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Author |
Smith, M.C. |
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Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
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Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
20-22 |
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Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
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Abstract |
The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role. |
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Call Number  |
NRSNZNO @ research @ |
Serial |
993 |
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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 |
Warren, B.L. |
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Title |
Using paracetamol before immunisation: Does it work? |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
5 |
Pages |
24-26 |
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Keywords |
Immunisation; Paediatric nursing; Evidence-based medicine |
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Abstract |
The author presents a review of evidence on the prophylactic use of paracetamol prior to infant and child immunisation. The research was prompted when the Otago District Health Board was planning its Meningococcal B strategy. The evidence suggests that it was appropriate when the whole cell pertussis vaccine was used, but it was not recommended since the introduction of better vaccines such as acellular pertussis with fewer antigens and fewer side effects. Paracetamol may still be given orally to treat pain and fever that occasionally follows vaccination. Paracetamol pharmacology is presented, along with alternatives to paracetamol. |
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Call Number |
NRSNZNO @ research @ |
Serial |
998 |
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Author |
Harding, T.S. |
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Title |
Male nurses: The struggle for acceptance |
Type |
Journal Article |
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Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
9 |
Issue |
4 |
Pages |
17-19 |
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Keywords |
Sex discrimination; Male nurses; History of nursing; Law and legislation |
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Abstract |
This article describes the role of men in the nursing profession in New Zealand from colonial times to the 1970s. It considers attitudes towards male nurses, the provision of training for men and the various laws and regulations dealing with the issue. |
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Call Number |
NRSNZNO @ research @ |
Serial |
999 |
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Author |
Burrell, B. |
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Title |
Mixed-sex rooms: Invading patients' privacy? |
Type |
Journal Article |
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Year |
2003 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
9 |
Issue |
4 |
Pages |
26-28 |
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Keywords |
Cross-cultural comparison; Patient rights; Hospitals; Nursing; Gender |
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Abstract |
The author considers the issue of mixed-sex rooming (MSR) in New Zealand hospitals. A review of the literature is presented, with a focus on the attitudes and experiences of patients in the UK, where the issue has been most practised and studied. Findings of a survey of a group of New Zealand female patients are presented. The patients feelings of embarrassment and loss of dignity and privacy are discussed. The legal issues are explored, with the practice evaluated against the patient's rights detailed in the Code of Health and Disability Services and the Privacy Act 1993. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1000 |
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Author |
Wilkinson, J.A. |
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Title |
Creating a culture of workplace safety |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
6 |
Pages |
14-15 |
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Keywords |
Occupational health and safety; Workplace violence; District nursing; Organisational culture |
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Abstract |
This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1002 |
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Author |
Woods, M. |
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Title |
Dissecting a brave new nursing world |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
10 |
Pages |
20-22, 36 |
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Keywords |
Nursing; Education; Nursing Council of New Zealand; Policy |
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Abstract |
This article critiques the 'Strategic Review of Undergraduate Education' commissioned by the Nursing Council. The premise of the review is examined, along with the foundations of nursing practice and the role of nursing education. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1003 |
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Author |
Christie, J. |
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Title |
Managing febrile children: When and how to treat |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
4 |
Pages |
15-17 |
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Keywords |
Paediatric nursing; Evidence-based medicine; Children; Guidelines |
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Abstract |
The author describes the nursing of febrile children in a general paediatric ward at Tauranga Hospital. She focuses on the cooling methods used and their efficacy. Ward practice is compared with clinical trials and the literature to determine best practice and evidence-based guidelines. Also discussed are fans and clothes removal, tepid sponging, paracetamol, and brufen. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1006 |
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Author |
Hales, A.; Dignam, D. |
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Title |
Nurse prescribing lessons from the US |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
10 |
Pages |
12-15 |
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Keywords |
Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education |
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Abstract |
The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1007 |
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Author |
Hansen, G. |
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Title |
The role of massage in the care of the critically ill |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
7 |
Pages |
14-16 |
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Keywords |
Nursing; Alternative therapies; Intensive care nursing |
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Abstract |
This article looks at the research on the benefits of massage for alleviating the anxiety of patients in critical care. The author draws on her own experiences with cardiac patients and affirms the lasting psychological benefit of massage. She provides advice on which parts of the body to massage on patients in critical care, which to avoid and how to know when it is contraindicated. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1010 |
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Author |
Johnstone, C. |
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Title |
Linking diet and respiratory distress |
Type |
Journal Article |
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Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
7 |
Issue |
5 |
Pages |
22-23 |
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Keywords |
Diet; Chronic diseases; District nursing |
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Abstract |
The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1011 |
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Author |
Wright, R. |
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Title |
Linking theory with practice |
Type |
Journal Article |
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Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
7 |
Issue |
2 |
Pages |
14-15 |
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Keywords |
Intensive care nursing; Nurse-family relations; Nursing models |
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Abstract |
This article describes the care of a brain-dead intensive care unit patient. The human caring theory of Jean Watson is used to interpret the interactions between family, patient and nurse in this case study. Watson's concepts of care are examined as they relate to each stage of caring for the patient and his family. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1012 |
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Author |
Skadiang, K. |
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Title |
Researching post-tonsillectomy bleeding |
Type |
Journal Article |
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Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
7 |
Issue |
4 |
Pages |
22-23 |
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Keywords |
Surgery; Health status; Nursing |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1015 |
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Author |
Prentice, D.; Hathaway, M. |
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Title |
Responding to a death from meningococcal disease: A case study |
Type |
Journal Article |
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Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
7 |
Issue |
5 |
Pages |
16-18 |
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Keywords |
Infectious diseases; Public health; Infection control |
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Abstract |
The public health nurses present a case study on adapting meningococcal disease public health protocols to work with the situation of a Cook Island family following the death of a member from meningococcal disease. They discuss the meningococcal disease epidemic in New Zealand and outline the signs and symptoms of the disease. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1016 |
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Author |
Paterson, M. |
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Title |
Dealing with life and death decisions |
Type |
Journal Article |
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Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
6 |
Issue |
7 |
Pages |
14-16 |
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Keywords |
Ethics; Nursing; Patient rights; Clinical decision making; Euthanasia |
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Abstract |
This article examines the implications for nurses of not-for-resuscitation orders and orders to withdraw treatment. The rights of patients and correct procedure in the case of not-for-resuscitation or do-not-resuscitate orders are considered, as well as the ethical dilemma facing nurses in cases of the withdrawal of treatment. Guidelines are offered to assist nurses in reaching an ethical decision to withdraw treatment. Euthanasia is defined and case law decisions on not-for-resuscitation and treatment withdrawal are cited. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1017 |
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