| Records |
| Author |
Hunt, M. |
| Title |
Nurses can enhance the pre-operative assessment process |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
10 |
Pages |
20-22 |
| Keywords |
Nursing specialties; Clinical assessment; Hospitals; Surgery |
| Abstract |
This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented. |
| Call Number |
NRSNZNO @ research @ 1005 |
Serial  |
989 |
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| Author |
Koorey, R. |
| Title |
Documentation of the surgical count |
Type |
Journal Article |
| Year |
2007 |
Publication |
Dissector |
Abbreviated Journal |
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| Volume |
34 |
Issue |
4 |
Pages |
23-6,28,30 |
| Keywords |
Law and legislation; Patient safety; Surgery; Nursing specialties |
| Abstract |
The author examines the current practices around the surgical counts of sponges, sharps and instruments, which is an integral component of safe perioperative nursing practice. Current practice, legislative requirements are reviewed, and the guidelines from the Perioperative Nurses College of New Zealand are reproduced. Case studies of errors in counts are used to illustrate the legal standards of practice. |
| Call Number |
NRSNZNO @ research @ 1048 |
Serial |
1032 |
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| Author |
Minchin, I. |
| Title |
Advanced nursing in the operating theatre: The New Zealand perspective |
Type |
Journal Article |
| Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
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| Volume |
32 |
Issue |
2 |
Pages |
30-35 |
| Keywords |
Operating theatre; Nursing specialties |
| Abstract |
This article presents a literature review of current research on perioperative nursing. Research studies are summarised. Overall findings include that there is a lack of exposure to perioperative nursing in undergraduate level, that expert nurses in the operating theatre make a positive economic and social contribution to patient outcomes, and there are barriers to registered nurses expanding their role in operating theatres. |
| Call Number |
NRSNZNO @ research @ 1072 |
Serial |
1057 |
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| Author |
Hughes, C. |
| Title |
Perioperative nurses in NZ & evidence-based practice |
Type |
Journal Article |
| Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
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| 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 |
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| Author |
White, G.E.; Mortensen, A. |
| Title |
Counteracting stigma in sexual health care settings |
Type |
Journal Article |
| Year |
2003 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
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| Volume |
6 |
Issue |
1 |
Pages |
|
| Keywords |
Sexual and reproductive health; Nursing specialties; Attitude to health |
| Abstract |
Sexual health clinics and the people who visit them commonly face stigma. Sexually transmitted infections have historically been used to divide people into “clean” and “dirty”. A grounded theory study of the work of sixteen nurses in six sexual health services in New Zealand was undertaken to explore the management of sexual health care. The study uncovered the psychological impact of negative social attitudes towards the people who visit sexual health services and to the staff who work there. Sexual health nurses manage the results of stigma daily and reveal in their interactions with clients a process of destigmatisation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1071 |
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| Author |
Kyle, W. |
| Title |
Dementia specific nursing in New Zealand: History and practice today |
Type |
Journal Article |
| Year |
2002 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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| Volume |
8 |
Issue |
14 |
Pages |
3-9 |
| Keywords |
Dementia; Nursing specialties |
| Abstract |
The author examines influences on contemporary dementia specific nursing practice. She addresses the current situation and future developments in this area. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1079 |
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| Author |
Rameka, M. |
| Title |
Perioperative nursing practice & cultural safety |
Type |
Journal Article |
| Year |
2001 |
Publication |
Dissector |
Abbreviated Journal |
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| Volume |
29 |
Issue |
3 |
Pages |
21-23 |
| Keywords |
Nursing specialties; Surgery; Cultural safety |
| Abstract |
This article is from a conference paper presented to the 12th World Conference on Surgical Patient Care. It presents cultural safety, as differentiated from transcultural nursing, and investigates how it relates to perioperative nursing. Examples are presented of how nurses can adhere to medical requirements, and address the cultural needs of Maori patients. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1084 |
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| Author |
Grant-Mackie, D. |
| Title |
A literature review of competence in relation to speciality nursing |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library, NZNO Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Paediatric nursing; Nursing specialties; Professional competence; Nursing; Education |
| Abstract |
The original aim of the study was to find out through a questionnaire what child health/paediatric nurses in New Zealand/Aotearoa saw as their needs for post-registration education. Nurses were completing courses in the United Kingdom and returning to New Zealand/Aotearoa and realising that their nursing capabilities had improved. They became senior nurses with education responsibilities and exhibited political leadership among their colleagues in the field of child health/paediatric nursing. They were becoming increasingly concerned at the lack of any clinical courses in the specialty of child health/paediatric nursing to promote an appropriate standard of practice. It was intended that a research project about post-registration child health/paediatric education would assist concerned nurses to develop a programme. The time needed for such a project did not fit with a limited research paper. It was decided to reduce the project to a review of the literature on competence in nursing, with some comment on the specialty of child health/paediatric nursing. In order for nurses to find what they need to learn and know, an understanding of competence in nursing practice is required. Competence is defined as the ability of the nurse to carry out specific work in a designated area at a predetermined standard. Issues around competence, defining a scope of practice, development and assessment of competence, and regulation of nursing, are part of the context in which accountability for the practice of nurses sits. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1123 |
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| Author |
Schumacher, A.T. |
| Title |
More than meets the eye: Explicating the essence of gerontology nursing |
Type |
|
| Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Geriatric nursing; Nursing philosophy; Nursing specialties |
| Abstract |
