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Author Hardcastle, J. openurl 
  Title 'Back to the bedside': Graduate level education in critical care Type Journal Article
  Year (down) 2008 Publication Nurse Education in Practice Abbreviated Journal  
  Volume 8 Issue 1 Pages 46-53  
  Keywords Nursing specialties; Nursing; Education; Curriculum  
  Abstract This paper explores the relationships within teaching, learning and practice development in critical care nursing and questions the popular assumption that 'post graduate (Master's level) education fits all'. The need for critical care nurses to apply advanced knowledge and technical skills to complex and dynamic practice situations necessitates the development of critical thinking and a problem-solving approach to clinical practice that can be fostered through education and experience. Discussion focuses on the successful development and implementation of graduate level education for critical care nurses in the South Island of New Zealand and how this development is challenging existing approaches to the provision and evaluation of formal critical care education in New Zealand.  
  Call Number NRSNZNO @ research @ Serial 656  
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Author Koorey, R. openurl 
  Title Is there a place for clinical supervision in perioperative nursing? Type Journal Article
  Year (down) 2008 Publication Dissector Abbreviated Journal  
  Volume 35 Issue 4 Pages 15-17  
  Keywords Nursing models; Clinical supervision; Nursing specialties  
  Abstract This article explores the concept of clinical supervision and outlines a brief history of implications for nursing practice. Models of clinical supervision are outlined and examples of how they may be applicable to the clinical setting of perioperative nursing are provided.  
  Call Number NRSNZNO @ research @ Serial 928  
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Author James, G.G. url  openurl
  Title Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting Type
  Year (down) 2008 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  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 openurl 
  Title Behind barriers: patients' perceptions of hospital isolation for methicillin-resistant Staphylococcus aureus (MRSA) Type
  Year (down) 2008 Publication Abbreviated Journal  
  Volume Issue Pages  
  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 Fairhall, M. url  openurl
  Title An observational study of Peripherally Inserted Central Cather(PICC)-related complications amongst oncology patients Type
  Year (down) 2008 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Patient safety; Equipment and Supplies; Nursing specialties; Cancer; Oncology  
  Abstract This thesis reports on a retrospective observational study that examined the complication rate of peripherally inserted central catheters (PICCs) within a regional cancer centre. PICCs are increasingly used for delivery of chemotherapy and other intravenous therapies in oncology patients. A literature review revealed that almost all published research on PICC complications reported on silicone (Groshong(TM)) catheter use, rather than the polyurethane (Arrow(TM)) PICCs used at Christchurch Hospital. Also, much literature referred to PICCs being inserted by non-nurses, whereas the Christchurch service uses specially-trained nurses to insert them. The purpose of the study was to identify the nature, incidence and rates of polyurethane (Arrow(TM)) PICC complications in an adult oncology cohort. Ethics Committee approval was gained to retrospectively follow all PICCs inserted in adult oncology patients at Christchurch Hospital over a 13-month period from 1st March 2006 until 31st March 2007. Data collected were analysed utilising the statistical computer package SPSS. One hundred and sixty-four PICCs were inserted into 156 individual oncology patients over this period. The median dwell time was 68 days for a total of 14,276 catheter-days. Complications occurred in 25 (15%) out of 164 PICC lines, in 22 (15%) of the 156 patients for an overall complication rate of 1.75 per 1000 catheter-days. However, only 16 of the 25 PICCs with complications required early removal (9.75% of the cohort) for a favourably low serious complication rate of 1.12 per 1000 catheter-days. The three commonest complications were infection at 4.3% (7/164) or 0.49 infection complications/1000 PICC-days, PICC migration at 3% (5/164) or 0.35/1000 catheter days, and thrombosis at 2.4% (4/164) or 0.28/1000 catheter days. The median time to complication was 41 days. Those with complications were more likely to have a gastro-intestinal or an ovarian cancer diagnosis, and less likely to have colorectal cancer. These findings provide support for the safe and effective use of polyurethane (Arrow(TM)) PICCs for venous access within the adult oncology context. Furthermore, it suggests that cost effective nurse-led (Arrow(TM)) PICC insertions can contribute to a low complication rate.  
