| Records |
| Author |
Chadwick, A.; Hope, A. |
| Title |
In pursuit of the named nurse |
Type |
Journal Article |
Year  |
2000 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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| Volume |
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 |
Paterson, M. |
| Title |
Dealing with life and death decisions |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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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 |
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 |
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| Author |
Simon, V.N. |
| Title |
Characterising Maori nursing practice |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Waikato Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Maori; Nursing; Culture |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1134 |
Serial |
1119 |
| Permanent link to this record |
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| Author |
Mossop, M.D. |
| Title |
Older patients' perspectives of being cared for by first year nursing students |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Older people; Nurse-patient relations; New graduate nurses; Hospitals |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1135 |
Serial |
1120 |
| Permanent link to this record |
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| Author |
Thompson, L. |
| Title |
Suctioning adults with an artifical airway: A systematic review |
Type |
Book Whole |
| Year |
2000 |
Publication |
|
Abbreviated Journal |
Subscriber access at the Joanna Briggs Institute |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Evidence-based medicine; Nursing research |
| 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? |
| Call Number |
NRSNZNO @ research @ 1136 |
Serial |
1121 |
| Permanent link to this record |
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| Author |
Grant-Mackie, D. |
| Title |
A literature review of competence in relation to speciality nursing |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library, NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Paediatric nursing; Nursing specialties; Professional competence; Nursing; Education |
| Abstract |
The original aim of the study was to find out through a questionnaire what child health/paediatric nurses in New Zealand/Aotearoa saw as their needs for post-registration education. Nurses were completing courses in the United Kingdom and returning to New Zealand/Aotearoa and realising that their nursing capabilities had improved. They became senior nurses with education responsibilities and exhibited political leadership among their colleagues in the field of child health/paediatric nursing. They were becoming increasingly concerned at the lack of any clinical courses in the specialty of child health/paediatric nursing to promote an appropriate standard of practice. It was intended that a research project about post-registration child health/paediatric education would assist concerned nurses to develop a programme. The time needed for such a project did not fit with a limited research paper. It was decided to reduce the project to a review of the literature on competence in nursing, with some comment on the specialty of child health/paediatric nursing. In order for nurses to find what they need to learn and know, an understanding of competence in nursing practice is required. Competence is defined as the ability of the nurse to carry out specific work in a designated area at a predetermined standard. Issues around competence, defining a scope of practice, development and assessment of competence, and regulation of nursing, are part of the context in which accountability for the practice of nurses sits. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1123 |
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| Author |
Casey, H. |
| Title |
Empowerment: What can nurse leaders do to encourage an empowering environment for nurses working in the mental health area |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
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Pages |
|
| Keywords |
Policy; Leadership; Careers in nursing; Mental health; Psychiatric nursing |
| Abstract |
For nurses to have control over their practice they need to have input into policy development. Nurses having control over their practice has been linked to nursing empowerment. Therefore the question explored in this research project is: What can nurse leaders do to encourage an empowering environment for nurses working in the mental health area? The literature reviewed for this project includes empowerment, power, the history of nursing in relation to women's role in society, oppression and resistance, and literature on Critical Social Theory as the underlying theoretical and philosophical position which informs the research process. In order to answer the research question a single focus group was used to gather data from a group of registered nurses practising in mental health. Focus groups as a data collection method produce data and insights that would be less accessible without the interaction found in the group. The key themes to emerge from the data analysis were: power is an important component of empowerment and power relationships; and at a systems level, professional, organisational, and political influences impact on feelings of empowerment and/or disempowerment. These key themes are discussed in relation to the literature and the broader social and cultural context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations for nurse leaders who aim to provide an empowering environment for nurses practising in mental health. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1145 |
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| 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 |
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Issue |
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Pages |
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| 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 |
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| Author |
Kingsbury, K. |
| Title |
The illlusion of separateness, a philosophical study of nursing and naturopathic practice: Healing connections between people |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Alternative therapies; Nurse practitioners; Nursing models |
| Abstract |
This thesis describes the journey of a practicing independent nurse practitioner and naturopath through the stories of five clients. The thesis is presented as a narrative and begins with an account of the events in the practitioner's life that lead to the specific study of natural therapies and the development of a cohesive practice using holistic health practices from a nursing perspective. The text essentially describes the process of establishing a private practice combining two disciplines of nursing and naturopathy in New Zealand. The study reveals how a nurse and naturopath's practice is based on the premise that it is crucial to recognise that the personal life and professional life of the nurse inform and influence each other and are always part of the process of care in such a practice. Three healing modalities that are central to the practice are described in detail. The description is informed by theory and research from nursing, the social sciences and the natural sciences. The study reveals the practical value of postmodern nurse theorists, Jean Watson and Margaret Newman to this practice. This study also briefly discusses the concepts from quantum theory, evolutionary theory and psychoneuroirnmunology that are used in the practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1181 |
| Permanent link to this record |
