| |
Records |
Links |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carr, J. |
|
| |
Title |
Ensuring consent is informed |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
7 |
Pages |
22-23 |
|
| |
Keywords |
Patient rights; Law and legislation |
|
| |
Abstract |
The author examines the concept of informed consent as it applies to patients and as it is obtained by nurses. The principles of autonomy, beneficence and non-maleficence are discussed. How these principles inform critical care nursing is explored and five inappropriate uses of technology in resuscitation are used as examples. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1018 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ho, T. |
|
| |
Title |
Ethical dilemmas in neonatal care |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
7 |
Pages |
17-19 |
|
| |
Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Clinical decision making |
|
| |
Abstract |
The author explores possible approaches to the ethical dilemma confronting nurses of critically ill premature infants with an uncertain or futile outcome despite aggressive neonatal intensive care. A case history illustrates the issues. The morality of nursing decisions based on deontological and utilitarian principles is examined, as are the concepts of beneficence and non-maleficence. A fusion of virtue ethics and the ethic of care is suggested as appropriate for ethical decision-making in the neonatal intensive care environment. |
|
| |
Call Number |
NRSNZNO @ research @ 1035 |
Serial |
1019 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Perry, I. |
|
| |
Title |
Identifying the 'norms' of nursing culture |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
9 |
Pages |
20-22 |
|
| |
Keywords |
Nursing; Nursing philosophy |
|
| |
Abstract |
The author investigates the premises that form the basis of nursing practice in acute care. Assumptions about patients and caregiving are often at odds with each other. The origins of these tenets are mapped from Florence Nightingale through to present nursing theorists. Overlapping areas of nursing and medical care in the acute care setting are examined, and the conflict that can arise between traditional nursing care and the expected medical nursing role is examined. He argues that the challenge for acute care nurses is to find a balance between normative nursing and the medical model. |
|
| |
Call Number |
NRSNZNO @ research @ 1036 |
Serial |
1020 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wallis, R. |
|
| |
Title |
Preventing post-anaesthetic shaking |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
10 |
Pages |
22-24 |
|
| |
Keywords |
Surgery; Evidence-based medicine; Nursing; Guidelines |
|
| |
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. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1021 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Marcinkowski, K. |
|
| |
Title |
Shortening hospital stays for orthopaedic patients |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
11 |
Pages |
28-29 |
|
| |
Keywords |
Surgery; Evidence-based medicine; Guidelines |
|
| |
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. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1022 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Banks, J.; McArthur, J.; Gordon, G. |
|
| |
Title |
Flexible monitoring in the management of patient care process: A pilot study |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Lippincott's Case Management |
Abbreviated Journal |
|
|
| |
Volume |
5 |
Issue |
3 |
Pages |
94-106 |
|
| |
Keywords |
Hospitals; Cardiovascular diseases; Nursing |
|
| |
Abstract |
This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1091 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Nevatt, E.A. |
|
| |
Title |
Occupational health care: An entrepreneurial venture in New Zealand |
Type |
Report |
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
A description of the establishment and the first year's operation of an occupational health service set up as a limited liability company and offering contracted fee- for- service health care for employees of clients' businesses. The report tells how the two nurses established the company and how the company secured contracts, it describes the delivery of health care in the workplace. The nurses' perception of their work and the client managers' evaluation of the service are included. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
89 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Litchfield, M.; Ross, J. |
|
| |
Title |
The role of rural nurses: National survey |
Type |
Report |
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Personnel; Nursing specialties; Primary health care |
|
| |
Abstract |
A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1175 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McDonald, S. |
|
| |
Title |
A study to investigate the role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality |
Type |
Report |
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Registered nurses; Hospitals; Psychiatric Nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 1283 |
Serial |
1268 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carter, T. |
|
| |
Title |
The places we will go |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing philosophy |
|
| |
Abstract |
The author examines how writing shapes her practice and how she nurses, her way of being and doing. She notes that “as human beings we cannot be broken into subsets, my personal and professional being inform each other, therefore you will find woven into the fabric of this paper my personal and professional becoming united by the dominant thread of nursing”. The paper is structured using the different phases of her career as a staff nurse, nurse practitioner and charge nurse. In each section she has linked the stories of children and young adults with reflections on her writing and how it has impacted her practice. She goes on to say that question and reflection are vital adjuncts to nurses' development as individual practitioners and to the profession. They facilitate journeying past the superficial into the deep of a relationship with patients and colleagues. She identifies a responsibility as nurses is to engage with the individual and help them find a space where they can regain a sense of hope and personal power. This paper follows the author's journey, leaving her with a clearer understanding of who she is and how she nurses. |
|
| |
Call Number |
NRSNZNO @ research @ 578 |
Serial |
564 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Logan, C.M. |
|
| |
Title |
Anaesthetic nursing: Focusing perioperative practice on the patient |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties; Advanced nursing practice; Nurse-patient relations; Nursing; Education |
|
| |
Abstract |
