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Author Connor, Margaret J; Nelson, Katherine M; Maisey, Jane
Title Impact of innovation funding on a rural health nursing service : the Reporoa experience Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 2 Pages 4-14
Keywords Primary health care; Rural nursing; Innovation; Advancing practice
Abstract Examines the impact of innovation funding through the MOH primary health-care nursing innovation funding scheme on Health Reporoa Inc, which offers a first-contact rural nursing service to the village of Reporoa and surrounding districts. Looks at funding impact during the project period of 2003-2006, and in the two years that followed.
Call Number (down) NZNO @ research @ Serial 1443
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Author Beasley, Catherine; Dixon, Robyn
Title Phase II cardiac rehabilitation in rural Northland Type Journal Article
Year 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue 2 Pages 4-14
Keywords Cardiac rehabilitation; Rural nursing
Abstract Reports a descriptive, exploratory, qualitative study of the perceptions and experiences of nurses who delivered cardiac rehabilitation in a rural health-care setting in Northland. Gathers data from two focus groups of 12 nurses in which five themes relating to cardiac rehabilitation are identified using a general inductive approach.
Call Number (down) NZNO @ research @ Serial 1482
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Author Ross, Jean
Title 'Place' Matters to Rural Nurses: A Study Located in the Rural Otago Region of New Zealand Type Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 346 p.
Keywords Rural nursing; Identity; Otago; Sense of place
Abstract Explores the social construction of the evolving professional identity, of rural nurses between the 1990z and early 2000s, a period of time was associated with two

significant national directives impacting on the professional practice of rural nurses and their contribution to the delivery of health care, from the rural Otago region of NZ. Engages with the concepts of place and governmentality. Demonstrates that rural nursing is a place–based practice governed both from within and beyond location, an analytical diagrammatic matrix.
Call Number (down) NZNO @ research @ Serial 1555
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Author Hutton, Gemma
Title How do rural nurse specialists in South Westland perceive their personal safety whilst working in isolation? Type Book Whole
Year 2018 Publication Abbreviated Journal
Volume Issue Pages 97 p.
Keywords Rural nursing; Personal safety; Rural conditions
Abstract Identifies how rural nurse specialists (RNS) working in South Westland (SW) perceiver their personal safety in a rural environment as compared with an urban one. Uses a focus group to explore RNS responses and to identify the following themes related to safety in isolated environments: community, pressure to perform, and luck versus planning for safety. Suggests recommendations for future practice.
Call Number (down) NZNO @ research @ Serial 1665
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Author Gubb, Alicia
Title Rural nurse practitioner role to improve outcomes for Thames-Coromandel community Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 115 p.
Keywords Nurse practitioners; Rural nursing; Transitional care; Thames Coromandel
Abstract Maintains that the Nurse Practitioner (NP) role has the potential to achieve more equitable outcomes for rural populations, particularly for older adults in their transition from hospital to the rural setting. Examines how NPs can reduce readmissions, from a thematic analysis of the literature using a realist synthesis approach, focusing on the Thames Coromandel rural community. Derives three themes from the analysis: self-efficacy, holistic care, and care grounded in nursing philosophy.
Call Number (down) NZNO @ research @ Serial 1750
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Author Hendry, Christine
Title A process to inform rural nursing workforce planning and development Type Journal Article
Year 2024 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume Issue Pages 1-8
Keywords Rural nursing; Workforce planning; Retirement; Kaiawhina; Community health services
Abstract Describes a four-stage project to identify the current status of the nursing and support-worker workforce to develop a plan to match community health needs: profiles current population and health resources available in the community; profiles the current nursing workfoece; surveys local nurses regarding current work and future plans; seeks perspectives of local nurses, health managers and community representatives on strategies to sustain a future nursing workforce. Focuses primarily on the first two stages of the project.
Call Number (down) NZNO @ research @ Serial 1862
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Author Armstrong, S.E.
Title Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Interprofessional relations; Rural nursing; Primary health care
Abstract A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them.
Call Number (down) NRSNZNO @ research @ 780 Serial 764
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Author Fitzwater, A.
Title The impact of tourism on rural nursing practice Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 137-43) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Tourism; Advanced nursing practice; Occupational health and safety
Abstract This chapter reviews some effects of the growth of tourism, including adventure tourism and the numbers of tourists over 50, on rural nursing practice. Tourism contributes to socio-cultural change within a community, and health resources that previously met the needs of the local community may not meet the expectations of growing numbers of tourists. The transient visitor includes both the tourist and the seasonal worker, and has become a feature of rural nursing. Major effects on rural nurses include the increased volume of work, the advanced scope of practice required to meet more complex needs of visitors, and challenges to personal and professional safety.
