| Records |
| Author |
Ryder-Lewis, M. |
| Title |
Reliability study of the Sedation-Agitation Scale in an intensive care unit |
Type |
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Year  |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Intensive care nursing; Interprofessional relations |
| Abstract |
This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the Sedation-Agitation Scale (SAS) in a natural Intensive Care Units (ICU) setting. The author notes that it is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1203 |
| Permanent link to this record |
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| Author |
Mackay, B. |
| Title |
General practitioners' perceptions of the nurse practitioner role: An exploratory study |
Type |
Journal Article |
| Year |
2003 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
| Volume |
116 |
Issue |
1170 |
Pages |
|
| Keywords |
Nurse practitioners; Physicians; Interprofessional relations; Primary health care |
| Abstract |
This study explores perceptions of general practitioners in the Northland District Health Board (NDHB) regarding the nurse practitioner role, identifying their knowledge of and perceived problems with that role, and their experience of nurses in advanced practice. A purposive sample of all 108 general practitioners in NDHB was undertaken, with a response rate of 46.3%. General practitioners favourably viewed nurse practitioner functions traditionally associated with nursing, such as health teaching, home visiting, obtaining health histories, and taking part in evaluation of care, but less favourably viewed those functions associated with medicine, such as prescribing, ordering laboratory tests, and physical assessment. While expecting few problems with patient acceptance, the general practitioners felt that funding and doctors' acceptance would be problematic. Most general practitioners indicated they had knowledge of the nurse practitioner role and had experienced working with a nurse in advanced practice, but some uncertainty and lack of knowledge about the nurse practitioner role was evident. The author recommends more education and discussion with Northland general practitioners to ensure they are fully informed about the nurse practitioner role and its potential positioning in primary healthcare, to reduce uncertainty, minimise role confusion and promote collaboration between general practitioners and nurse practitioners. |
| Call Number |
NRSNZNO @ research @ |
Serial |
557 |
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| Author |
Carryer, J.B.; Boyd, M. |
| Title |
The myth of medical liability for nursing practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
19 |
Issue |
4-12 |
Pages |
4-12 |
| Keywords |
Interprofessional relations; Law and legislation; Nurse practitioners; Advanced nursing practice |
| Abstract |
This article explores the complex nature of liability in the case of standing orders and vicarious liability by employers, and also when nurses and doctors are in management roles. The authors address misconceptions about medico-legal responsibility for nursing practice with the advent of nurse prescribers and nurse practitioners. They refer to the submission made by the College of Nurses Aotearoa (NZ) on the Health Practitioners Competence Assurance Act (2003), and discuss practice liability and nurse-physician collaboration. |
| Call Number |
NRSNZNO @ research @ 624 |
Serial |
610 |
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| Author |
Brasell-Brian, R.; Vallance, E. |
| Title |
Clinical practice/education exchange: Bridging the theory-practice gap |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
1 |
Pages |
17-26 |
| Keywords |
Education; Interprofessional relations |
| Abstract |
This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them. |
| Call Number |
NRSNZNO @ research @ |
Serial |
613 |
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| Author |
Farrow, T. |
| Title |
Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments |
Type |
Journal Article |
| Year |
2002 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
11 |
Issue |
4 |
Pages |
214-219 |
| Keywords |
Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide |
| Abstract |
'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly. |
| Call Number |
NRSNZNO @ research @ |
Serial |
785 |
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| Author |
Horsburgh, M.; Lamdin, R.; Williamson, E. |
| Title |
Multiprofessional learning: The attitudes of medical, nursing and pharmacy students to shared learning |
Type |
Journal Article |
| Year |
2001 |
Publication |
Medical Education |
Abbreviated Journal |
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| Volume |
35 |
Issue |
9 |
Pages |
876-883 |
| Keywords |
Nursing; Education; Students; Interprofessional relations |
| Abstract |
This study has sought to quantify the attitudes of first-year medical, nursing and pharmacy students' towards interprofessional learning, at course commencement. The Readiness for Interprofessional Learning Scale (RIPLS) (University of Liverpool, Department of Health Care Education), was administered to first-year medical, nursing and pharmacy students at the University of Auckland. Differences between the three groups were analysed. The majority of students reported positive attitudes towards shared learning. The benefits of shared learning, including the acquisition of teamworking skills, were seen to be beneficial to patient care and likely to enhance professional working relationships. However professional groups differed: nursing and pharmacy students indicated more strongly that an outcome of learning together would be more effective teamworking. Medical students were the least sure of their professional role, and considered that they required the acquisition of more knowledge and skills than nursing or pharmacy students. |
| Call Number |
NRSNZNO @ research @ |
Serial |
719 |
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| Author |
French, P. |
| Title |
Nursing registration: A time to celebrate? |
Type |
Journal Article |
| Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
8 |
Pages |
17-19 |
| Keywords |
History of nursing; Interprofessional relations; Physicians; Nursing philosophy |
| Abstract |
