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Author Holloway, Kathryn
Title The New Zealand nurse specialist framework: Clarifying the contribution of the nurse specialist Type Journal Article
Year 2012 Publication Policy, Politics, & Nursing Practice Abbreviated Journal
Volume 13 Issue (up) 3 Pages 147-153
Keywords Nurse Specialist Framework; Advanced nursing practice; Workforce planning; Capability models
Abstract Presents an overview of the NZ Nurse Specialist Framework (NZNSF), developed through a consensus approach as part of a doctoral study, and which provides an over-arching structure to support coherence, clarity and consistency for nurse specialists. Maintains that the framework supports workforce policy makers in planning effective utlisation of the nurse specialist in health care delivery.
Call Number NZNO @ research @ Serial 1827
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Author Chadwick, A.; Hope, A.
Title In pursuit of the named nurse Type Journal Article
Year 2000 Publication Australasian Journal of Neuroscience Abbreviated Journal
Volume 13 Issue (up) 4 Pages 6-9
Keywords Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations
Abstract This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required.
Call Number NRSNZNO @ research @ Serial 924
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Author Ross, J.
Title International perspective: The development of the advanced role of rural nurses in New Zealand Type Journal Article
Year 1999 Publication Australian Journal of Rural Health Abbreviated Journal
Volume 7 Issue (up) 4 Pages 253-257
Keywords Nursing; Education; Rural nursing; Advanced nursing practice
Abstract This paper offers an insight into the development of the advanced role of rural nursing practice in New Zealand. The concept of advanced nursing practice is discussed within the context of the interdisciplinary healthcare team. It is argued that as nurses take on advanced practice, it is essential they receive appropriate clinical and theoretical skills to ensure they are in a position to provide competent and clinically safe, effective health care in an ethical, efficient manner. A description of a survey, undertaken by the author, studying rural nurses' skills provides the recommendation for the development of an appropriate postgraduate course at Masters level, designed specifically for primary rural nurses for the advanced role.
Call Number NRSNZNO @ research @ Serial 953
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Author Carryer, J.B.; Boyd, M.
Title The myth of medical liability for nursing practice Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue (up) 4-12 Pages 4-12
Keywords Interprofessional relations; Law and legislation; Nurse practitioners; Advanced nursing practice
Abstract This article explores the complex nature of liability in the case of standing orders and vicarious liability by employers, and also when nurses and doctors are in management roles. The authors address misconceptions about medico-legal responsibility for nursing practice with the advent of nurse prescribers and nurse practitioners. They refer to the submission made by the College of Nurses Aotearoa (NZ) on the Health Practitioners Competence Assurance Act (2003), and discuss practice liability and nurse-physician collaboration.
Call Number NRSNZNO @ research @ 624 Serial 610
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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 (up) 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
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