The purpose of this hermeneutic phenomenological was to unveil a deeper meaning and understanding of gerontology nursing, thus contributing to its value and worth as a speciality area of nursing. Conversations with four gerontology nurses were taped, transcribed and then analysed using van Manen's (1990) approach to researching lived experience. From the analysis, four cardinal elements emerged: true acceptance, personal knowing, being present, and being alive. Those four cardinal elements were reworked and further analysed to reveal three central aspects or essences of gerontology nursing. These essences were the centrality of temporality, the interconnectedness of human relationships, and the significance of the lived body. Temporality is demonstrated by nursing application of objective, or clock time, as well as subjectively in regards to the lived time of the clients. Interconnectedness is the lived human relationship between nurse and client and is represented by commitment, presencing/giving of self, connecting, and knowing the client holistically. The third essence is corporeality, which is portrayed by the gerontology nurses' distinguishing characteristics and their perception of the lived body of the nursed. The final analysis unveiled caring for the body, the act of seeing, and the joy of care as emergent essences of gerontology nursing. Language of nursing in relationship to 'basic nursing care' is critiqued for its potential to devalue gerontology nursing and, by association, old people. |
| Call Number |
NRSNZNO @ research @ 1157 |
Serial |
1142 |
| Permanent link to this record |
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| Author |
McLaughlin, K. |
| Title |
Nephrology nursing: Early intervention in chronic kidney disease |
Type |
|
| Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| 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 |
Andrews, C.M. |
| Title |
Developing a nursing speciality: Plunket Nursing 1905 – 1920 |
Type |
|
| Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Plunket; History of nursing; Nursing specialties; Paediatric nursing |
| Abstract |
This paper focuses on the history of Plunket nursing and Truby King's ideology and other dominant ideologies, during the years 1905 – 1920. To provide a context, the paper explores the development of a new nursing speciality – Plunket nursing, that became part of the backbone of a fledgling health system and the New Zealand nursing profession. Correspondingly, Truby King presented the country with a vision for improving infant welfare underpinned by his eugenics view of the world and his experimentation with infant feeding. The author argues that nurses were drawn to the work of the newly created Plunket Society and that the Society had lasting influence on the development of nursing in New Zealand. |
| Call Number |
NRSNZNO @ research @ 1167 |
Serial |
1152 |
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| Author |
Whitehead, N. |
| Title |
Quality and staffing: Is there a relationship in aged residential care |
Type |
|
| Year |
2007 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rest homes; Patient safety; Older people; Nursing specialties |
| Abstract |
This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1159 |
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| Author |
James, G.G. |
| Title |
Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting |
Type |
|
| Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Case studies; Rural health services; Nursing specialties; Cancer; Oncology |
| Abstract |
This descriptive case study was undertaken to provide an account of chemotherapy practice in a nurse-led clinic located within a rural New Zealand area. The researcher, an oncology nurse specialist, worked alongside colleagues for thirteen months to enable practice development. This clinic developed out of a need to have services closer to rural patients in order to address issues of equity, access, care integration and the fiscal and social constraints associated with the cancer burden of care. Capturing the range of data applicable to this case; the ability to conceptualise it as a service within its context was possible using case study research methods. Four nurses involved in the chemotherapy clinic were participants in this study. The findings of this study reveal that what could be perceived as barriers to outcomes and practice can in essence be turned into opportunities to develop new ways of caring for the patient and supporting nursing practice. These nurses view their practice as safe within the clinic despite resource constraints. They work in many ways to support each other and to cushion the patient from the impact of situational and contextual influences. Nursing practice was shown to evolve as a direct result of internal and external influences which were the impetus for nurses taking responsibility for their own competency. This study also explored what it meant to be an experienced nurse but novice in a speciality practice. It challenges previously held assumptions that, to deliver chemotherapy successfully, a nurse needs to be operating from a previously held body of oncology nursing knowledge. Many challenges are faced on a day to day basis in a rural practice environment to just maintain consistent care and promote good patient outcomes. The nurses are well aware of their role in contributing to patients' quality of life and the roles they take to meet the growing needs of the patient as a consumer. This study delves into the multifarious nature of this nurse-led clinic and discusses the processes and relationships that are forged to deliver care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1166 |
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| Author |
Barratt, Ruth |
| Title |
Behind barriers: patients' perceptions of hospital isolation for methicillin-resistant Staphylococcus aureus (MRSA) |
Type |
|
| Year |
2008 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Infection control; Patient satisfaction; Nursing specialties; Hospitals |
| Abstract |
This study explored the experiences of hospitalised patients in methicillin resistant Staphylococcus aureus (MRSA) isolation in New Zealand and the meaning that those patients made of those experiences. The research question of this study was 'What is the lived experience of patients in MRSA isolation?' An interpretive phenomenological approach was undertaken for this research, informed by the philosophical hermeneutic tenets of Heidegger (1927/1962). Audio-taped, semi-structured interviews were used to collect data from a purposive sample of ten adults who were in MRSA isolation in various wards in a large acute care hospital in the central North Island. Three salient themes emerged from the data. The first, 'being MRSA positive', summarises the meaning of having an identity of being MRSA positive. The second theme, 'being with others', is concerned with the effect that being in isolation for MRSA has on interpersonal relations. 'Living within four walls' is the third theme and reveals the significance that the physical environment of the MRSA isolation room has on the experience of MRSA isolation. Within the discussion of these themes, excerpts from the interviews are provided to illuminate the meanings and interpretations made. Recommendations are made for nursing practice and education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1167 |
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| Author |
Litchfield, M.; Ross, J. |
| Title |
The role of rural nurses: National survey |
Type |
Report |
| Year |
2000 |
Publication |
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Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rural nursing; Personnel; Nursing specialties; Primary health care |
| Abstract |
A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1175 |
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