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Author Scrymgeour, G.
Title (down) Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online at Eastern Institute of Technology
Volume 13 Issue 1 Pages 13-17
Keywords Nursing; Pregnancy; Clinical assessment
Abstract This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome.
Call Number NRSNZNO @ research @ Serial 1305
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Author Wiffin, L.
Title (down) Treating depression during pregnancy: Cognitive behavioural therapy as a treatment option Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 1 Pages 8-12
Keywords Pregnancy; Mental health; Stress
Abstract This article reviews the use of cognitive behavioural therapy (CBT) for pregnant women suffering from depressive symptoms. CBT provides a structured, short-term, collaborative process between clinician and client, using strategies and techniques to identify dysfunctional thinking and beliefs, challenge and change these beliefs, then implement new rational beliefs and behaviours. A process of engagement, assessment and conceptualisation is followed by treatment planning and implementation, and modification of dysfunctional thinking and behaviours. Use of CBT to treat depression in women during pregnancy is supported by the literature, especially where pharmacological intervention is declined or contraindicated. Pregnancy can bring stressors that combine with biological factors and core beliefs to contribute to depressive symptoms.
Call Number NRSNZNO @ research @ Serial 1308
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Author Foster, S.
Title (down) The relationship of physical activity to health in elder adulthood Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue 12 Pages 24-27
Keywords Older people; Geriatric nursing; Health behaviour; Age factors
Abstract This article discusses the importance of physical activity in the health of older people, in the context of holistic perspectives of elder adulthood and theories of ageing and recent research. The wide ranging role of the gerontologic nurse specialist is explored.
Call Number NRSNZNO @ research @ Serial 1285
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Author Egan, M.
Title (down) The nursing and midwifery practice structure at Healthcare Hawkes Bay: An evaluation and improvement process Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 8 Pages 27-29
Keywords Professional development; Nursing; Midwifery
Abstract This article describes the Nursing and Midwifery Practice Structure, which has been in place at Healthcare Hawkes Bay since 1996. It was developed to provide nurses and midwives in clinical positions with a professional development structure, and uses a framework to recognise and reward competence. It encourages clinical progression and was developed to link nursing competence with remuneration. The Practice Structure, based on the work of Patricia Benner (Benner, 1984), is made up of 4 levels: Beginner/Advance Beginner Practitioner, Competent Practitioner, Proficient Practitioner, Expert Practitioner. The Structure was reviewed in 1998, and a Steering Group was formed to collect feedback from nurses and midwives, identify areas of concern, and make recommendations for improvements. At the time of writing, these recommendations are being implemented and systems are being developed to ensure the Nursing and Midwifery Practice Structure continues to develop.
Call Number NRSNZNO @ research @ 971 Serial 955
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Author Kyle, W.
Title (down) The influence of technology in nursing practice with elder care facilities Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue 12 Pages 20-23
Keywords Older people; Technology; Nursing specialties; Ethics; Training
Abstract This article firstly describes the application of technological care practices in elder care, and then looks at the attitudes of the elderly and their families towards this care. The value of the equipment in terms of quality of care is considered, and a discussion of the continuing education needs of nurses is presented. The ethical questions around the use of technology are examined, along with possible strategies to deal with such issues.
Call Number NRSNZNO @ research @ 1299 Serial 1284
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Author Kennedy, W.
Title (down) Professional supervision to enhance nursing practice Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages 3-6
Keywords Professional development; Clinical supervision; Nursing; Education
Abstract This article examines the concept of clinical supervision as “professional supervision”. Professional supervision contains many elements, is structured and not without effort. Fundamentally it is about being safe and professional. 'Reflective learning' and 'Live/tutorial' models are reviewed in different contexts for assisting nurses work through everyday issues, conflicts and problems of their role. The author concludes that regardless of which model is used there are benefits for safety and professionalism.
Call Number NRSNZNO @ research @ Serial 1310
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Author Booher, J.
Title (down) Professional practice models: Shared governance and magnet hospitals Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume Issue June Pages
Keywords Nursing models; Intensive care nursing; Clinical governance
Abstract This article explores the application of professional practice models in nursing. Particular reference is made to the magnet hospital model and the concept of shared governance. Key principles from these models are explored in relation to the implementation of a professional practice model in an intensive care environment. Historical, cultural and professional factors that may be seen as barriers to the implementation of this professional practice model are also explored. In conclusion, the article identifies recommendations that may contribute to a successful implementation and duration of a model in practice.
Call Number NRSNZNO @ research @ Serial 861
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Author Haywood, B.
Title (down) Pre-employment health screening: Is it useful? Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from the Eastern Institute of Technology
Volume 11 Issue 17 Pages 10-14
Keywords Occupational health and safety; Nursing specialties
Abstract The author, an occupational health nurse, examines rationale for and effectiveness of the pre-employment assessment, which has become an accepted practice. Reasons for doing assessments include the reduction of risk to the employer from lower accident rates and absenteeism, compliance with legislative requirements and the provision of baseline health measures for general health surveillance. The costs of the screening process, along with the benefits are weighed up, in conjunction with international research in the area. The author found little research on the process in New Zealand. The opportunity for primary health care and health promotion practice as an aspect of this screening is highlighted as an important, though underestimated, benefit. Regular auditing is recommended to ensure that the outcomes of the process meet the criteria required.
