| Records |
| Author |
Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J. |
| Title |
Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units |
Type |
Journal Article |
| Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal  |
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| Volume |
17 |
Issue |
8 |
Pages |
1035-1043 |
| Keywords |
Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison |
| Abstract |
The aim of this research is to provide an analysis of the scope of nursing practice and inter-professional role responsibility for ventilatory decision-making in Australian and New Zealand intensive care units (ICU). Self-administered questionnaires were sent to nurse managers of eligible ICUs within Australia and New Zealand. Survey responses were available from 54/180 ICUs. The majority (71%) were located within metropolitan areas and categorised as a tertiary level ICU (50%). The mean number of nurses employed per ICU bed was 4.7 in Australia and 4.2 in New Zealand, with 69% (IQR: 47-80%) of nurses holding a postgraduate specialty qualification. All units reported a 1:1 nurse-to-patient ratio for ventilated patients with 71% reporting a 1:2 nurse-to-patient ratio for non- ventilated patients. Key ventilator decisions, including assessment of weaning and extubation readiness, were reported as predominantly made by nurses and doctors in collaboration. Overall, nurses described high levels of autonomy and influence in ventilator decision-making. Decisions to change ventilator settings, including FiO(2) (91%, 95% CI: 80-97), ventilator rate (65%, 95% CI: 51-77) and pressure support adjustment (57%, 95% CI: 43-71), were made independently by nurses. The authors conclude that the results of the survey suggest that, within the Australian and New Zealand context, nurses participate actively in ventilation and weaning decisions. In addition, they suggest, the results support an association between the education profile and skill-mix of nurses and the level of collaborative practice in ICU. |
| Call Number |
NRSNZNO @ research @ |
Serial |
962 |
| Permanent link to this record |
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| 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 |
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| 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 |
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| Author |
Hales, A.; Dignam, D. |
| Title |
Nurse prescribing lessons from the US |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
10 |
Pages |
12-15 |
| Keywords |
Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education |
| Abstract |
The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1007 |
| Permanent link to this record |
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| Author |
Naidu, A. |
| Title |
Is scholarship an integral component of advanced nursing practice? |
Type |
Journal Article |
| Year |
2007 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
|
Pages |
50-53 |
| Keywords |
Advanced nursing practice; Professional development |
| Abstract |
This article defines scholarship and how it links to nursing. It explores how nurses perceive scholarship and how it can enhance their practice. While agreeing that scholarship plays a vital role in the image of nursing as a professional practice, the article's main focus is on scholarship as an integral component of advanced nursing practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1035 |
| Permanent link to this record |
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| 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 |
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| Author |
Speed, G. |
| Title |
Advanced nurse practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
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| Volume |
10 |
Issue |
|
Pages |
6-12 |
| Keywords |
Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice |
| Abstract |
The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1096 |
| Permanent link to this record |
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| Author |
Litchfield, M.; Laws, M. |
| Title |
Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms |
Type |
Book Chapter |
| Year |
1999 |
Publication |
Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) |
Abbreviated Journal |
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| Volume |
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Issue |
|
Pages |
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| Keywords |
Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms |
| Abstract |
The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1169 |
| Permanent link to this record |
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| Author |
Roberts, Jennifer; Floyd, Sue; Thompson, Shona |
| Title |
The clinical nurse specialist in New Zealand : how is the role defined? |
Type |
Journal Article |
| Year |
2011 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
27 |
Issue |
2 |
Pages |
24-35 |
| Keywords |
Clinical nurse specialist; Advanced nursing practice; Clinical expert |
| Abstract |
Reports the findings from research designed to investigate the role of the clinical nurse specialist (CNS) and how it is defined by New Zealand District Health Boards (DHBs). Identifies the current requirements and expectations of the CNS role and how it is defined in practice. Collects 15 CNS job descriptions from 8 DHBs, subjecting them to thematic analysis yielding 4 key areas of the CNS role. |
| Call Number |
NZNO @ research @ |
Serial |
1465 |
| Permanent link to this record |
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| Author |
Wright, Jane; Honey, Michelle |
| Title |
New Zealand nurses' experience of tele-consultation within secondary and tertiary services to provide care at a distance |
Type |
Journal Article |
| Year |
2016 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
32 |
Issue |
2 |
Pages |
30-38 |
| Keywords |
