Publications by authors named "Dianne Marshall"

Introduction Antimicrobial resistance is an infectious disease threat to public health globally, and antimicrobial stewardship among healthcare professionals is one key way to address this potential problem. Registered nurse designated prescribers are the newest group of health professionals to gain prescribing authority in Aotearoa New Zealand, yet little is known about their understanding of their antimicrobial stewardship role. Aim The aim of this study was to explore registered nurse designated prescribers' understanding of their antimicrobial stewardship role through their prescribing practices and approaches to clinical reasoning.

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Background: Prescribing antibiotics is a demanding and complex task where decision-making skills are of critical importance to minimize the risk of antimicrobial resistance. Despite its importance, little is known about the decision-making skills and cognitive strategies new Nurse Practitioners (NPs) use when prescribing antibiotics.

Objective: To identify the cognitive demands of antibiotic prescribing complexity and to explore the cognitive strategies that new NPs in New Zealand use when prescribing antibiotics.

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Developing professional identity is a vital part of health professionals' education. In Auckland four tertiary institutions have partnered to run an interprofessional simulation training course called Urgent and Immediate Patient Care Week (UIPCW) which is compulsory for Year Five medical, Year Four pharmacy, Year Three paramedicine and Year Three nursing students. We sought to understand student experiences of UIPCW and how those experiences informed student ideas about professional identity and their emergent practice as health professionals within multidisciplinary teams.

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Aims And Objectives: To identify the nontechnical skills (NTS) required of nurses in general surgical wards for safe and effective care.

Background: As the largest occupational group, nurses are in an ideal position to block the vulnerabilities of patient adverse events in a surgical ward. Previous studies in the surgical environment have identified the NTS required of nurses for safe care in operating rooms; however, these skills have not been identified for nurses in general surgical wards.

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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.

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Background: Genetics is an important component of the clinical work of haemophilia nurses, but little was known about the genetic education needs of haemophilia nurses.

Aim: To develop, deliver and evaluate genetic education for haemophilia nurses, based on clinical roles.

Methods: Perceived relevance of genetics to haemophilia nursing practice was explored using electronic voting (response rate 75%, 58/77).

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In response to major research initiatives in genetics, the government has invested significantly in new programmes of research and development for NHS staff (Department of Health (DH) 2003. Nurses may feel that these programmes have not yet impacted on their area of practice and are unlikely to for some time. Other priorities may be felt to be more important.

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Objectives: The aim of this study was to determine the effect of the timing of food intake on the pharmacokinetics and pharmacodynamics of oral nateglinide 60 mg and the effect of nateglinide on the rate of gastric emptying.

Methods: A randomized, double-blind, placebo-controlled, single-dose, 6-period, crossover study conducted in healthy male volunteers aged 18 to 50 years. On 5 occasions, subjects received a single 60-mg tablet of nateglinide at -30, -10, -5, -1, or 40 minutes from the start of a standard metal.

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