  Call Number NRSNZNO @ research @ Serial 1222  
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Author Blake-Palmer, E. url  openurl
  Title Seeing the world through orthopaedic eyes: The experience of being an orthopaedic nurse: A hermeneutic study Type
  Year (down) 2007 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords Nursing specialties  
  Abstract This study explores the experience of being an orthopaedic nurse. As an orthopaedic nurse the author had concerns that the validity of orthopaedic nursing as a unique scope of practice was being questioned. In this thesis, the case for orthopaedic nursing is argued, by showing it as a specialty in its own right. A qualitative approach informed by the author's interpretation of philosophical hermeneutics as articulated by Heidegger (1927/1962) and Gadamer (1976; 1989) was undertaken. Phenomenology seeks to uncover 'taken-for granted' meanings in everyday experience and hermeneutic research recognises that the historical and cultural horizons of participants and researcher influence the interpretation. Eight nurses working in various orthopaedic settings were interviewed. Data was analysed using the interpretive thematic approach described by van Manen (1990). The nurses' stories from practice yielded two essential themes, 'being part', and 'gaining and maintaining integrity'. The author concludes that these themes interrelate and together reveal meanings and insights about being an orthopaedic nurse. 'Being part', shows the essential nature of relationships between orthopaedic nurses and others. 'Gaining and maintaining integrity' describes the embodied nature of the phenomenon. The overall thematic finding 'seeing the world through orthopaedic eyes' reveals the nature of orthopaedic nursing as a unique scope of practice.  
  Call Number NRSNZNO @ research @ 479 Serial 466  
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Author Wilson, M.J. openurl 
  Title Strategies for the nurse leader to enhance nursing practice and promote workforce development within an interdisciplinary alcohol & other drugs team Type
  Year (down) 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Professional development; Alcoholism; Nursing specialties; Nursing; Nurse managers; Drug abuse; Substance abuse  
  Abstract This dissertation had two main aims. The first was to explore the literature from which nurse leaders of alcohol and other drug services might develop their leadership skills so as to enhance nursing practice within an interdisciplinary alcohol and other drug team. The second was to further utilise these skills to develop a 'toolkit' which would assist in the successful management of the team but would also aid with workforce development. In addition, this dissertation was linked to the Nursing Council of New Zealand Competencies for the Registered Nurse Scope of Practice (2005) and Competencies for Advanced Nursing Practice (2001). This dissertation provides direction for the nurse leader wishing to develop their toolkit. Implications for the advancement of nursing are suggested.  
  Call Number NRSNZNO @ research @ Serial 474  
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Author Lesa, R. openurl 
  Title Advanced physical assessment skills: Factors that influence registered nurses' use of skills in the clinical setting, on completion of an advanced health assessment course Type
  Year (down) 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Nursing; Primary health care; Nursing specialties; Education  
  Abstract Traditionally the use of advanced physical assessment skills when assessing a patient or client has been the domain of the medical profession. The last few decades has seen many changes in health provision that have influenced nursing practice, as a result of the social and economic trends impacting on New Zealand society. A notable change in nursing practice has been an increased emphasis on the use of advanced physical assessment skills by registered nurses, as an expected part of the registered nurse's health assessment. Nurses in the United States, and more recently Canada and Australia, readily include these skills as an expansion of their health assessment into their nursing practice. The purpose of this research is to investigate whether New Zealand registered nurses have done the same. The factors that influence the registered nurses' use of these skills are also explored. This descriptive design was chosen in order to focus on exploring and describing this phenomenon in a holistic fashion. Data collection involved one hour semi- structured interviews with seven participants who all completed the same postgraduate advanced health assessment educational course. Three themes were identified as influencing the use of advanced physical assessment skills; the registered nurse's work environment, the registered nurse's attributes and the registered nurse's original nursing education. The findings from this research have implications for nurses in practice and nurse educators, in both undergraduate and postgraduate education.  
