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Author Therkleson,T. url  openurl
  Title Ginger compress therapy for adults with osteoarthritis Type Journal Article
  Year 2010 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 66 Issue 10 Pages (down) 2225?2233  
  Keywords Ginger compress therapy; Giorgi?s method; nursing; osteoarthritis  
  Abstract Abstract

Aim. This paper is a report of a study to explicate the phenomenon of ginger

compresses for people with osteoarthritis.

Background. Osteoarthritis is claimed to be the leading cause of musculoskeletal

pain and disability in Western society. Management ideally combines non-pharmacological

strategies, including complementary therapies and pain-relieving

medication. Ginger has been applied externally for over a thousand years in China

to manage arthritis symptoms.

Method. Husserlian phenomenological methodology was used and the data were

collected in 2007. Ten purposively selected adults who had suffered osteoarthritis

for at least a year kept daily diaries and made drawings, and follow-up interviews

and telephone conversations were conducted.

Findings. Seven themes were identified in the data: (1) Meditative-like stillness

and relaxation of thoughts; (2) Constant penetrating warmth throughout the

body; (3) Positive change in outlook; (4) Increased energy and interest in the

world; (5) Deeply relaxed state that progressed to a gradual shift in pain and

increased interest in others; (6) Increased suppleness within the body and (7)

More comfortable, flexible joint mobility. The essential experience of ginger

compresses exposed the unique qualities of heat, stimulation, anti-inflammation

and analgesia.

Conclusion. Nurses could consider this therapy as part of a holistic treatment for

people with osteoarthritis symptoms. Controlled research is needed with larger

numbers of older people to explore further the effects of the ginger compress

therapy.
 
