| |
Records |
Links |
|
Author |
Ryder-Lewis, M. |
|
| |
Title |
Reliability study of the Sedation-Agitation Scale in an intensive care unit |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords  |
Intensive care nursing; Interprofessional relations |
|
| |
Abstract |
This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the Sedation-Agitation Scale (SAS) in a natural Intensive Care Units (ICU) setting. The author notes that it is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1203 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Evans-Murray, A. |
|
| |
Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
9 |
Pages |
18-20 |
|
| |
Keywords |
Intensive care nursing; Grief; Communication |
|
| |
Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
|
| |
Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hardcastle, J. |
|
| |
Title |
The meaning of effective education for critical care nursing practice: A thematic analysis |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Australian Critical Care |
Abbreviated Journal |
|
|
| |
Volume |
17 |
Issue |
3 |
Pages |
114, 116-2 |
|
| |
Keywords |
Hospitals; Nursing; Education; Nursing specialties |
|
| |
Abstract |
Using thematic analysis, this study explored the phenomenon of effective education for critical care nursing practice by asking: What does effective education for critical care nursing practice mean to nurses currently practising in the specialty? Eighty eight critical care nurses from the South Island provided written descriptions of what effective education for critical care nursing practice meant to them. Descriptive statements were analysed to reveal constituents, themes and essences of meaning. Four core themes of personal quality, practice quality, the learning process and learning needs emerged. Appropriateness or relevance for individual learning needs is further identified as an essential theme within the meaning of effective education for critical care nursing practice. Shared experiences of the phenomenon are made explicit and discussed with reference to education and practice development in the specialty. The study results lend support to education that focuses on individual learning needs, and identifies work based learning as a potential strategy for learning and practice development in critical care nursing. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
873 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Chenery, K. |
|
| |
Title |
Family-centred care: Understanding our past |
Type |
Miscellaneous |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
3 |
Pages |
4-12 |
|
| |
Keywords |
History of nursing; Nurse-family relations; Paediatric nursing; Parents and caregivers |
|
| |
Abstract |
Oral history accounts of the care of the hospitalised child in the context of family are used to argue that current practice paradoxes in family-centred care are historically ingrained. The article looks at the post-war period, the intervening years, and current practice, centred on the changing concept of motherhood throughout that time. The conflict between clinical expediency versus family and child needs is explored. |
|
| |
Call Number |
NRSNZNO @ research @ 1113 |
Serial |
1098 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lauder, G.C. |
|
| |
Title |
Health in the workplace: An exploration of healthy options for an aged care setting |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Geriatric nursing; Health behaviour; Workplace |
|
| |
Abstract |
People working in aged care settings in New Zealand spend approximately 30% of their lives in their workplace. There is a challenge for workplaces to support people to maintain and improve their health status. This project investigated the question: How can workplaces support staff to maintain health in an aged care environment? The project concerned two considerations: primarily what people can do for themselves and how the organisation can assist their interest and maintain their investment in health based activities and secondly what workplaces can do to make the organisations more healthy. The philosophy and the realities of the workplace were reviewed and the project addressed the strategies that could be adopted by the workplace. The study identifies a series of practical activities and outcomes that aged care facilities can undertake for nurses/caregivers or other members of staff working in the workplace. The findings lead to recommendations about healthy outcomes and managing health and creating a positive climate for health within the workplace. |
|
| |
Call Number |
NRSNZNO @ research @ 605 |
Serial |
591 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lindsay, L. |
|
| |
Title |
Atrocity tales: The language of terrorism in nursing |
Type |
|
| |
Year |
2004 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
|
Pages |
27-35 |
|
| |
Keywords |
Gender; Male nurses; Culture |
|
| |
Abstract |
In this paper, the author explores the concept of 'professional terrorism'. He exposes discrimination against male nurses as being a form of professional terrorism, primarily as it is enacted through use of language. He presents the concept of horizontal violence as a way to understand why nurses, as a marginalised group, perform oppressive acts towards male nurses, who are similarly oppressed. He outlines the cost of such a culture on nursing practice and presents strategies for change. |
|
| |
Call Number |
NRSNZNO @ research @ 1310 |
Serial |
1294 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Beaton, T. |
|
| |
Title |
Postnatal depression: Four women's experiences of care from a nurse |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Female; Mental health; Nurse-patient relations; Feminist critique |
|
| |
Abstract |
