| Records |
| Author |
Truscott, J.M.; Townsend, J.M.; Arnold, E.P. |
| Title |
A successful nurse-led model in the elective orthopaedic admissions process |
Type |
Journal Article |
| Year |
2007 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
NZ Medical Association website. Access free to articles older than 6 months. |
Volume  |
120 |
Issue |
1265 |
Pages |
|
| Keywords |
Surgery; Hospitals; Nursing; Administration |
| Abstract |
This paper documents a successful nurse-led admissions process for same day orthopaedic surgery, on relatively fit patients under 70 years of age. During the 6-month study, 31 patients with a median age of 38 years were categorised into 3 streams. 252 patients (76%) underwent a nursing-admission process without the need for further consultation with a junior medical officer or an anaesthetist. The remaining patients not included in the study were admitted and clerked by a house officer. No safety issues arose and the surgeons and anaesthetists were satisfied with the process. The junior medical officers described improved job satisfaction by being able to attend theatre, other educational opportunities, and working more closely with the consultant. The process has now been incorporated into elective orthopaedic admissions at Burwood Hospital. |
| Call Number |
NRSNZNO @ research @ |
Serial |
516 |
| Permanent link to this record |
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| Author |
Lysaght, E. |
| Title |
A report on health problems of theatre nurses |
Type |
Journal Article |
| Year |
1979 |
Publication |
New Zealand Nursing Journal |
Abbreviated Journal |
|
| Volume |
72 |
Issue |
1 |
Pages |
24-26 |
| Keywords |
Health status; Surgery |
| Abstract |
This paper reports the results of a questionnaire sent to 300 theatre nurses |
| Call Number |
NRSNZNO @ research @ |
Serial |
1047 |
| Permanent link to this record |
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| Author |
Koorey, R. |
| Title |
Documentation of the surgical count |
Type |
Journal Article |
| Year |
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 |
| Permanent link to this record |
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| Author |
Kell, Anne-Marie; Gilmour, Jean; Wissen, Kim van |
| Title |
Nurses' experiences caring for patients surgically treated for oral cavity cancer |
Type |
Journal Article |
| Year |
2018 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
34 |
Issue |
1 |
Pages |
p.7-19 |
| Keywords |
Oral cavity cancer; Surgery; Post-operative nursing; Emotional labour; Stress |
| Abstract |
Explores nurses' experiences of caring for patients who have had surgery for oral cavity cancer in one NZ hospital, involving wound care, tracheostomy management, oral care, ongoing patient education and the provision of emotional support to patients and families. Interviews three registered nurses about the challenges involved in caring for this patient group; their moral conflict over the effects of surgery on the patients; their professional uncertainty, and the emotional effort involved in nursing oral cavity cancer patients. Suggests the need for informal debriefing, grief counselling, clinical supervision, stress management training, and continuing education in this specialised role. |
| Call Number |
NZNO @ research @ |
Serial |
1590 |
| Permanent link to this record |
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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 |
| Permanent link to this record |
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| Author |
Marcinkowski, K.; McDonald, B. |
| Title |
Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
22 |
Issue |
3 |
Pages |
15-21 |
| Keywords |
Surgery; Hospitals; Economics |
| Abstract |
This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty. |
| Call Number |
NRSNZNO @ research @ 533 |
Serial |
519 |
| Permanent link to this record |
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| Author |
Pirret, A.M. |
| Title |
A preoperative scoring system to identify patients requiring postoperative high dependency care |
Type |
Journal Article |
| Year |
2003 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
| Volume |
19 |
Issue |
5 |
Pages |
267-275 |
| Keywords |
Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment |
| Abstract |
The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions. |
| Call Number |
NRSNZNO @ research @ 904 |
Serial |
888 |
| Permanent link to this record |
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| Author |
Wallis, R. |
| Title |
Post-anaesthetic shaking: A review of the literature |
Type |
Journal Article |
| Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
15 |
Issue |
1 |
Pages |
23-32 |
| Keywords |
Surgery; Pharmacology; Nursing research |
| Abstract |
This paper addresses the problem of shaking and shivering as discussed in the nursing and medical literature. It defines post-anaesthetic shaking, focusing on the role of anaesthetics in hypothermia, pharmacological and non-pharmacological interventions, and theories of causes and consequences. Ways of preventing and treating post-anaesthetic shaking are examined. |
| Call Number |
NRSNZNO @ research @ |
Serial |
633 |
| Permanent link to this record |
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| 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 |
| Permanent link to this record |
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| Author |
Booher, J. |
| Title |
Care of the patient following coronary artery grafts |
Type |
Journal Article |
| Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from the Eastern Institute of Technology website |