  Call Number NZNO @ research @ Serial 1346  
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Author Gesmundo, Monina openurl 
  Title Enhancing nurses' knowledge on [of] catheter-associated urinary tract infecion (CAUTI) prevention Type Journal Article
  Year 2016 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 7 Issue 1 Pages (down) 2016  
  Keywords Catheter-associated urinary tract infection; Indwelling catheter care; CAUTI  
  Abstract Evaluates the impact of a catheter-associated urinary tract infection (CAUTI) education package on nurses' knowledge of indwelling catheter management. Utilises a multi-phased mixed-method approach, with convenience sampling and focus groups at two post-operative wards of a tertiary public hospital in 2014. Formulates an evidence-based education package with multi-faceted teaching methods to address knowledge or care deficits.  
  Call Number NZNO @ research @ Serial 1529  
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Author Carryer, J.B.; Gardner, G.; Dunn, S.; Gardner, A. openurl 
  Title The core role of the nurse practitioner: Practice, professionalism and clinical leadership Type Journal Article
  Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 10 Pages (down) 1818-1825  
  Keywords Professional competence; Nurse practitioners; Evaluation research; Cross-cultural comparison  
  Abstract This article draws on empirical evidence to illustrate the core role of nurse practitioners in Australia and New Zealand. A study jointly commissioned by both countries' Regulatory Boards developed information of the newly created nurse practitioner role, to develop shared competency and educational standards. This interpretive study used multiple data sources, including published and grey literature, policy documents, nurse practitioner programme curricula and interviews with 15 nurse practitioners from the two countries. The core role of the nurse practitioner was identified as having three components: dynamic practice, professional efficacy and clinical leadership. Nurse practitioner practice is dynamic and involves the application of high level clinical knowledge and skills in a wide range of contexts. The nurse practitioner demonstrates professional efficacy, enhanced by an extended range of autonomy that includes legislated privileges. The nurse practitioner is a clinical leader with a readiness and an obligation to advocate for their client base and their profession at the systems level of health care.  
  Call Number NRSNZNO @ research @ Serial 932  
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Author Chang, E.M.; Bidewell, J.W.; Huntington, A.D.; Daly, J.; Johnson, A.; Wilson, H.; Lambert, V.; Lambert, C.E. openurl 
  Title A survey of role stress, coping and health in Australian and New Zealand hospital nurses Type Journal Article
  Year 2008 Publication Intensive & Critical Care Nursing Abbreviated Journal  
  Volume 44 Issue 8 Pages (down) 1354-1362  
  Keywords Stress; Psychology; Cross-cultural comparison; Nursing  
  Abstract The aim of this study was to examine and compare Australian and New Zealand nurses' experience of workplace stress, coping strategies and health status. A postal survey was administered to 328 New South Wales (Australia) and 190 New Zealand volunteer acute care hospital nurses (response rate 41%) from randomly sampled nurses. The survey consisted of a demographic questionnaire, the Nursing Stress Scale, the WAYS of Coping Questionnaire and the SF-36 Health Survey Version 2. More frequent workplace stress predicted lower physical and mental health. Problem-focused coping was associated with better mental health. Emotion-focused coping was associated with reduced mental health. Coping styles did not predict physical health. New South Wales and New Zealand scored effectively the same on sources of workplace stress, stress coping methods, and physical and mental health when controlling for relevant variables. Results suggest mental health benefits for nurses who use problem-solving to cope with stress by addressing the external source of the stress, rather than emotion-focused coping in which nurses try to control or manage their internal response to stress. Cultural similarities and similar hospital environments could account for equivalent findings for New South Wales and New Zealand.  
  Call Number NRSNZNO @ research @ Serial 970  
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Author Watson, P.B. openurl 
  Title Evaluation of a self management plan for chronic obstructive pulmonary disease Type
  Year 1997 Publication The European Respiratory Journal Abbreviated Journal Author  
  Volume 10 Issue Pages (down) 1267-1271  
  Keywords  
  Abstract We hypothesized that the use of an Action Plan might assist self management for patients with chronic obstructive pulmonary disease (COPD).A pilot process and randomized, controlled study were undertaken to evaluate an action plan that provided advice on management of usual care and exacerbations, together with a booklet on self management. Fifty six subjects with COPD recruited through general practitioners (GPs) completed the six month study, 27 in the control group and 29 in the intervention group. The control group received usual care from their GP and the intervention group received a booklet and Action Plan from their practice nurse plus a supply of prednisone and antibiotic from their GP.The two groups were demographically similar with a mean age of 68 yrs. The resources were well received by GPs, practice nurses and the intervention group subjects. After six months there were no differences in quality of life scores or pulmonary function. There were significant changes in self management behaviour in the intervention group compared to controls. In response to seterioting symptoms, 34 versus7% (p= 0.014) initiated prednisone treatment and 44 versus 7 % (p=0.002 initiated antibiotics.Subjects in the intervention group readily adopted self management skills but did not shpw any difference in quality of life or lung function parameters. A larger prospective controlled clinical trial of this approach is warranted  
