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Author Grayson, S.
Title Nursing management of the rheumatic fever secondary prophylaxis programme Type
Year 2001 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Community health nursing; Management; Nursing specialties
Abstract (up)
Call Number NRSNZNO @ research @ 576 Serial 562
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Author Barton, J.
Title Pain knowledge and attitudes of nurses and midwives in a New Zealand context Type
Year 2001 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Nursing; Pain management; Attitude of health personnel
Abstract (up)
Call Number NRSNZNO @ research @ 1140 Serial 1125
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Author Litchfield, M.
Title The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal Accessible from www.moh.govt.nz
Volume Issue Pages
Keywords Rural health services; Management; Primary health care
Abstract (up) A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NZNO @ research @ Serial 1328
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Author Francis, Helen; Carryer, Jenny; Cram, Fiona
Title Consulting with Maori experts to ensure mainstream health research is inclusive of Maori Type Journal Article
Year 2019 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 35 Issue 3 Pages 7-14
Keywords Chronic conditions; Health research; Maori health; Health management; Whanaungatanga
Abstract (up) Advocates for the inclusion of Maori participants in research on long-term conditions (LTC). Presents research with 16 participants, including 6 Maori, into how they managed their conditions, and describes the role of consultation with Maori experts to support the cultural responsiveness of such research.
Call Number NZNO @ research @ Serial 1669
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Author Strochnetter, K.T.
Title Influences on nurses' pain management practices within institutions: A constructivist approach Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Interprofessional relations; Pain management; Nursing
Abstract (up) Alleviating patient suffering, providing comfort and pain relief are all central to the philosophical caring position nurses have always espoused. Despite this, patients continue to suffer pain although we have the means to provide pain relief. The author notes that research has identified that nurses have a knowledge deficit regarding pain and its management, as well an erroneous attitudes, which combined are blamed for an inability to make significant progress in this area. This study was undertaken to uncover the contextual aspects of working within a New Zealand health care institution that affect nurses' ability to manage their patient' pain effectively. It highlights the difficulties and the complicated nature of working within an institution in the 1990's health care environment, where accountability for pain is absent and where pain is often under-assessed and under-treated. By using focus group of nurses, the author notes she was able to uncover constructions on nursing practice, which, she suggests, have been missing from the literature, but prevent nurses from implementing their knowledge. Using a constructivist research, she used nurse's stories and current literature to argue one way forward in, what she terms, the pain management debacle. This study revealed a diverse range of contextual factors that prevent nurses from using their knowledge. Many of the constraints on nursing practice are the results of complex organisational structures within health reform, which have significantly affected the nurse's ability to provide quality-nursing care. One of the most important factors limiting the management of the patient' pain is the inability of the nurse to autonomously initiate analgesia. While nurses are largely responsible for the assessment of pain, they are usually powerless to access necessary analgesia, without a medical prescription. The author argues that once an initial medical diagnosis has been made, nurses are usually left responsible for patient comfort and the management of pain. To do so effectively, nurses need to able to prescribe both pharmacological and non-pharmacological measures for the patient. Presently nurses are prescribing using a variety of illegitimate mechanisms, needing the endorsement of a doctor. To fulfil this role, nurses must be adequately prepared educationally and given the authority to either prescribe autonomously, of provided with extensive “standing orders”. While legislative changes in New Zealand in 1999 extended prescribing right to a few nurses within certain areas of care, the ward nurse is unlikely to gain prescribing rights in the near future. The author concludes that a way forward may be to encourage and further develop the use of protocols for managing pain via standing orders. Standing orders are common place within nursing practice today, have the support of the Nursing Council of New Zealand and are currently under-going legislative review. An institutional commitment to developing pain protocols for nurses would recognise the nurses active role and expertise in the management of pain and facilitate expedient relief for the patient.
Call Number NRSNZNO @ research @ Serial 909
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Author Gosnell, M.
