Records |
Author |
Wilson, C. |
Title |
Reflections on care: Older people speak about experiences of nursing care in acute medical and surgical wards |
Type |
|
Year |
1998 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Older people; Nurse-patient relations |
Abstract |
|
Call Number |
NRSNZNO @ research @ 289 |
Serial |
289 |
Permanent link to this record |
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|
|
Author |
Weidenbohm, K. |
Title |
Pioneering rural nursing practice: An impact evaluation of a preventive home visiting service for older people |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing; Rural health services; Older people; Home care; Preventive health services |
Abstract |
|
Call Number |
NRSNZNO @ research @ 579 |
Serial |
565 |
Permanent link to this record |
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|
|
Author |
Mears, A. |
Title |
The role of the clinical nurse co-ordinator |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of the Australasian Rehabilitation Nurses Association |
Abbreviated Journal |
|
Volume |
6 |
Issue |
3 |
Pages |
24-25 |
Keywords |
Nursing; Nursing specialties; Older people |
Abstract |
|
Call Number |
NRSNZNO @ research @ 907 |
Serial |
891 |
Permanent link to this record |
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|
Author |
Mossop, M.D. |
Title |
Older patients' perspectives of being cared for by first year nursing students |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Older people; Nurse-patient relations; New graduate nurses; Hospitals |
Abstract |
|
Call Number |
NRSNZNO @ research @ 1135 |
Serial |
1120 |
Permanent link to this record |
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|
Author |
Bland, M.F. |
Title |
All the comforts of home? A critical ethnography of residential aged care in New Zealand |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
NZNO Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Rest homes; Older people; Patient satisfaction |
Abstract |
|
Call Number |
NRSNZNO @ research @ 1141 |
Serial |
1126 |
Permanent link to this record |
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|
Author |
Gilmour, J.A. |
Title |
On the margins: Nurses and the intermittent care of people with dementia: A discourse analysis |
Type |
|
Year |
2001 |
Publication |
|
Abbreviated Journal |
Massey University, Palmerston North, Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Older people; Dementia; Nursing |
Abstract |
|
Call Number |
NRSNZNO @ research @ 1276 |
Serial |
1261 |
Permanent link to this record |
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|
|
Author |
Challis-Morrison, S. |
Title |
Caring for a community wanderer |
Type |
Journal Article |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
12 |
Issue |
11 |
Pages |
20-22 |
Keywords |
Case studies; Older people; Community health nursing; Dementia |
Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
Call Number |
NRSNZNO @ research @ |
Serial |
977 |
Permanent link to this record |
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|
Author |
Neville, S.J.; Gilmour, J.A. |
Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
13 |
Issue |
9 |
Pages |
22-25 |
Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
Call Number |
NRSNZNO @ research @ |
Serial |
983 |
Permanent link to this record |
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Author |
Hendry, C.; East, S. |
Title |
Impact of the Christchurch earthquakes on clients receiving health care in their homes |
Type |
Journal Article |
Year |
2013 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
Available through NZNO library |
Volume |
4 |
Issue |
1 |
Pages |
4-10 |
Keywords |
Stress Disorders, Post-traumatic; older people; disaster response |
Abstract |
Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment. |
Call Number |
NZNO @ research @ |
Serial |
1388 |
Permanent link to this record |
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|
Author |
Ward, V C |
Title |
Preoperative fluid management of the older adult patient with hip fracture |
Type |
|
Year |
2013 |
Publication |
|
Abbreviated Journal |
|
Volume |
|
Issue |
|
Pages |
162 pp |
Keywords |
Older people --Medical care; Hip joint -- Fractures -- Treatment; Hip joint -- Fractures -- Patients -- Rehabilitation; Fluid therapy; Preoperative care; Postoperative care; Outcome assessment (Medical care) |
Abstract |
Explores the relationships between pre-operative fluid management (PFM) and post-operative outcomes. Undertakes an observational study of 100 consecutive older adult patients admitted to a tertiary NZ hospital with traumatic hip fracture between March and Sept 2012. Gathers data regarding cohort demographics and in-hospital events, including surgical details, alongside PFM and post-operative outcomes. Itemises characteristics of the patients, predominantly female with a mean age of 85.2 years. Finds no statistically significant relationship between pre-operative fluid management and post-operative outcomes. |
Call Number |
NZNO @ research @ |
Serial |
1395 |
Permanent link to this record |
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|
Author |
Bland, M.F. |
Title |
The challenge of feeling 'at home' in residential aged care in New Zealand |
Type |
Journal Article |
Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
21 |
Issue |
3 |
Pages |
4-12 |
Keywords |
Rest homes; Older people; Patient satisfaction; Nursing; Identity |
Abstract |
In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience. |
Call Number |
NRSNZNO @ research @ 862 |
Serial |
846 |
Permanent link to this record |
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|
Author |
Meldrum, L.B.B. |
Title |
Navigating the final journey: Dying in residential aged care in Aotearoa New Zealand |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Palliative care; Older people; Rest homes |
Abstract |
New Zealand statistics project that the aging population of people aged 65 years and over will more than double in the next decade. This has implications for palliative care providers including hospices and hospitals because long-term inpatient care is not generally provided by hospitals and hospices. When dying patients need long-term care, residential settings become an option. The level of palliative care in these facilities is dependent on staff training and numbers. In general, staff are not trained in palliative care, neither do they provide the multidisciplinary facets that define palliative care as undertaken by hospices. This paper describes a practice development initiative using storytelling as the vehicle for introducing the concept of the Liverpool Care Pathway (LCP) for the dying patient into residential aged care settings. With the emergence of a reflective paradigm in nursing the concept of storytelling as a teaching/learning tool has grown. Many staff in residential care settings come from diverse ethnic backgrounds where for some, English is their second language. Storytelling therefore can be a useful approach for learning because it can increase their communication skills. The author suggests that the Liverpool Care Pathway for the dying patient is a model that can be translated across care settings, hospice, hospital, and community. It can demonstrate a framework that facilitates multiprofessional communication and documentation and embraces local needs, culture and language to empower health care workers to deliver high quality care to dying patients and their family/whanau and carers. This paper also explores the role of a facilitator as an agent of change and discusses how the interplay of evidence, context and facilitation can result in the successful implementation of the LCP into residential aged care settings. |
