| Records |
Author  |
Butler, A.M. |
| Title |
Towards a staffing formula: home visit rating scales for community health nurses |
Type |
|
| Year |
1980 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
Auckland Hospital |
| Volume |
73 |
Issue |
9 |
Pages |
9-14 |
| Keywords |
|
| Abstract |
Reports the development of a set of Rating scales which can be used to measure the Home visiting part of the workload of Community Health Nurses. The scales provide a useful tool for the equitable distribution of Home visits among existing staff and can assist in the assessment of the total workload of the Community Health Nurses |
| Call Number |
NRSNZNO @ research @ 138 |
Serial |
138 |
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| Author |
Butler, A.M. |
| Title |
Development of patient dependency rating scales for use in psychiatric hosptials |
Type |
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| Year |
1976 |
Publication |
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Abbreviated Journal |
Auckland Hospital Board |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 47 |
Serial |
47 |
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| Author |
Dodd, J.E.L. |
| Title |
Nursing evaluation of the efficacy of analgesic delivery in post operative pain |
Type |
|
| Year |
1986 |
Publication |
Australian Clinical Review |
Abbreviated Journal |
Auckland Hospital Library |
| Volume |
6 |
Issue |
23 |
Pages |
206-212 |
| Keywords |
|
| Abstract |
The progress of 22 adult patients was recorded for three days post operatively. Pain was assessed at rest and on activity three times a day using visual analogues. Nausea levels were assessed similarly. All analgesics and anti emetics administered were recorded. There was a wide range of variation in the administration of medications and consequently a wide range of effectiveness. A significant proportion of patients showed unacceptably high levels of pain indicating under treatment. Patients and nurses had conflicting expectations of who should initiate the request for pain medication |
| Call Number |
NRSNZNO @ research @ 85 |
Serial |
85 |
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| Author |
Jones, M. |
| Title |
The complexities of post operative pain management and a study of the effectiveness of continuous intravenous narcotic infusion pumps as a means of pain relief in the first 48 hours post operatively |
Type |
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| Year |
1985 |
Publication |
|
Abbreviated Journal |
Author, Auckland Hospital, Auckland Institute of |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The purpose of this paper was to observe the effectiveness of continuous intravenous narcotic infusions as a means of pain relief in the first 48 hours post operatively. 12 patients who had experienced major thoracic or abdominal surgery participated in the study. Pain was assessed at rest and on activity on visual analogues at 5 specific times daily for up to 48 hours post operatively. Data was also collected from a structured interview within the first 48 hours and a retrospective interview when the infusion was discontinued. Results indicated- 1. Very little correlation of changes in pain relief dose to the assessment of pain intensity. 2. Documentation and assessment was not always thoroughly completed. 3. Inadequate treatment of pain post operatively was evident especially on activity. It should be emphasised that pain management could be improved through a focus in interdisciplinary consultation, continuing in service education on pain management and accountability in procedure. |
| Call Number |
NRSNZNO @ research @ 102 |
Serial |
102 |
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| Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
| Title |
Feasibility of a nurse-based critical care follow-up clinic |
Type |
|
| Year |
1994 |
Publication |
|
Abbreviated Journal |
DCCM, Auckland Hospital Private Bag 92024 Aucklan |
| Volume |
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Issue |
|
Pages |
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| Keywords |
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| Abstract |
