| Records |
| Author |
Salt, L. |
| Title |
Evaluating critical care outreach and the early warning score tool ? The ward nurse?s viewpoint |
Type |
Journal Article |
| Year |
2013 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
Available through NZNO library |
| Volume |
4 |
Issue |
1 |
Pages  |
17-24 |
| Keywords |
Early warning scores; Critical care nursing; nursing skills |
| Abstract |
The aim of this research was to ascertain the opinions of ward nurses (registered and enrolled nurses) on a critical care outreach (CCO) service and the early warning score (EWS) tool and how CCO helps them care for ward patients whose condition is deteriorating. An 18-item Likert scale questionnaire was adapted to gain opinions on three aspects of the service: The usability of the EWS tool and the escalation protocol; the role and usefulness of the critical care outreach nurse (CCON); and education and sharing of critical care skills. The research was conducted in a 270-bed New Zealand hospital with a nurse-led outreach team. The survey was distributed to adult general wards. It found 45 percent of ward nurses found EWS useful in identifying patients whose condition was deteriorating, 58 percent found EWS easy to use and 82 percent found EWS helped them prioritise workloads. On the role and usefulness of the CCON, 41 percent of surveyed nurses found the post-ICU review helpful, 65 said CCONs were approachable, 71 percent found the CCON shift time of 3pm-11pm was useful, 69 percent said the CCON demonstrated sound clinical knowledge, and 54 percent rated CCONs teaching as sufficient for their needs. When CCO was present, nurses were able to formulate an effective management plan for potentially deteriorating patients and acquired critical care skills needed to manage such patients. The results are comparable with other research which sought nurse opinion of CCO. It indicates nurses believe CCO to be instrumental in increasing critical care skills to prevent deterioration in the clinical area. |
| Call Number |
NZNO @ research @ |
Serial |
1390 |
| Permanent link to this record |
| |
|
| |
| Author |
Watson, P, B. |
| Title |
Positive pressure intravenous access ports on central venous devices in children: An evidence-based review |
Type |
Journal Article |
| Year |
2010 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
NZNO Library |
| Volume |
1 |
Issue |
1 |
Pages |
12-18 |
| Keywords |
Venous pressure; Central venous pressure; Central venous catheters; Catheter-related infections; Children |
| Abstract |
This research aimed to assess the evidence for benefits and risks of positive pressure mechanical valve (PPMV) intravenous access ports on central nervous system devices (CVADs) in children. PPMVs on CVADs have been promoted as preventing occlusion and the need for heparin flushing. A search for primary research to March 2010 was conducted using MEDLINE, EMBASE and CINAHL. There is sufficient evidence that some models of PPMV intravenous access ports on CVADs, when flushed with normal saline, are associated with increased bloodstream infections in children. Further research is required. |
| Call Number |
NZNO @ research @ |
Serial |
1340 |
| Permanent link to this record |
| |
|
| |
| Author |
Seaton, L.; Seaton, P.; Yarwood, J. |
| Title |
Preparedness: Lessons for educators from the Christchurch disaster |
Type |
Journal Article |
| Year |
2013 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
Available through NZNO library |
| Volume |
4 |
Issue |
1 |
Pages |
11-16 |
| Keywords |
Education, Nursing; Case studies; Disasters |
| Abstract |
This study describes the impact of a sudden, traumatic natural disaster on a bachelor of nursing programme, and the capacity and processes required to minimise disruption to programme delivery and student learning. This descriptive case study, undertaken across 2011-2012, collected data through interviews, a survey and artefact collection. Six key themes emerged from the inductive and descriptive statistical analyses: context; communication; leadership and followership; decision making; the need to balance shifting priorities around professional responsibilities and personal imperatives; and taking action and action plans. The conclusions reached emphasise safety as the first priority, encourage personal risk mitigation, and emphasise the importance of ongoing support and flexibility for all staff and students as well as the need for clear communication and decision-making. What is perhaps most important to take from this experience is that a plan does not, by itself, equal preparedness; every institution must look to its own context, consider its own priorities, and formulate its own approach to preparedness. |
| Call Number |
NZNO @ research @ |
Serial |
1389 |
| Permanent link to this record |
| |
|
| |
| Author |
Honey, M.L.L. |
| Title |
Methodological issues with case study research |
Type |
Journal Article |
| Year |
2010 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
NZNO Library |
| Volume |
1 |
Issue |
1 |
Pages |
9-11 |
| Keywords |
Research, nursing; Research methodology; Study design; data analysis; Data collection methods |
| Abstract |
Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted. |
| Call Number |
NZNO @ research @ |
Serial |
1338 |
| Permanent link to this record |
| |
|
| |
| Author |
MacIvor, K |
| Title |
Critical Elements of Pre-hospital Cardiopulmonary Resuscitation |
Type |
Journal Article |
| Year |
2012 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Available through NZNO library |
| Volume |
|
Issue |
19 |
Pages |
9-17 |
| Keywords |
