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Author (up) Thompson, L. url  openurl
  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  
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Author (up) Thompson, L.E. url  openurl
  Title Profession and place: Contesting professional boundaries at the margins Type
  Year 2006 Publication Abbreviated Journal UC Research Repository  
  Volume Issue Pages  
  Keywords Rural health services; Primary health care; Identity; Interprofessional relations  
  Abstract Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.  
  Call Number NRSNZNO @ research @ 1177 Serial 1162  
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