| Records |
| Author |
Stolz-Schwarz, P. |
| Title |
Barriers to and facilitators of research use in clinical practice for a sample of New Zealand registered nurses |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing; Evidence-based medicine |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1271 |
Serial  |
1256 |
| Permanent link to this record |
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| Author |
Jull, A. |
| Title |
Oral Pentoxifylline in the treatment of venous leg ulcers: A meta-analysis |
Type |
|
| Year |
1999 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Pharmacology; Evidence-based medicine; Nursing |
| Abstract |
The objective of this meta-analysis was to assess the effectiveness of pentoxifylline as an adjunct to compression bandaging in the treatment of venous leg ulcers. The CENTRAL registers of the Cochrane Peripheral Vascular Diseases and Wounds Groups were searched – each register is routinely updated by extensive searches of electronic databases, handsearching of relevant journals and conference proceedings, and contact with product companies and experts in the field. The drug's manufacturer was contacted and the references of review articles and all obtained trials were scrutinised for further citations. Randomised controlled trials published in any language comparing pentoxifylline and compression with placebo in adult participants with venous ulceration were included. Trials must have reported a meaningful objective outcome (rates of healing, proportions healed, time to healing). Details from eligible trials (independently selected by two reviewers) were extracted and summarised by one reviewer. A second reviewer independently verified extracted data. Eleven clinical trials were identified. Five trials compared pentoxifylline with placebo (compression standard therapy). Six trials were excluded. Pentoxifylline and compression was more effective than placebo and compression (RR 1.30, 95% C1 1.10-1.54) and was robust to sensitivity analyses. The greater number of adverse effects (46 reports) occurred in the pentoxifylline group, although this was not significant (RR 1.12, 95% C1 0.77-1.62); 34 percent of adverse effects were gastro-intestinal. Seven of 21 reported withdrawals were for adverse effects. In conclusion, pentoxifylline appears an effective adjunct to compression bandaging in the treatment of venous ulcers. The absence of cost-effectiveness data suggests it not be employed as a routine adjunct, but it could be considered as for those patients not responding to compression therapy alone. The majority of adverse effects are likely to be tolerated by patients. |
| Call Number |
NRSNZNO @ research @ 1244 |
Serial |
1229 |
| Permanent link to this record |
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| Author |
Dobbs, L. |
| Title |
Can evidence improve nursing practice? |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
| Volume |
10 |
Issue |
|
Pages |
27-32 |
| Keywords |
Evidence-based medicine; Nursing; Professional development |
| Abstract |
Evidenced Based Practice is aimed at providing safe, effective and cost-appropriate health care. The utilisation of EBP in nursing has proved to be valuable not only for patients and nurses, but also for other health professionals and the wider community. However, despite the recognised benefits of EBP, a significant gap between theory and practice exists. This paper explores some of the issues behind not implementing EBP, such as comfort with traditional practices, lack of engagement with EBP, and time constraints. |
| Call Number |
NRSNZNO @ research @ 1226 |
Serial |
1211 |
| Permanent link to this record |
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| |
| Author |
Narbey, N. |
| Title |
Cognitive Behaviour Therapy in psychosis: Relevance to mental health nurses |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Psychology; Evidence-based medicine |
| Abstract |
The author uses his personal and professional experience to explore the application of Cognitive Behavioural Therapy in caring for people who experience psychosis. Psychosis can be a life-threatening illness; about one in ten young men with psychosis will take their own lives. Much of the progress in treatment has been predicated on a biological explanation of psychosis. The late 1990s have seen increasing interest in psychological approaches in the treatment of psychosis; not withstanding that this treatment does not work for all people. The first aim of this research report is to develop understanding about Cognitive Behavioural Therapy, through exploration of its origins and examining the theoretical basis and reviewing the evidence that may support its use. The second aim is to explore the evidence around mental health nurses' training and use of Cognitive Behavioural Therapy, by critically examining some of the major UK and Australian reports. The author considers that Cognitive Behavioural Therapy is theoretically and pragmatically compatible with contemporary nursing practice, and will have increasing prominence for New Zealand mental health nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1187 |
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| Author |
Joyce, M. |
| Title |
The Strengths Perspective: Relevance and application to mental health nursing and crisis resolution work |
Type |
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| Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Nursing models; Evidence-based medicine |
| Abstract |
This research paper aims to explore the contribution of the Strengths Perspective to mental health nursing practice. The Strengths Perspective emerged from the area of social work and is primarily concerned with emphasising the strengths and resources of the person, as they define them. The premise is that if a person is able to identify and call on those strengths then he or she is able to improve the quality of their life. The paper outlines the historical, philosophical and moral foundations of the Strengths Perspective and discusses the humanistic approach to mental health nursing. The aim is to demonstrate that the Strengths Perspective and mental health nursing have a strong alignment, particularly with regard to a person-centred approach to care. The influence and constraints of the biomedical model on both mental health nursing and strengths based practice is a theme of the paper. The contention is that the biomedical or pathological approach to care can often disable, not enable consumers of health care, whereas an approach that centres on a person and their strengths is more likely to empower and liberate. The paper concludes with a discussion of themes that emerged from reflection on the literature and propositions are then made about how mental health nurses might orientate their thinking and practice to utilise the Strengths Perspective to augment their clinical work. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1185 |
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| Author |
Dent, G.W. |
| Title |
Mental health nurses' knowledge and views on talking therapies in clinical practice |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/675 |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Attitude of health personnel; Evidence-based medicine; Professional development |
