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Author |
Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J. |
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Title |
Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative |
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Journal Article |
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Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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Volume |
20 |
Issue |
5 |
Pages |
555-557 |
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Keywords |
Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety |
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Abstract  |
This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1042 |
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Author |
Stokes, G. |
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Title |
Who cares? Accountability for public safety in nurse education |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Online at Research Space @ Auckland University |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Education; Accountability; Patient safety |
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Abstract |
The focus of this study is the management of unsafe nursing students within the tertiary education context. The moral dilemmas experienced by nurse educators, specifically linked to the issue of accountability for public safety, are explored. The theoretical framework for the thesis is informed by the two moral voices of justice and care identified by Gilligan and further developed using the work of Hekman and Lyotard. Case study methodology was used and data were collected from three schools of nursing and their respective educational organisations. Interviews were conducted with nurse educators and education administrators who had managed unsafe nursing students. Interviews were also conducted with representatives from the Nursing Council of New Zealand and the New Zealand Nurses Organisation to gain professional perspectives regarding public safety, nurse education and unsafe students. Transcripts were analysed using the strategies of categorical aggregation and direct interpretation. Issues identified in each of the three case studies were examined using philosophical and theoretical analyses. This thesis explores how students come to be identified as unsafe and the challenges this posed within three educational contexts. The justice and care moral voices of nurse educators and administrators and the ways in which these produced different ways of caring are made visible. Different competing and conflicting discourses of nursing and education are revealed, including the discourse of safety – one of the language games of nursing. The way in which participants positioned themselves and positioned others within these discourses are identified. Overall, education administrators considered accountability for public safety to be a specific professional, nursing responsibility and not a concern of education per se. This thesis provides an account of how nurse educators attempted to make the educational world safe for patients, students, and themselves. Participants experienced different tensions and moral dilemmas in the management of unsafe students, depending upon the moral language games they employed and the dominant discourse of the educational organisation. Nurse educators were expected to use the discourses of education to make their case and manage unsafe students. However, the discourses of nursing and education were found to be incommensurable and so the moral dilemmas experienced by nurse educators were detected as differends. This study bears witness to these differends. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1106 |
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Author |
Evans, S. |
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Title |
Silence kills: Challenging unsafe practice |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
16-19 |
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Keywords |
Medical errors; Organisational change; Organisational culture; Patient safety; Interprofessional relations |
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Abstract |
The author reviews the national and international literature on medical errors and adverse events. Contributing factors are identified, such as organisational culture, the myth of infallibility, and a one size fits all approach to health care. Conflict and communication difficulties between different health professionals is discussed in detail, as is the issue of disruptive behaviour, which includes intimidation, humiliation, undermining, domination and bullying. Some strategies for addressing these issues are proposed, such as promoting a no-blame culture, and addressing conflict between health professionals. |
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Call Number |
NRSNZNO @ research @ |
Serial |
994 |
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Author |
Koorey, R. |
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Title |
Documentation of the surgical count |
Type |
Journal Article |
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Year |
2007 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
34 |
Issue |
4 |
Pages |
23-6,28,30 |
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Keywords |
Law and legislation; Patient safety; Surgery; Nursing specialties |
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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. |
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Call Number |
NRSNZNO @ research @ 1048 |
Serial |
1032 |
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Author |
Eton, Sarah Jane |
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Title |
Clinical handover from the operating theatre nurse to the post anaesthetic care unit nurse: a New Zealand perspective |
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Book Whole |
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Year |
2020 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
125 p. |
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Keywords |
Clinical handover; Operating theatre nurse; Post-anaesthetic care nurse; Patient safety; Surveys |
