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Author Teekman, B.; Stillwell, Y.
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 Gallagher, P.
Title An evaluation of a standards based portfolio [Corrected and republished article printed in NURSE EDUC TODAY 2001 Apr; 21(3): 197-200] Type Journal Article
Year 2000 Publication Nurse Education Today Abbreviated Journal
Volume 20 Issue 3 Pages (down) 218-226
Keywords Nursing; Education; Teaching methods; Evaluation
Abstract This study is an evaluation of student perceptions of a standards based portfolio, which is a is a series of student work that seeks to address pre-determined learning outcomes. Of interest to the study was the relationship between theory and practice, the availability of resources to complete the assignment and the contribution the portfolio made to the process of learning. For a particular unit of learning, 'Nursing Business', second year undergraduate students in the Bachelor of Nursing programme were required to complete a portfolio. The assessment directed the students to meet specific criteria which in turn reflected the learning outcomes.
Call Number NRSNZNO @ research @ Serial 653
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Author Kaviani, N.; Stillwell, Y.
Title An evaluative study of clinical preceptorship Type Journal Article
Year 2000 Publication Nurse Education Today Abbreviated Journal
Volume 20 Issue 3 Pages (down) 218-226
Keywords Preceptorship; Nursing; Education; Evaluation research
Abstract A preceptorship programme of 100 hours duration was developed and delivered by a nurse education institute, in consultation with a health care organisation. The purpose of the study was to examine preceptors, preceptees, and nurse managers' preceptions of the preceptor role and factors which influenced the performance of preceptors. Using focus groups, participants were each asked to identify the outcomes of the programme in practice. Study findings highlighted the importance of formal preceptor preparation, personal and professional development of the preceptors, and the promotion of positive partnerships between nurse educators and nurse practitioners. The need for formal recognition of the preceptor role in practice, particularly in relation to the provision of adequate time and resources, emerged from the study. The research findings enabled the development of an evaluative model of preceptorship, which highlights the intrinsic and extrinsic factors impacting on the preceptor role
Call Number NRSNZNO @ research @ Serial 654
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Author MacGeorge, Jane Mary
Title Non-invasive continuous positive airway pressure therapy in patients presenting with cardiogenic pulmonary odema Type Book Whole
Year 2000 Publication Abbreviated Journal
Volume Issue Pages (down) 121 pp
Keywords Continuous Positive Airway Pressure; Respiratory Therapy; Heart diseases
Abstract Examines the value of early intervention of continuous positive airway pressure (CPAP) in the emergency setting, and the influence of experienced nurses on early initiation of CPAP. Investigates the difference that therapy made to mortality and morbidity for patients presenting with cardiogenic pulmonary odema (CPO) to a metropolitan emergency department. Performs a retrospective audit of 54 cases over the period of one year.
Call Number NZNO @ research @ Serial 1428
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Author Banks, J.; McArthur, J.; Gordon, G.
Title Flexible monitoring in the management of patient care process: A pilot study Type Journal Article
Year 2000 Publication Lippincott's Case Management Abbreviated Journal
Volume 5 Issue 3 Pages (down) 94-106
Keywords Hospitals; Cardiovascular diseases; Nursing
Abstract This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas.
Call Number NRSNZNO @ research @ Serial 1091
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Author Tracy, C.
Title Comparison of catheter-securing devices Type Journal Article
Year 2000 Publication Urologic Nursing Abbreviated Journal
Volume 20 Issue 1 Pages (down) 43-46
Keywords Nursing specialties; Evaluation
Abstract This study evaluates methods of securing urethral urinary catheters, which are a major part of urologic nursing. Basic procedures such as these are poorly researched or reported in the literature. The question of how to secure a urinary catheter and with what device often relies on knowledge, availability of equipment, and on information supplied by manufacturers of commercial devices. This study finds that sometimes the cheaper option of adhesive tape and pin device can still be the best for patients.
Call Number NRSNZNO @ research @ 704 Serial 690
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Author Day, W.