Postnatal depression is a term used loosely to describe disorders of mood and distressing symptoms for women in the postpartum, yet it has its own distinct symptoms. It is thought to affect between 10 and 20 percent of new mothers in New Zealand. In order to deliver effective nursing care that has a positive impact on the health of women who experience postnatal depression, nurses need knowledge and theory to underpin practice. This study explores the experience of four women who experienced postnatal depression and the care they received from a nurse. A postmodern feminist position informed the research project. Women became actively involved in a focus group to explore their experiences. A thematic analysis of the focus group transcripts revealed the women's experiences of care from nurses and health professionals as not always helpful. The themes that arose from the analysis were knowledge, perception, care and self. Knowledge examined the women's and significant others' knowledge of postnatal depression as well as women's own knowledge of themselves. Perception identified the women's beliefs of and views on mental illness, as well as their expectations of motherhood. Care as a concept was examined as to how it was provided by nurses. This encompassed a lack of care and, in contrast, supportive care as impacting on the women's individual experiences. Self described the experiences of a loss of self as women experienced their distress in the postpartum, and that a regaining of self was identified by women as difficult, and this is where they required support. The themes are discussed and critiqued with literature that identifies the nursing role with women who experience postnatal depression. There are recommendations for ongoing research and development of the nursing role in order to promote the health and wellbeing of women in the postpartum. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
850 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKillop, A.M. |
|
| |
Title |
Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
JBI Reports |
Abbreviated Journal |
|
|
| |
Volume |
2 |
Issue |
9 |
Pages |
293-308 |
|
| |
Keywords |
Evidence-based medicine; Nursing; Guidelines; Evaluation |
|
| |
Abstract |
This report presents an evaluation of the implementation of a best practice information sheet related to tracheal suctioning of adults with an artificial airway. The Centre for Evidence-Based Nursing Aotearoa, based in Auckland, conducted a systematic review of the evidence and produced the best practice information sheet. A survey of 105 nurses was conducted at three sites, in New Zealand and Australia. Using a before/after design, data were collected at the time of release of the information sheet and then approximately 12 months later. The study suggests a trend towards a modest uptake of best practice recommendations into nursing practice demonstrated by some behavioural changes within a 12-month period in the context of an implementation plan and the best practice information sheet. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
696 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hughes, C. |
|
| |
Title |
Perioperative nurses in NZ & evidence-based practice |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
|
|
| |
Volume |
31 |
Issue |
4 |
Pages |
8, 10-1 |
|
| |
Keywords |
Evidence-based medicine; Nursing specialties; Access |
|
| |
Abstract |
This project is a study of the barriers perceived by perioperative nurses to accessing and using research-based information. A survey questionnaire was distributed to 184 perioperative nurses working in five public and two private hospitals in the Auckland area. The number of completed questionnaires was 106 (57.6%). The results showed that the lack of time during work hours was ranked as the highest barrier. The results also showed that many nurses feel they do not have the skills to find and appraise research articles. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1063 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Clendon, J.; Krothe, J. |
|
| |
Title |
The nurse-managed clinic: An evaluative study |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
2 |
Pages |
15-23 |
|
| |
Keywords |
Evaluation research; Nurse managers; Primary health care; Cross-cultural comparison |
|
| |
Abstract |
Part of an international project, the aim of this study was to evaluate a nurse managed primary health care clinic (Mana Health Clinic) from the perspectives of users, funders, and providers of clinical services in order to identify factors which contribute to success. The method used was Fourth Generation Evaluation (FGE) whereby, consistent with the methodological precepts of the constructivist enquiry paradigm, there was active involvement of clients in the process and outcome of the evaluation. Open-ended interviews were conducted with 13 individuals and one focus group. The data yielded four main categories: factors that contribute to success; contrasting past experience of health care with that of nurse-managed care; the effectiveness of nurse-managed care; and suggestions for change in current practice. The authors note that the results to date support a tentative conclusion of success for the clinic. As the study is on-going, summaries of the four categories were fed back to the participants for further discussion and interpretation and eventual integration with data from the similar study being undertaken in the United States. The authors conclude that this paper demonstrates how the use of an appropriate method of evaluation can itself contribute to the success of the nurse managed clinic. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
547 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Johns, S. |
|
| |
Title |
Being constrained and enabled: A study of pre-registration nursing students ethical practice |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Ethics; Nursing; Students |
|
| |
Abstract |
