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Author Smith, M.C.
Title Reviewing the role of a mental health nurse practitioner Type Journal Article
Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 14 Issue 3 Pages 20-22
Keywords Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence
Abstract The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role.
Call Number NRSNZNO @ research @ Serial 993
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Author Chadwick, A.; Hope, A.
Title In pursuit of the named nurse Type Journal Article
Year 2000 Publication Australasian Journal of Neuroscience Abbreviated Journal
Volume (down) 13 Issue 4 Pages 6-9
Keywords Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations
Abstract This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required.
Call Number NRSNZNO @ research @ Serial 924
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Author Chenery, K.
Title Building child health nurses' confidence and competence Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (down) 13 Issue 5 Pages 26-38
Keywords Paediatric nursing; Nursing; Education; Evaluation
Abstract This article describes the development of the Generic Orientation Programme, Child Health Nursing and its perceived impact on practice after ten months, through two simultaneous evaluation surveys, seeking the views of programme participants and their nurse managers. The programme aims to equip the newly appointed RN in the child health cluster or the nurse working in a non-designated children's area with the knowledge and skills to safely care for children. These include basic anatomical and physiological differences; fluid and electrolyte management; safe administration of medication; pain management; recognition of the seriously ill child; and building partnerships with children and their families. A survey instrument eliciting qualitative and quantitative responses was used. The majority of nurse respondents believed they had gained new knowledge and described how they were incorporating it into everyday practice. Similarly, several nurse managers observed that nurses' clinical knowledge and skills had improved since attending the programme. In particular, responses from those working in non-designated children's areas suggested the programme had provided them with greater insight into the care of children.
Call Number NRSNZNO @ research @ Serial 975
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Author Wynne-Jones, Jacqui; Martin-Babin, Margot; Hayward, Brooke; Villa, Luis
Title Patient safety leadership walk-rounds: lessons learrned from a mixed-methods evaluaion Type Journal Article
Year 2020 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume (down) 11 Issue 1 Pages 24-33
Keywords Patient safety; Nurse leaders; Walk-round; Evaluation
Abstract Assesses the impact of a patient safety leadership walk-rounds (PSLWR) programme in an Auckland hospital to provide recommendations for programme improvement. Involves senior leaders and other departmental representatives visiting wards to conduct staff and patient interviews to capture their experiences, and to assess the environment. Proposes recommendations for organisations intending to or currently implementing a PSLWR programme.
Call Number NZNO @ research @ Serial 1658
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Author Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B.
Title Promoting independence in residential care: Successful recruitment for a randomized controlled trial Type Journal Article
Year 2008 Publication Journal of the American Medical Directors Association Abbreviated Journal
Volume (down) 9 Issue 4 Pages 251-256
Keywords Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel
Abstract The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success.
Call Number NRSNZNO @ research @ 803 Serial 787
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Author Peach, J.
Title The Professional Development Programme: Achievements and outcomes Type Journal Article
Year 1999 Publication Professional Leader Abbreviated Journal
Volume (down) 5 Issue 1 Pages 6-9
Keywords Professional development; Evaluation; Nursing
Abstract This article backgrounds the professional development programme instigated at Auckland Hospital in 1988, and reviews the achievements of the past 10 years. It describes PDP and distinguishes it from a clinical career pathway. Specific indicators were used to assess the achievement of the programme, and these are presented. Overall the programme achieved it's outcomes and at a reasonable cost.
Call Number NRSNZNO @ research @ 1289 Serial 1274
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Author McKillop, A.M.
Title Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway Type Journal Article
Year 2004 Publication JBI Reports Abbreviated Journal
Volume (down) 2 Issue 9 Pages 293-308
Keywords Evidence-based medicine; Nursing; Guidelines; Evaluation
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.
Call Number NRSNZNO @ research @ Serial 696
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Author Litchfield, M.
Title Between the idea and reality Type Journal Article
Year 1986 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 1 Issue 2 Pages 17-29
Keywords Nursing research; Nursing philosophy; Diagnosis; Evaluation
Abstract A paper presented as one of the four “Winter Lecture Series” hosted by the Nursing Studies unit of the Department of Education, Victoria University of Wellington. It is a critique of “ The Nursing Process” referred to commonly in nursing education programmes. It challenges the usefulness for nursing of the linear sequence of steps of assessment, diagnosis, planning, intervention and evaluation.
Call Number NZNO @ research @ Serial 1313
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Author Hickson, E.K.
Title Developing clinical learning environment evaluation tools using an action research methodology Type
Year 2006 Publication Abbreviated Journal
Volume (down) Issue Pages
Keywords Education; Nursing; Teaching methods; Evaluation
Abstract The author notes that learning nurses require real clinical experiences in order to apply learnt theory to actual practice. Clinical learning environments have consistently been found to function variably and sub-optimally for both learners and teachers. In order to improve the quality of the clinical learning environment it is necessary to first evaluate how effectively a clinical learning environment is functioning. A number of different methodologies have been used to evaluate clinical learning environments, a recent and successful method being the use of questionnaires or clinical learning environment evaluation tools. The objective of the present study was to develop clinical learning environment evaluation tools for use in a New Zealand hospital health service. Four tools appropriate to evaluate the clinical learning environment from the different perspectives of any type of clinical learner, clinical teacher, clinical manager and programme co-ordinator or nurse lecturer were developed. Six newly graduated nurses, three senior nurses, and the researcher were involved in the development of the evaluation tools over a five month period. A participatory action research methodology was employed. The resultant tools had a unique local focus and were suitably similar to other internationally developed tools. After testing the clinical learning environment evaluation tools, it is hoped that the implementation of the tools will support all stakeholders to understand and consequently optimise the functionality of their clinical learning environment.