Call Number |
NRSNZNO @ research @ |
Serial |
683 |
Permanent link to this record |
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|
|
Author |
Latta, L. |
Title |
Exploring the impact of palliative care education for care assistants employed in residential aged care facilities in Otago, New Zealand |
Type |
|
Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Palliative care; Rest homes; Training; Older people |
Abstract |
Palliative care is a growing specialty in New Zealand with many well-established hospices and palliative care services around the country. However palliative care is not confined to specialist units and is in fact an element of all health services. The aged care sector is one of those services where patients with palliative care needs are prevalent and this is now beginning to be recognised. In these settings care assistants, most of whom have no training, make up a large component of the workforce providing care for residents with increasingly complex needs. In 2005, Hospice New Zealand responded to the recommendations made by the New Zealand Palliative Care Strategy (Ministry of Health, 2001) by developing an eight-hour palliative care course for care assistants employed in residential aged care facilities. The main objective of the course was to increase care assistants' ability to deliver a high standard of palliative care to their residents within their scope of practice.This qualitative study uses descriptive, semi-structured interviews to explore the impact that attending the course had on care assistants and their practice by inviting them to share stories of their experiences caring for dying residents. Factors influencing the implementation of learning in the workplace were identified. The results showed that while attending the course had a positive impact on participants, they were restricted in the extent to which they were able to apply new learning in the workplace, which was largely due to factors that were out of their control. As a result, recommendations are made to enhance workforce development in the aged care sector and to minimise the barriers to the implementation of learning. |
Call Number |
NRSNZNO @ research @ |
Serial |
812 |
Permanent link to this record |
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Author |
McKenzie-Green, B. |
Title |
Shifting focus: How registered nurses in residential aged care organise their work: A grounded theory study |
Type |
|
Year |
2003 |
Publication |
|
Abbreviated Journal |
AUT University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Rest homes; Older people; Registered nurses; Nurse-patient relations |
Abstract |
Registered nurses in residential aged care work with older people who have complex care needs. Besides providing direct care, these nurses have a wide range of responsibilities which include supervising staff and attending to the smooth running of the care facility. This grounded theory study using dimensional analysis was aimed at answering the question: How do registered nurses organise their work? Indepth interviews were conducted with 10 registered nurses who worked in a range of positions in aged care facilities. Theoretical sampling and constant comparative analysis was used to guide both ongoing data collectiona and data analysis. Categories were examined for their relationships and dimensions to arrive at a substantive grounded theory which the author has named 'shifting focus'. Individual and institutional philosophies of care were core elements in the registered nurses' focus of work. There was a relationship between staffing adequacy, individual and institutional philosophies of care, and the focus of registered nurse work. These relationships created conditions where the registered nurse would focus on ensuring the delivery of individualised resident care or focus on getting through the routine of care. The relationship between staffing adequacy, philosophies of care and the registered nurses' focus of work remained consistent when staffing adequacy changed. In instances of decreased staffing adequacy, the participants' focus shifted to either maintaining individualised care or focusing on safety. When the registered nurse aimed to change the philosophy of care, an increase in staffing adequacy enabled some aspects of cultural change to commence. The relationships between residents, family and staff were significant contrasting elements within an individualised philosophy of care, and an institutional philosophy of care. In the former, relationships were valued and developed. In the latter, they were benevolent, functional or conflicted. The significance of this study is that it reveals how registered nurses and management personnel in aged care facilities, can create conditions where the relationships between residents, their families and staff, are valued and developed to result in positive care outcomes. It is recommended that future research be conducted to examine the resources required to maintain an individualised approach to the nursing care of residents in aged care facilities. |
Call Number |
NRSNZNO @ research @ 912 |
Serial |
896 |
Permanent link to this record |
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|
|
Author |
Poot, Betty; Nelson, Katherine; Zonneveld, Rebecca; Weatherall, Mark |
Title |
Potentially inappropriate medicine prescribing by nurse practitioners in New Zealand |
Type |
Journal Article |
Year |
2020 |
Publication |
Journal of the American Association of Nurse Practitioners |
Abbreviated Journal |
JAANP |
Volume |
32 |
Issue |
3 |
Pages |
220-228 |
Keywords |
Nurse prescribing; Nurse practitioners; Potentially inappropriate medicines (PIM); Older people |
Abstract |
Reports the prescribing of potentially-inappropriate medicines (PIM) to older adults (> 65 years). Undertakes a subset analysis of data from the Ministry of Health pharmaceutical collection for the years 2013-2015. Includes nurse practitioner (NP) registration number, medicines dispensed, patient age, gender and NZ Deprivation level. Uses the Beers 2015 criteria to identify PIM. Details the medicines most commonly inappropriately prescribed. |
Call Number |
NZNO @ research @ |
Serial |
1768 |
Permanent link to this record |