Death, Sudden; Cardiac Defibrillators Automated; External Prehospital Care; Resuscitation; Cardiopulmonary Ventricular Fibrillation |
| Abstract |
Baker et al., (2008) showed diminished rates of survival in the CPR-first group. Based largely on the evidence of the two Australian RCTs, the 2010 ILCOR guidelines removed the recommendation for CPR first, stating that 'there is inconsistent evidence to support or refute a delay in defibrillation to provide a period (90 s to 3 min) of CPR for patients in VF/pulseless ventricular tachycardia (VT) cardiac arrest' (ILCOR, 2010, p. e6).\n For this reason, and due to the increased chance of accidental defibrillation, it is the recommendation of the author that it only be used by health professionals who are able practise on a regular basis. |
| Call Number |
NZNO @ research @ |
Serial |
1380 |
| Permanent link to this record |
| |
|
| |
| Author |
Richardson, F |
| Title |
Editorial: Cultural Safety 20 Years On Time to Celebrate or Commiserate? |
Type |
Journal Article |
| Year |
2012 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Available through NZNO library |
| Volume |
|
Issue |
19 |
Pages |
5-8 |
| Keywords |
Cultural Safety -- Education; Curriculum; Education- Nursing |
| Abstract |
There needs to be more practice-focused research about how cultural safety is experienced by the recipient of care and how it is applied in nursing and healthcare delivery. [...]sociology, science, and knowledge developed from within northern hemisphere societies. Because the ground is different for knowledge arising from the New Zealand experience, theorising cultural safety must be different too. |
| Call Number |
NZNO @ research @ |
Serial |
1379 |
| Permanent link to this record |
| |
|
| |
| Author |
Walker, Leonie |
| Title |
Hardships and hurdles: The experiences of migrant nurses in New Zealand |
Type |
Journal Article |
| Year |
2010 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
NZNO Library |
| Volume |
1 |
Issue |
1 |
Pages |
4-8 |
| Keywords |
Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying |
| Abstract |
The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin. |
| Call Number |
NZNO @ research @ |
Serial |
1337 |
| Permanent link to this record |
| |
|
| |
| Author |
Hendry, C.; East, S. |
| Title |
Impact of the Christchurch earthquakes on clients receiving health care in their homes |
Type |
Journal Article |
| Year |
2013 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
Available through NZNO library |
| Volume |
4 |
Issue |
1 |
Pages |
4-10 |
| Keywords |
Stress Disorders, Post-traumatic; older people; disaster response |
| Abstract |
Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment. |
| Call Number |
NZNO @ research @ |
Serial |
1388 |
| Permanent link to this record |
| |
|
| |
| Author |
Niven, E. |
| Title |
Editorial: Even a small study can make a big difference |
Type |
Journal Article |
| Year |
2013 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
via NZNO library |
| Volume |
4 |
Issue |
1 |
Pages |
3 |
| Keywords |
|
| Abstract |
One of the challenges for research journals is to present material that is directly related to practice and that has the capacity to provoke reflection in practitioners that may in turn lead to change. |
| Call Number |
NZNO @ research @ |
Serial |
1387 |
| Permanent link to this record |
| |
|
| |
| Author |
Idour, D.M.G. |
| Title |
Stepping beyond the known – the lived experience of returning registered nurse students: an interpretive descriptive study |
Type |
|
| Year |
1998 |
Publication |
|
Abbreviated Journal |
Massey University Library, NZNO Library, UMI Disse |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
A Heideggerian Hermeneutical Analysis (HHA) approach was used for a study of returning registered nurse students (RRNS) from a nursing/health management context. In essence a descriptive interpretive study the intent has been to unveil the common meanings embedded in the lived experience of RRNS return to formal (advanced) studies. The phenomenon or issue of interest was pursued in the form of a question: What is meaningful and significant for participant RRNS in their everyday world on re-engaging in formal (advanced) nursing studies?Research from the RRNS viewpoint is scarce, so the focus of the study was to understand what RRNS themselves found to be the highlights of the experience. Participants included RRNS coming from a management background and, therefore, very much at the cutting edge of rapid and continuing change in health care provision. In addition to personal and professional reasons for returning to study, what the narratives disclosed was the compelling need experienced by the RRNS to increase understanding of changing requirements in the workplace. They looked for new possibilities to transform management of nursing/health services and for learning experiences favorable to that purpose. A key aspect of their concern related to the interactive nature of their lived experience as a RRNS with the entire context of their everyday world, that is, with the connections and relations between the study-work-homespace.Fourteen RRNS from an established university nursing programme participated in an expended non-structured interviews lasting 60 – 90 minutes. The interviews were held during 1993 in places selected by participants, some in the home but mostly in the work setting. With the consent of the participants interviews were audiotaped and then transcribed. The texts (transcriptions) were analysed hermeneutically using Heideggerian phenomenology, a particular tradition of philosophy whose concern is the meaning of Being. The concern is to make visible