 2 – making sense of clinical practice guidelines |
Type |
Journal Article |
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Year |
2007 |
Publication |
Worldviews on Evidence-Based Nursing |
Abbreviated Journal |
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Volume |
4 |
Issue |
3 |
Pages |
164-169 |
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Keywords |
Evidence-based medicine; Teaching methods; Guidelines |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
845 |
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Permanent link to this record |
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Author |
Floyd, S.; Meyer, A. |
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Title |
Intramuscular injections: What's best practice? |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
6 |
Pages |
20-22 |
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Keywords |
Professional competence; Registered nurses; Quality of health care; Evidence-based medicine |
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Abstract |
The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent. |
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Call Number |
NRSNZNO @ research @ |
Serial |
986 |
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Permanent link to this record |
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Author |
Polley, H. |
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Title |
Treating wounds with oxygen |
Type |
Journal Article |
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Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
2 |
Pages |
16-17 |
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Keywords |
Technology; Evidence-based medicine |
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Abstract |
This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited. |
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Call Number |
NRSNZNO @ research @ 1012 |
Serial |
996 |
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Permanent link to this record |
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Author |
Warren, B.L. |
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Title |
Using paracetamol before immunisation: Does it work? |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
5 |
Pages |
24-26 |
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Keywords |
Immunisation; Paediatric nursing; Evidence-based medicine |
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Abstract |
The author presents a review of evidence on the prophylactic use of paracetamol prior to infant and child immunisation. The research was prompted when the Otago District Health Board was planning its Meningococcal B strategy. The evidence suggests that it was appropriate when the whole cell pertussis vaccine was used, but it was not recommended since the introduction of better vaccines such as acellular pertussis with fewer antigens and fewer side effects. Paracetamol may still be given orally to treat pain and fever that occasionally follows vaccination. Paracetamol pharmacology is presented, along with alternatives to paracetamol. |
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Call Number |
NRSNZNO @ research @ |
Serial |
998 |
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Permanent link to this record |
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Author |
Christie, J. |
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Title |
Managing febrile children: When and how to treat |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
4 |
Pages |
15-17 |
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Keywords |
Paediatric nursing; Evidence-based medicine; Children; Guidelines |
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Abstract |
The author describes the nursing of febrile children in a general paediatric ward at Tauranga Hospital. She focuses on the cooling methods used and their efficacy. Ward practice is compared with clinical trials and the literature to determine best practice and evidence-based guidelines. Also discussed are fans and clothes removal, tepid sponging, paracetamol, and brufen. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1006 |
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Permanent link to this record |
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Author |
Wallis, R. |
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Title |
Preventing post-anaesthetic shaking |
Type |
Journal Article |
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Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
10 |
Pages |
22-24 |
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Keywords |
Surgery; Evidence-based medicine; Nursing; Guidelines |
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Abstract |
The author presents her experience investigating the incidence of post-anaesthetic shaking in the recovery room ward, and develops a clinical tool for its treatment. Several theories about post-anaesthetic shaking are examined. The cases of 1296 patients who had major regional or general anaesthetics over four consecutive months in the previous year are studied. The incidence of post-anaesthetic shaking and correlating core body temperature readings with post-anaesthetic shaking are examined. A protocol for reducing/treating post-anaesthetic shaking is developed on the basis of the findings of the study. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1021 |
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Permanent link to this record |
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Author |
Marcinkowski, K. |
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Title |
Shortening hospital stays for orthopaedic patients |
Type |
Journal Article |
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Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
11 |
Pages |
28-29 |
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Keywords |
Surgery; Evidence-based medicine; Guidelines |
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Abstract |
The author provides a review of current protocols and presents new ways to manage the care of patients undergoing total joint arthroplasty, hip and knee replacement surgery. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1022 |
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Permanent link to this record |
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Author |
Hughes, C. |
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Title |
Perioperative nurses in NZ & evidence-based practice |
Type |
Journal Article |
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Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
31 |
Issue |
4 |
Pages |
8, 10-1 |
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Keywords |
Evidence-based medicine; Nursing specialties; Access |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1063 |
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Permanent link to this record |
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Author |
Dobbs, L. |
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Title |
Can evidence improve nursing practice? |
Type |
Journal Article |
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Year |
2006 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
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Volume |
10 |
Issue |
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Pages |
27-32 |
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Keywords |
Evidence-based medicine; Nursing; Professional development |
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Abstract |
Evidenced Based Practice is aimed at providing safe, effective and cost-appropriate health care. The utilisation of EBP in nursing has proved to be valuable not only for patients and nurses, but also for other health professionals and the wider community. However, despite the recognised benefits of EBP, a significant gap between theory and practice exists. This paper explores some of the issues behind not implementing EBP, such as comfort with traditional practices, lack of engagement with EBP, and time constraints. |
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Call Number |
NRSNZNO @ research @ 1226 |
Serial |
1211 |
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Permanent link to this record |
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Author |
Reilly, S. |
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Title |
Barriers to evidence based practice by nurses in the clinical environment |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Evidence-based medicine; Nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1123 |
Serial |
1108 |
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Permanent link to this record |