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Author Lee, S.V.
Title The advanced practitioners' guide to integrating physical and mental health: Introducing the role of the mental health consultation liaison nurse Type
Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages (down)
Keywords Advanced nursing practice; Mental health; Nursing specialties
Abstract Evidence within the literature highlights that staff within the general hospital wards are not necessarily equipped to assess and meet the needs of patients with mental health or behavioural problems. The author notes that this is cause for concern as a number of people requiring admission to the general wards often have a complex, interrelated combination of physical and mental health problems. Within New Zealand there have also been a number of changes to health care policies that have increased general nurses contact with mental health patients over the last decade. The Mental Health Consultation Liaison Nurse is an advanced nurse specialist who can meet this need. Having reviewed the literature and communicated with Mental Health Consultation Liaison Nurses in New Zealand and Australia, the author says it is clear that the availability of a mental health nurse within the district health board general wards would be advantageous to all. The role has been shown to positively influence the care of patients and benefit other health care professionals. It provides an improved system of care that is co-ordinated, integrated and responsive to the needs of patients and health care staff. The implementation of the Mental Health Consultation Liaison Nurse role has the potential to cut costs in relation to decreasing length of stay with untreated mental health issues, and reduce the cost of continued use of 'specialling' unnecessarily. Also of importance is the fact that such a position would assist the district health board to comply with the standards of health care provision as directed by the Mental Health Commission and the Ministry of Health. The author suggests that the introduction of the Mental Health Consultation Liaison Nurse role represents a change in traditional ways of providing general nursing and consequently there are a number of issues that may hinder its success. This dissertation aims to increase the visibility of mental health nursing and provide a resource for others debating the development and implementation of the Mental Health Consultation Liaison Nurse role.
Call Number NRSNZNO @ research @ Serial 771
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Author Logan, C.M.
Title Anaesthetic nursing: Focusing perioperative practice on the patient Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages (down)
Keywords Nursing specialties; Advanced nursing practice; Nurse-patient relations; Nursing; Education
Abstract The purpose of this literature review is to generate a picture of what is known and what needs to be investigated further about anaesthetic nursing in the perioperative nursing role in New Zealand, and to examine this in relation to international trends. Nurse anaesthetists in the United States are described in American nursing literature, and recognised as one of the four advanced nurse practitioner roles. In New Zealand, recent efforts to provide appropriate post-graduate education for the perioperative nurse have been challenged by other inter-professional interests, thus restricting the development of an expanded role. The author notes that this has caused concern for New Zealand's perioperative nurses who consider anaesthetic nursing is an integral part of perioperative practice. Anaesthetic nursing forms a substantial component of the basic competencies required of a registered nurse working in the operating theatres. Orientation programmes and ongoing education at all levels of professional development incorporate anaesthetic nursing competencies to provide continuity of patient care and support perioperative practice. Care of the patient undergoing anaesthesia is an area where nurses demonstrate their advanced assessment skills and clinical judgement and is included in perioperative specialist or nurse practitioner job descriptions. The Perioperative Nurses Association in New Zealand is concerned to develop postgraduate education in their area of speciality to support their application for 'College' status within the New Zealand Nurses Organisation. For this to happen in a cogent fashion, information and knowledge generated from research, are required to clarify perioperative nursing's current position and determine how practice can be shaped to best care for patients undergoing surgical interventions. Evidence from research supports nurses in the anaesthetic role by demonstrating that the preoperative visits and assessments they undertake can reduce patients' anxieties, decrease the need for pain relief and shorten hospital stays. This review includes literature sources that explore disparities between the development of New Zealand anaesthetic nursing and international models. The author suggests that information and understanding gained from conducting this review will allow future developments in anaesthetic nursing practice to be informed by previous initiatives and projects and identifies areas for further research.
Call Number NRSNZNO @ research @ Serial 790
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Author Jefferson, F.E.
Title An exploration of the competencies for advanced nursing practice in the perioperative setting Type
Year 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages (down)
Keywords Advanced nursing practice; Operating theatre
Abstract A clinical research practicum.
Call Number NRSNZNO @ research @ 826 Serial 810
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Author Brookes, K.