Call Number (down) NRSNZNO @ research @ 773 Serial 757
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Author Pedersen, C.
Title Nurse-led telephone triage service in a secondary rural hospital Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Telenursing; Evaluation
Abstract This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice.
Call Number (down) NRSNZNO @ research @ 770 Serial 754
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Author Jamieson, I.
Title The mobile operating theatre project Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Surgery; Training; Evaluation
Abstract This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract.
Call Number (down) NRSNZNO @ research @ 769 Serial 753
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Author Thompson, R.
Title On call but not rostered Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Ethics; Registered nurses
Abstract In this chapter the author uses storytelling to explore the legal and ethical issues she experiences as a rural volunteer registered nurse. She describes the relationship between the nurse and community embodied in areas such as the public perception of nurses, and discusses aspects of her practice in the light of the particular legal and ethical context of rural areas.
Call Number (down) NRSNZNO @ research @ 768 Serial 752
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Author Howie, L.
Title Contextualised nursing practice Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Nursing models; Nursing research
Abstract This is the first of three chapters that describe nursing practice. The author presents the Rural Framework Wheel to elaborate aspects of the rural context. The Framework comprises four systems which describe aspects of rurality; being are socio-cultural, occupational, ecological, and health. These systems each comprise of subsystems, which provide a detailed analysis of the way nursing practice is particular in diverse rural settings. The Framework is presented as a work in progress, and is grounded in international nursing literature. It highlights rural nursing as a unique and challenging field, with the dominant themes of partnership and nursing emerging as underpinning the practice when nurses live and work in small, sometimes isolated communities.
Call Number (down) NRSNZNO @ research @ 766 Serial 750
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Author Dillon, D.R.
Title Rural contexts: Islands Type Book Chapter
Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 19-30) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Identity; Advanced nursing practice; Professional competence
Abstract This chapter explores the concept of islands particularly in relation to rurality, individual and community identities, and nursing. The author argues that all New Zealanders are islanders, and considers the implications of this on personal and community values, when they are shaped by geographic isolation and structural separateness. She explores commonalities between islanders and rural peoples in areas such as identity, isolation, and health, and outlines the impacts this has on rural nursing practice and competencies. A case study of a nurse on Stewart Island is briefly discussed.
Call Number (down) NRSNZNO @ research @ 765 Serial 461
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Author Yarker-Hitchcock, V.
Title Clinical supervision in a home care context Type
Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Clinical supervision; Home care; Rural nursing; Rural health services
Abstract Despite the widespread acceptance of the value of supervision among practitioners and the large quantity of literature on the topic, there is very little empirical evidence in relation to its effect on clinical practice. It is not clear whether supervision actually produces a change in clinician behaviour, or whether it produces benefits in terms of client outcomes. This thesis evaluates the impact of clinical supervision on five co-ordinators in a rural home care setting. It looks at the impact clinical supervision has on their practice and professional growth. The nurses all belong to one organisation, Access Homehealth Ltd. The study builds on the findings of a clinical supervision pilot, which was trialed within the organisation in 2002. The pilot examined which model of supervision was most beneficial for Access Homehealth staff. Clinical Supervision is defined as a designated interaction between two or more practitioners within a supportive environment, that enhances reflective practice and professionalism, which in turn contributes to improved practice and client outcomes. The methodology of this research was qualitative evaluation. The themes which emerged related to personal support, managing stress and alleviating feelings of isolation, reflection, enhancing practice, improved communication skills and the concept of clinical supervision as a safety net. Participants also revealed that one-on-one supervision appeared more helpful than group supervision, and that phone supervision facilitated in-depth dialogue. These findings are important, as they demonstrate it is feasible to simultaneously offer a number of formats of clinical supervision within one organisation, allowing for the organisation to provide what works best for different workers. They also show that clinical supervision is a valuable and useful support tool for home care co-ordinators in order to facilitate empowerment, reflection and growth in practice. Further research is needed to provide evidence of the benefits of supervision on improving client outcomes.
Call Number (down) NRSNZNO @ research @ 593 Serial 579
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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 (down) NRSNZNO @ research @ 1313 Serial 1297
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