| Records |
| Author |
Pearson, J.R. |
Title  |
Health promotion in one New Zealand primary school: A case study |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Health promotion; Evaluation; Students; Maori; Pacific peoples; Health education |
| Abstract |
The objectives of this study were to explore the concept of the 'health-promoting school' in a specific New Zealand context; to develop and use appropriate research methods to assess a single low decile school in relation to World Health Organization health-promoting school components and checkpoints; to work with the school community to identify health issues; and, to record external and internal changes that could impact on school health over a finite time period. Case study was selected as the most appropriate method to collect both quantitative and qualitative evidence with the aim of providing a clear understanding of the particular case. Results confirmed that the school was working appropriately within the scope of their educational practice to provide a health-promoting school environment for the school community. Gaps and issues identified included an element of talking past each other between the cultures of the education organisation and the nominated health service provider respectively that contributed to a lack of appropriate and accessible health service delivery for the school population. Teaching staff considered that they had insufficient access to health knowledge, and input from health service staff did not meet health education requirements for the school. Staff preference for increased school nurse involvement was not realised. The consequence was that two outside agencies (KiwiCan and Life Education Trust) delivered the bulk of the Health and Physical Education curriculum which resulted in a degree of fragmentation of health education for students. The issues that were identified demonstrated that health services in the area were not satisfactorily meeting the needs of the community and were not addressing the health inequities for the predominantly Pacific Island and Maori students and of their families that formed the school community. The researcher concluded that a full-service school approach should be considered by the school and the local district health board as one way to overcome the current lack of access to health services for the school community. Assertions included the potential integration of locally available services by a school-based nurse coordinator supported by health professionals (nurse practitioner and Pacific Island Community Health Worker) and social workers. The vision included professionals working within their professional scopes of practice as part of a Primary Health Organisation with the aim of appropriately addressing the health inequities experienced by the school population. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1184 |
| Permanent link to this record |
| |
|
| |
| Author |
Finlayson, M.; Gower, S.E. |
| Title |
Hospital restructuring: Identifying the impact on patients and nurses |
Type |
Journal Article |
| Year |
2002 |
Publication |
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 |
| Permanent link to this record |
| |
|
| |
| Author |
Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. |
| Title |
Impact of a hospital palliative care service: Perspective of the hospital staff |
Type |
Journal Article |
| Year |
2002 |
Publication |
JBI Reports |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
3 |
Pages |
160-167 |
| Keywords |
Palliative care; Hospitals; Attitude of health personnel; Cancer |
| Abstract |
The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1075 |
| Permanent link to this record |
| |
|
| |
| Author |
Farrow, T.; McKenna, B.; O'Brien, A.J. |
| Title |
Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
2 |
Pages |
15-23 |
| Keywords |
Patient rights; Law and legislation; Mental health; Nurse-patient relations |
| Abstract |
The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients. |
| Call Number |
NRSNZNO @ research @ |
Serial |
618 |
| Permanent link to this record |
| |
|
| |
| Author |
Warren, B.L. |
| Title |
Intramuscular injection angle: Evidence for practice? |
Type |
Miscellaneous |
| Year |
2002 |
Publication |
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 |
| Permanent link to this record |
| |
|
| |
| Author |
Nicol, M.J.; Manoharan, H.; Marfell-Jones, M.; Meha-Hoerara, K.; Milne, R.; O'Connell, M.; Oliver, J.D.; Teekman, B. |
| Title |
Issues in adolescent health: A challenge for nursing |
Type |
Journal Article |
| Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
2 |
Pages |
155-163 |
| Keywords |
Adolescents; Health education; Health promotion; Nursing; Risk factors; Suicide; Sexual health; Smoking; Mental health |
| Abstract |
This review provides an overview of the health issues for adolescents, and the implications for nursing practice, particularly around health promotion. It looks at the social context of adolescents including peer pressure, along with health issues such as suicide, mental health, sexual health, and smoking. |
| Call Number |
NRSNZNO @ research @ |
Serial |
712 |
| Permanent link to this record |
| |
|
| |
| Author |
Muir-Cochrane, E.; Holmes, C.; Walton, J.A. |
| Title |
Law and policy in relation to the use of seclusion in psychiatric hospitals in Australia and New Zealand |
Type |
Journal Article |
| Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
2/3 |
Pages |
136-145 |
| Keywords |
Psychiatric Nursing; Law and legislation; Policy; Patient rights; Cross-cultural comparison |
| Abstract |