Title Postoperative pain assessment: A retrospective review of nursing documentation Type
Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Pain management; Nursing
Abstract (up) An essential part of nursing practice for the nurse on the surgical floor is to relieve the discomfort of post operative pain for patients in their care. Post operative pain management encompasses a series of processes from assessing pain, providing relief, assessment of measures used to relieve pain through to documentation in the patient record. Yet literature, both internationally and from Australia and New Zealand, suggests that post operative pain continues to be poorly managed despite having the means to provide more than adequate relief. Events leading up to the commencement of this study indicated that locally, post operative pain assessment, including documentation in the patient record may be substandard. The objective of this study was to develop and test an audit tool; undertake a retrospective audit of nursing records, including nursing notes and the nursing care plan, in respect of what postoperative pain assessments nurses document in the patient record; evaluate data and make recommendations for practice. Methodology: A five part, 23 question Likert scale audit tool, designed specifically for this study was used to collect data over a period of two months. In total 40 patient records that met the inclusion criteria were audited.The results indicate that local practice reflects poor documentation standards found in other studies. The most complete recordings were those entered on specifically designed charts such as the Patient Controlled Analgesia and Epidural charts (N 28) but this did not carry over into the patient record. Despite that fact that the patient's self reports of pain is said to be the single most reliable indicator of pain, there was only four occasions when the patient's verbal response to pain was recorded. None of those responses were according to any type of pain rating scale. Evidence of evaluation following measures used to relieve pain was more likely to be recorded if pain was poorly controlled or when side effects such as nausea were experienced by the patient. The author concludes that overall the audit has highlighted many gaps in what is or is not recorded in the patient record in respect of post operative pain assessment and has highlighted the need to develop standards of practice that will improve post operative pain management practices.
Call Number NRSNZNO @ research @ Serial 915
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Author Perkins, Zoe
Title The experiences of nurse managers navigating between two conceptual models of leadership in Aotearoa New Zealand Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 95 p.
Keywords Leadership; Nurse managers; Professional Practice Model; Generic Management Model; Professional development
Abstract (up) Confronts the inherent conflict for nurse managers (NM) in the dual nature of their leadership role, the Professional Practice Model (PPM) and the Generic Management Model (GMM). Examines the challenges for NMs in trying to balance the conflicting requirements of their roles. Surveys five NMs about their main challenges: role confusion, expectations, support, and professional development. Contributes to the ongoing evolution of the NM role.
Call Number NZNO @ research @ Serial 1765
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Author Chiyesu, William; Rasmussen, Shayne
Title Influence of a pulmonary rehabilitation education programme on health outcimes for chronic obstructive pulmonary disease (COPD) Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 12 Issue 1 Pages 49-59
Keywords Chronic obstructive pulmonary disease (COPD); Rehabilitation; Self-management; Patient education
Abstract (up) Considers whether the education component in a pulmonary rehabilitation programme (PRP) influences health outcomes for patients with chronic obstructive pulmonary disease (COPD) patients. Performs an integrative review of literature to integrate results from qualitative, quantitative and mixed-methods articles. Highlights the following concepts: disease knowledge, knowledge in relation to self-management, and the relationship between knowledge and education.
Call Number NZNO @ research @ Serial 1718
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Author Harrington, Karen
Title Mental health nurses' understanding of the concept of self-management of borderline personality disorder Type Book Whole
Year 2014 Publication Abbreviated Journal
Volume Issue Pages 159 p.
Keywords Borderline personality disorder; Mental health nurses; Self-management
Abstract (up) Determines what mental health (MH) nurses understand the concept of self-management to mean in relation to patients with a diagnosis of Borderline Personality Disorder (BPD). Interviews 10 MH nurses using a semi-structured format and analyses data using the general inductive approach, resulting in 26 sub-themes organised into three over-arching themes: self management is self-responsibility, self-management is self-awareness, self-management is maintaining safety.
Call Number NZNO @ research @ Serial 1573
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Author Jones, Sharon Anne Sarah
Title Understanding The Experience And Perceptions Of Managers And Preceptors Involved In Competency Assessment And Performance Management Of Nursing Staff Identified As Practicing Unsafely: An Evaluation Of The Effectiveness Of The Sip/Pip Framework Type Book Chapter
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 133 p.