  Call Number NRSNZNO @ research @ 152 Serial 152  
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Author van Wissen, K.A.; Woodman, K. openurl 
  Title Nurses' attitudes and concerns to HIV/AIDS: a focus group approach Type Journal Article
  Year 1994 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 20 Issue 6 Pages (down) 1141-1147  
  Keywords  
  Abstract An exploratory qualitative study was investigated to further identify nurses'' attitudes to the care of people with human immunodeficiency virus (HIV) and acquired immunodefiency syndrome (AIDS). This follows as a sequel to a study using questionnaire. Data collected from nine focus groups attended by a total of 29 nurses at a hospital within a new Zealand regional health authority. The principal findings suggest that nurses' attitudes to this patient group are varied and depend on social influences, personal experiences and the extent of knowledge regarding HIV/AIDS. Other concerns raised included nurses' rights to choose to care for HIV-positive patients and the issue of universal precautions. Theses findings may have implications for further educational initiatives and information of hospital policy  
  Call Number NRSNZNO @ research @ 356 Serial 356  
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Author McCloskey, B.A.; Diers, D. openurl 
  Title Effects of New Zealand's health reengineering on nursing and patient outcomes Type Journal Article
  Year 2005 Publication Medical Care Abbreviated Journal  
  Volume 43 Issue 11 Pages (down) 1140-1146  
  Keywords Patient safety; Organisational change; Nursing; Hospitals  
  Abstract This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care.  
  Call Number NRSNZNO @ research @ Serial 1052  
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Author Teekman, B.; Stillwell, Y. openurl 
  Title Exploring reflective thinking in nursing practice Type Journal Article
  Year 2000 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 31 Issue 5 Pages (down) 1125-1135  
  Keywords Nursing; Problem solving; Experiential learning  
  Abstract Sense-Making, a qualitative research method, was used to obtain and analyse data from interviews with 10 registered nurses, in order to study reflective thinking in actual nursing practice. Ten non-routine nursing situations were analysed for the presence of reflective thinking. Reflective thinking was extensively manifest, especially in moments of doubt and perplexity, and consisted of such cognitive activities as comparing and contrasting phenomena, recognising patterns, categorising perceptions, framing, and self-questioning in order to create meaning and understanding. Self-questioning was identified as a significant process within reflective thinking. By exploring and analysing the type of questions respondents were asking themselves, the study uncovered three hierarchical levels of reflective thinking, focussed on action, evaluation and critical enquiry. The findings of this study resulted in the development of a model of reflective thinking, which is discussed in terms of the implications for learning in nursing practice.  
  Call Number NRSNZNO @ research @ Serial 655  
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Author Huntington, A.D.; Gilmour, J.A. openurl 
  Title A life shaped by pain: Women and endometriosis Type Journal Article
  Year 2005 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 14 Issue 9 Pages (down) 1124-1132  
  Keywords Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique  
  Abstract The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.  
  Call Number NRSNZNO @ research @ Serial 940  
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Author Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J. openurl 
  Title Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units Type Journal Article
  Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 17 Issue 8 Pages (down) 1035-1043  
  Keywords Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison  
  Abstract The aim of this research is to provide an analysis of the scope of nursing practice and inter-professional role responsibility for ventilatory decision-making in Australian and New Zealand intensive care units (ICU). Self-administered questionnaires were sent to nurse managers of eligible ICUs within Australia and New Zealand. Survey responses were available from 54/180 ICUs. The majority (71%) were located within metropolitan areas and categorised as a tertiary level ICU (50%). The mean number of nurses employed per ICU bed was 4.7 in Australia and 4.2 in New Zealand, with 69% (IQR: 47-80%) of nurses holding a postgraduate specialty qualification. All units reported a 1:1 nurse-to-patient ratio for ventilated patients with 71% reporting a 1:2 nurse-to-patient ratio for non- ventilated patients. Key ventilator decisions, including assessment of weaning and extubation readiness, were reported as predominantly made by nurses and doctors in collaboration. Overall, nurses described high levels of autonomy and influence in ventilator decision-making. Decisions to change ventilator settings, including FiO(2) (91%, 95% CI: 80-97), ventilator rate (65%, 95% CI: 51-77) and pressure support adjustment (57%, 95% CI: 43-71), were made independently by nurses. The authors conclude that the results of the survey suggest that, within the Australian and New Zealand context, nurses participate actively in ventilation and weaning decisions. In addition, they suggest, the results support an association between the education profile and skill-mix of nurses and the level of collaborative practice in ICU.  
