| |
Records |
Links |
|
Author  |
Marcinkowski, K.; McDonald, B. |
|
| |
Title |
Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
22 |
Issue |
3 |
Pages |
15-21 |
|
| |
Keywords |
Surgery; Hospitals; Economics |
|
| |
Abstract |
This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty. |
|
| |
Call Number |
NRSNZNO @ research @ 533 |
Serial |
519 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Martin, H.E. |
|
| |
Title |
Marking space: A literary psychogeography of the practice of a nurse artist |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
|
| |
Abstract |
The author suggests that the thesis as a production of disciplined work presented in a creative style is congruent with performance and presentation best practice in community arts. As a practising nurse artist the author describes creating spaces of alternate ordering within the mental health field environment. “I also inhabit the marginal space of the artist working in hospital environments. This Other Place neither condones nor denies the existence of the mental health field environment as it is revealed. Yet, it seeks to find an alternative to the power and subjectivity of the [social] control of people with an experience of mental illness that inhabit this place both voluntarily and involuntarily. I have used a variety of texts to explore the experience and concept of Otherness. The poems are intended to take you, as a reader where you could not perhaps emotionally and physically go, or might have never envisaged going. They also allow me as the author to more fully describe the Otherness of place that is neither the consumer story nor the nurse's notation, but somewhere alternately ordered to these two spaces. Drawing on the heuristic research approaches of Moustakas and literary psychogeography , particularly the work of Guy Debord, this thesis creates the space to explore the possibilities of resistance and change and the emergence of the identity of the nurse artist within the mental health field environment”. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
685 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McBride-Henry, K.; Foureur, M. |
|
| |
Title |
Medication administration errors: Understanding the issues |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
23 |
Issue |
3 |
Pages |
33-41 |
|
| |
Keywords |
Nursing; Patient safety; Medical errors; Drug administration; Quality assurance |
|
| |
Abstract |
This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
715 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McBride-Henry, K.; Foureur, M. |
|
| |
Title |
Organisational culture, medication administration and the role of nurses |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
|
|
| |
Volume |
5 |
Issue |
2 |
Pages |
208-222 |
|
| |
Keywords |
Patient safety; Medical errors; Organisational culture; Nursing; Drug administration |
|
| |
Abstract |
This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
784 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McEldowney, R.A.; Richardson, F.; Turia, D.; Laracy, K.; Scott, W.; MacDonald, S. |
|
| |
Title |
Opening our eyes, shifting our thinking: The process of teaching and learning about reflection in cultural safety education and practice: An evaluation study |
Type |
Report |
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Cultural safety; Nursing; Culture |
|
| |
Abstract |
The purpose of the research was an evaluation of practice exemplars as a reflective process in teaching and learning about cultural safety. Six Maori, two Pacific and five Pakeha students, ranging in age from 30 to 40, took part in the research. The research findings revealed five sub themes: personal safety, power/ powerlessness, reflection, teaching and learning and cultural safety. The presentation, while acknowledging that cultural safety shared some commonalities with culture care theory, highlighted differences between the two. These included that cultural safety was explicit in identifying the inherent power of the nurse in health care relationships; related to the experience of the recipient of nursing care, and extended beyond cultural awareness and sensitivity; provided consumers of nursing services with the power to comment on practices; and contributed to the achievement of positive outcomes and experiences for them. It outlined the characteristics of a culturally safe nurse as a nurse who had undertaken a process of reflection on her/his own cultural identity and who recognised the impact their personal culture had on client care. |
|
| |
Call Number |
NRSNZNO @ research @ 693 |
Serial |
679 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. |
|
| |
Title |
Responsible clinician role offers opportunities for nurses |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
11 |
Pages |
12-14 |
|
| |
Keywords |
Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health |
|
| |
Abstract |
The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
992 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K. |
|
| |
Title |
Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
2 |
Pages |
128-134 |
|
| |
Keywords |
Advanced nursing practice; Psychiatric Nursing; Law and legislation |
|
| |
Abstract |
The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1044 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKenna, B.; Simpson, A.I.F.; Coverdale, J. |
|
| |
Title |
Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
21 |
Issue |
1 |
Pages |
62-70 |
|
| |
Keywords |
Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction |
|
| |
Abstract |
The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1051 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKinlay, E.M. |
|
| |
Title |
New Zealand practice nursing in the third millennium: Key issues in 2006 |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
33 |
Issue |
3 |
Pages |
162-168 |
|
| |
Keywords |
Primary health care; Practice nurses; Careers in nursing |
|
| |
Abstract |
The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team. |
|
| |
Call Number |
NRSNZNO @ research @ 541 |
Serial |
527 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McLauchlan, M.F. |
|
| |
Title |
Mobile computing in a New Zealand Bachelor of nursing programme |
Type |
Book Chapter |
| |
Year |
2006 |
Publication |
Consumer-Centered Computer-Supported Care for Healthy People. Studies in health technology and informatics, 122 (pp. 605-608) |
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Technology; Curriculum; Nursing; Education; Professional competence |
|
| |
Abstract |
Mobile computing is rapidly becoming a reality in New Zealand health care settings. Personal Digital Assistants (PDAs) are the most frequently used of these mobile technologies, giving nurses access to clinical learning resources, including drug references, medical encyclopaedias and diagnostic information. The implementation of mobile computing at Waikato Institute of Technology (Wintec) will ensure graduates of our Bachelor of Nursing Programme are able to meet health care service demands for knowledge in contemporary information technologies as well as the information technology requirements defined by the Nursing Council of New Zealand and the Health Practitioners Competency Assurance Act 2003 for registration as a nurse in New Zealand. This paper presents strategies for the implementation of mobile computing as a core element of the curriculum for the Bachelor of Nursing Programme at Wintec in Hamilton. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1192 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Medlin, E. |