| Volume |
10 |
Issue |
16 |
Pages |
15-18 |
| Keywords |
Surgery; Nursing; Case studies; Oncology; Cancer |
| Abstract |
This case study outlines the care of Mr. M, a sixty-six year old ventilated patient admitted to an Intensive Care Unit for management following coronary artery grafts. Mr. M's health history and risk factors are explored, in particular how they contributed to his presentation. Mr. M's post operative problems are identified and the rationale for his management is discussed with emphasis on the nursing care provided. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1298 |
| Permanent link to this record |
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| Author |
Skadiang, K. |
| Title |
Researching post-tonsillectomy bleeding |
Type |
Journal Article |
| Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
7 |
Issue |
4 |
Pages |
22-23 |
| Keywords |
Surgery; Health status; Nursing |
| Abstract |
This article reports findings from an audit of post-tonsillectomy haemorrhage among patients at South Auckland Health from October 1998 to April 1999. All patients who underwent tonsillectomy or adenotonsillectomy were contacted by telephone, after the 14th day and before the 21st day following surgery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1015 |
| Permanent link to this record |
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| Author |
Wallis, R. |
| Title |
Preventing post-anaesthetic shaking |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
6 |
Issue |
10 |
Pages |
22-24 |
| Keywords |
Surgery; Evidence-based medicine; Nursing; Guidelines |
| Abstract |
The author presents her experience investigating the incidence of post-anaesthetic shaking in the recovery room ward, and develops a clinical tool for its treatment. Several theories about post-anaesthetic shaking are examined. The cases of 1296 patients who had major regional or general anaesthetics over four consecutive months in the previous year are studied. The incidence of post-anaesthetic shaking and correlating core body temperature readings with post-anaesthetic shaking are examined. A protocol for reducing/treating post-anaesthetic shaking is developed on the basis of the findings of the study. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1021 |
| Permanent link to this record |
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| Author |
Marcinkowski, K. |
| Title |
Shortening hospital stays for orthopaedic patients |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
6 |
Issue |
11 |
Pages |
28-29 |
| Keywords |
Surgery; Evidence-based medicine; Guidelines |
| Abstract |
The author provides a review of current protocols and presents new ways to manage the care of patients undergoing total joint arthroplasty, hip and knee replacement surgery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1022 |
| Permanent link to this record |
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| Author |
Woodward, J. |
| Title |
Nurse case management: A review of the literature |
Type |
|
| Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
|
Pages |
|
| Keywords |
Nursing; Nursing specialties; Surgery; Care plans |
| Abstract |
This literature review is an exploration of nurse case management and it will provide the background for the introduction of a nursing case management model in the acute surgical environment at Western Bay Health. Case management is a collaborative process which assesses, plans, implements, co-ordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes (Newell, 1996:.3). In undertaking this review it was the author's intention to include the findings as background to a business case seeking the introduction of a surgical nurse case management model within the surgical service. |
| Call Number |
NRSNZNO @ research @ 483 |
Serial |
470 |
| Permanent link to this record |
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| Author |
Chapman, C. |
| Title |
The elective way: An exploration of pre-operative education for orthopaedic joint replacements |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Patient satisfaction; Surgery; Education |
| Abstract |
This research paper provides a description and analysis of literature and research focusing on pre-operative education programmes available internationally and nationally for patients receiving total joint replacements. This discussion differentiates between pre-assessment and pre-operative education to provide an understanding that both aspects are important in there own right. Together pre-assessment and pre-operative education complement each other to provide total care for patients awaiting total joint replacement surgery. One way of alleviating apprehension experienced by the patient about their surgery is by providing appropriate joint replacement education programmes that meet their needs. This type of programme is a form of empowerment which provides patients with appropriate and relevant information. This allows the patient to be actively involved in their own care and enable them to make informed decisions. The importance of education, information and communication; anxiety and pain; family and peer support; mobility and insecurity is a common thread in the literature where patients describe their experiences and concerns following a total joint replacement. These concepts are discussed and related to why pre-operative education programmes are recommended to help alleviate patients concerns and are important in providing a total multidisciplinary approach to care. |
| Call Number |
NRSNZNO @ research @ 736 |
Serial |
722 |
| Permanent link to this record |