  Call Number NRSNZNO @ research @ Serial 962  
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Author Nolan, M.; Featherston, J.; Nolan, J. openurl 
  Title Palliative care: Palliative care philosophy in care homes: Lessons from New Zealand Type Journal Article
  Year 2003 Publication British Journal of Nursing Abbreviated Journal  
  Volume 12 Issue 16 Pages (down) 974-979  
  Keywords Palliative care; Attitude of health personnel  
  Abstract Drawing on data from a large convenience sample of caregivers in New Zealand, this article argues for a reappraisal of the way in which care homes view death and dying and advocates the more widespread adoption of a palliative care philosophy. Increasing numbers of people are dying in care homes yet little is known about the nature and quality of their deaths. The limited research available suggests that there is a need to promote a philosophy of palliative care that is not confined to the terminal phase of life. However, adopting such an approach appears to be inhibited by a lack of understanding, education and training, as well as continuing reluctance to discuss issues of death and dying in an open and honest way.  
  Call Number NRSNZNO @ research @ 1081 Serial 1066  
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Author Bland, M.F. openurl 
  Title Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care Type Journal Article
  Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 5 Pages (down) 937-944  
  Keywords Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care  
  Abstract This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents.  
  Call Number NRSNZNO @ research @ Serial 657  
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Author Gallagher, P. openurl 
  Title Preconceptions and learning to be a nurse Type Journal Article
  Year 2007 Publication Nurse Education Today Abbreviated Journal  
  Volume 27 Issue 8 Pages (down) 878-884  
  Keywords Nursing; Education; Attitude of health personnel; Theory  
  Abstract This article discusses the important role that preconceptions play in the process by which students learn to be nurses. The importance of preconceptions emerged from the analysis of data in a grounded theory study that sought to gain a greater understanding of how undergraduate student nurses in New Zealand experienced and responded to differences they perceived between the theory and the practice of nursing. It became clear that the preconceptions each student nurse held about the nature of nurses and nursing care were the standards against which the worth of the formal, practical and personal theories to which students were exposed during their nursing degree was evaluated. It was clear that preconceptions functioned as the mediator between the intentions of nursing education and the learning that eventuated for each student from practicum experiences. The implications for nursing education, for which preconceptions are not generally highly valued as a basis for learning about professional nursing, are that the individual experience and personal characteristics of each student receive significant focus when a nursing programme is planned. This means that the orthodox principles that underpin the design of nursing curricula should be reviewed and an overtly constructivist perspective adopted for nursing education for which the prior experiences of the student are the starting point.  
  Call Number NRSNZNO @ research @ Serial 931  
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Author Horsburgh, M.; Lamdin, R.; Williamson, E. openurl 
  Title Multiprofessional learning: The attitudes of medical, nursing and pharmacy students to shared learning Type Journal Article
  Year 2001 Publication Medical Education Abbreviated Journal  
  Volume 35 Issue 9 Pages (down) 876-883  
  Keywords Nursing; Education; Students; Interprofessional relations  
  Abstract This study has sought to quantify the attitudes of first-year medical, nursing and pharmacy students' towards interprofessional learning, at course commencement. The Readiness for Interprofessional Learning Scale (RIPLS) (University of Liverpool, Department of Health Care Education), was administered to first-year medical, nursing and pharmacy students at the University of Auckland. Differences between the three groups were analysed. The majority of students reported positive attitudes towards shared learning. The benefits of shared learning, including the acquisition of teamworking skills, were seen to be beneficial to patient care and likely to enhance professional working relationships. However professional groups differed: nursing and pharmacy students indicated more strongly that an outcome of learning together would be more effective teamworking. Medical students were the least sure of their professional role, and considered that they required the acquisition of more knowledge and skills than nursing or pharmacy students.  
  Call Number NRSNZNO @ research @ Serial 719  
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Author O'Brien, A.P.; O'Brien, A.J.; Hardy, D.J.; Morrison-Ngatai, E.; Gaskin, C.J.; Boddy, J.M.; McNulty, N.; Ryan, T.; Skews, G. openurl 
  Title The New Zealand development and trial of mental health nursing clinical indicators: A bicultural study Type Journal Article
  Year 2003 Publication International Journal of Nursing Studies Abbreviated Journal  
  Volume 40 Issue 8 Pages (down) 853-861  
  Keywords Biculturalism; Psychiatric Nursing; Professional competence; Evaluation  
  Abstract This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.  
  Call Number NRSNZNO @ research @ Serial 956  
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