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Author (up) Quiding, Janine url  openurl
  Title Improving assessment inter-rater reliability of a nursing ePortfolio: An Integrative Review Type Book Whole
  Year 2021 Publication Abbreviated Journal  
  Volume Issue Pages 66 p.  
  Keywords ePortfolios; Professional Development and Recognition Programmes (PDRP); Nursing assessment  
  Abstract Analyses 13 articles using an integrative review methodology framework and thematic analysis to support the data analysis process, seeking to clarify the inter-rater reliability of nursing ePortfolio assessment. Identifies two themes emerging from the data: the subjective nature of the assessor, and external factors due to the nature of nursing portfolio requirements. Considers how to minimise assessment variability due to subjective factors.  
  Call Number NZNO @ research @ Serial 1749  
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Author (up) Richardson, S.; Ardagh, M.; Hider, P. url  openurl
  Title New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department Type Journal Article
  Year 2006 Publication New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 119 Issue 1232 Pages  
  Keywords Hospitals; Clinical assessment; Interprofessional relations  
  Abstract This study aims to examine the concept of 'inappropriate' emergency department attendances in relation to the emergency department at Christchurch Hospital. It specifically seeks to determine whether there is a consensus opinion among healthcare providers regarding a definition of 'inappropriate'. An exploratory survey of health professionals involved with the referral, assessment, transport, and treatment of emergency department patients in Christchurch was carried out. A range of health professionals, including ambulance personnel, general practitioners, emergency department physicians, emergency nurses, and hospital managers were approached. A series of questions relating to definition and response to 'inappropriate' patients was asked, with an additional open-ended question relating to the definition of 'appropriateness'. The researchers found significant differences in the attitudes and perceptions of key health professionals involved in the referral, treatment, and admission of patients to the emergency department. This has implications for any interventions aimed at addressing emergency department 'overcrowding' that assume the presence of a consensus understanding of this concept.  
  Call Number NRSNZNO @ research @ Serial 526  
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Author (up) Scrymgeour, G. openurl 
  Title Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach Type Journal Article
  Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online at Eastern Institute of Technology  
  Volume 13 Issue 1 Pages 13-17  
  Keywords Nursing; Pregnancy; Clinical assessment  
  Abstract This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome.  
  Call Number NRSNZNO @ research @ Serial 1305  
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Author (up) Sharma, Mona url  openurl
  Title An exploration of the experiences of registered nurses working in aged residential care facilities regarding interRAI: A qualitative research design Type Book Whole
  Year 2020 Publication Abbreviated Journal  
  Volume Issue Pages 125 p.  
  Keywords InterRAI; International resident assessment instrument; Aged residential care; Registered nurses; Surveys  
  Abstract Assesses the experiences of registered nurses (RNs)working in aged residential care facilities in Christchurch, in performing interRAI assessments using interRAI MOMENTUM software. Explores the positive and negative aspects of their experiences and the factors affecting performance of interRAI-based comprehensive health assessments. Identifies the aids and barriers faced by RNs in applying and using interRAI. Conducts focus-group interviews with 7 RNs. Highlights the need for a unified standard assessment system.  
