|   | 
Details
   web
Records
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 (up) Borderline personality disorder; Mental health nurses; Self-management
Abstract 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
Permanent link to this record
 

 
Author MacDonald, R.
Title Mammography screening for breast cancer: Does it reduce the mortality rate? Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume Issue Pages 8-12
Keywords (up) Breast cancer; Screening; Risk management; Health education; Cancer
Abstract This paper critically examines the literature on mammography as a breast cancer screening modality. It looks at what the New Zealand consumer is being told about the scientific uncertainties about the effectiveness of mammography and the substantial risks involved with it. This literature review raises concerns about the lack of information available for healthy women to make a fully informed decision about mammography screening.
Call Number NRSNZNO @ research @ Serial 1304
Permanent link to this record
 

 
Author Garcia, Alicia; Whitehead, Dean; Winter, Helen S
Title Oncology nurses' perception of cancer pain: a qualitative exploratory study Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 1 Pages 27-33
Keywords (up) Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education
Abstract Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients.
Call Number NZNO @ research @ Serial 1500
Permanent link to this record
 

 
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 (up) Catheter-associated urinary tract infection; UTIs; Infection prevention; Documentation; Indwelling catheter management
Abstract 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
Permanent link to this record
 

 
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 (up) Chronic conditions; Health research; Maori health; Health management; Whanaungatanga
Abstract 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
Permanent link to this record
 

 
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 (up) Chronic obstructive pulmonary disease (COPD); Rehabilitation; Self-management; Patient education
Abstract 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
Permanent link to this record
 

 
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 (up) Community health nursing; Management; Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 576 Serial 562
Permanent link to this record
 

 
Author Gregory, R.; Kaplan, L.
Title Understanding residuals in Guillain-Barre Syndrome Type Journal Article
Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 10 Issue 7 Pages 16-18
Keywords (up) Diseases; Nursing; Management
Abstract The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression.
Call Number NRSNZNO @ research @ 1013 Serial 997
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 (up) 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 Rudd, J.
Title From triage to treatment: An exploration of patient flow systems in emergency departments Type
Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords (up) Emergency nursing; Hospitals; Risk management; Patient safety
Abstract To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room.
Call Number NRSNZNO @ research @ Serial 1209
Permanent link to this record
 

 
Author Huntington, A.D.; Gilmour, J.A.
Title A life shaped by pain: Women and endometriosis Type Journal Article
Year 2005 Publication Journal of Clinical Nursing Abbreviated Journal
Volume 14 Issue 9 Pages 1124-1132
Keywords (up) Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique
Abstract The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.
Call Number NRSNZNO @ research @ Serial 940
Permanent link to this record
 

 
Author Slight, Carol; Marsden, Janet; Raynel, Susanne
Title The impact of a glaucoma nurse specialist role on glaucoma waiting lists Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 1 Pages 38-47
Keywords (up) Glaucoma; Nurse specialist; Nurse-led clinics; Chronic care management
Abstract Reports on the effect of a 'nurse-led' glaucoma clinic at a large metropolitan hospital, in which patients were recruited from specific categories of glaucoma patients on the waiting list. Audits the impact on the waiting list over a two-year period.
Call Number NZNO @ research @ Serial 1442
Permanent link to this record
 

 
Author Richardson, S.
Title Coping with outbreaks of the norovirus Type Journal Article
Year 2005 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 11 Issue 7 Pages
Keywords (up) Infection control; Risk management; Occupational health and safety; Hospitals
Abstract The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages.
Call Number NRSNZNO @ research @ Serial 981
Permanent link to this record
 

 
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 (up) Interprofessional relations; Pain management; Nursing
Abstract 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
Permanent link to this record
 

 
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 (up) Kidney disease; Chronic conditions; Haemodialysis; Self-management; Whanau
Abstract 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
Permanent link to this record