Call Number NRSNZNO @ research @ Serial 1299
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Author Bee, S.
Title (down) Post traumatic stress disorder: The role of critical incident stress management Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 8 Pages 20-23
Keywords Trauma; Psychology; Workplace; Nursing
Abstract The author defines and describes PTSD, and looks at how it may apply to nurses. Primarily affected by delayed PTSD, nurses may experience it as burn-out, after exposure to trauma over time. The Critical Incident Stress Management programme instigated at Healthcare Hawkes Bay is outlined.
Call Number NRSNZNO @ research @ 1303 Serial 1288
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Author Neville, S.J.; Alpass, F.
Title (down) Older men and worries: The impact on well-being Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 1 Pages 4-7
Keywords Older people; Male; Geriatric nursing
Abstract The aim of this research was to investigate the relationship between worries and psychological well-being, and self-rated health in older men. A cross-sectional survey method was used to investigate the research aim. A group of men aged 65 years and over (n = 217), who lived in a small New Zealand city, participated in this study. Results from this research revealed that worries about physical abilities and health were significantly related to a decrease in psychological well-being and self-rated health. Gerontological nurses are challenged to be cognisant of older men's concerns about their health and physical ability.
Call Number NRSNZNO @ research @ 1323 Serial 1307
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Author Crawford, R.
Title (down) Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue 13 Pages 10-15
Keywords Paediatric nursing; Community health nursing; Nurse-family relations; Socioeconomic factors; Diet
Abstract Using nursing and associated literature, the relevance of nutrition in the care of children and families is highlighted in this article. The role of a nurse in providing nutrition advice and interventions is examined, in the context of social and economic pressures on the provision of a healthy diet. Relevant examples of the provision of such advice is provided, along with competencies required to achieve this in practice.
Call Number NRSNZNO @ research @ Serial 1276
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Author Neville, S.J.; Gillon, D.; Milligan, K.
Title (down) New Zealand registered nurses' use of physical assessment skills: A pilot study Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume Issue 14(1) Pages
Keywords Clinical assessment; Nursing; Evaluation
Abstract The objective of this project was to ascertain registered nurses' use of selected physical assessment skills before and after participation in a health assessment course. A pre- (also referred to as part I) and post- (part II) test design was used to investigate the research aim. Participants were obtained via a convenience sample. A questionnaire was completed at the beginning of the educational programme and then four to six weeks after completion of the assessment course. A two tailed t-test was used to identify any significant differences in the characteristics of participants from part I (N = 206) to part II (N = 145), with no differences identified. However, there was an overall mean percentage difference of 17.1% in the use of physical assessment skills after having completed the educational programme. In conclusion, the researchers found that four to six weeks after completion of a health assessment course, nurses were using the skills learned to improve their nursing practice more frequently than before the programme.
Call Number NRSNZNO @ research @ 879 Serial 863
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Author MacDonald, R.
Title (down) Mammography screening for breast cancer: Does it reduce the mortality rate? Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume Issue Pages 8-12
Keywords Breast cancer; Screening; Risk management; Health education; Cancer
Abstract This paper critically examines the literature on mammography as a breast cancer screening modality. It looks at what the New Zealand consumer is being told about the scientific uncertainties about the effectiveness of mammography and the substantial risks involved with it. This literature review raises concerns about the lack of information available for healthy women to make a fully informed decision about mammography screening.
Call Number NRSNZNO @ research @ Serial 1304
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Author McKinney, C.; Cassels-Brown, K.; Marston, A.; Spence, D.
Title (down) Linking cultural safety to practice: Issues for student nurses and their teachers Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume Issue 13(1) Pages
Keywords Students; Cultural safety; Teaching methods; Nursing; Education
Abstract Student nurses rely on their teachers, both academic and clinical, to assist them to develop their capacity to practice safely. Yet, in relation to cultural safety, relatively little has been written to assist the integration of theoretical knowledge to the world of practice. This article presents the findings of a small project undertaken by lecturers whose experiences supporting students' learning during clinical placements in Auckland stimulated interest in the students' attempts to use their classroom learning to begin their journey towards culturally safe nursing practice. A qualitative descriptive approach was used to explore the experience of nursing clients from cultures other than one's own and to describe culturally safe practice from the perspective of third year students.
Call Number NRSNZNO @ research @ Serial 862
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Author Bavidge, D.
Title (down) Leadership: Further perspectives Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 1 Pages 20-22
Keywords Leadership; Feminist critique; Nursing philosophy
Abstract This paper uses two perspectives, a feminist analysis and emancipatory leadership model, to analyse the practice and philosophy of leadership. It finds the important components of leadership include communicating understanding, developing a sense of community, and reconstituting the power relationships. This challenges traditional leadership perspectives which privilege individuals hierarchically appointed, or with deemed alienable qualities or traits.
Call Number NRSNZNO @ research @ 1325 Serial 1309
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