The purpose of this literature review is to generate a picture of what is known and what needs to be investigated further about anaesthetic nursing in the perioperative nursing role in New Zealand, and to examine this in relation to international trends. Nurse anaesthetists in the United States are described in American nursing literature, and recognised as one of the four advanced nurse practitioner roles. In New Zealand, recent efforts to provide appropriate post-graduate education for the perioperative nurse have been challenged by other inter-professional interests, thus restricting the development of an expanded role. The author notes that this has caused concern for New Zealand's perioperative nurses who consider anaesthetic nursing is an integral part of perioperative practice. Anaesthetic nursing forms a substantial component of the basic competencies required of a registered nurse working in the operating theatres. Orientation programmes and ongoing education at all levels of professional development incorporate anaesthetic nursing competencies to provide continuity of patient care and support perioperative practice. Care of the patient undergoing anaesthesia is an area where nurses demonstrate their advanced assessment skills and clinical judgement and is included in perioperative specialist or nurse practitioner job descriptions. The Perioperative Nurses Association in New Zealand is concerned to develop postgraduate education in their area of speciality to support their application for 'College' status within the New Zealand Nurses Organisation. For this to happen in a cogent fashion, information and knowledge generated from research, are required to clarify perioperative nursing's current position and determine how practice can be shaped to best care for patients undergoing surgical interventions. Evidence from research supports nurses in the anaesthetic role by demonstrating that the preoperative visits and assessments they undertake can reduce patients' anxieties, decrease the need for pain relief and shorten hospital stays. This review includes literature sources that explore disparities between the development of New Zealand anaesthetic nursing and international models. The author suggests that information and understanding gained from conducting this review will allow future developments in anaesthetic nursing practice to be informed by previous initiatives and projects and identifies areas for further research. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
790 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Robertson, G. |
|
| |
Title |
Disquiet in the development of clinical supervision for professional development in nursing practice: A literature review |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Clinical supervision; Professional development; Nursing |
|
| |
Abstract |
Nursing literature reflects that nurses have been exploring and experiencing the process of clinical supervision for well over a decade. Nurses in the United States, United Kingdom, Scandinavia, and Australasia have written much over the past fifteen years. However, the author notes that nurses grapple with what clinical supervision is within nursing development and disquiet continues to emerge in the literature. This literature review expands on themes that surround this disquiet. These centre on continued confusion and lack of clear definition; whether psychotherapy is implemented under the guise of clinical supervision, who uses it, and the dearth of empirical evaluation of its effectiveness. The lack of significant empirical evidence of its ability to assist practitioners to deliver improved patient/client care continues despite claims of improved professional and personal development, therapeutic relationship, and occupational stress management. These claims come from both supervisees and supervisors. The manner in which clinical supervision is portrayed in nursing in that it is frequently referred to as a support system, rather than one of learning a complex set of communication skills is also highlighted. The continued debate on what model(s) best suit nurses, or whether line management should provide clinical supervision as a means to ensure quality standards and control over nursing practice and optimal patient care is discussed. Whether nursing should stop borrowing from other fields and develop their own model(s) is also raised. Two emerging stances focus on a process that is practice-based as identified by senior staff and management, or one that continues along the lines of what psychotherapy has developed with practitioner-identified developmental needs. These issues raise many questions for further development in nursing, one being are nurses developed enough in their self-awareness to understand what they are to adopt into their practice? Authentic voices from those nurses experienced in the practice of providing and receiving clinical supervision, are shaping therapeutic practice for nurses in the future, and continue to sharpen the debate. Some reference to unpublished data and local practice in the Wellington area have been included as a stimulus for further incorporation of clinical supervision in local practice development. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
794 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sadler, D. |
|
| |
Title |
Stigma, discrimination and a model for psychiatric mental health nursing practice |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Psychiatric Nursing; Psychology |
|
| |
Abstract |
This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness. |
|
| |
Call Number |
NRSNZNO @ research @ 815 |
Serial |
799 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Love, E. |
|
| |
Title |
Towards the best of both worlds: Developing a partnership between education and practice to improve clinical practicum experience and learning outcomes for undergraduate nursing students |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Education; Teaching methods |
|
| |
Abstract |
One proposed method for addressing concerns about a `theory-practice gap' in nurse education and perceived clinical shortcomings in beginning practitioners, is improved collaboration between education and practice. This paper is about a New Zealand nursing initiative to promote optimal learning outcomes for nursing students through supported hospital clinical experiences. It is implemented through a contractual partnership between Lakeland Health Limited in Rotorua, and Waiariki Institute of Technology. An associated “Clinical Nurse Educator Programme”, developed by lecturers at Waiariki's nursing school, prepares hospital nurses to be Clinical Nurse Educators. These “C.N.Es” replace and enhance the clinical role formerly provided by nursing lecturers, and short term contracted nurses. The programme is entering its fourth year with positive evaluations, and has extended into another hospital. Literature suggests that although educators are important, students may consider hospital nurses much more significant for their clinical learning and developing confidence 'in the real world'. These nurses are on hand, and generally have clinical credibility not afforded to academic staff. However, ward nurses, like contracted nurse teachers, have reported not having enough curriculum knowledge, nor teaching skills to optimise student learning. This C.N.E programme addresses these shortcomings through its selection of experienced nurses in current practice, and 50 hours of theoretical and practical course content, to prepare them for the role. This paper provides a clinical and personal perspective of the C.N.E programme, its beginnings, how it works locally, and process for its ongoing development. Not only does this programme provide a bridge between theory and practice for students during their clinical practicum placements, but communication, consultation and collaboration between education, practice and the workplace have also improved. Nurses in both sectors are confident that through the developing partnerships, students and future practice will benefit from the aim to provide students with 'the best of both worlds'. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
897 |
|
| Permanent link to this record |
