| Records |
| 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 |
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| Author |
Lockett, Jessica |
| Title |
Strategies and processes emergency department nurses consider important to safely manage during an influenza pandemic: a qualitative descriptive study |
Type |
Book Whole |
| Year |
2020 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
132 p. |
| Keywords |
Emergency departments; Emergency nursing; Infectious diseases; Epidemics; Strategic planning; Surveys |
| Abstract |
Explores what NZ Emergency Department (ED) nurses perceive as the biggest challenges to nursing care and staff safety during an influenza pandemic, in order to provide information on how to ensure the engagement of these nurses at the frontline of the pandemic response. Uses a qualitative descriptive design to allow an examination of the first-hand perspectives of ED nurses, gaining meaningful insights into a phenomenon little explored. Interviews 16 ED nurses about future pandemic planning at ED, DHB and government level. |
| Call Number |
NZNO @ research @ |
Serial |
1691 |
| Permanent link to this record |
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| Author |
Richardson, S. |
| Title |
Incorporation of research into clinical practice: The development of a clinical nurse researcher position |
Type |
Journal Article |
| Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
21 |
Issue |
1 |
Pages |
33-42 |
| Keywords |
Emergency nursing; Nursing research; Hospitals |
| Abstract |
The author backgrounds the development of the role of an innovative Nurse Researcher (Emergency Medicine) role at Christchurch Hospital. She describes the emergency department and the factors leading to the creation of the role. Specific nursing research projects are reviewed, and the nature of nursing in relation to research is discussed. The author argues that the nurse researcher is integral to the expansion of evidence-based nursing, and that the role of Clinical Nurse Researcher in the emergency department has resulted in a higher profile for research, and the gradual integration of research as a clinical skill with direct practical relevance. |
| Call Number |
NRSNZNO @ research @ |
Serial |
536 |
| Permanent link to this record |
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| Author |
Mortensen, A.; Young, N. |
| Title |
Caring for refugees in emergency departments in New Zealand |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
2 |
Pages |
24-35 |
| Keywords |
Emergency nursing; Culture; Mental health; Health status |
| Abstract |
This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours. |
| Call Number |
NRSNZNO @ research @ 557 |
Serial |
543 |
| Permanent link to this record |
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| 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 |
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| Author |
Richardson, S. |
| Title |
Emergency departments and the inappropriate attender: Is it time for a reconceptualisation of the role of primary care in emergency facilities? |
Type |
Journal Article |
| Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
2 |
Pages |
13-20 |
| Keywords |
Emergency nursing; Primary health care |
| Abstract |
This paper reviews currently identified issues concerning emergency department attendance, and examines the core question of the role of primary care in the emergency department. Asks whether this is an appropriate use of emergency department resources, and if so, what the implications are for the role of the emergency nurse. Suggests the establishment of Minor Injury Units in New Zealand like those in the UK. |
| Call Number |
NRSNZNO @ research @ |
Serial |
641 |
| Permanent link to this record |
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| 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 |
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| Author |
MacGeorge, J.M.; Nelson, K. |
| Title |
The experience of the nurse at triage influences the timing of CPAP intervention |
Type |
Journal Article |
| Year |
2003 |
Publication |
Accident & Emergency Nursing |
Abbreviated Journal |
|
| Volume |
11 |
Issue |
4 |
Pages |
234-238 |
| Keywords |
Emergency nursing; Clinical decision making; Hospitals; Quality of health care |
| Abstract |
This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP. |
| Call Number |
NRSNZNO @ research @ |
Serial |
847 |
| Permanent link to this record |
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| 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 |
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| 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 |
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| Author |
Richardson, S. |
| Title |
Increasing patient numbers: The implications for New Zealand emergency departments |
Type |
Journal Article |
| Year |
1999 |
Publication |
Accident & Emergency Nursing |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
3 |
Pages |
158-163 |
| Keywords |
Emergency nursing; Organisational change |
| Abstract |
This article examines influences that impact on the work of the Emergency Departments (EDs). EDs are noticing increased attendance of patients with minor or non-urgent conditions. This increase in patient volume, together with on-going fiscal constraints and restructuring, has placed an added strain on the functioning of EDs. New Zealand nurses need to question the role currently given to EDs and identify the issues surrounding the increased use of these departments for primary health care. |
| Call Number |
NRSNZNO @ research @ 1108 |
Serial |
1093 |
| Permanent link to this record |
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| Author |
Vernon, R.A. |
| Title |
Clinical case study: Acute traumatic head injury |
Type |
Journal Article |
| Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
12 |
Pages |
3-9 |
| Keywords |
Trauma; Emergency nursing; Nursing specialties; Quality of health care |
| Abstract |
This clinical case study takes an integrated approach to investigation and critical analysis of the complex physiological and pathophysiological treatment modalities instigated when a patient presents following acute traumatic head injury. A broad overview of the developmental physiology of the brain and an explanation of the mechanism of traumatic brain injury as it relates to alterations in cerebral blood flow, intracranial pressure and cerebral metabolism is presented. The author describes in narrative form the clinical presentation of a patient, her symptoms and initial treatment rationale. It concludes with analysis of the patients initial treatment priorities and symptom management during the first 48 hours of her care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1281 |
| Permanent link to this record |
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| Author |
Ward, J. |
| Title |
High acuity nursing |
Type |
Journal Article |
| Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
12 |
Pages |
15-19 |
| Keywords |
Nurse-family relations; Emergency nursing; Technology |
| Abstract |
This article looks at the role of technology in nursing, and the interaction between it and human compassion and caring. The interface between critical care technologies and caring is explored, along with the social and political issues facing critical care areas. |
| Call Number |
NRSNZNO @ research @ 1298 |
Serial |
1283 |
| Permanent link to this record |
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| Author |
Topliss, J. |
| Title |
Nursing by telephone in mental health emergency settings: What underpins and informs clinical practice? |
Type |
Miscellaneous |
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Bill Robertson Library, Otago Polytechnic |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Mental health; Emergency nursing |
| Abstract |
This dissertation is an exploration of what underpins and informs clinical nursing practice by telephone in mental health emergency settings. A critical review of the literature provides the foundation for discussion. Points of reflection explore links between the literature and the author's own experience and thoughts about clinical practice. Findings are presented within three main sections. 'Historical Context' considers the development and function of mental health emergency service telephone work. Practical aspects are discussed under `Service Provision Context.' 'Nursing Context' explores the fundamental skills involved in clinical reasoning and the preparation of staff for telephone work. Whilst 'Best practice' in the area of nursing by telephone is yet to be well defined, this work aims to provide a foundation for further inquiry, research and dialogue. |
| Call Number |
NRSNZNO @ research @ 676 |
Serial |
662 |
| Permanent link to this record |
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| Author |
Grainger, P C |
| Title |
Nursing documentation in the emergency department: nurses' perspectives |
Type |
Report |
| Year |
2007 |
Publication |
|
Abbreviated Journal |
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| 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 |
