| Home | << 1 2 3 >> |
|
| Records | |||||
|---|---|---|---|---|---|
Author  |
Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P. | ||||
| Title | Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial | Type | Journal Article | ||
| Year | 2002 | Publication | New Zealand Medical Journal | Abbreviated Journal | Access is free to articles older than 6 months, and abstracts. |
| Volume | 115 | Issue | 1157 | Pages | |
| Keywords | Emergency nursing; Time factors; Clinical assessment; Clinical decision making | ||||
| Abstract | The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 617 | ||
| Permanent link to this record | |||||
| Author |
Baur, P. | ||||
| Title | Patients who present to the emergency department but do not wait: An exploratory study | Type | |||
| Year | 2004 | Publication | Abbreviated Journal | Massey University Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Hospitals | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ | Serial | 849 | ||
| Permanent link to this record | |||||
| Author |
Bennison, C. | ||||
| Title | Emergency nurses' perceptions of the impact of postgraduate education on their practice in New Zealand | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Nursing; Education | ||||
| Abstract | ABSTRACT BACKGROUND: Emergency nursing is a specialty concerned with the care of people of all ages, with either perceived or actual unwellness presenting to the emergency department(ED) for assessment, resuscitation, investigation, treatment and review of their illness or injury. Emergency nurses apply specialty knowledge and expertise in the provision, delivery and evaluation of emergency nursing care. Over recent decades social, political and professional changes have affected nursing care delivery and nursing education. In particular the 21st century has witnessed the development of state funded postgraduate nursing education programmes, developing nurses specialty or advanced nursing knowledge, quality patient/client care and nursing practice within the tertiary education system. AIM: The aim of this study is to investigate emergency nurses? perceptions of the impact of postgraduate education on their practice in New Zealand (NZ). METHODS: This study utilises critical social theory as the overarching framework, informed by the writing of Jürgen Habermas (b.1929- ). It is the three phases of Habermas?s practical intent of critical social theory; namely enlightenment, empowerment and emancipation, that this study is concerned with. This descriptive research study employs both quantitative and qualitative methods and is therefore known as mixed-methods research. Data collection took place over 12 weeks, from August to November 2006, using a survey questionnaire obtained with permission from Ms Dianne Pelletier, Sydney, Australia. The sample included 105 emergency nurses from District Health Board (DHB) emergency departments in NZ, 10 respondents from this sample self-selected to be interviewed by telephone. Ethical approval for this study was obtained from the University of Otago Ethics Committee for research involving human participants. Data was analysed using the Statistical Package for Social Sciences (SPSS). RESULTS: Two main themes arose from the thematic analysis; these being positive and negative, these themes were further divided into 10 sub-themes. The results indicate that postgraduate study (PGS) has increased nurses? perception of their knowledge; leadership and understanding on the quality of patient care delivered, increased their academic and research skills and increased their confidence/self-esteem and recognition by their colleagues and team. Therefore the majority of respondents perceive postgraduate education has been an instrument of liberation and a process of empowerment and emancipation. A smaller percentage of respondents perceived that PGS had no effect on various aspects of patient care and another significantly smaller percentage of respondents reported negative results from PGS. This research identified similarities between this study and that of Pelletier and colleagues? (2003; , 2005; , 1998a; , 1998b) Australian study. CONCLUSION: This study adds to the existing literature on postgraduate studies undertaken by nurses. No known study has previously investigated solely emergency nurses?perceptions of the effects of PGS, either nationally or internationally. The results of this study offer enlightening information regarding emergency nurses? perceptions of their PGS within NZ and offers a platform from which other studies may be undertaken. It also has the potential to inform nurses contemplating PGS and educators facilitating these programmes,as well as provide implications for policy development by the Nursing Council of NZ, NZ Universities, DHBs and the Ministry of Health. |
||||
| Call Number | NRSNZNO @ research @ | Serial | 1291 | ||
| Permanent link to this record | |||||
| Author |
Blackmore, L.A. | ||||
| Title | Triaging patients away from the emergency department: A review of the issues | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing | ||||
| Abstract | With the intention of decreasing emergency department demand, there has been a focus on determining those patients who do not require the services of the emergency department so they can be redirected away to an alternative health care provider or facility. Co-locating an after-hours primary health care facility near to the emergency department is a model under consideration in some district health boards. This model suggests that a substantial proportion of the patients currently managed in the emergency department can be assessed and managed in a general practice setting. It is envisaged that by redirecting the lower acuity patients away from the emergency department, overcrowding will be relieved. This is despite evidence demonstrating that low acuity patients are not the cause of emergency department overcrowding. Moreover, being treated at the emergency department is the only safety net for many people in the