  Call Number NRSNZNO @ research @ Serial 498  
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Author Sutton, D.M. openurl 
  Title An analysis of the application of Christensen's Nursing Partnership Model in vascular nursing: A case study approach Type
  Year (down) 2007 Publication Abbreviated Journal University of Otago Library  
  Volume Issue Pages  
  Keywords Nursing specialties; Nursing models; Cardiovascular diseases  
  Abstract  
  Call Number NRSNZNO @ research @ 822 Serial 806  
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Author Fisher, M. openurl 
  Title Resuscitation guidelines: Managing change in practice Type Journal Article
  Year (down) 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 Payne, D.; Goedeke, S. openurl 
  Title Holding together: Caring for clients undergoing assisted reproductive technologies Type Journal Article
  Year (down) 2007 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 60 Issue 6 Pages 645-653  
  Keywords Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams  
  Abstract This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences.  
  Call Number NRSNZNO @ research @ 985 Serial 969  
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Author Surtees, R. openurl 
  Title Developing a therapeutic alliance in an eating disorders unit Type Journal Article
  Year (down) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 10 Pages 14-16  
  Keywords Nursing specialties; Multidisciplinary care teams; Psychiatric Nursing; Nurse-patient relations; Anorexia nervosa  
  Abstract The author presents the approach of a nursing team at Christchurch's Princess Margaret Hospital, in the regional specialist service for people with anorexia nervosa. This unit provides the only specialist inpatient unit in the country, consisting of a six or seven-bed facility that shares a unit with a mother and baby unit. A multidisciplinary team of psychiatric nurses, dietitians, occupational therapists, psychiatrists, psychologists and social workers all make significant contributions. The Christchurch unit uses a cognitive-behavioural therapy model (CBT) across the disciplines, a multidimensional approach incorporating psychotherapeutic, psychoeducational, biomedical and behaviourist paradigms. This occurs within a “lenient flexible approach”. Within the Unit, the eight nurses constitute what could be seen as an “intra”-disciplinary team within the wider “inter”-disciplinary or MDT team. They apply an evidence-based nursing approach with a commitment to partnership and advocacy with their patients. They use collaborative techniques for defining shared goals, and the careful management of the introduction of food. As one of the team members, the author envisages that the job of specialised nurses is to form a therapeutic alliance with patients, which takes account of the dynamic ways that patients may negotiate their own complex understandings of health, care, and recovery.  
  Call Number NRSNZNO @ research @ Serial 982  
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Author Koorey, R. openurl 
  Title Documentation of the surgical count Type Journal Article
  Year (down) 2007 Publication Dissector Abbreviated Journal  
  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 Whitehead, N. openurl 
  Title Quality and staffing: Is there a relationship in aged residential care Type
  Year (down) 2007 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages  
  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 McLoughlin, N. url  openurl
  Title Dying to know: Advancing palliative care nursing competence with education in elderly health settings Type
  Year (down) 2007 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Professional development; Nursing specialties; Palliative care; Nursing; Education  
  Abstract This paper explores the benefits of using education as one means to advance palliative care competence for nurses. A literature search was conducted revealing numerous educational initiatives and approaches have been developed to improve palliative care. Benefits include improved nursing knowledge, confidence and competence which directly correlate with improved patient outcomes. Accompanying the shift of palliative care from hospices to varied health care providers globally, are disparities in care provision. The literature suggests that reasons for such disparities include insufficient specialised palliative care knowledge and skills of nurses to effectively deliver this care within generalist health settings and lack of information for caregivers. In response, approaches aimed at improving palliative care include reviewing, redefining and implementing nursing roles, education courses, and theoretical frameworks to inform practice and improve outcomes. This paper focuses on the benefits of offering tailored palliative care education in work settings to improve patient care. One entrepreneurial education initiative aimed at advancing palliative nursing and which is currently being implemented in aged care contexts is shared. Careful strategic planning and working more collaboratively between all stakeholders, is strongly recommended in order to manage current and future challenges. Advancing palliative nursing care using appropriate education is achievable and beneficial but is fraught with complexities.  
  Call Number NRSNZNO @ research @ Serial 1190  
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