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Author Day, W.
Title Relaxation: A nursing therapy to help relieve cardiac chest pain Type Journal Article
Year (up) 2000 Publication Australian Journal of Advanced Nursing Abbreviated Journal
Volume 18 Issue 1 Pages 40-44
Keywords Alternative therapies; Nursing; Patient satisfaction; Cardiovascular diseases
Abstract This article discusses ways in which relaxation, when used as an adjunct to medical therapies, can be a useful nursing management tool for effectively relieving cardiac pain. The available literature suggests that although nurses place a lot of importance on cardiac patients being pain free, it is apparent this is often not achieved. Research and documented case studies suggest that relaxation can play an important role in the treatment and prevention of this distressing symptom. The author advocates for nurses to challenge nursing practice and help patients deal effectively with chest pain in a way that meets each individual's needs.
Call Number NRSNZNO @ research @ Serial 841
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Author Banks, J.; McArthur, J.; Gordon, G.
Title Flexible monitoring in the management of patient care process: A pilot study Type Journal Article
Year (up) 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
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Author MacGeorge, Jane Mary
Title Non-invasive continuous positive airway pressure therapy in patients presenting with cardiogenic pulmonary odema Type Book Whole
Year (up) 2000 Publication Abbreviated Journal
Volume Issue Pages 121 pp
Keywords Continuous Positive Airway Pressure; Respiratory Therapy; Heart diseases
Abstract Examines the value of early intervention of continuous positive airway pressure (CPAP) in the emergency setting, and the influence of experienced nurses on early initiation of CPAP. Investigates the difference that therapy made to mortality and morbidity for patients presenting with cardiogenic pulmonary odema (CPO) to a metropolitan emergency department. Performs a retrospective audit of 54 cases over the period of one year.
Call Number NZNO @ research @ Serial 1428
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Author Johnstone, C.
Title Linking diet and respiratory distress Type Journal Article
Year (up) 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 5 Pages 22-23
Keywords Diet; Chronic diseases; District nursing
Abstract The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed.
Call Number NRSNZNO @ research @ Serial 1011
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Author Prentice, D.; Hathaway, M.
Title Responding to a death from meningococcal disease: A case study Type Journal Article
Year (up) 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 5 Pages 16-18
Keywords Infectious diseases; Public health; Infection control
Abstract The public health nurses present a case study on adapting meningococcal disease public health protocols to work with the situation of a Cook Island family following the death of a member from meningococcal disease. They discuss the meningococcal disease epidemic in New Zealand and outline the signs and symptoms of the disease.
Call Number NRSNZNO @ research @ Serial 1016
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Author Searle, J.
Title Gender bias: Women and heart disease Type Journal Article
Year (up) 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue 12 Pages 10-14
Keywords Cardiovascular diseases; Gender; Nursing; Female
Abstract This article discusses the apparent gender bias prevalent in health care for women who experience cardiovascular disease. It considers how gender expectations and stereotypes affect health practices. Changes at the social, political and practice level necessary to achieve equitable care for women with cardiovascular disease are outlined.
Call Number NRSNZNO @ research @ Serial 1282
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Author Day, W.
Title Women and cardiac rehabilitation: A review of the literature Type Journal Article
Year (up) 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 16 Issue 1-2 Pages 92-101
Keywords Cardiovascular diseases; Gender; Nursing; Research
Abstract This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs.
Call Number NRSNZNO @ research @ Serial 879
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Author Neugebauer, A.F.
Title The adult congenital heart disease service: An evidence-based development of a nurse specialist position Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing specialties; Nursing
Abstract
Call Number NRSNZNO @ research @ 482 Serial 469
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Author McLaughlin, K.
Title Nephrology nursing: Early intervention in chronic kidney disease Type
Year (up) 2004 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Nursing specialties; Diseases; Advanced nursing practice; Kidney disease
Abstract This study explored the potential for extending the contribution nurses make in managing patients with chronic kidney disease as they progress to end stage kidney failure. In the context of a shortage of nephrologists and an escalating patient population suffering from kidney disease, the potential to include advanced nephrology nursing in early disease management was postulated. The literature was reviewed with regard to initiatives to reduce the progression of kidney failure and the prevention of associated complications. Local and international literature on advanced nursing practice and the nurse practitioner role was examined in relation to the management of chronic kidney disease. The introduction of the nurse practitioner in New Zealand could provide an ideal framework for independent nephrology nursing. Well-established nursing practice in dialysis, transplantation and pre-dialysis provide distinct scopes of practice in these areas for independent nursing in the future. It seems likely that these sub-specialties in nephrology nursing will be the first to experience the value of the nurse practitioner. The creation of early interventionalist nurse practitioners in nephrology health care would allow nurses to step outside these well-established sub-specialties, and provide new resources to help manage chronic kidney disease. A model of care was proposed that outlines how a nephrology nurse practitioner could work collaboratively with community health providers and the local nephrology health care team to manage the early stages of kidney disease.
Call Number NRSNZNO @ research @ Serial 1150
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Author Robinson, T.