We are about to implement a nurse-based critical care follow-up service and used a follow-up study of tracheostomy to determine the feasibility of such a service. Nine to 27 months median 14 after intensive care admission we attempted to follow-up 116 of our most severely ill survivors. Twenty six could not be found, 11 declined follow-up. A questionnaire, interview and limited examination were used to determine health status. Ten patients unable to come to a clinic were seen at home. Interview time varied between patients but 79 patients took 100 nurse-hours. Ninety percent of patients co-operated with respiratory function testing. Pulse oximetry identified one with severe chronic respiratory failure. In this highly selected group of patients with on going problems (perceived poor health, dependency, disability, changes in appearance, deterioration in personal relationships, poor sleep, pain, altered diet, unaddressed chronic health problems, poor access to health services, and continuing prescription medication) were common, and addressed to some extent by appropriate referral. Approximately 20% of patients reported improvement in their health and personal relationships after critical illness and half of the smokers had given up. Factors contributing to follow-up difficulty included distance, delay in initial contact, change of address (255 of this group), disability and poverty. A nurse-run critical care follow-up clinic is feasible, time consuming but productive. A register of current addresses and phone numbers is recommended. The optimal time for follow-up will vary with patients conditions but early follow-up with protocol- based lines of referral is recommended to reduce persistent health problems |
| Call Number |
NRSNZNO @ research @ 205 |
Serial |
205 |
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| Author |
Margetts, M.; Cuthbertson, S.; Streat, S.J. |
| Title |
Bereavement follow-up – its impact on practice |
Type |
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| Year |
1996 |
Publication |
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Abbreviated Journal |
DCCM Auckland Hospital |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Since 1995 we have provided a bereavement follow-up service but the benefits of this to clinical care have not previously been reported . We reviewed the 1995 results, documentation methods, system design, discussed with reviewers their data collection, interview process and its effect on them and their practice. Next-of-kin of only 99/151 patients ( M87 age 14-88) were contacted 16-149 median 34 days after the death. Sleep disturbance (55/99) were the most common problems. We now give next-of- kin literature including a pamphlet which introduces our service and discusses these problems. Most next-of-kin (77/99) commented favorably on DCCM care, but 16/99 identified inadequate facilities and communication problems as service deficiencies. We have improved facilities (paint, furniture, telephone, drinks machine). We now notify patients general practitioners of every death and bring families back for meetings with staff when necessary. We changed systems of case identification and recording of next-of-kin information. Nurse interviewers (8) identified their needs for improved telephone skills, education about grief and research, debriefing after calls and their need for acknowledgement of participation in this service. Study days now address these issues. Interviewers difficulties with interview content have lead to changes. They suggested peer review of data forms to improve completeness which now occurs. Some found the interview process personally disturbing, but all reported positive changes in their practice with bereaved families.Within two years a bereavement service has led to improvements in facilities, communication, and staff expertise, it is now part of our holistic care |
| Call Number |
NRSNZNO @ research @ 200 |
Serial |
200 |
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| Author |
Margetts, M.; Cuthbertson, S.; Streat, S.J. |
| Title |
Bereavement follow-up service after fatal critical illness |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Fatal illness is often short. Communication between patient and family is impaired and how to best meet family needs is unclear. We began a follow-up service to determine current next-of-kins outcomes and remedy service deficiencies. A critical care nurse identified deaths from our data base and completed a structured telephone interview with the next-of-kin. There were 374 admissions from 1/1/95 – 17/5/95, 55 died. Next- of-kin of 52 patients (M29, age 19-88 median 52) were contactable 16-70 (median 33)days later. All (defacto/wives 18, husbands 9, mothers 9, daughters 8, others 8) consented to interview (5 -80, median 15 minutes). Forty-nine had resumed normal home activities and 23/25 workers had returned to work. Thirty-three still had disturbed sleep, three were taking hypnotics. Twenty-four had had contact with their general practitioner because of the death (six were prescribed sedatives or hypnotics). Nineteen had financial problems. Forty-seven described DCCM care positively, 35 specifically (nursing care and compassion 15, communication 8, flexible visitors policy8) but 13 had particular difficulties (communication 4 , waiting 2, facilities 4) and 4 serious non-DCCM issues. Forty-six considered themselves well informed and understood well the sequence of events. Forty-eight identified family and friends as primary support. Three requested information about another agency (counseling), 9 asked us to contact as further relative. A telephone bereavement service is well received by next-of-kin. Most families members resolve their early grief without external agencies but sleep and money are problems. We have improved our facilities and are addressing communication and cultural issues |