This study uncovers the experience of being ethical from the perspective of pre-registration nursing students. Using the qualitative methodology of phenomenology, specifically that outlined by van Manen, it seeks to show how students act ethically within everyday practice. Providing nursing care is an ethically charged undertaking and despite ethics taking an increasingly important place in nursing education, the author suggests that few studies show the contextual nature of ethical practice from the perspective of students. This study aims to partly redress this situation. In this study the author has interpreted the experiences of twelve pre-registration students. Using seventeen stories shared by the student participants, the author's personal understandings and literature, the meaning of being ethical has been illuminated. Three themes emerged from the interpretation. These include 'keeping things 'nice'', 'being true to yourself' and 'being present'. This thesis asserts that the overarching theme within these themes is that of 'being constrained and enabled'. Being constrained shows the experiences of students as they live through the tensions of being and doing as they strive to be ethical. Being enabled shows the experience of self-determination. Finally the study maintains that the shaping of ethical practice for undergraduate students may be enhanced when their reality is positioned and valued within educational processes. |
|
| |
Call Number |
NRSNZNO @ research @ 614 |
Serial |
600 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Baur, P. |
|
| |
Title |
Patients who present to the emergency department but do not wait: An exploratory study |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Emergency nursing; Hospitals |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
849 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ritchie, M.S. |
|
| |
Title |
Process evaluation of an emergency department family violence intervention programme |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Emergency nursing; Evaluation |
|
| |
Abstract |
Family violence is common and there are significant long-term negative health effects from victimisation. Health professionals are now recognised as key providers of family violence intervention. The Hawke's Bay District Health Board HBDHB) launched a Family Violence Intervention Programme in the emergency department in 2002, in accordance with national directives. The Family Violence Intervention Programme includes routine questioning for partner abuse within social history assessments for all women 16 years and over who seek healthcare services. Nurses assumed responsibility for implementing this programme into emergency department practice. Establishing partner abuse screening in practice requires an organisational and attitudinal change. Achieving and sustaining this change can be difficult. Evaluation was considered an essential aspect of the systems approach adopted within the HBDHB Family Violence Intervention Programme to support change. The aim of this study was to identify the enablers and barriers to routine questioning in the emergency department one year after the programme was launched and the strategies to address these barriers. The staff who have responsibility for routinely questioning women were considered well placed to provide this information. The methodology selected was evaluation research using semi-structured interviews. The design included member checking and triangulation of the findings. Eleven emergency department staff members participated in five (two group and three single) interviews. The interviews revealed that routine questioning for partner abuse is difficult in the emergency department setting. Barriers to questioning exist and enablers can eliminate or minimise these. Enablers such as policy and training support routine questioning. Barriers identified included the lack of privacy and time. Participants suggested strategies to overcome these. These barriers, enablers and solutions were either personal or organisational in origin and all had a common theme of safety. An outcome of the study was the development of a model of barriers and enablers to ensure safety when routinely questioning women for partner abuse. This evaluation has utility within the HBDHB as it informs programme progression. However, the evaluation has wider implications. The experiences of the emergency department staff led to the emergence of key themes that may inform the development of comparable programmes. Introducing routine questioning requires a practice change; a multifaceted approach focusing on safety can assist staff to achieve that change. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
851 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mortensen, A.; Young, N. |
|
| |
Title |
Caring for refugees in emergency departments in New Zealand |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
2 |
Pages |
24-35 |
|
| |
Keywords |
Emergency nursing; Culture; Mental health; Health status |
|
| |
Abstract |
This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours. |
|
| |
Call Number |
NRSNZNO @ research @ 557 |
Serial |
543 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Schroyen, B.; Finlayson, M. |
|
| |
Title |
Clinical teaching and learning: An action research study |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
2 |
Pages |
36-45 |
|
| |
Keywords |
Education; Nursing; Hospitals |
|
| |
Abstract |
Using an educational action research model, a nursing lecturer based in a polytechnic and ten students formed a research group to address one issue that was important to them. The research group chose to plan, implement and evaluate a practical change strategy aimed at improving the teaching and learning relationship between students and staff nurses in clinical settings. A sample of five staff nurses working closely with five students in the group was invited to join the study in order to gain their perspectives on the issues. The findings were that contract learning provides a strategy which, under certain conditions, offers both students and staff nurses an opportunity to improve the effectiveness of their interactions. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
545 |
|
| Permanent link to this record |
