| Records |
| Author |
Carr, J. |
| Title |
Ensuring consent is informed |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
6 |
Issue |
7 |
Pages |
22-23 |
| Keywords |
Patient rights; Law and legislation |
| Abstract |
The author examines the concept of informed consent as it applies to patients and as it is obtained by nurses. The principles of autonomy, beneficence and non-maleficence are discussed. How these principles inform critical care nursing is explored and five inappropriate uses of technology in resuscitation are used as examples. |
Call Number  |
NRSNZNO @ research @ |
Serial |
1018 |
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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 |
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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 |
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| Author |
McKenna, B. |
| Title |
Bridging the theory-practice gap |
Type |
Journal Article |
| Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
5 |
Issue |
2 |
Pages |
14-16 |
| Keywords |
Psychiatric nursing; Nursing; Education; Teaching methods |
| Abstract |
The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1024 |
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| Author |
Webby, A. |
| Title |
Developing safe nursing practice for Maori |
Type |
Journal Article |
| Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
7 |
Issue |
1 |
Pages |
16-17 |
| Keywords |
Maori; Psychiatric Nursing; Nursing models |
| Abstract |
A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1028 |
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| Author |
Brinkman, A.; Caughley, B. |
| Title |
Measuring on-the-job stress accurately |
Type |
Journal Article |
| Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
18 |
Issue |
8 |
Pages |
12-15 |
| Keywords |
Stress; Evaluation research; Workplace; Occupational health and safety |
| Abstract |
The authors discuss the usefulness of a generic tool to measure job stress in New Zealand workplaces, and report on a study using one such generic tool. The study involved sending questionnaires to all staff (193) who had worked at a regional women's health service for a minimum of six months. The mailed package contained the Job Stress Survey (JSS), the General Health Questionnaire (GHQ-12), demographic questions (including cultural safety), shift work questions, and a blank page for “qualitative comment”. Over 12,000 pieces of data were collected from the study but this article focuses only on the results of the JSS. The JSS can be used to determine a “job stress index” and can also be used to measure “job pressure” and “lack of organisational support”. For this study, job stress index scores were calculated and organised by occupational groupings. Midwives, nurses and doctors all cited inadequate or poor quality equipment, excessive paperwork, insufficient personal time, and frequent interruptions, as their top stressors. Three of these four stressors fall within the job pressure index. The results of the survey prompted organisational changes, including: extensive discussions; equipment being updated; management being made aware of the depth of concern felt by staff; the creation of a place for staff to have personal time; and coping intervention strategies were initiated. The authors suggest that no generic measure of job stress can fully evaluate stressors unique to a particular work setting. They support additional items being constructed and administered to assess stressors that are idiosyncratic to a particular occupational group. |
| Call Number |
NRSNZNO @ research @ 1003 |
Serial |
987 |
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| Author |
Evans-Murray, A. |
| Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
| Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
10 |
Issue |
9 |
Pages |
18-20 |
| Keywords |
Intensive care nursing; Grief; Communication |
| Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
| Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
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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 |
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| Author |
Sutton, D.M. |
| Title |
Nurses have an important role in managing intermittent claudication |
Type |
Journal Article |
| Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
14 |
Issue |
4 |
Pages |
20-22 |
| Keywords |
Diseases; Nursing; Quality of life |
| Abstract |
The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition. |
| Call Number |
NRSNZNO @ research @ 1006 |
Serial |
990 |
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| Author |
Tritschler, E.; Yarwood, J. |
| Title |
Relating to families through their seasons of life: An indigenous practice model |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
5 |
Pages |
18-3 |
| Keywords |
Parents and caregivers; Nursing models; Nurse-family relations; Communication |
| Abstract |
In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective. |
| Call Number |
NRSNZNO @ research @ 1007 |
Serial |
991 |
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| Author |
Polley, H. |
| Title |
Treating wounds with oxygen |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
2 |
Pages |
16-17 |
| Keywords |
Technology; Evidence-based medicine |
| Abstract |
This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited. |
| Call Number |
NRSNZNO @ research @ 1012 |
Serial |
996 |
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| Author |
Gregory, R.; Kaplan, L. |
| Title |
Understanding residuals in Guillain-Barre Syndrome |
Type |
Journal Article |
| Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
10 |
Issue |
7 |
Pages |
16-18 |
| Keywords |
Diseases; Nursing; Management |
| Abstract |
The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression. |
| Call Number |
NRSNZNO @ research @ 1013 |
Serial |
997 |
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| Author |
McCallum, C. |
| Title |
Balancing technology with the art of caring |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
7 |
Pages |
21-23 |
| Keywords |
Technology; Nursing; Nurse-patient relations; Ethics |
| Abstract |
The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring. |
| Call Number |
NRSNZNO @ research @ 1017 |
Serial |
1001 |
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| Author |
Sadlier, C. |
| Title |
Gaining insight into the experience of diabetes |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
1 |
Pages |
14-16 |
| Keywords |
Diabetes Type 2; Maori; Nursing |
| Abstract |
This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition. |
| Call Number |
NRSNZNO @ research @ 1020 |
Serial |
1004 |
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| Author |
Lowe, L. |
| Title |
Linking housing and health status |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
9 |
Pages |
26-27 |
| Keywords |
Health status; Public health; Nursing |
| Abstract |
The author examines the impact of poor housing on health, and looks at how the situation can be improved. Ways that nurses can work towards improving housing standards and thus health are discussed. |
| Call Number |
NRSNZNO @ research @ 1021 |
Serial |
1005 |
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