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Abstract |
Presents findings from a study of nurse-to-nurse handover in the perioperative care setting. Describes current practices in nurse handover and surveys theatre and post-anaesthetic-care nurses from around NZ about their satisfaction with handover and whether it affects patient outcomes. |
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Call Number |
NZNO @ research @ |
Serial |
1666 |
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Author |
Beaver, Peter James |
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Title |
Contemporary patient safety and the challenges for New Zealand |
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Book Whole |
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Year |
2015 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
329 p. |
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Keywords |
Patient safety; Hospitals; Accidents; Risk; Surveys |
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Abstract |
Outlines the history, emergence, necessity, challenges, and strategies of the patient safety movement. Explores the challenges for staff working to reduce harm and implement safety improvement in NZ hospitals. Considers medical harm as a persistent and expensive threat to public health. Analyses health policy in the US, England and NZ using the theory of countervailing powers, and a shift from medical to managerial dominance. Reviews theories of accidents and risk, and the safety improvement literature. Provides staff perspectives from NZ by means of interviews with doctors, nurses and managers in two hospitals. |
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Call Number |
NZNO @ research @ |
Serial |
1578 |
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Author |
Hawes, Philip C. |
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Title |
What educational and other experiences assist recently qualified nurses to understand and deal with clinical risk and patient safety? |
Type |
Book Whole |
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Year |
2016 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
131 p. |
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Keywords |
Patient safety; Clinical risk; Graduate nurses; Professional development; Surveys |
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Abstract |
Interviews 9 nurses in their first year of clinical practice to investigate how newly-qualified nurses recognise and develop those skills relating to clinical risk and patient safety. Identifies workplace culture, clinical role models, exposure to the clinical environment, experiential learning, narrative sharing, debriefing and simulation as contributing to learning and understanding clinical risk and safe patient care. Considers strategies to facilitate professional development. |
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Call Number |
NZNO @ research @ |
Serial |
1696 |
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Author |
Moir, Chris; Taylor, Peta; Seaton, Philippa; Snell, Helen; Wood, Susan |
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Title |
Changes noticed following a pressure-injury link-nurse programme |
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Journal Article |
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Year |
2023 |
Publication |
Kaitiaki Nursing Research |
Abbreviated Journal |
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Volume |
14 |
Issue |
1 |
Pages |
19-24 |
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Keywords |
Pressure injuries; Link nurses; Patient safety; Quality improvement |
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Abstract |
Identifies changes that link nurses noticed in their practice areas as a result of participating in a pressure-injury prevention programme. Uses three nurse focus groups to collect data about changes in pressure-injury prevention within their practice areas following implementation of a link-nurse programme. Talks to 22 nurses about increasing awareness of pressure injury prevention, use of assessment tools and documentation, and acquisition of injury prevention equipment. |
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Call Number |
NZNO @ research @ |
Serial |
1848 |
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Author |
Winters, Rosie; Neville, Stephen |
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Title |
Registered nurse perspectives on delayed or missed nursing cares in a New Zealand hospital |
Type |
Journal Article |
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Year |
2012 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
28 |
Issue |
1 |
Pages |
19-28 |
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Keywords |
Missed care; Rationing nursing care; Patient care outcomes; Patient safety |
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Abstract |
Explores the concept of 'missed care' using a qualitative descriptive approach. Interviews 5 registered nurses within a NZ hospital about fluctuations in nursing-skill mix and staffing levels, inconsistent availability of equipment and supplies, and higher patient acuity. Identifies two main categories of missed care and nurses' resulting moral distress |
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Call Number |
NZNO @ research @ |
Serial |
1471 |
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Author |
Wailling, Joanna |
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Title |
How healthcare professionals in acute care environments describe patient safety: a case study |
Type |
Book Whole |
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Year |
2016 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
169 p. |
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Keywords |
Patient safety; Acute care; Safety capability; Case studies |
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Abstract |
Explores how patient safety is described from the perspective of clinicians and organisational managers in a NZ acute-care hospital, using embedded case study design. Conducts three interviews with health-care managers and 6 focus groups, comprising 19 doctors and 19 nurses. Develops the theoretical concept of safety capability: the ability to provide safe patient care based on resilient culture, anticipation and vigilance, along a continuum of safety levels. |
