Tuesday, March 19, 2019

‘Appeared to sleep well’: How much sleep has your patient had and why does...

Good-quality sleep aids healing and recuperation; however, it is well known that institutional environments often do not support adequate sleep and as a result patients experience poorer health outcomes. Nurses are in a unique position to promote multi-pronged approaches, based on research, to enhance the environment so that patients can gain the most benefit from sleep.

Skin tear rates: a quality of care indicator

Reading this article and completing this Nursing portfolios: a simple guide to competency self-assessment learning activity is equivalent to 60 minutes of professional development. This learning activity is relevant to the Nursing Council registered nurse...

Nursing portfolios: a simple guide to competency self-assessment

Developing a portfolio and interpreting the Nursing Council of New Zealand competencies remains a confusing landscape for many nurses. This article provides supportive advice and examples of how to effectively self-assess nursing practice against the competencies, especially for nurses randomly selected for a recertification audit. By Liz Manning

Peripheral IV cannulae (PIVC): Saving a line might just save a life.

It is estimated that over half of all hospital patients have an intravenous catheter inserted. Inserting peripheral intravenous cannulae (PIVC) is now a commonplace procedure; however, more can be done to reduce the risk of complications from these invasive devices. This article highlights the importance of meticulous care, maintenance and documentation of PIVC by nurses. By Beverley Hopper

Prevention of catheter-associated urinary tract infections

Eight out of 10 healthcare-associated urinary tract infections are attributed to poorly managed indwelling urinary catheters. The longer the catheter remains in situ, the higher the risk for catheter-associated urinary tract infection (CAUTI). This article by Monina Gesmundo, Anna King and Lisa Stewart presents strategies that nurses can use to prevent CAUTI and promote patient safety. By Monina Gesmundo, Anna King and Lisa Stewart

‘Legal highs’ and mental health: raising nurse awareness

The use of novel psychoactive substances (NPS) or ‘legal highs’ is an emerging issue worldwide. There is rising concern around the risks of NPS and the detrimental effects on individuals’ mental health. How can you as a nurse identify and manage risks around NPS in your everyday nursing practice? By David & Bernadette Solomon

When we are all lost for words: nursing individuals with aphasia

The barriers to expressing and understanding language created by aphasia can be devastating for affected individuals and their family or whānau, and may result in a sense of helplessness for everyone concerned, including nurses. This article describes the nature of aphasia and its impact on communication and outlines strategies available to nurses to help individuals with aphasia to communicate. By Marian Bland and Lesley Batten

Lethal SCARs: Serious drug allergies and nursing

Drug allergies can range in severity from mild to life-ending. While we may be familiar with some severe allergic reactions, such as anaphylaxis, other reactions that are unpredictable and independent of the drug dose receive less attention, even though they may also be potentially fatal. This article briefly revisits types of serious drug allergies and presents a range of preventative nursing strategies. By Marian Bland and Lesley Batten

Think coronary artery disease and secondary prevention: The role of the nurse

Hardening of the arteries affects many New Zealanders and contributes to coronary heart disease being one of New Zealand’s leading causes of death. This article looks at the role nursing plays in supporting people with coronary artery disease to reduce their risk of a further cardiac event.

Hard-to-heal-wounds: could we do better?

Nurses encounter hard-to-heal wounds in all but a few areas across the nursing spectrum. This article discusses how these challenging wounds occur and looks at new ways to manage and heal them in the wake of fresh knowledge about their behaviour at a cellular level.

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Sponsored: Hydration – Why is it so important for older people?

A closer look at the risks of dehydration – particularly for older people – and what can be done to reduce these risks.