  Call Number NZNO @ research @ Serial 1654  
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Author (up) Turnwald, A.B. url  openurl
  Title Acute Hypercarbia in Chronic Obstructive Pulmonary Disease (COPD): Presentations to a New Zealand emergency department Type
  Year 2006 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Chronically ill; Clinical assessment; Emergency nursing  
  Abstract A retrospective descriptive design was used to examine the records of all presentations to the emergency department of patients with COPD over a 3-month period to determine whether there is a subset group of people who present with hypercarbia. There were 114 presentations, amongst those there were 71 individuals, a number presenting more than once within the three months. 80% of the 71 individuals had a smoking history of which 53% were female. Of the 114 presentations, 76 had arterial blood gases taken during their emergency department presentation. Of these 76 presentations 30 had hypercarbia and 46 were non-hypercarbia. These 76 presentations involved 58 individuals, with some individuals presenting five times over the three-month period. Three groups emerged, some who were only hypercarbia (n= 18), some in the non-hypercarbia group (n=35) and 5 individuals who had presentations in both the hypercarbia and non-hypercarbia groups. Data showed that there was no definable subset group of hypercarbia patients within acute exacerbations of COPD presenting to the emergency department according to the variables. However the sample of presentations (with a blood gas) found within the study suffering hypercarbia was much higher (31.1%) than anticipated. Further analysis showed that the hypercarbia group had a significant lower forced expiratory volume in one second (FEV1) and a combination diagnosis of emphysema or asthma and congestive heart failure. An implication to the clinician is that identification of hypercarbia within COPD exacerbation is problematically difficult until the late signs are shown with the individual. By that time effective treatment patterns may have changed from the initial presenting problem. The author concludes that future areas of research within this field needs to lie within the community, and look at when these people start the exacerbation, what leads them to progression presentation to the emergency department, and whether these people are chronic sufferers of hypercarbia or presenting after a period of days exacerbation within their own home.  
  Call Number NRSNZNO @ research @ Serial 1210  
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Author (up) Ward, V C url  openurl
  Title Preoperative fluid management of the older adult patient with hip fracture Type
  Year 2013 Publication Abbreviated Journal  
  Volume Issue Pages 162 pp  
  Keywords Older people --Medical care; Hip joint -- Fractures -- Treatment; Hip joint -- Fractures -- Patients -- Rehabilitation; Fluid therapy; Preoperative care; Postoperative care; Outcome assessment (Medical care)  
  Abstract Explores the relationships between pre-operative fluid management (PFM) and post-operative outcomes. Undertakes an observational study of 100 consecutive older adult patients admitted to a tertiary NZ hospital with traumatic hip fracture between March and Sept 2012. Gathers data regarding cohort demographics and in-hospital events, including surgical details, alongside PFM and post-operative outcomes. Itemises characteristics of the patients, predominantly female with a mean age of 85.2 years. Finds no statistically significant relationship between pre-operative fluid management and post-operative outcomes.  
  Call Number NZNO @ research @ Serial 1395  
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Author (up) Whittle, R. url  openurl
  Title Decisions, decisions: Factors that influence student selection of final year clinical placements Type
  Year 2007 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords Clinical assessment; Nursing; Education; Students  
  Abstract Clinical practice is an essential and integral component of nursing education. The decision-making process involved in student selection of clinical placements is influenced by a range of factors which are internal or external to students. As there was little research that explored these factors and the influence they have on student decisions, the author sought to investigate this further. A mixed-method approach was used, using a questionnaire and focus group interview, to give breadth and depth to the research. This study found that students are particularly influenced by previous positive experiences, or an interest in a particular area of practice. Their personality will also influence their placement decisions. Nurse preceptors and clinical lecturers also provide a key support role to students in the clinical environment.  
  Call Number NRSNZNO @ research @ Serial 1103  
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Author (up) Yip, Jacqueline Chi Yan url  openurl
  Title Development of a brief heart healthy eating assessment tool for use by practice nurses in New Zealand Type Book Whole
  Year 2014 Publication Abbreviated Journal  
  Volume Issue Pages 1v  
  Keywords Dietary assessment; Practice nurses; Heart healthy eating; Nutrition counselling; Cardiovascular disease  
  Abstract Aims to determine how a brief dietary assessment tool should be designed for use by practice nurses in New Zealand with the intention of providing individualised nutrition advice to reduce individuals' risk of cardiovascular disease (heart healthy eating counselling). Recruits 11 practice nurses from the Auckland region for interview and analyses data from the 2008/2009 NZ adult nutrition survey. Uses an action research approach as the underlying strategy of inquiry for the study.  
  Call Number NZNO @ research @ Serial 1568  
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