This article examines the knowledge and power relationships between the medical profession and nurses during the first half of the twentieth century. It argues that the 1901 Nurses' Registration Act allowed doctors to exert control over the nursing profession and that the hierarchal structure of the profession contributes to the culture of control and surveillance. |
| Call Number |
NRSNZNO @ research @ 1029 |
Serial |
1013 |
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| Author |
Herd, C.M.F. |
| Title |
Is it a dangerous game? Registered nurses' experiences of working with care assistants in a public hospital setting |
Type |
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| Year |
2001 |
Publication |
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Abbreviated Journal |
Massey University, Palmerston North, Library |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Registered nurses; Personnel; Interprofessional relations |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1274 |
Serial |
1259 |
| Permanent link to this record |
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| Author |
Strochnetter, K.T. |
| Title |
Influences on nurses' pain management practices within institutions: A constructivist approach |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Interprofessional relations; Pain management; Nursing |
| Abstract |
Alleviating patient suffering, providing comfort and pain relief are all central to the philosophical caring position nurses have always espoused. Despite this, patients continue to suffer pain although we have the means to provide pain relief. The author notes that research has identified that nurses have a knowledge deficit regarding pain and its management, as well an erroneous attitudes, which combined are blamed for an inability to make significant progress in this area. This study was undertaken to uncover the contextual aspects of working within a New Zealand health care institution that affect nurses' ability to manage their patient' pain effectively. It highlights the difficulties and the complicated nature of working within an institution in the 1990's health care environment, where accountability for pain is absent and where pain is often under-assessed and under-treated. By using focus group of nurses, the author notes she was able to uncover constructions on nursing practice, which, she suggests, have been missing from the literature, but prevent nurses from implementing their knowledge. Using a constructivist research, she used nurse's stories and current literature to argue one way forward in, what she terms, the pain management debacle. This study revealed a diverse range of contextual factors that prevent nurses from using their knowledge. Many of the constraints on nursing practice are the results of complex organisational structures within health reform, which have significantly affected the nurse's ability to provide quality-nursing care. One of the most important factors limiting the management of the patient' pain is the inability of the nurse to autonomously initiate analgesia. While nurses are largely responsible for the assessment of pain, they are usually powerless to access necessary analgesia, without a medical prescription. The author argues that once an initial medical diagnosis has been made, nurses are usually left responsible for patient comfort and the management of pain. To do so effectively, nurses need to able to prescribe both pharmacological and non-pharmacological measures for the patient. Presently nurses are prescribing using a variety of illegitimate mechanisms, needing the endorsement of a doctor. To fulfil this role, nurses must be adequately prepared educationally and given the authority to either prescribe autonomously, of provided with extensive “standing orders”. While legislative changes in New Zealand in 1999 extended prescribing right to a few nurses within certain areas of care, the ward nurse is unlikely to gain prescribing rights in the near future. The author concludes that a way forward may be to encourage and further develop the use of protocols for managing pain via standing orders. Standing orders are common place within nursing practice today, have the support of the Nursing Council of New Zealand and are currently under-going legislative review. An institutional commitment to developing pain protocols for nurses would recognise the nurses active role and expertise in the management of pain and facilitate expedient relief for the patient. |
| Call Number |
NRSNZNO @ research @ |
Serial |
909 |
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| Author |
Jones, B. |
| Title |
Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand |
Type |
Journal Article |
| Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
14 |
Issue |
3 |
Pages |
28-35 |
| Keywords |
Advanced nursing practice; Neonatal nursing; Interprofessional relations |
| Abstract |
This article outlines the development of the neonatal nurse practitioner role in New Zealand as an example of one advanced practice nursing role. A model of how nursing culture changes to include roles that incorporate components that historically have been considered the domain of other health professionals is proposed. This article outlines some of the issues surrounding the neonatal nurse practitioner role, including the educational requirements for this role in New Zealand. |
| Call Number |
NRSNZNO @ research @ 659 |
Serial |
645 |
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| Author |
Dredge, A. |
| Title |
An insider's view of professional nursing and care management of the critically ill patient |
Type |
Journal Article |
| Year |
1999 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
5 |
Issue |
8 |
Pages |
13-16 |
| Keywords |
Intensive care nursing; Interprofessional relations; Registered nurses |
| Abstract |
This article explores the role of the registered nurse (RN) in the critical care environment. It presents the Intensive Care Unit (ICU) as a unique environment, with a specific relationship to technology, and a history that mirrors scientific development. It explores the tensions for a caring profession with a distinct culture practising in a highly medicalised, acute environment, and affirms the value of quality human care. |
| Call Number |
NRSNZNO @ research @ 1302 |
Serial |
1287 |
| Permanent link to this record |