Keywords Performance management; Competency; Preceptors; Insight; Feedback
Abstract (up) Evaluates the SIP/PIP process to illuminate the views of the nurse managers and preceptors on the effectiveness of the SIP/PIP programme in ensuring competent practice and provides recommendations for improvement and strengthening of the framework. Uses a qualitative approach with data collected through individual semi-structured interviews with preceptors and nurse managers. Due to lack of participation in the quantitative arm a mixed-method study was not completed using an anonymous survey. Undertakes thematic data analysis utilising NVIVO 10 software. Draws four major themes from the qualitative data: (1) Feedback- insight loop, (2) Process clarity, (3) Relationships, commitment & reflective response to participation in the SIP/PIP process, (4) Barriers and enablers to the SIP/PIP process.
Call Number NZNO @ research @ Serial 1554
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Author Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G.
Title Assessment and management of acute pain in older people: barriers and facilitators to nursing practice Type Journal Article
Year 2017 Publication Australian Journal of Advanced Nursing Abbreviated Journal
Volume 35 Issue 1 Pages 48-57
Keywords Pain assessment; Pain management; Aged patients; Acute care nurses
Abstract (up) Examines the pain management practices of nurses, and identifies barriers and facilitators to the assessment and management of pain for older people, within the acute hospital setting.
Call Number NZNO @ research @ Serial 1788
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Author Haufe, Birgit; Honey, Michelle
Title Role of whanau in self-management for adults receiving haemodialysis in Aotearoa New Zealand: a qualitative study Type Journal Article
Year 2019 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 35 Issue 3 Pages 15-24
Keywords Kidney disease; Chronic conditions; Haemodialysis; Self-management; Whanau
Abstract (up) Explores the role of family/whanau on self-management of end-stage renal disease (ESRD). Conducts semi-structured interviews with 7 haemodialysis patients, of which 5 were Maori, about their perspectives on whanau's role. Highlights 3 themes: whanau support, whanau importance and whanau hindrance.
Call Number NZNO @ research @ Serial 1670
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Author Hernandez, Monina; King, Anna; Stewart, Lisa
Title Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices Type Journal Article
Year 2019 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 35 Issue 1 Pages 29-42
Keywords Catheter-associated urinary tract infection; UTIs; Infection prevention; Documentation; Indwelling catheter management
Abstract (up) Investigates nurses' catheter management practices, by means of an audit, as documented in a newly-introduced self-administered indwelling catheter-management checklist incorporating four components of catheter care in a catheter-associated urinary tract infection (CAUTI) prevention bundle. Identifies these components of the bundle of care as: minimisation of inappropriate catheter use, aseptic insertion of catheters, adherence to catheter maintenance guidelines, and ongoing review and evaluation of catheter necessity. Shows that implementation of care components decreases bacteriuria rates and CAUTI when used together in standardised clinical checklists and performed collectively by nurses. Employs a quantitative research design as part of a mixed-methods study conducted at two surgical wards in a public hospital in Auckland where 50 nurses completed 175 checklists.
Call Number NZNO @ research @ Serial 1610
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Author Hendry, Chris; Prileszky, Gail
Title A usability study: an e-medication dispenser as part of a home-based medication management programme Type Journal Article
Year 2017 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 8 Issue 1 Pages 23-30
Keywords Usability study; E-medication dispenser; Medication management; District nursing
Abstract (up) Investigates the logistics and acceptability of an electronic medication dispenser (EMD) within a home-based medication management service as a substitute for face-to-face home visiting, as a means of reminding elderly clients to take their medication on time. Uses a qualitative usability study methodology to conduct the study, centred on a small group of clients receiving the service from a small group of clients receiving the service from a community nursing organisation in Christchurch. Involves patients, pharmacists, nurses and managers of the community nursing service. Identifies critical processes and protocols required to safely support a wider roll-out of the product within the service.
Call Number NZNO @ research @ Serial 1539
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Author Zwimpfer, Lucy Annabelle
Title Being with Babies: Vocal soothing for preterm infants during painful procedures in the Neonatal Intensive Care Unit Type Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 290 p.
Keywords Pain management; Premture infants; Infant mental health; NICU; Vocal soothing
Abstract (up) Investigates the neonatal intensive care unit (NICU) nurse-infant relationship, with a focus on vocal soothing. Undertakes two observational studies to record the use of voice by NICU nurses during painful and non-painful procedures. Develops a model of vocal soothing and tests it for its ability to provide comfort to pre-term infants undergoing painful procedures. Measures pain using the Premature Infant Pain Profile Revised.
Call Number NZNO @ research @ Serial 1562
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