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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
Volume 37 Issue 1 Pages (down) 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
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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 (down) 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
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Author Adams, Sue; Boyd, Michal; Carryer, Jenny; Bareham, Corinne; Tenbensel, Tim
Title A survey of the NP workforce in primary healthcare settings in New Zealand. Type Journal Article
Year 2020 Publication New Zealand Medical Journal Abbreviated Journal
Volume 133 Issue 1523 Pages (down) 29-40
Keywords Nurse practitioners; Primary health care; Surveys
Abstract Describes the demographics, distribution, clinical settings and employment arrangements of the NZ nurse practitioner (NP) workforce in primary healthcare settings, and organisational factors limiting their practice. Surveys 160 NPs and finds that general practice and aged residential care were the most common clinical settings.
Call Number NZNO @ research @ Serial 1780
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Author Spence, D.; Anderson, M.
Title Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue 2 Pages (down) 27-42
Keywords Advanced nursing practice; Education; Nurse practitioners; Prescribing; Teaching methods
Abstract This article reports the implementation of a collaborative project undertaken to monitor and improve the effectiveness of the prescribing practicum papers delivered within two Master's degree programmes in advanced nursing practice. The recent introduction of Nurse Practitioner registration in New Zealand has resulted in the development of a number of Master's degree programmes in which students can complete a Nursing Council of New Zealand approved programme for prescribing. For the study, a developmental action research approach was used. Data were collected through interviews with practicum students, their medical supervisors and academic staff. Formative findings were progressively used to refine delivery of the practicum papers and a thematic analysis of summative findings identified areas for further improvement. The findings suggest that the processes being implemented are developing well. The researchers recommend that further education is required to clearly differentiate medical and advanced nursing roles. They recommend that greater attention needs to be paid to the preparation of medical supervisors and, most significantly, revision of funding is required to more equitably support the ongoing development of nurses for advanced practice roles.
Call Number NRSNZNO @ research @ Serial 457
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Author Nelson, Katherine M; Connor, Margaret; Alcorn, Gillian D
Title Innovative nursing leadership in youth health Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 1 Pages (down) 27-37
Keywords Clinical leadership; Innovation; Youth health; Nurse practitioner; Primary health care
Abstract Looks one of the eleven health care nursing innovation projects funded by the Ministry of Health: Vibe Youth Transition Services, located in the Hutt Valley, formerly known as the Hutt Valley Youth Service. Highlights the leadership role provided by the nurse practitioner (NP) which led to youth health and development nationally.
Call Number NZNO @ research @ Serial 1441
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Author Unac, Fiona; Marshall, Bob; Crawford, Ruth
Title Nurse practitioner access to radiology and laboratory ser Type Journal Article
Year 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 26 Issue 1 Pages (down) 27-37
Keywords NZ nurse practitioner; Radiology tests; Laboratory tests; Barriers
Abstract Reports the findings of a quantitative descriptive survey of all NZ registered nurse practitioners (NPs), exploring NP access to radiology and laboratory services in 2008. Identifies the types of diagnostic tests NPs order from either laboratory or radiology services and the obstacles they face.
Call Number NZNO @ research @ Serial 1453
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Author Litchfield, M.
Title Professional development: Developing a new model of integrated care Type Journal Article
Year 1998 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 4 Issue 9 Pages (down) 23-25
Keywords Nursing models; Nurse practitioners; Policy; Nurse-family relations
Abstract An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the policy and strategies directing developments in the New Zealand health system. The emphsis was on the health service configuration model presented diagrammatically to show the position of a new role of family nurse with a distinct form of practice forming the hub.
Call Number NZNO @ research @ Serial 1324
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Author Smith, M.C.
Title Reviewing the role of a mental health nurse practitioner Type Journal Article
Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 14 Issue 3 Pages (down) 20-22
Keywords Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence
Abstract The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role.
Call Number NRSNZNO @ research @ Serial 993
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Author Lim, Anecita Gigi; North, Nicola; Shaw, John
Title Nurse prescribing : the New Zealand context Type Journal Article
Year 2014 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 30 Issue 2 Pages (down) 18-27
Keywords Nurse prescribing; Authorised prescribing; Nurse practitioner; Patient safety; Prescribing education
Abstract Examines the introduction of nurse prescribing in NZ with respect to the level of knowledge and skills required of practitioners for safe prescribing. Compares experiences in NZ with those in the US, UK, and Canada. Critiques the higher educational model as the standard for preparation to prescribe, while supporting alternative models for extending prescribing rights.
Call Number NZNO @ research @ Serial 1493
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Author Adams, Sue; Carryer, Jenny; Wilkinson, Jillian Ann
Title Institutional ethnography : an emerging approach for health and nursing research Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 1 Pages (down) 18-26
Keywords Institutional ethnography; Ruling relations; Nurse practitioners; Health research; Sociological inquiry
Abstract Introduces institutional ethnography as an approach to sociological inquiry for health and nursing research in NZ. Provides an overview, introducing key concepts, and describing how institutional ethnography is used in research on the establishment of nurse practitioners and their services in rural primary health care.
Call Number NZNO @ research @ Serial 1499
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Author Wilkinson, Jillian Ann
Title Constructing consensus : developing an advanced nursing practice role Type Journal Article
Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 24 Issue 3 Pages (down) 17-26
Keywords Nurse practitioner; Consensus; Autonomy; Unionism
Abstract Presents a study using a discourse analytical approach to trace the ongoing struggle between nursing groups for power to control the future of advanced nursing practice. Outlines the political discourses dominant in nursing during the period that led to the Nursing Council of New Zealand having regulatory control of the nurse practitioner role.
Call Number NZNO @ research @ Serial 1436
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Author Vernon, R.A.; Jacobs, S.; Papps, E.
Title An innovative initiative for advanced nursing practice roles Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages (down) 16-17
Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models
Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.
Call Number NRSNZNO @ research @ Serial 1311
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Author McPherson, G.; Horsburgh, M.; Tracy, C.
Title A clinical audit of a nurse colposcopist: Colposcopy, cytology, histology correlation Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 3 Pages (down) 13-23
Keywords Nurse practitioners; Professional competence; Diagnosis; Advanced nursing practice
Abstract A clinical audit was undertaken to assess the diagnostic skills of the nurse colposcopist measuring colposcopy: histology: cytology correlation. At National Women's Health the first New Zealand nurse colposcopist training programme was developed in 2000. A retrospective audit of the colposcopy clinical records was performed during the nurse's training programme between July 2000 and March 2002. An 82% (82/100) histology: cytology: colposcopy correlation was achieved by the nurse in the third phase of her training programme. The results are comparable with other reported studies involving medical and nurse colposcopists. Expertise in colposcopy examination can be incorporated into the broader role of a Nurse Practitioner working in the area of women's health.
Call Number NRSNZNO @ research @ 548 Serial 534
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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
Volume 8 Issue 10 Pages (down) 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
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Author Jacobs, S.; Boddy, J.M.
Title The genesis of advanced nursing practice in New Zealand: Policy, politics and education Type Journal Article
Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 24 Issue 1 (Mar) Pages (down) 11-22
Keywords Nurse practitioners; History of nursing; Policy; Scope of practice
Abstract This contemporary historical study examines the health sector environment of the 1990s and the turn of the 21st century, and assesses the policy initiatives undertaken to advance nursing in New Zealand during that period. The authors look at the conditions and forces that saw nursing achieve a new emphasis on advanced and expanded scope of nursing practice, less than a decade after the commencement of New Zealand's first pre-registration nursing degrees.
Call Number NRSNZNO @ research @ Serial 452
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