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Author Sadlier, C.
Title Gaining insight into the experience of diabetes Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 1 Pages 14-16
Keywords Diabetes Type 2; Maori; Nursing
Abstract This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition.
Call Number NRSNZNO @ research @ 1020 Serial 1004
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Author Lowe, L.
Title Linking housing and health status Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 9 Pages 26-27
Keywords Health status; Public health; Nursing
Abstract The author examines the impact of poor housing on health, and looks at how the situation can be improved. Ways that nurses can work towards improving housing standards and thus health are discussed.
Call Number NRSNZNO @ research @ 1021 Serial 1005
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Author Christie, J.
Title Managing febrile children: When and how to treat Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 4 Pages 15-17
Keywords Paediatric nursing; Evidence-based medicine; Children; Guidelines
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.
Call Number NRSNZNO @ research @ Serial 1006
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Author Hales, A.; Dignam, D.
Title Nurse prescribing lessons from the US Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 12-15
Keywords Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education
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.
Call Number NRSNZNO @ research @ Serial 1007
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Author Crowe, M.; O'Malley, J.; Bigwood, S.
Title Nursing mental health consumers in the community Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 8 Pages 14-15
Keywords Community health nursing; Psychiatric Nursing
Abstract The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories.
Call Number NRSNZNO @ research @ 1024 Serial 1008
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Author Brinkman, A.
Title Occupational stress in hospitals: A nursing perspective Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 6 Pages 21-23
Keywords Occupational health and safety; Stress; Nursing
Abstract This article examines the environmental stressors that cause occupational stress for many nurses, particularly the health reforms and the Employment Contracts Act (ECA). The concept of stress is reviewed and theories of occupational stress are described, including the demand-control theory and the transactional model. Nurses are advised to become aware of occupational stress in their workplaces, citing a study by the author showing high levels of stress among hospital nurses.
Call Number NRSNZNO @ research @ 1025 Serial 1009
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Author Hansen, G.
Title The role of massage in the care of the critically ill Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 7 Pages 14-16
Keywords Nursing; Alternative therapies; Intensive care nursing
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.
Call Number NRSNZNO @ research @ Serial 1010
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Author Gohns, A.
Title Management of opioid substitution treatment in the primary health care setting: A national training course for service providers Type Journal Article
Year 2002 Publication (up) New Zealand Family Physician Abbreviated Journal Full text online from the Royal New Zealand College of General Practitioners' website
Volume 29 Issue 3 Pages 172-175
Keywords Pharmacology; Evaluation; Primary health care
Abstract The aim of this research was to describe a national opioid treatment training programme that was introduced into primary health care, and evaluate its effectiveness following its first year of operation. The programme was introduced as a strategy to recruit, train and support a primary health care workforce in the provision of methadone treatment. For the evaluation a written questionnaire was sent to the general practitioner, practice nurse and pharmacist participants of training programmes held throughout New Zealand in 2000. One hundred and forty-five (98%) participants reported that the overall quality of the course was good or better, and that relevant issues were, in general, covered. However a recurring theme related to difficulties in designing a course relevant to the three different professional groups, with some material not equally applicable to all. Another prominent theme pertained to the issue of funding. general practitioners lamented the failure to address the issue of transferring patients from a free specialist clinic to their practice for care. The evaluation of this pilot programme indicates that this training in methadone maintenance treatment was well-received by primary health care providers. However, the author notes that there is no benchmark with which to compare it.
Call Number NRSNZNO @ research @ Serial 1099
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Author Ardagh, M.; Wells, E.; Cooper, K.; Lyons, R.; Patterson, R.; O'Donovan, P.
Title Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial Type Journal Article
Year 2002 Publication (up) New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.
Volume 115 Issue 1157 Pages
Keywords Emergency nursing; Time factors; Clinical assessment; Clinical decision making
Abstract The aim of this study was to test the hypothesis that triaging certain emergency department patients through a rapid assessment clinic (RAC) improves the waiting times, and times in the department, for all patients presenting to the emergency department. For ten weeks an additional nurse and doctor were rostered. On the odd weeks, these two staff ran a RAC and on even weeks, they did not, but simply joined the other medical and nursing staff, managing patients in the traditional way. During the five weeks of the RAC clinic a total of 2263 patients attended the emergency department, and 361 of these were referred to the RAC clinic. During the five control weeks a total of 2204 patients attended the emergency department. There was no significant difference in the distribution across triage categories between the RAC and non-RAC periods. The researchers found that the rapid management of patients with problems which do not require prolonged assessment or decision making, is beneficial not only to those patients, but also to other patients sharing the same, limited resources.
Call Number NRSNZNO @ research @ Serial 617
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Author Nicol, M.J.