Telemedicine; Advanced nursing practice; Remote consultation; Telenursing; Telehealth |
| Abstract |
Aims to explore NZ registered nurses' experience of using tele-consultation to provide care at a distance. Using a general inductive approach, single semi-structured interviews were undertaken with nine experienced nurses who provide secondary and tertiary services to patients and healthcare teams. Identifies five themes relating to nurses' role in tele-consultation. |
| Call Number |
NZNO @ research @ |
Serial |
1518 |
| Permanent link to this record |
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| Author |
Crick, Michelle; MacDonald, Danielle; Perry, Jane; Poole, Nicky |
| Title |
Reflections on the influence of grandmothers on the careers of four nurses |
Type |
Journal Article |
| Year |
2017 |
Publication |
Whitireia Nursing and Health Journal |
Abbreviated Journal |
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| Volume |
|
Issue |
24 |
Pages |
21-27 |
| Keywords |
Reflection; Grandmothers; Advanced nursing practice |
| Abstract |
Presents the personal reflections of four nurses who have lived and worked in different parts of the world, revealing the influence of their grandmothers in their career choice. Identifies common values of respect, courage and the importance of listening to others, imparted to the nurses by their grandmothers. Relates these attributes to fundamental elements of the International Council of Nurses (ICN) code of ethics. |
| Call Number |
NZNO @ research @ |
Serial |
1547 |
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| Author |
Water, Tineke; McCall, Elaine; Britnell, Sally; Rea, Miriam; Thompson, Sarah; Mearns, Gael |
| Title |
Paediatric nurses' understanding and utilisation |
Type |
Journal Article |
| Year |
2018 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
34 |
Issue |
1 |
Pages |
32-45 |
| Keywords |
Evidence-based practice; Paediatric nursing; Nursing practice; Surveys |
| Abstract |
Explores how nurses working in a tertiary-level paediatric health-care facility understand research and evidence-based practice. Offers a descriptive, self-reporting, anonymous questionnaire to 600 paediatric nurses, asking both quantitative and qualitative questions on attitudes, knowledge and barriers relating to research and evidence-based practice utilisation. Identifies the barriers to undertaking research/evidence-based practice in paediatric nursing practice. |
| Call Number |
NZNO @ research @ |
Serial |
1592 |
| Permanent link to this record |
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| Author |
Taikato, Veronica |
| Title |
The place of Rangahau Maori in nursing practice |
Type |
Journal Article |
| Year |
2018 |
Publication |
Whitireia Nursing and Health Journal |
Abbreviated Journal |
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| Volume |
|
Issue |
25 |
Pages |
31-36 |
| Keywords |
Rangahau Maori; Maori nursing research; Nursing practice; Kaupapa Maori; Research methodologies |
| Abstract |
Compares two different articles, one using a Kaupapa Maori framework, and the other a tauiwi framework. Emphasises the importance of Kaupapa Maori research and the contributions it makes to nursing practice and to health research outcomes for Maori. |
| Call Number |
NZNO @ research @ |
Serial |
1611 |
| Permanent link to this record |
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| Author |
Wilkinson, Jillian Ann |
| Title |
The New Zealand nurse practitioner polemic : a discourse analysis : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Wellington, New Zealand |
Type |
Book Whole |
| Year |
2007 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
308 pp. |
| Keywords |
Nurse practitioners; Nursing history; Advanced nursing practice; Nursing identity; Discourse analysis; Nursing regulation; Surveys |
| Abstract |
Traces the development of the nurse practitioner role in NZ since its establishment in 2001, using a discourse analytical approach to examine those discourses that have defined the role. Employs both textual and discursive analysis of texts from published literature and from nine interviews with individuals influential in the evolution of the role. Examines political perspectives and disciplinary practices dating back to the Nurses Registration Act of 1901. Considers the implications of an autonomous nursing profession in both practice and regulation. |
| Call Number |
NZNO @ research @ |
Serial |
1614 |
| Permanent link to this record |
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| Author |
Rook, Helen; Hales, Caz; Milligan, Kaye; Jones, Mark |
| Title |
Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing |
Type |
Journal Article |
| Year |
2021 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
37 |
Issue |
1 |
Pages |
37-41 |
| Keywords |
Advanced nursing practice; Nurse practitioners |
| Abstract |
Highlights two articles written by Jill Wilkinson in 2008 pertaining to the Ministerial Taskforce on Nursing in 1998, in which she discusses the conflict between autonomy and unionism in nursing and the development of the nurse practitioner (NP) role. Considers the ongoing challenges to establish NP toles in mainstream health services. |
| Call Number |
NZNO @ research @ |
Serial |
1689 |
| Permanent link to this record |
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| Author |
Officer, Tara N. |
| Title |
Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience |
Type |
Book Whole |
| Year |
2018 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
301 p. |
| Keywords |
Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers |
| Abstract |
Investigates how nurse practitioner and pharmacist prescriber roles are developing in NZ primary health care, and what is needed to better support the future development of these roles. Employs a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health-care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services. |
| Call Number |
NZNO @ research @ |
Serial |
1693 |
| Permanent link to this record |