| Abstract |
Using a qualitative descriptive research design, this study explored nurses' knowledge and views on their talking therapy training and skills in practice. The study examined the use of talking therapies, or specialised interpersonal processes, embodied within the Te Ao Maramatanga: New Zealand College of Mental Health Nurses Inc (2004) Standards of Practice for Mental Health Nurses in New Zealand. A survey questionnaire was sent to 227 registered nurses from a district health hoard mental health service and a sample of eight nurses participated in a semi-structured interview. Content analysis based on the headings “knowledge views, skill acquisition and skill transfer” established the major themes from the data collection processes. The findings confirmed that nurses believe their knowledge and skills in evidence-based talking therapies to be vitally important in mental health nursing practice. Nurses identified that talking therapy training courses needed to be clinically relevant and that some learning strategies were advantageous. The identification of some knowledge gaps for, nurses with limited post graduate experience, and for nurses who currently work in inpatient areas suggests that further consideration must be given to ensure that a cohesive, sustainable approach is ensured for progression of workforce development projects relevant to training in talking therapies for mental health nurses in New Zealand. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1151 |
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| Author |
Thompson, L. |
| 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 |
| Permanent link to this record |
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| Author |
Reilly, S. |
| Title |
Barriers to evidence based practice by nurses in the clinical environment |
Type |
|
| Year |
2005 |
Publication |
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Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Evidence-based medicine; Nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1123 |
Serial |
1108 |
| Permanent link to this record |
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| Author |
Hughes, C. |
| Title |
Perioperative nurses in NZ & evidence-based practice |
Type |
Journal Article |
| Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
4 |
Pages |
8, 10-1 |
| Keywords |
Evidence-based medicine; Nursing specialties; Access |
| Abstract |
This project is a study of the barriers perceived by perioperative nurses to accessing and using research-based information. A survey questionnaire was distributed to 184 perioperative nurses working in five public and two private hospitals in the Auckland area. The number of completed questionnaires was 106 (57.6%). The results showed that the lack of time during work hours was ranked as the highest barrier. The results also showed that many nurses feel they do not have the skills to find and appraise research articles. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1063 |
| Permanent link to this record |
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| Author |
Marcinkowski, K. |
| Title |
Shortening hospital stays for orthopaedic patients |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
6 |
Issue |
11 |
Pages |
28-29 |
| Keywords |
Surgery; Evidence-based medicine; Guidelines |
| Abstract |
The author provides a review of current protocols and presents new ways to manage the care of patients undergoing total joint arthroplasty, hip and knee replacement surgery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1022 |
| Permanent link to this record |
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| Author |
Wallis, R. |
| Title |
Preventing post-anaesthetic shaking |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
6 |
Issue |
10 |
Pages |
22-24 |
| Keywords |
Surgery; Evidence-based medicine; Nursing; Guidelines |
| Abstract |
The author presents her experience investigating the incidence of post-anaesthetic shaking in the recovery room ward, and develops a clinical tool for its treatment. Several theories about post-anaesthetic shaking are examined. The cases of 1296 patients who had major regional or general anaesthetics over four consecutive months in the previous year are studied. The incidence of post-anaesthetic shaking and correlating core body temperature readings with post-anaesthetic shaking are examined. A protocol for reducing/treating post-anaesthetic shaking is developed on the basis of the findings of the study. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1021 |
| Permanent link to this record |
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| Author |
Christie, J. |
| Title |
Managing febrile children: When and how to treat |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
4 |
Pages |
15-17 |
| Keywords |
Paediatric nursing; Evidence-based medicine; Children; Guidelines |
| Abstract |
The author describes the nursing of febrile children in a general paediatric ward at Tauranga Hospital. She focuses on the cooling methods used and their efficacy. Ward practice is compared with clinical trials and the literature to determine best practice and evidence-based guidelines. Also discussed are fans and clothes removal, tepid sponging, paracetamol, and brufen. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1006 |
| Permanent link to this record |
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| Author |
Warren, B.L. |
| Title |
Using paracetamol before immunisation: Does it work? |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
5 |
Pages |
24-26 |
| Keywords |
Immunisation; Paediatric nursing; Evidence-based medicine |
| Abstract |
The author presents a review of evidence on the prophylactic use of paracetamol prior to infant and child immunisation. The research was prompted when the Otago District Health Board was planning its Meningococcal B strategy. The evidence suggests that it was appropriate when the whole cell pertussis vaccine was used, but it was not recommended since the introduction of better vaccines such as acellular pertussis with fewer antigens and fewer side effects. Paracetamol may still be given orally to treat pain and fever that occasionally follows vaccination. Paracetamol pharmacology is presented, along with alternatives to paracetamol. |
| Call Number |
NRSNZNO @ research @ |
Serial |
998 |
| Permanent link to this record |
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| Author |
Polley, H. |
| Title |
Treating wounds with oxygen |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
2 |
Pages |
16-17 |
| Keywords |
Technology; Evidence-based medicine |
| Abstract |
This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited. |
| Call Number |
NRSNZNO @ research @ 1012 |
Serial |
996 |
| Permanent link to this record |
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| Author |
Floyd, S.; Meyer, A. |
| Title |
Intramuscular injections: What's best practice? |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
6 |
Pages |
20-22 |
| Keywords |
Professional competence; Registered nurses; Quality of health care; Evidence-based medicine |
| Abstract |
The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent. |
| Call Number |
NRSNZNO @ research @ |
Serial |
986 |
| Permanent link to this record |