Call Number NRSNZNO @ research @ Serial 504
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Author Jamieson, I.
Title The mobile operating theatre project Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) Abbreviated Journal Ministry of Health publications page
Volume (down) Issue Pages
Keywords Rural nursing; Surgery; Training; Evaluation
Abstract This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract.
Call Number NRSNZNO @ research @ 769 Serial 753
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Author Pedersen, C.
Title Nurse-led telephone triage service in a secondary rural hospital Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) Abbreviated Journal Ministry of Health publications page
Volume (down) Issue Pages
Keywords Rural nursing; Telenursing; Evaluation
Abstract This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice.
Call Number NRSNZNO @ research @ 770 Serial 754
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Author Hale, R.
Title Older patient perceptions of transitional care Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 147-152) Abbreviated Journal Ministry of Health publications page
Volume (down) Issue Pages
Keywords Older people; Rural health services; Community health nursing; Evaluation
Abstract The author describes transitional care as undertaken within the Waikato District Health Board health care environment. Transitional care supports people moving between acute health care (inpatient) and primary health care (home). It is a rehabilitative model based in smaller, predominantly rural communities to enable the older person to actively work towards recovery of functional ability within their own environment. Research indicates this rehabilitation model is applicable to the rural situation and satisfaction levels of the patients and caregivers tends to be positive.
Call Number NRSNZNO @ research @ 774 Serial 758
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Author Manning, J.
Title Formative assessment: Using feedback to enhance learning Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 47-65) Abbreviated Journal
Volume (down) Issue Pages
Keywords Evaluation; Teaching methods; Nursing; Education
Abstract This paper explores the literature surrounding the development, definition, process and value of formative feedback. In particular, this review considers how formative assessment can be used by a clinical educator in the practice setting. At the end of the chapter, discussion questions are provided by Rebecca Hennephof.
Call Number NRSNZNO @ research @ Serial 766
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Author Primary Health Care Nurse Innovation Evaluation Team,
Title The evaluation of the eleven primary health care nursing innovation projects: A report to the Ministry of Health Type Report
Year 2007 Publication Abbreviated Journal
Volume (down) Issue Pages
Keywords Primary health care; Evaluation; Nursing
Abstract In 2003, as part of implementing the Primary Health Care Strategy, the Ministry of Health announced contestable funding, available over three years, for the development of primary health care nursing innovation projects throughout Aotearoa/New Zealand. The Ministry looked for proposals that would: support the development of innovative models of primary health care nursing practice to deliver on the objectives of the Primary Health Care Strategy; allow new models of nursing practice to develop; reduce the current fragmentation and duplication of services; and assist in the transition of primary health care delivery to primary health organisations. This report describes the findings from the evaluation of the 11 primary health care nursing innovations selected for funding by the Ministry of Health. It provides an overview of the innovations' success and of the lessons learnt from this policy initiative.
Call Number NRSNZNO @ research @ Serial 819
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Author Ritchie, M.S.
Title Process evaluation of an emergency department family violence intervention programme Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume (down) Issue Pages
Keywords Emergency nursing; Evaluation
Abstract Family violence is common and there are significant long-term negative health effects from victimisation. Health professionals are now recognised as key providers of family violence intervention. The Hawke's Bay District Health Board HBDHB) launched a Family Violence Intervention Programme in the emergency department in 2002, in accordance with national directives. The Family Violence Intervention Programme includes routine questioning for partner abuse within social history assessments for all women 16 years and over who seek healthcare services. Nurses assumed responsibility for implementing this programme into emergency department practice. Establishing partner abuse screening in practice requires an organisational and attitudinal change. Achieving and sustaining this change can be difficult. Evaluation was considered an essential aspect of the systems approach adopted within the HBDHB Family Violence Intervention Programme to support change. The aim of this study was to identify the enablers and barriers to routine questioning in the emergency department one year after the programme was launched and the strategies to address these barriers. The staff who have responsibility for routinely questioning women were considered well placed to provide this information. The methodology selected was evaluation research using semi-structured interviews. The design included member checking and triangulation of the findings. Eleven emergency department staff members participated in five (two group and three single) interviews. The interviews revealed that routine questioning for partner abuse is difficult in the emergency department setting. Barriers to questioning exist and enablers can eliminate or minimise these. Enablers such as policy and training support routine questioning. Barriers identified included the lack of privacy and time. Participants suggested strategies to overcome these. These barriers, enablers and solutions were either personal or organisational in origin and all had a common theme of safety. An outcome of the study was the development of a model of barriers and enablers to ensure safety when routinely questioning women for partner abuse. This evaluation has utility within the HBDHB as it informs programme progression. However, the evaluation has wider implications. The experiences of the emergency department staff led to the emergence of key themes that may inform the development of comparable programmes. Introducing routine questioning requires a practice change; a multifaceted approach focusing on safety can assist staff to achieve that change.
Call Number NRSNZNO @ research @ Serial 851
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