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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 (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
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 Evans, S.
Title Silence kills: Challenging unsafe practice Type Journal Article
Year (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 3 Pages 16-19
Keywords Medical errors; Organisational change; Organisational culture; Patient safety; Interprofessional relations
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.
Call Number NRSNZNO @ research @ Serial 994
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Author Warren, B.L.
Title Using paracetamol before immunisation: Does it work? Type Journal Article
Year (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 5 Pages 24-26
Keywords Immunisation; Paediatric nursing; Evidence-based medicine
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.
Call Number NRSNZNO @ research @ Serial 998
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Author Barber, M.
Title Exploring the complex nature of rural nursing Type Journal Article
Year (up) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 10 Pages 22-23
Keywords Rural nursing; Scope of practice; Community health nursing
Abstract This article reports the results of a research study undertaken to examine how nurses manage their professional and personal selves while working in small rural communities. The participants were a small group of rural nurses on the West Coast. The rationale for the study was the long-term sustainability and viability of the service to this remote area. The research showed that the rural nurse specialists' role is a complex and challenging one, performed within the communities in which nurses live.
Call Number NRSNZNO @ research @ 1212 Serial 1197
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Author Tielemans, W.
Title Encouraging young women to have regular smear tests Type Journal Article
Year (up) 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 14 Issue 7 Pages 16-18
Keywords Nursing research; Sexual and reproductive health; Screening; Attitude to health; Cancer
Abstract The author presents the results of a study carried out as part of a research project with two nurse researchers from Maastricht University in the Netherlands. The aim of this study was to examine awareness among female students aged 18 to 25 about cervical cancer and to identify factors associated with their decision or intention to enter the cervical screening programme. Students aged 18-25 were recruited from four tertiary institutions in the Wellington region. A questionnaire was available online and distributed by student health centres and the researchers. Questions covered the following areas: intentions, attitude, knowledge, awareness, modelling, and support systems and efficacy. Data was analysed using descriptive statistics, multiple regression and independent t-tests. The findings are presented, and factors associated with intention and participation in cervical screening are discussed. The results indicate that the information concerning the national screening programme needs to be adjusted for the different age groups.
Call Number NRSNZNO @ research @ Serial 984
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Author Sutton, D.M.
Title Nurses have an important role in managing intermittent claudication Type Journal Article
Year (up) 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
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 Smith, M.C.
Title Reviewing the role of a mental health nurse practitioner Type Journal Article
Year (up) 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 14 Issue 3 Pages 20-22
Keywords Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence
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.
Call Number NRSNZNO @ research @ Serial 993
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Author Gregory, R.; Kaplan, L.
Title Understanding residuals in Guillain-Barre Syndrome Type Journal Article
Year (up) 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
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 Webby, A.
Title Should non-Maori research and write about Maori? Type Journal Article
Year (up) 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 14 Issue 5 Pages 20-21
Keywords Maori; Nursing research
Abstract The author examines the complexities surrounding non-Maori nurse researchers working on Maori issues. She suggests that as long as respect and observation of Maori processes is shown, and work is undertaken collaboratively with Maori, then such a role is appropriate.
Call Number NRSNZNO @ research @ 1046 Serial 1030
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Author Shih, Li-Chin
Title How does dialysis treatment affect the lives of rural Maori patients? Type Journal Article
Year (up) 2010 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 16 Issue 10 Pages 12-14
Keywords Renal disease; hemodialysis; maori
Abstract Research into the effects of dialysis treatment on Maori patients living in rural Northland has already brought changes to practice just one year after the research was completed. Li-Chin Shih completed a thesis entitled “Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau” in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009. This article in Kai Tiaki is based on this research.
Call Number NZNO @ research @ Serial 1347
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