|
| |
Title |
Practice nursing: An autoethnography: Changes, developments and influences |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Practice nurses; Community health nursing |
|
| |
Abstract |
Practice nurses work in general practice providing an increasingly autonomous service to consumers of primary health care. Autoethnography is a biographical method of research that describes personal experience in terms of society and culture and is the theoretical foundation of personal narratives and storytelling. Throughout history, stories have been used as a means of communicating and learning which with reflection, allows new meanings to develop for all participants. This autoethnography is the author's story of practice nursing and it discusses her experience of being a practice nurse over the past 12 years. It is autobiographical and reflexive and charts the changes that she has found in her practice during this time. Some of these changes have arisen from influences personal to her practice, others because of influences on practice nursing in general, but all are intertwined. Education and professional development, leadership and government policies are identified as the major influences on her practice. A discussion of these influences enables recognition of the changes, advancement and expansion of services thereby allowing others to share the experience and find meaning within it. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
745 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Meldrum, L.B.B. |
|
| |
Title |
Navigating the final journey: Dying in residential aged care in Aotearoa New Zealand |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Palliative care; Older people; Rest homes |
|
| |
Abstract |
New Zealand statistics project that the aging population of people aged 65 years and over will more than double in the next decade. This has implications for palliative care providers including hospices and hospitals because long-term inpatient care is not generally provided by hospitals and hospices. When dying patients need long-term care, residential settings become an option. The level of palliative care in these facilities is dependent on staff training and numbers. In general, staff are not trained in palliative care, neither do they provide the multidisciplinary facets that define palliative care as undertaken by hospices. This paper describes a practice development initiative using storytelling as the vehicle for introducing the concept of the Liverpool Care Pathway (LCP) for the dying patient into residential aged care settings. With the emergence of a reflective paradigm in nursing the concept of storytelling as a teaching/learning tool has grown. Many staff in residential care settings come from diverse ethnic backgrounds where for some, English is their second language. Storytelling therefore can be a useful approach for learning because it can increase their communication skills. The author suggests that the Liverpool Care Pathway for the dying patient is a model that can be translated across care settings, hospice, hospital, and community. It can demonstrate a framework that facilitates multiprofessional communication and documentation and embraces local needs, culture and language to empower health care workers to deliver high quality care to dying patients and their family/whanau and carers. This paper also explores the role of a facilitator as an agent of change and discusses how the interplay of evidence, context and facilitation can result in the successful implementation of the LCP into residential aged care settings. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
683 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Minto, R. |
|
| |
Title |
The future of practice nursing |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
33 |
Issue |
3 |
Pages |
169-172 |
|
| |
Keywords |
Primary health care; Interprofessional relations; Professional development; Physicians; Practice nurses |
|
| |
Abstract |
The author describes and discusses the main barriers to practice nurses achieving their potential as a profession. She identifies key obstacles as the funding model, GP attitudes and the current employment model. Shared governance, the development of a patient-centred services, and new employment models are proposed as the basis of a new model of primary care delivery. |
|
| |
Call Number |
NRSNZNO @ research @ 537 |
Serial |
523 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mockett, L.; Horsfall, J.; O'Callaghan, W. |
|
| |
Title |
Education leadership in the clinical health care setting: A framework for nursing education development |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Nurse Education in Practice |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
6 |
Pages |
404-410 |
|
| |
Keywords |
Organisational change; Law and legislation; Nursing; Education; Leadership |
|
| |
Abstract |
This paper describes how a new framework for clinical nursing education was introduced at Counties Manukau District Health Board. The project was initiated in response to the significant legislative and post registration nursing education changes within New Zealand. The journey of change has been a significant undertaking, and has required clear management, strong leadership, perseverance and understanding of the organisation's culture. The approach taken to managing the change had four stages, and reflects various change management models. The first stage, the identification process, identified the impetus for change. Creating the vision is the second stage and identified what the change would look like within the organisation. To ensure success and to guide the process of change a realistic and sustainable vision was developed. Implementing the vision was the third stage, and discusses the communication and pilot phase of implementing the nursing education framework. Stage four, embedding the vision, explores the process and experiences of changing an education culture and embedding the vision into an organisation. The paper concludes by discussing the importance of implementing robust, consistent, strategic and collaborative processes that reflect and evaluate best educational nursing practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1036 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Morgan, F.A. |
|
| |
Title |
Primary health care nurses supporting families parenting pre-term infants |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
NZNO Library, University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Primary health care; Community health nursing; Paediatric nursing; Premature infants |
|
| |
Abstract |
This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1132 |
|
| Permanent link to this record |
