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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
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Author Donkin, Alana; Lesa, Raewyn; Seaton, Philippa
Title Nurse perceptions of implementing stroke guidelines in an acute stroke unit Type Journal Article
Year 2022 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 13 Issue 1 Pages 32-37
Keywords Clinical practice guidelines; Stroke; Documentation; Acute stroke unit; Surveys
Abstract Identifies nurse perspectives on the barriers and facilitators to implementing the nationally-endorsed stroke guidelines. Conducts a focus group with four nurses working in an acute stroke unit at a single hospital in 2021. Considers that nursing experience can act as both a barrier and a facilitator of guideline use.
Call Number NZNO @ research @ Serial 1819
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Author Fisher, M.
Title Resuscitation guidelines: Managing change in practice Type Journal Article
Year 2007 Publication Pediatric Intensive Care Nursing Abbreviated Journal
Volume 8 Issue 1 Pages 7-10
Keywords Nursing specialties; Guidelines; Training
Abstract This article describes the effect of an education programme for Paediatric Intensive Care Unit (PICU) staff, developed as part of the roll out of revised clinical guidelines. In 2005, the International Liaison Committee on Resuscitation released advisory statements and a revised universal algorithm for Infant, Child and Adult Cardiopulmonary Resuscitation (CPR). Subsequently the New Zealand Resuscitation Council developed and disseminated revised guidelines for use within the New Zealand Healthcare System. Within the PICU the challenge of integrating new practice standards whilst ensuring compliance with CPR guidelines, was how to disseminate information to over 80 staff nurses working 12 hour shifts. Following implementation of an education programme, a survey completed by 20 staff members demonstrated that staff felt well supported with the introduction of the new CPR guidelines (90%) and confident that they understood the changes to the resuscitation guidelines (90%). Staff identified that the poster display (95%) and the mail sleeve “flyer” (80%) helped them understand the changes to CPR.
Call Number NRSNZNO @ research @ Serial 935
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Author Harris, C.; Crozier, I.; Smyth, J.; Elliot, J.; Watson, P.B.; Sands, J.; Cuddihy, R.
Title An audit of percutaneous coronary intervention (PCI) patients representing acutely with chest pain within six months of PCI Type Manuscript
Year 2007 Publication Abbreviated Journal
Volume Issue Pages
Keywords Hospitals; Clinical assessment; Cardiovascular diseases; Guidelines; Teaching methods
Abstract This reports an audit of the assessment practices at Christchurch Hospital, compared to international guidelines. The clinical notes of all patients who were re- admitted acutely with chest pain within six months of PCI procedures performed between 1/4/05 and 30/9/05 were audited. Ethics approval was granted and an audit tool was designed based on the 2000 ACC/AHA Guidelines for the management of patients with unstable angina. The purpose of the audit was to determine to what extent best practice guidelines were followed in the assessment of patients re-admitted with chest pain and to determine if there were any indicators (lesional, procedural or risk factors for restenosis) that predicted a normal or abnormal repeat coronary angiogram. 448 consecutive patients had PCI procedures, 36 patients represented acutely with chest pain and had repeat coronary angiography. In 18 patients the coronary angiogram was unchanged, 11 patients demonstrated instent restenosis, one patient demonstrated thrombus and six patients developed new lesions. The authors concluded that at Christchurch Hospital assessment practices are consistent with international guidelines. Of the patients who had repeat angiography, 50% had no coronary obstruction for the cause of pain. There was a relatively low incidence of acute representation with chest pain. These results suggest a revision of the guidelines for repeat angiography following PCI is warranted.
Call Number NRSNZNO @ research @ Serial 1157
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Author Hughes, M.; Farrow, T.
Title Invisible borders: Sexual misconduct in nursing Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 2 Pages 15-25
Keywords Patient safety; Nursing; Guidelines
Abstract This paper identifies the issue of sexual misconduct by nurses in New Zealand. There is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, the authors make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
Call Number NRSNZNO @ research @ Serial 537
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Author Kent, B.; Fineout-Overholt, E.; Wimpenny, P.
Title Teaching EBP: Part 2 – making sense of clinical practice guidelines Type Journal Article
Year 2007 Publication Worldviews on Evidence-Based Nursing Abbreviated Journal
Volume 4 Issue 3 Pages 164-169
Keywords Evidence-based medicine; Teaching methods; Guidelines
Abstract
Call Number NRSNZNO @ research @ Serial 845
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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
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Author McArthur, J.; Dickinson, A.R.
Title Decision making the explicit evidence-based way: Comparing benefits, harms and costs Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 1 Pages 33-42
Keywords Evidence-based medicine; Nursing; Guidelines; Clinical decision making
Abstract This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998.
Call Number NRSNZNO @ research @ Serial 639
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Author McKillop, A.M.
Title Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway Type Journal Article
Year 2004 Publication JBI Reports Abbreviated Journal
Volume 2 Issue 9 Pages 293-308
Keywords Evidence-based medicine; Nursing; Guidelines; Evaluation
Abstract This report presents an evaluation of the implementation of a best practice information sheet related to tracheal suctioning of adults with an artificial airway. The Centre for Evidence-Based Nursing Aotearoa, based in Auckland, conducted a systematic review of the evidence and produced the best practice information sheet. A survey of 105 nurses was conducted at three sites, in New Zealand and Australia. Using a before/after design, data were collected at the time of release of the information sheet and then approximately 12 months later. The study suggests a trend towards a modest uptake of best practice recommendations into nursing practice demonstrated by some behavioural changes within a 12-month period in the context of an implementation plan and the best practice information sheet.
Call Number NRSNZNO @ research @ Serial 696
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Author Rolls, S.
Title An exploration of workplace violence in the emergency department: Are emergency nurses safe? Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Workplace violence; Emergency nursing; Guidelines
Abstract This thesis arises from the author's experience of several years of working in the emergency department and being exposed to workplace violence from patients and their families. Emergency nurses in New Zealand experience workplace violence every day. Registered nurses and the institutions in which they work manage workplace violence to varying degrees and in an ad hoc manner. The author notes that New Zealand has no national guidelines, or consensus on the management of workplace violence in the health sector. This research explores emergency nurses' encounters during their work when they have experienced workplace violence. The purpose of this study is to demonstrate the experience and the consequences when nurses are confronted with episodes of violence while working in the emergency department. The essence of this research is gaining an understanding of how registered nurses have managed workplace violence and the impact of that violence on themselves, their colleagues, and the patients in the emergency department. Recommendations are made regarding nationally consistent guidelines, education on the management of workplace violence, improved security, and emergency department design. The discussion concludes with suggestions for further research on workplace violence in the health sector
Call Number NRSNZNO @ research @ Serial 492
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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
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