| Call Number |
NRSNZNO @ research @ 199 |
Serial |
199 |
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| Author |
Pearce, L.; Cuthbertson, S.; Streat, S.J.; Hay, D. |
| Title |
Dental hygiene in the critically ill: a randomised controlled trial of three methods |
Type |
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| Year |
1996 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital, Private Bag 92024, Auck |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Introduction Critically ill patients cannot clean their own teeth. A variety of methods are used but as the best method is unknown we performed a prospective randomised double-blind controlled trial of three methods.Method Of 359 consecutive admissions to the Department of Critical Care Medicine between 31/01/97 and 25/05/97, 222 were excluded (62 edentulous, 6 unexaminable, 142 transferred alive and 12 dead or dying at 24 hours). The remaining 137 patients had quantitative (picture-linked, ordinal score) assessment of caries, peridontal status and plaque (in 12 segments of teeth) before randomisation (to the use of either toothbrush, jumbo swab or sonic toothbrush) by pre-assigned sealed envelopes. All teeth were cleaned (prescribed four hourly) with 0.2% chlorhexidine solution. Daily plaque scores were obtained (by an assessor (SC) blind to treatment allocation) until withdrawal, death or transfer.Results Toothbrush Jumboswab SonicPatients assigned 50 48 39Withdrawn within 24hrs. 9 3 5Patients remaining 41 45 34Percentage of teeth segments thatare pristine: pre treatment 45 50 51 after 2 days 74 57 90 F(2.63) = 5.00 p = 0.0097 More withdrawals for patient noncompliance after randomisation occurred in the sonic group (5/34 versus 3/86). Conclusion. By the second day the sonic toothbrush was the most effective in plaque removal with the toothbrush the next most effective method |
| Call Number |
NRSNZNO @ research @ 203 |
Serial |
203 |
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| Author |
Pearce, L.; Kirkham, S.; Cuthbertson, S. |
| Title |
Quality of follow-up for self-poisoning patients after discharge from intensive care: 1996, one year later |
Type |
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| Year |
1996 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital, P.O.Box 92024, Auckland |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
In 1995 we conducted a retrospective audit on a prospectively collated database to find out which intensive care patients missed out on psychiatric care after self poisoning. Our results showed that 57 patients in 1995 may not have received psychiatric follow-up assessment. Department of Critical Care Medicine (DCCM) follow-up was also less successful for this particular group. It was recommended that on admission to intensive care, all self poisoning patients would be referred to the Liaison Psychiatry Service (LPS).In 1996 we reviewed the databases of DCCM and LPS to determine if the quality of psychiatric follow-up had improved after the initial 1995 audit. In 1996 124 patients had 149 admissions (85F, age range 14.6-85.3, median 35, median GCS 9, 99 ventilated, 3 deaths). Thirteen patients had 25 admissions within 6 months of their index admission , 7/13 had a major psychiatric disorder. Mixed poisoning remained common. Forty-five admissions took cyclic antidepressants, 21 sedatives, 52 other medications, 25 ethanol (median 43 mmol/l ), 30 carbon monoxide and 5 took various non-prescription poisons.Thirteen went home, 32 to other hospitals, 4 to psychiatric hospitals and 97 were transferred to wards within Auckland Hospital. Psychiatric follow-up assessment was successful in 96/97 patients prior to discharge from Auckland Hospital. Those discharged to other hospitals or home were referred and followed up by LPS teams or other Mental Health Services.DCCM follow-up 4-6 weeks post discharge was more successful for 1996 with 120/146 contacted of which 33/120 were receiving ongoing psychiatric care. |
| Call Number |
NRSNZNO @ research @ 207 |
Serial |
207 |
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| Author |
Williams, H.; Cuthbertson, S.; Newby, L.; Streat, S.J. |
| Title |
A follow-up service improves bereavement care in an intensive care unit |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Auckland Hospital Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 149 |
Serial |
149 |
| Permanent link to this record |