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Call Number |
NZNO @ research @ |
Serial |
1698 |
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Author |
Lim, Anecita Gigi; North, Nicola; Shaw, John |
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Title |
Nurse prescribing : the New Zealand context |
Type |
Journal Article |
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Year |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
30 |
Issue |
2 |
Pages |
18-27 |
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Keywords |
Nurse prescribing; Authorised prescribing; Nurse practitioner; Patient safety; Prescribing education |
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Abstract |
Examines the introduction of nurse prescribing in NZ with respect to the level of knowledge and skills required of practitioners for safe prescribing. Compares experiences in NZ with those in the US, UK, and Canada. Critiques the higher educational model as the standard for preparation to prescribe, while supporting alternative models for extending prescribing rights. |
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Call Number |
NZNO @ research @ |
Serial |
1493 |
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Author |
Zambas, Shelaine Iris |
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Title |
The consequences of using advanced assessment skills in medical and surgical nursing: keeping patients safe |
Type |
Book Whole |
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Year |
2013 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
150 p. |
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Keywords |
Nursing skills; Patient safety; Surgical nursing; Surveys |
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Abstract |
Examines the impact of advanced assessment skills on patients in medical and surgical wards through nurses' stories of using these skills. Highlights the use of auscultation, palpation and percussion by nurses for complex patient presentations within a wide range of clinical situations. Conducts 12 interviews with five nurses from paediatric and adult medical and surgical wards in a large urban hospital in NZ. |
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Call Number |
NZNO @ research @ |
Serial |
1581 |
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Author |
Teunissen, C., Burrell, B.; Maskill, V. |
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Title |
Effective surgical teams: an integrative literature review |
Type |
Journal Article |
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Year |
2020 |
Publication |
Western Journal of Nursing Research |
Abbreviated Journal |
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Volume |
42 |
Issue |
1 |
Pages |
61-75 |
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Keywords |
Perioperative nurses; Surgical teams; Teamwork; Patient safety |
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Abstract |
Evaluates the aids and barriers for perioperative teams in functioning effectively, preventing adverse events, and fostering a culture of safety. Undertakes an integrative review of the literature. Highlights the role of theatre nurses in situational awareness (SA), running the theatre and assuming leadership of the team. |
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Call Number |
NZNO @ research @ |
Serial |
1789 |
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Author |
McKelvie, Rhonda |
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Title |
Where we are and how we got here: an institutional ethnography of the Nurse Safe Staffing Project in New Zealand |
Type |
Book Whole |
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Year |
2019 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
289 p. |
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Keywords |
Safe staffing; Short staffing; Frontline nurses; Patient safety; Care Capacity Demand Programme; Nurse Safe Staffing Project; Trendcare; Institutional ethnography; Surveys |
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Abstract |
Charts a detailed description and analysis of how aspects of the strategies of the Nurse Safe Staffing Project work in everyday hospital settings. Argues that nurses' situated knowledge and work are being organised and overridden by competing institutional knowledge and priorities in a competitive institutional environment. Demonstrates the consequences for nurses, patients and staffing strategies. Conducts 30 interviews with 26 participants, including frontline nurses and participants in safe staffing projects. |
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Call Number |
NZNO @ research @ |
Serial |
1651 |
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Author |
Gilder, Eileen |
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Title |
To suction or not to suction; that is the question: Studies of endotracheal suction in post-operative cardiac patients |
Type |
Book Whole |
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Year |
2020 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
261 p. |
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Keywords |
Endotracheal suction; Post-operative cardiac patients; Post-operative nursing; Patient safety |
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Abstract |
Assesses the safety of actively avoiding endotracheal suction in post-operative cardiac surgical patients ventilated for less than 12 hours. Describes local endotracheal suction practice, and elucidates patient experience of the endotracheal tube and endotracheal suction. Conducts an observational audit describing endotracheal sucion practice within the cardiothoracic and vascular intensive care unit in Auckland City Hospital. Undertakes a prospective, non-inferiority, randomised controlled trial investigating the safety of avoiding endotracheal suction. |
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Call Number |
NZNO @ research @ |
Serial |
1769 |
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