community who cannot afford alternative care. This research report discusses the literature regarding the practice of referring or redirecting patients away from the emergency department and the issues associated with this model. In doing this, it looks at the Australasian Triage Scale, the system used to ensure patients are seen in order of clinical urgency, because it has been suggested that this system could be used as a tool to refer patients away from the emergency department. The author concludes that even though some people could be seen by another health care provider, the triage system is not an appropriate tool for achieving this. While it is tempting to believe that patients in the lower triage categories are prime candidates for being referred away, there is evidence from hospital statistics that patients in these categories have a high number of hospital admissions and in-hospital death rates. Additionally, to complicate matters, there is no universal definition of what constitutes an 'appropriate' emergemcy department presentation and no consensus of opinion amongst health professionals in deciding patients' 'appropriateness'. For these reasons it is unethical to expect nurses who administer the triage system to use it for the purpose of referring people away from the emergency department. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 736 | ||
| Permanent link to this record | |||||
| Author |
Blair, K.M. | ||||
| Title | Recognising the sick patient: An emergency nurses view: A research paper | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Patient safety; Diagnosis; Training; Clinical decision making | ||||
| Abstract | This paper reports on a literature review that examines how health professionals (mainly nurses) recognise the signs of physical deterioration in their patients. It includes discussion of how nurses' clinical decision making skills influence how physical deterioration is identified and determines what changes in the delivery of care could have an impact on emergency department patients at risk of life threatening deterioration. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 467 | ||
| Permanent link to this record | |||||
| Author |
Currie, J.; Edwards, L.; Colligan, M.; Crouch, R. | ||||
| Title | A time for international standards? Comparing the Emergency Nurse Practitioner role in the UK, Australia and New Zealand | Type | Journal Article | ||
| Year | 2007 | Publication | Accident & Emergency Nursing | Abbreviated Journal | |
| Volume | 15 | Issue | 4 | Pages | 210-216 |
| Keywords | Emergency nursing; Cross-cultural comparison; Nursing; Education | ||||
| Abstract | The aim of this paper is to compare the Emergency Nurse Practitioner role in the UK, Australia and New Zealand. Whilst geographically distant, the role of the Emergency Nurse Practitioner within these three countries shares fundamental similarities, causing the researchers to question, is this a time to implement international standards for the role? The Emergency Nurse Practitioner role in all three countries is gradually establishing itself, yet there are shared concerns over how the role is regulated and deficits in standardisation of scope of practice and educational level. Together these issues generate confusion over what the role embodies. The authors suggest that one method of demystifying the Emergency Nurse Practitioner role would be to progress towards international standards for regulation, education and core components of practice. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 971 | ||
| Permanent link to this record | |||||
| Author |
Curtis, K.; Donoghue, J. | ||||
| Title | The trauma nurse coordinator in Australia and New Zealand: A progress survey of demographics, role function, and resources | Type | Journal Article | ||
| Year | 2008 | Publication | Journal of Trauma Nursing | Abbreviated Journal | |
| Volume | 15 | Issue | 2 | Pages | 34-42 |
| Keywords | Emergency nursing; Personnel; Nurse managers; Economics | ||||
| Abstract | An initial profile of the demographics and current practice of Australian trauma nurse coordinators (TNCs) was conducted in 2003. The study identified common and differing role components, provided information to assist with establishing national parameters for the role, and identified the resources perceived necessary to enable the role to be performed effectively. This article compares the findings of the 2003 study with a 2007 survey, expanded to include New Zealand trauma coordinators. Forty-nine people, identified as working in a TNC capacity in Australia and New Zealand, were invited to participate in February 2007. Participation in the research enabled an update of the previously compiled Australia/New Zealand trauma network list. Thirty-six surveys (71.5% response rate) were returned. Descriptive statistics were undertaken for each item, and comparisons were made among states, territories, and countries. Participants reported that most of their time was spent fulfilling the trauma registry component of the role (27% of total hours), followed by quality and clinical activities (19% of total hours), education, and administration. The component associated with the least amount of time was outreach (3% of total hours). Although the proportion of time has almost halved since 2003, TNCs still spend the most time maintaining trauma registries. Compared to the 2003 survey, Australian and New Zealand TNCs are working more unpaid overtime, spending more time performing quality and clinical activities and less time doing data entry. Despite where one works, the role components identified are fulfilled to a certain extent. However, the authors conclude that trauma centres need to provide the TNC with adequate resources if trauma care systems are to be optimally effective | ||||
| Call Number | NRSNZNO @ research @ | Serial | 964 | ||
| Permanent link to this record | |||||
| Author |
Davies, M. | ||||
| Title | Lived experiences of nurses as they engage in practice at an advanced level within emergency departments in New Zealand | Type | |||
