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Whitehead, N., Parsons, J., & Dixon, R. (2015). Quality and staffing : is there a relationship in residential aged care? Kai Tiaki Nursing Research, 6(1), 28–35.
Abstract: Explores whether there is a relationship between staffing and quality indicators in residential care of older people, in both rest homes and continuing-care hospitals. Conducts a longitudinal survey of 18 residential-care rest homes and 16 continuing-care hospitals in the greater Auckland region to explore the relationship between direct-care staffing levels, skill mix and quality indicators. Collects data over a 6-month period on type of staffing, including registered nurses, enrolled nurses, and support workers; quality indicators, including falls, new fractures, pressure ulcers, weight loss, urinary tract infections (UTI), poly-pharmacy or multiple medications, presence of indwelling catheters and use of daily restraints. Uses logistic analysis to analyse the inverse relationship between staffing levels and adverse events, and whether there is an association between staff type and the incidence of the five quality indicators.
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Skerman, N., Manhire, K., Thompson, S., & Abel, S. (2015). Extended Plunket Service for vulnerable teenage mothers : well-child nurses' perspectives. Kai Tiaki Nursing Research, 6(1), 36–40.
Abstract: Reports nurses' perspectives on their role in the extended Well Child/Tamariki Ora service to teenage mothers which has been delivered by the Royal NZ Plunket Society since 2011 to adolescent mothers in Hawke's Bay. Focuses on what nurses consider necessary for this client population and the challenges nurses face. Evaluates the service at two intervals : first when the babies were six months old, and second when they were three years. Conducts interviews to identify the factors essential to successful service delivery : trusting nurse/client relationships, strong inter-agency relationships, team-work and support.
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Fischer, R., Roy, D. E., & Niven, E. (2014). Different folks, different strokes: becoming and being a sroke family. Kai Tiaki Nursing Research, 5(1), 5–11.
Abstract: Reports a study exploring family experiences of stroke during the first six months following a stroke. Performs a hermeneutic phenomenological study in which four participants from two Auckland families are interviewed in 2011 and 2012, at three time-intervals within the first six months post-stroke. Identifies three themes of the families' experiences: loss of a life once lived; navigation of an unfamiliar path; re-creation of a sense of normality. Stresses the importance of contact with the health-care team in facilitating the transition to post-stroke life.
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Norton, V. (2014). Don't wait until we are struggling: what patients and family caregivers tell us about using a syringe driver. Kai Tiaki Nursing Research, 5(1), 12–16.
Abstract: Undertakes a study to ascertain the experiences, perceptions and assumptions of patients and their family caregiver(s) about the use of a syringe driver in palliative care. Enrols hospice cancer patients who use syringe drivers to provide continuous delivery of drugs. Conducts interviews with 27 individuals: 12 patient/family caregiver pairs, and 3 caregivers. Uses thematic analysis to apply codes to data to reveal shared versus unique experiences.
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Poot, B. (2014). Nurse-led chronic cough clinic: what is the impact on patient waiting times? Kai Tiaki Nursing Research, 5(1), 17–20.
Abstract: Describes the impact on patient waiting times of a nurse-led cough clinic for patients referred to a secondary-care adult respiratory service. Performs an audit of data collected from 75 patients with chronic cough who had been triaged to a nurse-led cough clinic from Aug 2009 to Feb 2011, in which the nurse assessed each patient, undertaking a detailed patient history and clinical examination, and confirming diagnosis/differential diagnoses. Describes patient characteristics, source/reason for referral, and primary diagnosis for cough. Contrasts wait times before and after initiation of the nurse-led clinic.
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Seccombe, J., & Stewart, C. (2014). Motivation or self-directed learning: student perspectives. Kai Tiaki Nursing Research, 5(1), 21–24.
Abstract: Conducts a study of 90 undergraduate Bachelor of Nursing (BN) students in order to identify factors that motivate student nurses to undertake self-directed learning (SDL). Adapts an overseas rating scale questionnaire to survey third-year BN students to identify intrinsic or extrinsic factors that influence students' SDL behaviour. Categorises survey results in relation to content and navigation of the learning package; monitoring and management of personal learning; and relevance to topic and link to paper assessment.
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Niven, E. (2013). Editorial: Even a small study can make a big difference. via NZNO library, 4(1), 3.
Abstract: One of the challenges for research journals is to present material that is directly related to practice and that has the capacity to provoke reflection in practitioners that may in turn lead to change.
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Hendry, C., & East, S. (2013). Impact of the Christchurch earthquakes on clients receiving health care in their homes. Available through NZNO library, 4(1), 4–10.