Title Relaxation: A nursing therapy to help relieve cardiac chest pain Type Journal Article
Year 2000 Publication Australian Journal of Advanced Nursing Abbreviated Journal
Volume 18 Issue 1 Pages (down) 40-44
Keywords Alternative therapies; Nursing; Patient satisfaction; Cardiovascular diseases
Abstract This article discusses ways in which relaxation, when used as an adjunct to medical therapies, can be a useful nursing management tool for effectively relieving cardiac pain. The available literature suggests that although nurses place a lot of importance on cardiac patients being pain free, it is apparent this is often not achieved. Research and documented case studies suggest that relaxation can play an important role in the treatment and prevention of this distressing symptom. The author advocates for nurses to challenge nursing practice and help patients deal effectively with chest pain in a way that meets each individual's needs.
Call Number NRSNZNO @ research @ Serial 841
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Author Jacobs, S.
Title Credentialling: Setting standards for advanced nursing practice Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 15 Issue 2 Pages (down) 38-46
Keywords Scope of practice; Advanced nursing practice
Abstract This article examines professional regulation with particular reference to advanced practice. As well as providing an overview of credentialing and other aspects of professional regulation, including licensure, certification, registration, and titling, the question of how much regulation, and by whom, is explored.
Call Number NRSNZNO @ research @ Serial 632
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Author White, G.E.; Su, H.-R.
Title Am I dying, nurse? Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 15 Issue 1 Pages (down) 33-40
Keywords Communication; Ethics; Nursing; Palliative care
Abstract This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed.
Call Number NRSNZNO @ research @ Serial 631
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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
Volume 6 Issue 11 Pages (down) 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 Horsburgh, M.
Title Quality in undergraduate nursing programmes: The role of Nursing Council Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 15 Issue 2 Pages (down) 25-37
Keywords Nursing Council of New Zealand; Nursing; Education; Nursing; Quality assurance
Abstract This paper looks broadly at issues to do with quality monitoring in higher education and considers the role and focus of the Nursing Council of New Zealand in the approval of and ongoing monitoring of undergraduate nursing degree programmes. It is suggested that the approach taken by the Nursing Council is accountability led where minimal attention is given to teaching and learning and actual graduate outcomes. This may lead to a mistaken belief that Nursing Council's monitoring focuses on quality or that the outcomes of their monitoring might contribute to programme enhancement. A shift to emphasise learning processes, students and continual improvement in order to enhance programme quality is proposed.
Call Number NRSNZNO @ research @ Serial 634
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Author Wallis, R.
Title Post-anaesthetic shaking: A review of the literature Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 15 Issue 1 Pages (down) 23-32
Keywords Surgery; Pharmacology; Nursing research
Abstract This paper addresses the problem of shaking and shivering as discussed in the nursing and medical literature. It defines post-anaesthetic shaking, focusing on the role of anaesthetics in hypothermia, pharmacological and non-pharmacological interventions, and theories of causes and consequences. Ways of preventing and treating post-anaesthetic shaking are examined.
Call Number NRSNZNO @ research @ Serial 633
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Author Carr, J.
Title Ensuring consent is informed Type Journal Article
Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue 7 Pages (down) 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
Volume 6 Issue 10 Pages (down) 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 Perry, I.
Title Identifying the 'norms' of nursing culture Type Journal Article
Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue 9 Pages (down) 20-22
Keywords Nursing; Nursing philosophy
Abstract The author investigates the premises that form the basis of nursing practice in acute care. Assumptions about patients and caregiving are often at odds with each other. The origins of these tenets are mapped from Florence Nightingale through to present nursing theorists. Overlapping areas of nursing and medical care in the acute care setting are examined, and the conflict that can arise between traditional nursing care and the expected medical nursing role is examined. He argues that the challenge for acute care nurses is to find a balance between normative nursing and the medical model.
Call Number NRSNZNO @ research @ 1036 Serial 1020
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