| Records |
Author  |
Kerslake, M.T. |
| Title |
The nurse practitioner in the South Pacific region: concerns about this innovation |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Issue |
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Pages |
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| Abstract |
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| Call Number |
NRSNZNO @ research @ 302 |
Serial |
302 |
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| Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
| Title |
Critical care survivors follow-up service |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
Private Bag, 92024, Auckland |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The extent of early remediable morbidity after critical illness is unclear. We began a follow-up service to determine outcomes, facilitate rehabilitation and remedy service deficiencies. A critical care nurse identified hospital survivors (DCCM and hospital databases), completed a structured telephone interview with the patient and intervened according to predetermined guidelines. Of 261 admission 1/1/95 29/3/95 50 died in hospital (39in DCCM). Of 211 hospital survivors (M115, age 15-84 median40) 31 could not be contacted, one died at home and 179 contacts were made 21- 120 (median 51) days after DCCM. One refused interview, 178 interviews took 8-60, (median 15) minutes. Only 68/178 had resumed normal activities and 26/78 workers had returned to work. Seventy patients had contacted general practitioners because of critical illness sequelae. One hundred patients gad 191 problems (including unhealed wounds29, pain 28, impaired mobility26, neurological deficit 178, infection 10 weight loss 9, tiredness 6 depression 5, sleep disturbance 3, others 57). Sixty-five described DCCM staff as helpful, 37 had complaints (hallucinations 6, staff behaviour5, restraints5 sedation/analgesia inadequate5 or excessive 2, poor communication3, fear3, noise 2 other 4) and 5 raised serious non-DCCM issues. Forty-four patients were called again 6-84, median 42 days later when 69/112 health problems had resolved but 29/44 patients had not resumed normal activity. Four attended a clinic and were referred to other services. A follow-up service is well received. Morbidity is common but improves within three months after critical care. We are addressing service issues |
| Call Number |
NRSNZNO @ research @ 202 |
Serial |
202 |
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| Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
| Title |
Feasibility of a nurse-based critical care follow-up clinic |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital Private Bag 92024 Aucklan |
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Issue |
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Pages |
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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 |
Key, R.; Habashi, S.; Baber, C.; Cuthbertson, S.; Streat, S.J. |
| Title |
Long-term follow-up after Bjork flap tracheostomy |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
DCCM, Private Bag 92024, Auckland |
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Issue |
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Pages |
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| Abstract |
Because of concern about long-term complications of bjork flap tracheostomy we followed-up 136 intensive care patients who had Bjork flap tracheotomy in 1992 a median of 117 (range 5-402) hours after intubation. Twenty died in hospital, none as a result of tracheostomy. Twenty- six patients were lost to follow-up and eleven declined. The remaining 79 had measures of health status, a quality of life questionnaire, respiratory function testing and physical examination of the neck and upper airway 9-27 months (median 14) later. Various health status measures deteriorated in 9 to 51 of 77 patients. Forty-two of 77 patients were taking prescription medication and 15/32 smokers had stopped smoking. FEV1, FVC and FEV1/FVC were significantly reduced from predicted normal (n=70, 2.8+ 1.1 vs 3.2 +0.9 p<.0001, 3.7 + 1.3 vs 4.0 + 1.0 p<.0001, 76 +11vs 79 +3 p= 0.035 respectively). Pulse oximetry was normal (>92%) in 73/74 patients tested. The median horizontal scar dimension was 45mm (range 20 to 75 mm). Nine had a median vertical scar dimension 15mm (range 8 to 25mm). Nineteen scars were hypertrophic, 56 were tethered. Two patients had already undergone tracheal scar revision at follow-up and further 13 accepted scar revision. Ten patients had abnormal voice examination, four abnormal cough, two stridor, three vocal cord lesions, three tracheal polyps and fourteen asymptomatic tracheal narrowing from 10-60% (median 25%) of the tracheal luminal diameter. Patients surviving critical illness with bjork flap tracheostomy have reduced quality of life and respiratory function and poor cosmetic result but a low incidence of important airway problems |
| Call Number |
NRSNZNO @ research @ 201 |
Serial |
201 |
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| Author |
Kidd, J.D. |
| Title |
Aroha mai: Nurses, nursing and mental illness |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Mental health; Nursing; Culture |
| Abstract |
This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs. |
| Call Number |
NRSNZNO @ research @ 478 |
Serial |
465 |
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| Author |
MacManus, M. |
| Title |
Reflective practice: teaching the practice of nursing |
Type |
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| Year |
1994 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 299 |
Serial |
299 |
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| Author |
Maloney-Moni, J. |
| Title |
Kia Mana: A synergy of wellbeing |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Transcultural nursing; Psychology; Maori |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 841 |
Serial |
825 |
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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 |
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Issue |
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Pages |
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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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| 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 |
McArthur, J. |
| Title |
Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation |
Type |
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| Year |
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Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Advanced nursing practice; Organisational culture |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1280 |
Serial |
1265 |
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| Author |
McDonald, S. |
| Title |
Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland |
| Volume |
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Issue |
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Pages |
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| Keywords |
Mental health; Psychiatric Nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 620 |
Serial |
606 |
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| Author |
McKegg, A.H. |
| Title |
Ministering angels: the government backblock nursing service and the Maori health nurses, 1909 -1939 |
Type |
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| Year |
1991 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 278 |
Serial |
278 |
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| Author |
McManus, L.M.; Cuthbertson, S.; Streat, S.J. |
| Title |
When the lights went out in Auckland |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
DCCM, Private Bag 92024 Auckland |
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Issue |
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Pages |
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| Abstract |
As the clinical consequences of power failure in intensive care are seldom documented we reviewed the effects of a power failure on patient care, outcomes and the adequacy of our disaster plan. We reviewed clinical records of all ten patients in our department during a 20-minute total hospital power failure, determined the impact of the failure on the therapies being given, and the costs of failed equipment. We assessed the departments disaster plan and identified the causes of the power failure.Nine patients were intubated; six ventilated (one receiving nitric oxide) and three receiving continuous positive airway pressure. Two patients were ventilated by Servo 300,? which continued on batteries, the other four patients were ventilated manually. Six patients were receiving nine inotrope infusions through IMED Gemini,? (battery life 30 minutes). One patient was receiving high volume ultrafiltration using a Gambro? haemodialysis system, which failed. Blood flow to prevent clotting was maintained by turning the roller pump manually. All networked monitoring (SpaceLabs?) failed and three haemodynamically unstable patients were monitored by transport monitors (SpaceLabs Scout?). No patient suffered any ill effect. Failed electronic circuits cost $NZ11,724. The disaster plan was implemented and functioned well. The aged cables supplying Auckland Central failed during an El Nino summer. The hospital generators, supplying power to the city grid, failed to switch over to the hospital. During power failure infusion pumps should be only for inotropes. We now have external 12-volt battery backup. With good pre-planning, safe intensive care continued during a short power failure |
| Call Number |
NRSNZNO @ research @ 206 |
Serial |
206 |
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| Author |
Mearns, G. |
| Title |
Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nurse practitioners; Geriatric nursing; Older people; Registered nurses |
| Abstract |
The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner. |
| Call Number |
NRSNZNO @ research @ |
Serial |
585 |
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| Author |
Messervy, L. |
| Title |
The rise of the independent nurse practitioner: a comparative study of independent nurse practitioners and nurses in traditional work places |
Type |
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| Year |
1993 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 298 |
Serial |
298 |
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