Title Moving stories from nurses in flight Type
Year 2001 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages (down)
Keywords Nursing specialties; Advanced nursing practice; Intensive care nursing; Feminist critique
Abstract This thesis contains a collection of stories gifted by four New Zealand Retrieval Team nurses who are experienced in the transport of patients. These nurses are commonly called flight nurses and they assist in the transport of patients via helicopter, fixed-wing aeroplane, large commercial aeroplanes and ambulances. While their practice is not exclusively in the helicopter there is an emphasis on this mode of transport in this thesis. Flight nursing is a scope of nursing practice where the use, and visibility, of nurses' stories is rare. The specific context of this research is positioned in one tertiary intensive care unit in New Zealand but it is anticipated that the stories from four flight nurses and the author's subsequent thoughts on them will resonate with flight nurses in other regions. The stories were collected using a storytelling methodology that has been informed by qualitative and feminist perspectives. The stories were either gathered and shaped using interview and transcription techniques with the storyteller and the researcher, or written by the storyteller. The thesis has been written as a narrative and chronicles the journey to the point of receiving the stories and the lines of inquiry in which they subsequently directed the author. The stories are central to this research and appear in their entirety. The reader is encouraged to create their own meaning from the stories. The stories themselves have several common threads, which are planning, communication, teamwork and the unexpected. The threads underpinning the stories are not unique to flight nursing practice and have been discussed in other scopes of practice. One area the author has chosen to explore in more depth is the impacts of technology, privacy, narrative pedagogy and disenfranchisement on the visibility of flight nurses' stories. The other area she has chosen for discussion is advanced and specialty nursing practice as it relates to flight nurses. As a result of this discussion she proposes her own view for advanced and specialty practice in flight nursing.
Call Number NRSNZNO @ research @ Serial 918
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Author Spence, D.; Anderson, M.
Title Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study Type Report
Year 2006 Publication Abbreviated Journal NZNO theses and research material webpage
Volume Issue Pages (down)
Keywords Prescription authority; Nursing; Education; Students; Advanced nursing practice
Abstract This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements.
Call Number NRSNZNO @ research @ Serial 1136
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Author McLaughlin, K.
Title Nephrology nursing: Early intervention in chronic kidney disease Type
Year 2004 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages (down)
Keywords Nursing specialties; Diseases; Advanced nursing practice; Kidney disease
Abstract This study explored the potential for extending the contribution nurses make in managing patients with chronic kidney disease as they progress to end stage kidney failure. In the context of a shortage of nephrologists and an escalating patient population suffering from kidney disease, the potential to include advanced nephrology nursing in early disease management was postulated. The literature was reviewed with regard to initiatives to reduce the progression of kidney failure and the prevention of associated complications. Local and international literature on advanced nursing practice and the nurse practitioner role was examined in relation to the management of chronic kidney disease. The introduction of the nurse practitioner in New Zealand could provide an ideal framework for independent nephrology nursing. Well-established nursing practice in dialysis, transplantation and pre-dialysis provide distinct scopes of practice in these areas for independent nursing in the future. It seems likely that these sub-specialties in nephrology nursing will be the first to experience the value of the nurse practitioner. The creation of early interventionalist nurse practitioners in nephrology health care would allow nurses to step outside these well-established sub-specialties, and provide new resources to help manage chronic kidney disease. A model of care was proposed that outlines how a nephrology nurse practitioner could work collaboratively with community health providers and the local nephrology health care team to manage the early stages of kidney disease.
Call Number NRSNZNO @ research @ Serial 1150
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Author Litchfield, M.
Title Achieving health in a rural community: A case study of nurse – community partnership Type Book Whole
Year 2004 Publication Abbreviated Journal University and Polytechnic Libraries, NZNO Library
Volume Issue Pages (down)
Keywords Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change
Abstract This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy.
Call Number NRSNZNO @ research @ 1183 Serial 1168
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Author Litchfield, M.; Laws, M.
Title Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms Type Book Chapter
Year 1999 Publication Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) Abbreviated Journal
Volume Issue Pages (down)
Keywords Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms
Abstract The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms.
Call Number NRSNZNO @ research @ Serial 1169
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Author McArthur, J.
Title Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation Type
Year Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages (down)
Keywords Advanced nursing practice; Organisational culture
Abstract
Call Number NRSNZNO @ research @ 1280 Serial 1265
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Author Litchfield, M.
Title The language of nursing practice in hospitals Type Conference Article
Year 1997 Publication Abbreviated Journal held by NZNO Library and author
Volume Proceedings of the National Nursing Informatics Co Issue Pages (down)
Keywords Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans
Abstract A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions.
Call Number NZNO @ research @ Serial 1322
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