Abstract: Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.
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Seaton, L., Seaton, P., & Yarwood, J. (2013). Preparedness: Lessons for educators from the Christchurch disaster. Available through NZNO library, 4(1), 11–16.
Abstract: This study describes the impact of a sudden, traumatic natural disaster on a bachelor of nursing programme, and the capacity and processes required to minimise disruption to programme delivery and student learning. This descriptive case study, undertaken across 2011-2012, collected data through interviews, a survey and artefact collection. Six key themes emerged from the inductive and descriptive statistical analyses: context; communication; leadership and followership; decision making; the need to balance shifting priorities around professional responsibilities and personal imperatives; and taking action and action plans. The conclusions reached emphasise safety as the first priority, encourage personal risk mitigation, and emphasise the importance of ongoing support and flexibility for all staff and students as well as the need for clear communication and decision-making. What is perhaps most important to take from this experience is that a plan does not, by itself, equal preparedness; every institution must look to its own context, consider its own priorities, and formulate its own approach to preparedness.
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Salt, L. (2013). Evaluating critical care outreach and the early warning score tool ? The ward nurse?s viewpoint. Available through NZNO library, 4(1), 17–24.
Abstract: The aim of this research was to ascertain the opinions of ward nurses (registered and enrolled nurses) on a critical care outreach (CCO) service and the early warning score (EWS) tool and how CCO helps them care for ward patients whose condition is deteriorating. An 18-item Likert scale questionnaire was adapted to gain opinions on three aspects of the service: The usability of the EWS tool and the escalation protocol; the role and usefulness of the critical care outreach nurse (CCON); and education and sharing of critical care skills. The research was conducted in a 270-bed New Zealand hospital with a nurse-led outreach team. The survey was distributed to adult general wards. It found 45 percent of ward nurses found EWS useful in identifying patients whose condition was deteriorating, 58 percent found EWS easy to use and 82 percent found EWS helped them prioritise workloads. On the role and usefulness of the CCON, 41 percent of surveyed nurses found the post-ICU review helpful, 65 said CCONs were approachable, 71 percent found the CCON shift time of 3pm-11pm was useful, 69 percent said the CCON demonstrated sound clinical knowledge, and 54 percent rated CCONs teaching as sufficient for their needs. When CCO was present, nurses were able to formulate an effective management plan for potentially deteriorating patients and acquired critical care skills needed to manage such patients. The results are comparable with other research which sought nurse opinion of CCO. It indicates nurses believe CCO to be instrumental in increasing critical care skills to prevent deterioration in the clinical area.
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Ha, I., Huggard, P., & Huggard, J. (2013). Staff support and quality of care provided by palliative care nurses: A systematic literature review. Available through NZNO library, 4(1), 25–32.
Abstract: There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
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Gifford, H., Walker, L., Clendon, J., Wilson, D., & Boulton, A. (2013). Maori nurses and smoking; Conflicted identities and motivations for smoking cessation. Available through NZNO library, 4(1), 33–38.
Abstract: This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
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Clendon, J., & Walker, L. (2011). Characteristics and perceptions of younger nurses in New Zealand: Implications for retention. Kai Tiaki Nursing Research, 2(1), 4–11.
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Crawford, R., Hedley, C., & Marshall, B. (2011). Influences on Registered Nurses Having an annual influenza vaccination: Lessons from New Zealand. Kai Tiaki Nursing Research, 2(1), 12–16.
Abstract: The aim of this research was to explore what influences registered nurses (RNs) to have the annual influenza vaccine. In the past, influenza vaccination of health care workers has been identified as the primary method of preventing influenza transmission to at-risk groups that, by virtue of illness, congregate in and around hospitals.
Findings showed that some RNs have confidence in the influenza vaccine being effective in preventing influenza infection; however there remained a high proportion of RNs who thought that the vaccine could or might cause influenza. Participants had incorrect knowledge and beliefs about the influenza vaccine, infection and cross infection.
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Lyneham, J., & Byrne, H. (2011). Nurses' experience of what helped and hindered during the Christchurch Earthquake. Kai Tiaki Nursing Research, 2(1), 17–20.
Abstract: On September 3, 2010, the night nurses at Christchurch Hospital in New Zealand went to work unaware of the personal and professional challenges that were about to unfold in the following hours. This paper, derived from the results of a phenomenological research project, explores the issues that helped and hindered nurses during that night shift and in the three days following the 7.1 earthquake, which struck in the early morning of September 4, around 20km from the hospital. This narrative article allows the world to hear the voices of Christchurch nurses who were providing care in the first 24 hours and during the three days following that major seismic event.
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