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Author (up) 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
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Author (up) McArthur, J.
Title Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation Type
Year Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Advanced nursing practice; Organisational culture
Abstract
Call Number NRSNZNO @ research @ 1280 Serial 1265
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Author (up) McArthur, J.; Dickinson, A.R.
Title Decision making the explicit evidence-based way: Comparing benefits, harms and costs Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 1 Pages 33-42
Keywords Evidence-based medicine; Nursing; Guidelines; Clinical decision making
Abstract This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998.
Call Number NRSNZNO @ research @ Serial 639
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