participants' experience of their 'world'. In this instance, it was the everyday 'world' of the participant RRNS and the lived meanings of what they experienced on return to formal (advanced) studies. Hence everyday lived experience is the focus of attention in Heiedeggerian phenomenology. In this research approach what is sought is understanding not explanation. It is a premise of phenemenology that, in general, an understanding of the meaning and significance of the lived experience can be required from the 'things' (the phenomena under study) themselves. Approaching a participant as an expert by virtue of directly experiencing the phenomenon, is basic to phenomenology. Hermeneutic analysis of the texts of the participant RRNS affirmed the authenticity of those assumptions.The study revealed several common or major themes, two relational themes and one constitutive pattern were identified through the process of textual interpretation. The constitutive pattern expressing the full complexity of the relations and connections between the themes, was found to be present in all fourteen texts; the nature of a constitutive pattern being 'that it's always there'. The constitutive pattern 'Nursing is Dwelling in Thoughtful Concern as Context Calls Forth', emerged as the major finding of the study. This pattern witnesses to the pragmatism that is inherent in nursing and commonly found in nurses' responses to the challenges presented by continuing and rapid change. For the participant RRNS nursing had become a way of engaging their energies in the workplace as appropriate to a given place, time and culture. The two relational themes accent particular aspects of the constitutive pattern. 'Nursing' is a whole pile of things'; and 'Curriculum: Reflective Openness' reveal the inherent meanings of the constitutive pattern. Firstly, that nursing is diverse in practice and has many dimensions; and,, secondly, that a curriculum befitting the diversity of nursing requires us to constantly challenge ad test the learning experiences we provide for RRNS.The fourteen participants traversed diverse pathways to acquire the understanding and skills required for altered health care structures. Adopting new relationships and 'leaping-ahead' (Heidegger, 1962), to be able to see the whole picture of what was being experienced in nursing/health care, reveals the RRNS becoming-as interpreters for both colleagues and clients. Leaping-ahead is reflective of thoughtful concern as the pattern of responding to presenting need. This way of living a life transforms work. The participant RRNS disclose that, dwelling in such a way in nursing/health work opens up a future of possibilities which brings all the presenting needs into focus. Sharing the story of their lifeworld as RRNS, the participants have exemplified the ' reflective openness' Senge(1990) advocates, as being a pre-requisite for 'learning organisations'. Contemporary oganisations require us to challenge our own thinking as well as being free to speak our minds ('participant openness'). Since, however much we value our daily life practices and understandings, they need to be 'always subject to test and improvement'. In effect, what the participants have bestowed on us is that, within the framework of a curriculum for RRNS and the content learning of a given course, we must generate a process of learning amenable to both individual and group requirements |
| Call Number |
NRSNZNO @ research @ 208 |
Serial |
208 |
| Permanent link to this record |
| |
|
| |
| Author |
Clinical Training Agency, |
| Title |
National review of clinical training agency funded advanced mental health nursing programme |
Type |
|
| Year |
1998 |
Publication |
|
Abbreviated Journal |
CTA – HFA – NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
In 1997, Advanced Mental Health Nursing Programmes were funded nationally by the Clinical Training Agency using the funds made available subsequent to the 1996 Mason Report. The training leads to an award of either a post graduate certificate or diploma awarded by a tertiary education provider.A review was conducted with the aim to monitor the impact on service provision of advanced mental health nurse practitioner training. This was done by obtaining feedback through using an agreed standard questionnaire from course participants and mental health service providers.In seeking to learn more about the impact of these programmes, the CTA identified the following key issues:- what effect the courses may have had on mental health workforce make-up, skills and retention.- perceptions of programme delivery and content.- the impact on service delivery.Overall findings are shared which highlight that the course was seen as well organised and participants and service providers would recommend it to their colleagues. The greatest effect of the course appeared to be in developing more understanding of clinical supervision. Participating in the course had also led to positive changes in relationships with the clients and colleagues for more than three quarters of the group.The provision of an Advanced Mental Health Nursing Programme in 1997 has had many positive effects. The funding strategy and delivery models that have evolved may provide a useful template for other nursing specialty areas |
| Call Number |
NRSNZNO @ research @ 355 |
Serial |
355 |
| Permanent link to this record |
| |
|
| |
| Author |
Brownie, S.M. |
| Title |
Management perspectives of the second evel nurse |
Type |
|
| Year |
1993 |
Publication |
|
Abbreviated Journal |
National Library, NZNO Library, |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
