Nursing praxis in New Zealand inc最新文献

{"title":"Inpatient hypoglycaemia: a study of nursing management.","authors":"Adrienne Coats,&nbsp;Dianne Marshall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Optimised glycaemic management during hospital admission is critical to good patient outcomes. Inpatient hypoglycaemia is associated with increased morbidity and mortality during the hospital stay and post-discharge. To mitigate the deleterious effects of hypoglycaemia, many hospitals have an inpatient protocol to guide clinicians. Earlier research has shown that nurses fail to follow such protocols. This descriptive study used a retrospective audit of inpatients' treatment and progress notes to examine nursing adherence to a hypoglycaemia protocol. Adult medical and surgical inpatients with Type 1 or Type 2 diabetes mellitus and who had experienced hypoglycaemia during a three month period were included. One hundred and seventeen episodes of hypoglycaemia were identified in 32 patients who met the inclusion criteria. A predominance of these, 29 patients (90.6%), had Type 2 diabetes with 20 (62.5%) of the sample being medical patients. Diabetes medications included the use of insulin only (n = 18, 56.2%), oral hypoglycaemic agents only (n = 9, 28.1%) and five patients (15.7%) received a combination of these therapies. Three of the 117 episodes were treated with administration of intravenous glucose whilst the remaining 114 episodes were able to be treated with oral therapy. The recommended oral treatment to correct hypoglycaemia is 9-15 grams of glucose only. Adherence to most steps of the hypoglycaemia protocol was low. Initial treatment with glucose was administered in 46 (40.4%) cases. The required repeat capillary blood glucose test in 10-15 minutes was obtained in 35 (30.7%) cases. Within thirty minutes of detection, only 36.7% of episodes were corrected. A high degree of prolonged and recurrent hypoglycaemia was identified, with 40% of the episodes lasting more than one hour, and 72% of patients having more than one hypoglycaemic episode during their admission. Recommendations from the study include review of the hypoglycaemia protocol, development of strategies to help nurses prioritise the management of hypoglycaemic episodes, ongoing education for nurses, and regular re-audit.</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"29 2","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31831518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing praxis in New Zealand.","authors":"S. Neville","doi":"10.36951/ngpxnz","DOIUrl":"https://doi.org/10.36951/ngpxnz","url":null,"abstract":"The global burden of stroke is increasing. Many stroke survivors live with significant impairment; the care and support they and their families require is complex. Literature indicates some evidence to support the routine provision of information to stroke survivors and their families, but the best way to provide information is unclear. We undertook a mixed methods descriptive survey to ascertain information needs of stroke families through identifying current practice and resources, the appropriateness, accessibility, timeliness and information gaps. The survey, which is embedded in a longitudinal research programme titled ‘Stroke Families Whānau Programme’, was used to gain an understanding of family members’ (n=19) and practitioners’ (n=23) opinions on information provision post-stroke. Qualitative and quantitative data were collected via face-to-face interviews. Descriptive statistics were used to analyse quantitative data; content analysis was used for qualitative data. We found that for families, access to information was variable, both in quality and timeliness. Most described being overwhelmed initially with information they could not absorb; then later floundering as they had to find their own way through the maze. Few could recall information that focused specifically on them as family members. Health professionals described a range of resources and practices used to provide information. They identified barriers to effective provision of information, including language and other communication barriers, time constraints and workload issues. Most did not assess health literacy levels or consider family needs to be separate to or different from the stroke survivor’s. We concluded that access to appropriate information post-stroke was problematic for most families and was compounded by the nature of the experience; shock following the sudden onset and adjusting to changed family dynamics. Health professionals recognised the limitations of resources, time, and funding alongside the need for timely, quality education for families post-stroke, however, a gap was identified between health professionals’ theoretical understanding of best practice in information provision and their actual practice.","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"28 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73927685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cigarette smoking and the frequency of colposcopy visits, treatments and re-referral.","authors":"J Lamb, S I Dawson, M J Gagan, D Peddie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Current research has confirmed that cigarette smoking is a risk factor for cervical cancer. Although more recently, there has been a slight decline in smoking rates, the relationship between tobacco use and cervical cancer remains clear. The development of research-based knowledge with which to inform the profession will assist practitioners to promote smoke-free practices for women and their families. The aim of this study was to identify whether female smokers referred to the colposcopy department at a city hospital required more follow-up visits, treatments and re-referrals than did nonsmokers. This retrospective descriptive study observed new patients (n= 494) who attended a city hospital colposcopy department in 2001 over the following six years. When compared to non-smokers women who smoked were found to be three times more likely to need a third follow-up visit, and twice more likely to need further treatments to remove abnormalities. This study also identified that 71% of Miori women attending the clinic were smokers compared to 44% of non-Maori women. It was also found that MSori women were less likely to attend the colposcopy clinic than were non-Maori. This study highlights to health professionals and to the women who undergo colposcopy, that treatment is more likely to be successful for patients who cease smoking. The results have also supported the importance and relevance of smoke-free education to women. This allows the link to cervical abnormalities and smoking to be explained and smoking cessation assistance offered. This information also highlights the need for Maori women, who are more likely to smoke and have higher rates of non-attendance for appointments, to have services provided that will encourage attendance and smoke-free behaviour.</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"29 1","pages":"24-33"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31539081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing praxis in New Zealand.","authors":"Stephen Neville","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"29 1","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31539073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural safety: a vital element for nursing ethics.","authors":"Thomas Harding","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper argues that the globalisation of nursing and the internationalisation of nursing education have lead to Western values being embedded into nursing curricula in nations where the cultural values and beliefs may be based in quite different philosophies. It argues for critical examination of assumptions underpinning ethics education in nursing and proposes that the principles of cultural safety need to be incorporated into ethics education to create a culturally safe ethic for both nurses and patients in a multicultural healthcare environment.