This paper discusses legal issues associated with the seclusion of acutely disturbed patients in psychiatric hospitals in Australia and New Zealand. There continues to be great variation in opinion and operational definition as to whether seclusion is a medical treatment, nursing intervention and management tool, or merely a form of situational restraint. Reflecting this lack of clarity, mental health acts and policies concerning the regulation and practice of seclusion lack consistency and focus across geographical boundaries and jurisdictions. Australian and New Zealand legislation and institutional policy is discussed in order to shed light on the contemporary issues highlighted by this controversial nursing practice. The authors note that mental health professionals must continue to review the practice of seclusion and to actively promote the use of acceptable alternatives. In addition nurses and other mental health professionals have a responsibility to understand current legislation and policy frameworks and to influence change where this is necessary to ensure the best practice possible in their clinical area. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1074 |
| Permanent link to this record |
| |
|
| |
| Author |
Mackay, B. |
| Title |
Leadership development: Supporting nursing in a changing primary health care environment |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
2 |
Pages |
24-32 |
| Keywords |
Leadership; Professional development; Primary health care; Nursing |
| Abstract |
The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose. |
| Call Number |
NRSNZNO @ research @ |
Serial |
619 |
| Permanent link to this record |
| |
|
| |
| Author |
Stojanovic, J.E.E. |
| Title |
Leaving your dignity at the door: Maternity in Wellington 1950 – 1970 |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Hospitals; Nursing specialties; Maternity care; Patient satisfaction |
| Abstract |
This thesis describes the maternity system in Wellington between 1950 and 1970 particularly from the perspectives of consumers and midwives. Four women consumers who experienced maternity in Wellington and two midwives who worked in Wellington's maternity hospitals during this period provided their oral testimonies as the main primary sources for this study. The author's experience of being a student nurse and a consumer in Wellington and other primary and secondary sources are used to substantiate, explore and explain the topic. The study traces the socio-political changes in New Zealand maternity from 1900 to 1970 creating a backdrop against which Wellington's maternity system, including the women, the hospitals, the workforce, maternity practices and the childbearing process are illuminated using the insights of women and midwives who experienced them. The oral testimonies of the six participants described positive and negative aspects of their maternity experiences, but the three strong themes that arose from their accounts included 'being alone', 'lack of autonomy' and 'uncaring attitudes'. |
| Call Number |
NRSNZNO @ research @ 1223 |
Serial |
1208 |
| Permanent link to this record |
| |
|
| |
| Author |
Lowe, L. |
| Title |
Linking housing and health status |
Type |
Journal Article |
| Year |
2002 |
Publication |
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 |
| Permanent link to this record |
| |
|
| |
| 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 |
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 |
| Permanent link to this record |
| |
|
| |
| Author |
Christie, J. |
| Title |
Managing febrile children: When and how to treat |
Type |
Journal Article |
| Year |
2002 |
Publication |
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 |
| Permanent link to this record |
| |
|
| |
| Author |
Dickinson, A.R.; Dignam, D. |
| Title |
Managing it: A mother's perspective of managing a pre-school child's acute asthma episode |
Type |
Journal Article |
| Year |
2002 |
Publication |
Journal of Child Health Care |
Abbreviated Journal |
|
| Volume |
6 |
Issue |
1 |
Pages |
7-18 |
| Keywords |
Asthma; Parents and caregivers; Children; Nurse-patient relations |
| Abstract |
This exploratory descriptive study informed by grounded theory examines the experience of mothers in managing their pre-school child's acute asthma attack at home. The study reveals that mothers perceive that they are responsible for the management of their pre-school child during an acute asthma episode, a process they described as 'managing it'. This process involves mother in 'working on treatment', 'making the call', 'watching' and 'calming', while the husband/partner, family, friends and health professionals are 'supporting treatment'. This study suggests that nurses and doctors need to move away from the current paternalistic view of health care delivery in acute settings and embrace the concepts of support and partnership in the care of the pre-school child with asthma and their family. |
| Call Number |
NRSNZNO @ research @ 728 |
Serial |
714 |
| Permanent link to this record |
| |
|
| |
| Author |
Carryer, J.B.; Budge, C.; Russell, A. |
| Title |
Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
3 |
Pages |
18-29 |
| Keywords |
Professional development; Careers in nursing; Nursing; Hospitals |
| Abstract |
The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not. |
| Call Number |
NRSNZNO @ research @ 634 |
Serial |
620 |
| Permanent link to this record |
| |
|
| |
| Author |
Hales, A.; Dignam, D. |
| Title |
Nurse prescribing lessons from the US |
Type |
Journal Article |
| Year |
2002 |
Publication |
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 |
| Permanent link to this record |