Title Advancing nursing practice and deep vein thrombosis prevention Type
Year (up) 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing; Prevention
Abstract
Call Number NRSNZNO @ research @ 477 Serial 464
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Author Stewart, R.
Title Opportunistic chlamydia testing: Improving nursing practice through self-audit and reflection Type Journal Article
Year (up) 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 1 Pages 43-52
Keywords Nursing; Practice nurses; Diseases; Case studies
Abstract This article details how an individual family planning nurse's practice concerning opportunistic testing for sexually transmitted chlamydia was improved through an audit of her testing rates and reflection on the outcome. The leading curable sexually transmitted infection in New Zealand, chlamydia, (including the incidence and spread of the infection and why it is a public health issue) is discussed, and the audit examined. The first audit of fifty consecutive client visits exposed a lack of opportunistic testing. The second looking at a similar but more recent group of client visits, made after the results of the first (zero opportunistic testing) were known, shows an increase in testing and education about chlamydia. Important clinical issues concerning chlamydia testing and treatment are considered. In conclusion the article challenges other nurses in the community to take a lead in raising awareness of the consequences of undiagnosed chlamydial infection and find ways of increasing opportunistic testing for chlamydia within their practice.
Call Number NRSNZNO @ research @ 554 Serial 540
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Author Sheridan, N.F.
Title Mapping a new future: Primary health care nursing in New Zealand Type
Year (up) 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Primary health care; Chronic diseases; Community health nursing; Nursing models
Abstract The aim of the study was to determine the practice of nurses employed in integrated care projects in New Zealand from late 1999 to early 2001. Integrated care was a major health reform strategy that emphasised primary health care as a means to improve service provision between the health sectors. An investigation of nurses' practice sought to determine the extent to which primary health care principles had been adopted in practice, as a comprehensive primary health care approach has been advocated globally in the management of chronic conditions; the leading cause of disability throughout the world and the most expensive problems faced by health care systems. The philosophical basis of the research was postpositivism. The study employed a quantitative non-experimental survey design because it allowed numeric descriptions of the characteristics of integrated care projects to be gained for the purpose of identifying nurses' practice. The unit of inquiry was the integrated care project, and 80 comprised the study population. Data were obtained on projects from expert informants (n=27) by telephone survey using a structured interview questionnaire developed by the researcher. Data obtained from interviews were statistically analysed in two stages. First, data were produced to comprehensively describe the characteristics of integrated care projects and nurses practice. The 'Public health interventions model' was used as a framework to analyses the interventions (activities) and levels of population-based practice of nurses. Following this, the social values embedded in nurses' practice were determined using 'Beattie's model of health promotion' as a framework for analysis. A strong association was found between nurses' practice in projects and strategies used in integrated care, such as information sharing, guideline development and promotion, and case management, and projects with an ethnic focus, low income focus, chronic condition focus, and well-health focus. Whilst nurses undertook interventions most frequently at the individual practice level they were also strongly associated with the small proportion of interventions that were undertaken at the community level. The majority of interventions by nurses reflected the health promotion value of health persuasion, indicating a paternalist and individual-oriented philosophy. Nurses were engaged in two interventions that indicated a collective-oriented philosophy – coalition building and community development, the latter reflecting health promotion values of negotiation, partnership and empowerment. The study demonstrated that nurses' practice in projects was predominantly centred on individual-focused population-based practice suggesting the need for a framework to assist nurses to transition their practice to include more activity at the community and systems levels. Without a reorientation of practice, nurses will remain limited in their ability to achieve health gains for populations. In response to this conclusion, and drawing on research results and reviewed literature, a new model, The 'Primary Health Care interventions model' was constructed. Recommendations include advocacy for the acceptance of the model by the health funder, professional nursing bodies, health organisations, educational institutions, nurses, communities, and individuals.
Call Number NRSNZNO @ research @ 679 Serial 665
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Author Huntington, A.D.; Gilmour, J.A.
Title A life shaped by pain: Women and endometriosis Type Journal Article
Year (up) 2005 Publication Journal of Clinical Nursing Abbreviated Journal
Volume 14 Issue 9 Pages 1124-1132
Keywords Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique
Abstract The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.
Call Number NRSNZNO @ research @ Serial 940
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Author Lynch, T.M.
Title A qualitative descriptive study of youth with Crohn's disease Type
Year (up) 2005 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Diseases; Adolescents; Nursing
Abstract
Call Number NRSNZNO @ research @ 1143 Serial 1128
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Author Davies, D.C.
Title Practice nurses' perceptions of their contribution to the care of individuals with chronic health conditions Type
Year (up) 2006 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Primary health care; Chronic diseases; Patient satisfaction; Nursing
Abstract Table of Contents: 1. Background and overview; 2. Research design and method; 3. Literature review; 4. Preparation of the individual for an appointment at the general practice; 5. Care provided by the practice nurse at the general practice; 6. The giving of information; 7. A discussion of the dualities of the contribution of practice nurses to the care of individuals with chronic conditions; 8. Study summary and conclusions.
Call Number NRSNZNO @ research @ 492 Serial 478
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