</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"29 1","pages":"4-11"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31539076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The journal Kai Tiaki's role in developing research capability in New Zealand nursing, 1908-1959.","authors":"Pamela J Wood,&nbsp;Katherine Nelson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The development of research capability in New Zealand nursing can be seen particularly from the 1970s onwards. However, by analysing past issues of Kai Tiaki - the country's longstanding nursing journal - over the five decades following its establishment in 1908, the present authors identified two precursors to this later stage. The journal fostered nurses' awareness of research and consistently promoted nursing scholarship. Successive editors developed nurses' capability in writing about their practice by publishing case studies, the winning essays in competitions run jointly with the professional association and nursing schools, and nurses' articles on practice or professional issues. Although promotion of research awareness and nursing scholarship were not deliberate strategies to develop nursing research capability, they were necessary forerunners to it.</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"29 1","pages":"12-22"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31539078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The B4 school check behaviour measures: findings from the Hawke's Bay evaluation.","authors":"Cath Hedley, Shona Thompson, Kay Morris Matthews, Mandy Pentecost, Judy Wivell, Ariana Stockdale Frost, Helen Morris","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Before (B4) School Check is a free health and development check delivered by specifically trained nurses to four year old children throughout New Zealand, aimed to identify and address any health, behavioural, social or developmental concerns that could affect a child's ability to get the most benefit from school. Reported here are the results of an evaluation of the B4 School Checks in Hawke's Bay, focusing specifically on children assessed at the 84 School Check with behaviour issues as determined by the Strengths and Difficulties Questionnaire (SDQ). Health Hawke's Bay (HHB) records were reviewed to understand the number and demographics of the children assessed with behaviour issues at the B4 School Checks up to 31 August 2011, and the interventions to which they were referred. Telephone Interviews were conducted with 36 parents/caregivers of these children to address the questions, what difference did the B4 School Check make to children assessed with behaviour issues and what aspects of the B4 School Check delivery contributed to successful outcomes for these children? Results showed that child behaviour issues in Hawke's Bay were identified in more boys than girls and concentrated in more deprived families. Māori children were represented in numbers disproportional to the regional population. The majority of referrals for child behaviour directed parents/caregivers to non-governmental organisations for family support and parenting programmes. Thematic analysis was applied to the qualitative data derived from the interviews with parents/caregivers and results indicated high levels of satisfaction with the B4 School Check for behaviour and the referred outcomes. Implications for nursing practice arise from these findings in that they identify factors which contribute to what does and does not work well for achieving successful outcomes from the B4 School Check for behaviour.</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"28 3","pages":"13-23"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31248027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Zealand's internationally qualified nursing workforce.","authors":"Jill Clendon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"28 3","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31248022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of clinical tutors with English as an additional language (EAL) students.","authors":"Hongyan Lu,&nbsp;Caroline Maithus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical tutors, referred to in the international literature as clinical supervisors, facilitators, mentors or instructors, are responsible for providing and supervising workplace learning opportunities for groups of Bachelor of Nursing (BN) students. They also play a key role in assessing students. The role modeling and support provided by both clinical tutors and registered nurses (RN) or nurse preceptors helps students become familiar with the language in which nursing work is realised. As BN student cohorts in New Zealand have become more diverse in terms of cultures, ethnicities and language backgrounds, clinical tutors have to directly facilitate the development of context-specific and client-focused communication skills for students who speak English as an additional language. We undertook a study which looked at the perceptions of new nursing graduates with English as an additional language (EAL) on the development of spoken language skills for the clinical workplace. As well as interviewing graduates, we spoke to four clinical tutors in order to elicit their views on the language development of EAL students in previous cohorts. This article reports on the themes which emerged from the interviews with the tutors. These include goal setting for communication, integrating students into nursing work, making assessment less stressful, and endorsing independent learning strategies. Based on their observations and on other published research we make some suggestions about ways both clinical tutors and EAL students within their teaching groups could be supported in the development of communication skills for clinical practice.</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"28 3","pages":"4-12"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31248025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer connect New Zealand: description and retrospective audit.","authors":"Rae Noble-Adams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Cancer Connect New Zealand (CCNZ) service is a free confidential telephone peer support programme, run by the Canterbury/West Coast Division of the Cancer Society of New Zealand (CSNZ). The programme links people affected by cancer to specially trained peer support volunteers (TPSV) who have been through similar cancer experiences. This service was started in 2005, and now more than 950 New Zealand non-metastatic cancer clients or their care-givers have been matched by qualified CCNZ coordinators. Clients accessed the service for various reasons, including support and advice on the practical, social, family or psychological impacts of their cancer diagnosis and treatment. This paper reports a retrospective audit of the CCNZ service in which paper records of CCNZ matches were reviewed, assessed and described. The audit describes the number (n=156) and type of Cancer Connect matches made during the year July 2008-July 2009. During this period there was a 95% 'on paper' success in matching clients with TPSV. Information included covers: the client's gender; age; cancer type; time from diagnosis; treatment; marital status; geographical region; and most importantly, their reason for referral. This audit was performed to record baseline demographic data of those using and providing the CCNZ service. This information not only offers insight into how the process of matching and usage is applied, it also adds to the literature on peer review support, and informs nurses working with non-metastatic cancer clients and their families where telephone peer support can be found. These results will also inform part 2--a prospective audit/research project to discover any gaps in the CCNZ service and to identify satisfaction, effectiveness and safety of the CCNZ service from the clients, TPSV and referrers perspectives (currently being completed).</p>","PeriodicalId":77298,"journal":{"name":"Nursing praxis in New Zealand inc","volume":"28 3","pages":"24-34"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31248029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}