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Author Allan, J.
Title What is it like for older women to live with depression? Type
Year 2007 Publication (up) Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Mental health; Older people
Abstract The author's interest in this study came from working as a mental health nurse with mainly older women with depression and developed from her concern that depression for older people is frequently misdiagnosed, not recognised or is under-treated. To date, research has rarely paid attention to the voices of people who have actually experienced depression and even less is known from the perspective of older women. This hermeneutic phenomenological study, informed by Martin Heidegger and Max van Manen, describes what it is like for four older women to live with depression. Multiple interviews were conducted with the participants. Heidegger's philosophical concepts of Being-in-the-world and Being-with-others structured the analysis. Depression was found to have a significant effect on the participants' Being-in-the-world. The themes that emerged were: something is wrong; the search for reasons; self-loathing; being overwhelmed by the feelings; hiding from the world; loss of self; loss of meaning; the struggle of everyday life; and living circumspectly. Being-with-others was difficult for the participants and the themes that emerged were: maintaining relationships when well; Being-alone; misinterpreting self and other people; the stigma of mental illness – society and self; and seeking understanding from other people. The author suggests that the findings have implications for nurses and other health professionals.
Call Number NRSNZNO @ research @ Serial 917
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Author Whitehead, N.
Title Quality and staffing: Is there a relationship in aged residential care Type
Year 2007 Publication (up) 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 Watson, S.
Title Humane caring: Quality of life issues for those elderly people wanting to remain in their own environment Type
Year 2001 Publication (up) Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Geriatric nursing; Older people; Home care
Abstract This thesis explores the issues surrounding the elderly remaining in their own environment and why remaining 'at home' becomes so essential for them. There are many elderly people who have moved to residential care settings on the advice of others. The author explores the implications of such moves through the stories of several elderly persons, and her own experiences as a nurse working with the elderly in institutional care.
Call Number NRSNZNO @ research @ Serial 1217
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Author Brown, J.A.
Title “Let my spirit always sing”: A descriptive study of how four elderly rest home residents view spirituality and spiritual care at the end of life Type
Year 2004 Publication (up) Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Older people; Rest homes; Spirituality; Nursing
Abstract This descriptive, qualitative study, believed to be the first of its kind conducted in a New Zealand setting, focuses on spirituality issues of a spiritually vulnerable group of people, older people in residential care. Four rest home residents were recruited, to talk about their spirituality, spiritual needs and how their spirits were nurtured, the role of care staff in providing spiritual care, and their satisfaction with the spiritual care they were being offered. They were also asked to predict their spiritual needs as they were dying, their wishes for spiritual care in the perideath period, whether they had communicated these wishes to anyone, their views on advance planning to ensure these wishes would be met, and their comfort with the research process. The research data was collected from semi-structured, audiotaped interviews that were later transcribed. The spirituality of all participants had a strongly Christian focus that was revealed in the ten themes to emerge from a modified application of Colaizzi's analysis technique. The first themes to emerge were God as the focus of spirituality, God in control, the importance of relationship, and the purpose in life: serving God. Changes in spirituality with age, spirituality and residential care, and spiritual care: whose responsibility? were also identified as themes, as were end of life spirituality, planning for spiritual care, and the participants' satisfaction with the research process. All were able to articulate their spirituality, were generally satisfied with the spiritual care they were receiving, and had views on the spiritual care they wished to receive in the perideath period. Moreover, the participants trusted their families and the care staff to ensure that these wishes would be honoured. Recommendations are made for improving the spiritual dimension of care, and for further research.
Call Number NRSNZNO @ research @ Serial 1228
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Author Ward, V C
Title Preoperative fluid management of the older adult patient with hip fracture Type
Year 2013 Publication (up) 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
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Author Hale, R.
Title Older patient perceptions of transitional care Type Book Chapter
Year 2008 Publication (up) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 147-152) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Older people; Rural health services; Community health nursing; Evaluation
Abstract The author describes transitional care as undertaken within the Waikato District Health Board health care environment. Transitional care supports people moving between acute health care (inpatient) and primary health care (home). It is a rehabilitative model based in smaller, predominantly rural communities to enable the older person to actively work towards recovery of functional ability within their own environment. Research indicates this rehabilitation model is applicable to the rural situation and satisfaction levels of the patients and caregivers tends to be positive.
Call Number NRSNZNO @ research @ 774 Serial 758
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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 (up) 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
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Author Mears, A.
Title The role of the clinical nurse co-ordinator Type Journal Article
Year 2003 Publication (up) 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
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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 (up) 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
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Author Challis-Morrison, S.
Title Caring for a community wanderer Type Journal Article
Year 2006 Publication (up) 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
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Author Neville, S.J.; Gilmour, J.A.
Title Differentiating between delirium and dementia Type Journal Article
Year 2007 Publication (up) 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
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Author King, A.; Parsons, M.
Title An evaluation of two respite models for older people and their informal caregivers Type Journal Article
Year 2005 Publication (up) New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 118 Issue 1214 Pages
Keywords Older people; Evaluation
Abstract The researchers evaluate two case-management models of respite relief care at Waitemata District Health Board. The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals. Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models.
Call Number NRSNZNO @ research @ 549 Serial 535
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Author Rodgers, V.; Neville, S.J.
Title Personal autonomy for older people living in residential care: An overview Type Journal Article
Year 2007 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue 1 Pages 29-36
Keywords Geriatric nursing; Older people; Rest homes
Abstract This article looks at the concept of autonomy particularly in relation to the population of older persons living in residential care settings. It examines the values underpinning the exercise of personal autonomy and notes how individual autonomy may be enhanced or restricted. The implications for gerontological nursing practice are outlined and suggestions offered as to how personal autonomy for older persons living in residential care may be preserved and promoted.
Call Number NRSNZNO @ research @ 529 Serial 515
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Author Neville, S.J.; Alpass, F.
Title Factors influencing health and well-being in the older adult Type Journal Article
Year 1999 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 3 Pages 36-45
Keywords Older people; Male; Geriatric nursing
Abstract This article offers a literature review of selected factors influencing the health and well-being of older people, with a particular emphasis on the older male. Implications for nursing practice in New Zealand are discussed.
Call Number NRSNZNO @ research @ 657 Serial 643
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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 (up) 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
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