| |
Records |
Links |
|
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 |
|
|
| |
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 |
| |
|
| |
|
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 |
|
|
| |
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 |
| |
|
| |
|
Author |
Clendon, J.; White, G.E. |
|
| |
Title |
The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
34 |
Issue |
2 |
Pages |
171-178 |
|
| |
Keywords |
Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing |
|
| |
Abstract |
The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
952 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Connor, M. |
|
| |
Title |
Advancing nursing practice in New Zealand: A place for caring as a moral imperative |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
19 |
Issue |
3 |
Pages |
13-21 |
|
| |
Keywords |
Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations |
|
| |
Abstract |
The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
553 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Christensen, D.J.C. |
|
| |
Title |
Integrating the terminology and titles of nursing practice roles: Quality, particularity and levelling |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
1 |
Pages |
4-11 |
|
| |
Keywords |
Advanced nursing practice; Nursing specialties; Nursing models |
|
| |
Abstract |
The author reconsiders the meaning of expert, specialist and advanced practice. She proposes that they are distinctive and complementary aspects of every nursing role and suggests a set of attributes for each. Expertise is discussed in terms of the quality of performance, speciality in relation to particularity of performance, and advanced practice with regard to the level of performance. |
|
| |
Call Number |
NRSNZNO @ research @ 658 |
Serial |
644 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ross, J. |
|
| |
Title |
Perspectives on developing the advanced role of rural nursing in New Zealand |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Health Manager |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
1 |
Pages |
19-21 |
|
| |
Keywords |
Rural nursing; Advanced nursing practice; School nursing; Professional competence |
|
| |
Abstract |
The author traces the development of rural nursing, which began as an assistant role for general practitioners, to the present role which incorporates advanced nursing practice. She reports the results of two surveys of nurses' roles and skills, from 1996 and 1999-2000. Specific rural competencies are identified, in managing isolation, professionalism in a small community, nurse/patient relationships in a small community, and independence. |
|
| |
Call Number |
NRSNZNO @ research @ 1313 |
Serial |
1297 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
|
| |
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 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
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 |
| |
|
| |
|
Author |
Speed, G. |
|
| |
Title |
Advanced nurse practice |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
|
|
| |
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 |
| |
|
| |
|
Author |
Bleach, A. |
|
| |
Title |
Nurses talk the walk: An exploration of nurses' perception of advanced nursing practice on acute mental health inpatient units in New Zealand |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Nursing; Policy; Registered nurses; Advanced nursing practice; Psychiatric Nursing |
|
| |
Abstract |
The last twenty years, particularly the early 1990s, ushered in major mental health sector reforms inclusive of deinstitutionalisation policies and subsequent development of community services. Concurrent changes to student nurses' education left registered nurses as the workforce mainstay on inpatient units. However, the author suggests, an emerging global shortage of nurses and implementation of the Employment Contracts Act (1991) negatively impacted on recruitment and retention of registered nurses. Inpatient nurses either left nursing or moved to community positions for better money and increased job status. The author suggests that, as a consequence, the 'critical mass' of experienced and skilled nurses who traditionally provided nursing leadership disappeared resulting in compromised standards of care for patients. As the manager of an inpatient unit, the author proposed the establishment of advanced nursing practice roles as one initiative to provide nursing leadership in order to attract and retain nurses. This study explored five inpatient nurses' perceptions of advanced practice and whether these roles could assist to provide leadership and improve standards of care. The research was a qualitative exploratory descriptive study using a focus group interview as the data collection method. A thematic analysis of the group discussion transcription revealed three key themes: 1) the 'makeup' of advanced nursing practice, 2) moving forwards: establishing roles, 3) moving sideways: barriers to role development. The themes are critically discussed in relation to selected literature. The thesis includes recommendations that could be used by nurses responsible for planning and implementing advanced practice roles on inpatient units. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
663 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
| |
|
| |
|
Author |
Jacobs, S. |
|
| |
Title |
Advanced nursing practice: Time and meaning |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
19 |
Issue |
3 |
Pages |
29-39 |
|
| |
Keywords |
Advanced nursing practice; Nurse practitioners; Professional development; History of nursing |
|
| |
Abstract |
The particular, contemporary meanings ascribed to “advanced nursing practice” in New Zealand have been debated and delineated in the 1990s, culminating in the launch of the nurse practitioner role at a conference sponsored by the Ministry of Health and the Nursing Council of New Zealand in August, 2001. Drawing on archival materials, documents, other texts and voices, this article explores the evolution of connotations and meanings of the word “advanced” as applied to nursing in New Zealand. The focus is on clinical practice, research, teaching, consulting, higher education, and advancement of the profession. Historical aspects of advancement in New Zealand nursing are examined, including registration, unsupervised practice, technical specialisation, and career development. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
552 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Logan, C.M. |
|
| |
Title |
Anaesthetic nursing: Focusing perioperative practice on the patient |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties; Advanced nursing practice; Nurse-patient relations; Nursing; Education |
|
| |
Abstract |
The purpose of this literature review is to generate a picture of what is known and what needs to be investigated further about anaesthetic nursing in the perioperative nursing role in New Zealand, and to examine this in relation to international trends. Nurse anaesthetists in the United States are described in American nursing literature, and recognised as one of the four advanced nurse practitioner roles. In New Zealand, recent efforts to provide appropriate post-graduate education for the perioperative nurse have been challenged by other inter-professional interests, thus restricting the development of an expanded role. The author notes that this has caused concern for New Zealand's perioperative nurses who consider anaesthetic nursing is an integral part of perioperative practice. Anaesthetic nursing forms a substantial component of the basic competencies required of a registered nurse working in the operating theatres. Orientation programmes and ongoing education at all levels of professional development incorporate anaesthetic nursing competencies to provide continuity of patient care and support perioperative practice. Care of the patient undergoing anaesthesia is an area where nurses demonstrate their advanced assessment skills and clinical judgement and is included in perioperative specialist or nurse practitioner job descriptions. The Perioperative Nurses Association in New Zealand is concerned to develop postgraduate education in their area of speciality to support their application for 'College' status within the New Zealand Nurses Organisation. For this to happen in a cogent fashion, information and knowledge generated from research, are required to clarify perioperative nursing's current position and determine how practice can be shaped to best care for patients undergoing surgical interventions. Evidence from research supports nurses in the anaesthetic role by demonstrating that the preoperative visits and assessments they undertake can reduce patients' anxieties, decrease the need for pain relief and shorten hospital stays. This review includes literature sources that explore disparities between the development of New Zealand anaesthetic nursing and international models. The author suggests that information and understanding gained from conducting this review will allow future developments in anaesthetic nursing practice to be informed by previous initiatives and projects and identifies areas for further research. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
790 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
|
| |
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 |
| |
|
| |
|
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 |