| Year | 2005 | Publication | Abbreviated Journal | Massey University Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Nurse practitioners; Advanced nursing practice | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ 682 | Serial | 668 | ||
| Permanent link to this record | |||||
| Author |
Gabolinscy, B. | ||||
| Title | Triage codes: A predictor of nursing care time in the emergency department | Type | |||
| Year | 2005 | Publication | Abbreviated Journal | ||
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Time factors | ||||
| Abstract | This thesis explores triage code as a predictor of direct nursing care time, thus its potential usefulness in a model for calculating and allocating nurse requirements in emergency departments. A framework for nursing work is proposed. This framework is based on the works of O'Brien-Pallas, Irvine, Peereboom, and Murray (1997) and Houser (2003). It suggests that the structures of environmental complexity, nursing characteristics, patient nursing complexity, and patient medical condition and severity, impact on the processes of direct and indirect nursing care to affect patient outcomes. A prospective, non-experimental study was undertaken to examine the relationship between direct nursing care time and triage code. Six potential confounding variables were selected for this study: length of stay, age, ethnicity, sex, complaint type, and discharge category. Data were collected for 261 visits over a three day period in one New Zealand emergency department. Patient visits averaged 200 minutes. The mean direct nursing care time per visit was 49 minutes. On average, patients with more urgent triage codes, longer length of stay, or who were not discharged, received more direct nursing care. The model developed predicted 49% of variation in direct nursing care time (p < .05) related to triage code (16%), length of stay (31%) and disposition category (2%). The author suggests that further exploration of the proposed framework has potential to develop a model allowing managers to identify nurse staffing required for optimal nursing care in emergency departments. | ||||
| Call Number | NRSNZNO @ research @ 481 | Serial | 468 | ||
| Permanent link to this record | |||||
| Author |
Grainger, P C | ||||
| Title | Nursing documentation in the emergency department: nurses' perspectives | Type | Report | ||
| Year | 2007 | Publication | Abbreviated Journal | ||
| Volume | Issue | Pages | 184 pp | ||
| Keywords | Nursing Records; Emergency Nursing; Qualitative Description; Nursing Documentation; Emergency Nurses? Perspectives; Interviews, Context Specific Influences; Facilitating and Inhibiting factors | ||||
| Abstract | Explores emergency nurses? perspectives and practices about the quality, importance and value of emergency nursing documentation in relation to their personal beliefs, past experiences and preferred systems of documentation; the practical and contextual factors that influence documentation practices within an emergency department (ED); their interests in documentation tools or systems; and their interests in relation to further development of documentation practices and systems. Conducts a qualitative descriptive study in which ten emergency nurses from one ED in New Zealand were interviewed using interactive interview methods, and asked to complete a Likert scale to identify the relevance of internationally- recognised general influences on documentation to their own practices in the context of an ED. Includes recommended routes to development through partnership, participation and process engagement, and strategies including document development, knowledge advancement and support. | ||||
| Call Number | NZNO @ research @ | Serial | 1404 | ||
| Permanent link to this record | |||||
| Author |
Hamer, H.P.; McCallin, A. | ||||
| Title | Cardiac pain or panic disorder? Managing uncertainty in the emergency department | Type | Journal Article | ||
| Year | 2006 | Publication | Nursing & Health Sciences | Abbreviated Journal | |
| Volume | 8 | Issue | 4 | Pages | 224-230 |
| Keywords | Emergency nursing; Clinical assessment; Diagnosis | ||||
| Abstract | This paper presents research findings from a New Zealand study that explored emergency nurses' differentiation of non-cardiac chest pain from panic disorder and raised significant issues in the nursing assessment and management of such clients. The data were gathered from focus group interviews and were analysed thematically. Three themes, prioritising time, managing uncertainty and ambiguity, and the life-threatening lens, were identified. The findings confirm that a panic disorder is not always diagnosed when biomedical assessment is used in isolation from a psychosocial assessment. Emergency nurses are pivotal in reversing the cycle of repeat presenters with non-cardiac chest pain. Recommendations for assessing and managing this complex condition are presented. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 689 | ||
| Permanent link to this record | |||||
| Author |
Holbrook, P. | ||||
| Title | Nurse initiated analgesia in an emergency department: Can nurses safely decrease door to analgesia times by providing analgesia before medical assessment? | Type | |||
| Year | 2005 | Publication | Abbreviated Journal | Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Drug administration; Nursing; Pain management | ||||
| Abstract | Pain management practices within emergency departments require a more patient focused approach due to extended waiting times for analgesia. This dissertation questions current methods of providing timely and appropriate delivery of analgesia. Nurses represent the biggest resource in emergency departments therefore are in a position to be able to access patients in a timely fashion. A review of the literature pertaining to nurse initiated analgesia protocols has been evaluated and information relating to efficiency and safety utilised to discuss the processes for planning and implementation of a similar protocol. The author finds that the literature provides no evidence that nurse initiated analgesic practices prior to medical assessment compromises patient safety or delays diagnosis. A discussion of the benefits to patients, nurses and the institution has been included to highlight the appropriateness of extending nursing roles. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 664 | ||