Title The teaching of genetics in New Zealand undergraduate nursing programmes Type Journal Article
Year 2002 Publication (up) Nurse Education Today Abbreviated Journal
Volume 22 Issue 5 Pages 401-408
Keywords Curriculum; Nursing; Education
Abstract This paper reports the results of a survey to determine how much genetics is taught in the bioscience component of the three-year Bachelor of Nursing degree offered by 16 tertiary education institutes in New Zealand. A questionnaire was mailed to the bioscience lecturers seeking information on the bioscience and genetics content of current programmes. They were also asked to indicate their perception of the impact and relevance of new genetic knowledge on health care and nursing education. Results indicated that on average 250-350 hours are devoted to the teaching of biosciences. Less than 10 hours are devoted to genetics at 66% of institutes, one institute did not teach any aspect of genetics. None of the institutes taught more than 20 hours of genetics in the programme, although 47% of lecturers said they would like to teach more genetics if there were more time available in the curriculum. Lecturers teaching bioscience to Bachelor of Nursing students are aware of the importance of genetics in health care and to nursing in particular, and the majority are of the opinion that more genetics should be included in undergraduate programmes, however 'curriculum crowding' is a problem.
Call Number NRSNZNO @ research @ Serial 1076
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Author Crowe, M.
Title Reflexivity and detachment: A discursive approach to women's depression Type Journal Article
Year 2002 Publication (up) Nursing Inquiry Abbreviated Journal
Volume 9 Issue 2 Pages 126-132
Keywords Gender; Mental health; Psychiatric Nursing; Culture
Abstract This paper explores a discursive approach to understanding women's depression by presenting the results of research into women's narratives of their experiences. The discursive approach taken acknowledges women's immersion in cultural practices that determine the subject positions available to them and places a value on attributes of reflexivity and detachment that are not usually associated with their performance. The social and cultural context of the individual's experience is significant because if the focus is simply on the individual this supposes that the problem lies solely with the individual. An understanding of cultural expectations and their relation to mental distress is important to mental health nursing practice. The psychotherapeutic relationship that is fundamental to mental health nursing practice requires an understanding of the meaning of individual's responses in their cultural context in order to provide facilitative and meaningful care for the women that they nurse.
Call Number NRSNZNO @ research @ Serial 1077
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Author Brasell-Brian, R.; Vallance, E.
Title Clinical practice/education exchange: Bridging the theory-practice gap Type Journal Article
Year 2002 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 1 Pages 17-26
Keywords Education; Interprofessional relations
Abstract This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them.
Call Number NRSNZNO @ research @ Serial 613
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Author Fourie, W.; Oliver, J.D.
Title Defining currency of practice for nurse educators Type Journal Article
Year 2002 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 3 Pages 30-39
Keywords Quality assurance; Professional competence; Education
Abstract Recent Nursing Council of New Zealand guidelines for competence-based practising certificates and the fact that all nurse educators must have a current practising certificate prompted the Nursing Schools within the Tertiary Accord of New Zealand (TANZ) to explore issues surrounding current competency in practice and how this can be maintained by nurse educators. The authors note that discussions related to competence-based practising certificates generally refer to competence only in terms of direct patient care. They set out to clarify the issue with specific reference to nurse educators who, by the nature of their scope of practice, often do not carry a patient caseload. They review the literature relating to currency of practice and draw on the findings of a survey of TANZ Nursing Schools and provide a position on how currency of practice applies to nurses working in an educational setting. They present strategies to maintain clinical, teaching and scholarly currency and make some suggestions for providing evidence that currency of practice is maintained.
Call Number NRSNZNO @ research @ Serial 614
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Author Finlayson, M.; Gower, S.E.
Title Hospital restructuring: Identifying the impact on patients and nurses Type Journal Article
Year 2002 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 2 Pages 27-35
Keywords Quality of health care; Hospitals; Organisational change
Abstract The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes.
Call Number NRSNZNO @ research @ Serial 615
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Author Warren, B.L.
Title Intramuscular injection angle: Evidence for practice? Type Miscellaneous
Year 2002 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 2 Pages 42-51
Keywords Patient safety; Immunisation
Abstract This article presents the findings of a search for evidence to support the 45-60 degree angle of insertion for intramuscular injection of vaccine which is recommended in New Zealand. With the objective of discovering the evidence base for an intramuscular injection angle which differs from that recommended by the World Health Organisation and the accepted practice experienced by the author in the UK, Canada, Malawi and the USA, a comprehensive library and internet literature search was undertaken. Information was also sought by personal correspondence and contact with a range of immunisation specialists. Both the literature specifically on needle angle and that which includes needle angle within a wider investigation of technique is included. Overwhelmingly the evidence supports a 90 degree angle of needle insertion for intramuscular injection as being most effective in terms of patient comfort, safety and efficacy of vaccine.
Call Number NRSNZNO @ research @ Serial 616
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