This study presents information, obtained from health service managers, on the present use and possible future use of second level nurses within the region encompassing the Wanganui, Rangitikei, Manawatu, Tararua, Palmerston North City and Horowhenua districts. “ Second level nurses” are currently known as enrolled nurses and, in accordance with Section 53A of the 1983 Amendment to the Nurses Act, are required to work under the direction and supervision of registered nurses or medical practitioners. Enrolled nurses are usually allocated less responsibility for nursing assessment and judgement than registered nurses.Management perspectives, from seventy seven health workforce managers, were sought in relation to the future workforce need, the scope and boundaries of practice, and the alternatives for the future educational preparation of second level nurses. Seventy two percent of managers said that they thought enrolled nurses were essential to New Zealand's future nursing workforce. They predicted increased opportunities for enrolled nurses in care of the elderly and community care settings. Patterns in the current workforce utilization of enrolled nurses, however, did not support these views.In relation to the education of enrolled nurses, managers indicated that hospital-based training was the most preferred option. However, managers asserted that, in view of the current lack of employment opportunities no more enrolled nurses should be prepared at the present time.Although questions about education were focussed on the educational preparation of enrolled nurses, many of the respondent managers also expressed opinions about the educational preparation of comprehensive nurses. As a result, an evaluation of comprehensive nursing programmes is suggested.While the numbers of second level nurses being prepared and used is decreasing, there is a concomitant increase in the preparation and use of caregivers. This rapidly increasing group isfast becoming a “cheaper” second level workforce. The increase in the use of caregivers is seen to result from the pressure on healthcare employers to reduce spending within the current highly competitive, de-regulated economy. Managers asserted that enrolled nurses are not cost effective in comparison with either caregivers or registered nurses.The study concludes with thirteen recommendations which are made under the following four groups;1. Manawatu Polytechnic – provider of nursing education.2. Healthcare employers – users of nursing education.3. Enrolled nurses – participants in nursing education.4. Professional nursing bodies – guardians of nursing education |
| Call Number |
NRSNZNO @ research @ 407 |
Serial |
407 |
| Permanent link to this record |
| |
|
| |
| Author |
Butler, A.M. |
| Title |
Nursing research in New Zealand – author index |
Type |
|
| Year |
1977 |
Publication |
|
Abbreviated Journal |
NZNO Library, Wellington |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 419 |
Serial |
419 |
| Permanent link to this record |
| |
|
| |
| Author |
Taua, C. |
| Title |
Revisiting the past: A focused ethnography of contemporary dual diagnosis nursing practice |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Copy downloadable from the NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing |
| Abstract |
As has been the case internationally, deinstitutionalisation of dual diagnosis (intellectual disability and mental illness) services has also occurred in New Zealand. Inpatient services have been redefined to respond to the more acute focus that has arisen out of this deinstitutionalisation process and nurses are having to redefine their roles in response. This study was undertaken to explore and describe the culture of nursing practice in a dual diagnosis inpatient unit in one psychiatric hospital. A focused ethnographic approach was used to triangulate data gathered from fieldwork observations, review of documents and semi-structured interviews. Schein's (1985) levels of culture model, was used to identify and explore the artifacts, values and assumptions evident in this nursing practice. Analysis presents three key themes categorised as 'communication', 'assessment' and 'safety'. While these key themes are shown to be evident in the everyday practice of the nurses, how these relate to the notion of 'dual diagnosis nursing' is not clear. Therefore, the author describes the major finding of this study as revealing a nursing culture holding tight to traditional psychiatric and psychopaedic nursing practices and struggling to develop a distinctive culture in the absence of a defined dual diagnosis knowledge base. The author concludes that these findings suggest an urgent need to provide nurses with support in gaining contemporary knowledge regarding dual diagnosis nursing. Support for nurses in advancing these areas then impacts on support for the patients. It is suggested that additional research is undertaken to assess the learning needs of the nurses in order to develop clinical practice guidelines for this area. Further recommendations are made to address system issues which are contributing to the gap in knowledge. |
| Call Number |
NRSNZNO @ research @ |
Serial |
674 |
| Permanent link to this record |
| |
|
| |
| Author |
Garlick, A. |
| Title |
Determined to make a difference: A study of public health nursing practice with vulnerable families |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Massey University Library, NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Public health; Children; Nurse-family relations |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 737 |
Serial |
723 |
| Permanent link to this record |