| Permanent link to this record | |||||
| Author |
Horner, C. | ||||
| Title | Emergency health provision and maintaining competency | Type | Book Chapter | ||
| Year | 2008 | Publication | Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 125-136) | Abbreviated Journal | Ministry of Health publications page |
| Volume | Issue | Pages | |||
| Keywords | Rural nursing; Professional competence; Emergency nursing | ||||
| Abstract | This chapter focuses on issues associated with rural nursing and the provision of emergency care for patient(s) located remotely from secondary hospital services. All emergencies have diverse characteristics, but the rural practitioner also contends with having sole practice, professional and geographical isolation, and the lack of regular experience. The chapter reviews the PRIME (Primary Response in Medical Emergency) recommendations and training, and looks in particular at the issues around the maintenance of competency for the rural nurse providing emergency on call health care that includes managing medical and accident emergencies in the absence of a medical practitioner. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 756 | ||
| Permanent link to this record | |||||
| Author |
Horner, C. | ||||
| Title | Maintaining rural nurses' competency in emergency situations | Type | |||
| Year | 2005 | Publication | Abbreviated Journal | Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Nurse practitioners; Rural nursing; Education | ||||
| Abstract | On call emergency health services are becoming routinely provided by some rural nurses, predominantly within the South Island. Rural nurses have been advancing their practice to accommodate the limited availability of general practitioners in rural communities. Although this is becoming routine practice, the author has been providing a service such as this for the past 12 years. This dissertation describes this practice in relationship to the present social-political context, advancing nurse competencies and her experience of rural nursing in a rural town within the South Island. Particular significance for the rural nurse is the required independent practice and overall responsibility when remote from traditional medical oversight. Providing on call emergency care with the possibility of a broad spectrum of emergency situations while maintaining competence for the unpredictable frequency (or lack of frequency) of the rural emergency is the focus of this dissertation. The professional and personal risks are high for rural nurses when placed in situations they are not prepared for or unable to remain competent to manage. Implications resulting from the critique of the health service literature on this subject are identified. Firstly, rural nurses need to be insightful of their own emergency on call expertise and limitations. Secondly, rural nurses require ongoing education and thirdly that appropriate education is available and accessible to rural nurses. Lastly, rural nurses require maintenance of competency so these emergency skills are not lost. This dissertation and the resulting recommendations embrace Nursing Council of New Zealand Nurse Practitioner Competencies. The resulting outcomes fulfilling the rural nurse's need for maintenance of competency for emergency on call care, the community's need for safe appropriate emergency care and national legislation requirements. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 666 | ||
| Permanent link to this record | |||||
| Author |
Kerr, R.C. | ||||
| Title | Is the graduate nurse work-ready for emergency nursing? | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Mentoring; Preceptorship; Training; Emergency nursing | ||||
| Abstract | In this research paper for a Master of Nursing (Clinical), the author suggests that graduate nurses can successfully adapt to emergency nursing when supported with intensive domain-specific transition programmes to complement the national nursing entry to practice (NETP) programme in New Zealand. This outcome conflicts with the present traditional emergency department recruitment strategy that nurses must have two years acute care experience. The graduate believes they are prepared for practice for any healthcare setting but do need time to resolve the rift between theory and practice. This research project confirms the perpetuation of experienced nurses' perceptions that graduates are not work-ready but are unrealistically expected to hit the floor running following ad hoc orientation ranging from three days to four weeks. By creating domain-specific programmes with a minimum twelve-week staged rotation orientation package, graduate nurses can be nurtured as emergency nurses. The influential role of the organisation and experienced nurses is vital to limit reality shock and complement NETP. Preceptorship and mentorship programmes promote the graduates' confidence in themselves to become competent team members. Limits to this research are the non-differentiation between nurses new to emergency nursing and the graduate nurse in the published studies. Assumptions have therefore been made regarding successful transition in regard to newly qualified registered nurses in the emergency department. Further study and evaluation applicable in the New Zealand context is also recommended by the author where anecdotally only a few emergency departments are involved in socialising graduate nurses into the workforce regardless of the urgent need for more first-year-of-practice clinical placements. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 494 | ||
| Permanent link to this record | |||||