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Author Mearns, G. url  openurl
  Title Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice Type
  Year 2005 Publication Abbreviated Journal Auckland University of Technology Library  
  Volume Issue Pages  
  Keywords (down) Nurse practitioners; Geriatric nursing; Older people; Registered nurses  
  Abstract The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner.  
  Call Number NRSNZNO @ research @ Serial 585  
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Author Pirret, A M url  openurl
  Title Nurse practitioner diagnostic reasoning Type
  Year 2013 Publication Abbreviated Journal Available from the NZNO Library  
  Volume Issue Pages 280 pp  
  Keywords (down) Nurse practitioners; Diagnostic reasoning; Diagnostic accuracy; Surveys; Decision-making theory  
  Abstract Uses a post-positivist mixed-methods convergent-parallel design to explore nurse practitioner diagnostic reasoning and compare it to that of registrars. Includes 30 nurse practitioners and 16 registrars in a case scenario. Outlines nurse practitioner practice in NZ and how the NZ title of nurse practitioner differs from that used internationally.  
  Call Number NZNO @ research @ Reference only Serial 1394  
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Author Speed, G. openurl 
  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 (down) 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  
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Author Betts, J.A. openurl 
  Title Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey Type
  Year 2005 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages  
  Keywords (down) Nurse practitioners; Community health nursing  
  Abstract  
  Call Number NRSNZNO @ research @ 684 Serial 670  
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Author Halligan, S. openurl 
  Title The potential role of nurse practitioners within the Family Planning Association New Zealand Type
  Year 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords (down) Nurse practitioners  
  Abstract The purpose of this dissertation is to consider the potential role of nurse practitioners within the Family Planning Association using the “participatory, evidence-based, patient focused process for advanced practice nursing” framework. The existing model of care meets the needs of most Family Planning Association clients well in family planning and sexual and reproductive health care. Some population groups, for example, Maori, Pacific Island people and males are currently underserved particularly in areas of sexual and reproductive health. Consideration is given to how the Family Planning Association could incorporate nurse practitioner expertise to complement existing care and utilising innovative and cost effective ways of reaching some underserved population groups. The integration of the nurse practitioner role into the current staffing mix has the potential to enhance the current model of care, freeing medical officers to deal with more complex medical issues and providing a clinical career path for Family Planning Association nurses.  
  Call Number NRSNZNO @ research @ Serial 746  
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Author Wilkinson, Jillian Ann openurl 
  Title Ministerial Taskforce on Nursing : a struggle for control Type Journal Article
  Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 24 Issue 3 Pages 5-16  
  Keywords (down) Nurse practitioner; Politics; Autonomy; Unionism  
  Abstract Traces the constitution and work of the Taskforce, along with the struggle that arose between nursing groups for power to control the future of advanced nursing practice. Backgrounds the factors that led to the withdrawal of the NZ Nurses' Organisation (NZNO) from the Taskforce.  
  Call Number NZNO @ research @ Serial 1435  
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Author Wilkinson, Jillian Ann openurl 
  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 17-26  
  Keywords (down) 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 Jones, B. openurl 
  Title Saving lives and changing dirty nappies: Illuminating nursing in the neonatal nurse practitioner role: The New Zealand experience Type
  Year 2000 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords (down) Neonatal nursing; Nurse practitioners  
  Abstract  
  Call Number NRSNZNO @ research @ 919 Serial 903  
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Author Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S. url  openurl
  Title Mental health nursing and its future: A discussion framework: Report from the Expert Reference Group to the Deputy Director-General Dr Janice Wilson Type Report
  Year 2006 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords (down) Mental health; Psychiatric Nursing; Policy; Leadership; Nurse practitioners; Nursing; Education; Careers in nursing  
  Abstract This project was initiated by the Ministry of Health to ensure a nationally coordinated approach to mental health nursing. The purpose of the project is to provide a national strategic framework for mental health nursing that will strengthen both nursing leadership and practice within the multi-disciplinary clinical environment. The framework reviews a range of key workforce issues identified by the Ministry of Health and provides strategies to move mental health nursing forward. The framework integrates directions from government mental health strategies, policies and directions, national and international literature as well as professional nursing requirements which aim to create a sustainable mental health nursing workforce using evidence based practice. The framework considers a range of key workforce issues identified by the Ministry of Health including: nursing leadership, nurse practitioners, standards, skill mix, clinical career pathways, professional supervision, education, research and recruitment and retention.  
  Call Number NRSNZNO @ research @ Serial 865  
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Author McElroy, Jennifer url  openurl
  Title Maternity outcomes and access following regulatory changes for Isotretinoin prescribing in New Zealand Type Book Whole
  Year Publication Abbreviated Journal  
  Volume 2017 Issue Pages 108 p.  
  Keywords (down) Isotretinoin; Primary health care providers; Nurse practitioners; Nurse prescribing; Special Authority; Decision Support Tools; Funded Access  
  Abstract Analyses retrospective prescription data for the years 2007-2015 to determine how access to isotretinoin altered before and after funded access was extended from dermatologists to include GPs and nurse practitioners who obtained a Special Authority. Assesses maternity outcomes for females dispensed the drug with regard to pregnancy terminations and isotretinoin-exposed live births. Examines outcomes based on type of prescriber and use or otherwise of the Best Practice Advocacy Centre (BPAC) electronic isotretinoin decision-support tool.  
  Call Number NZNO @ research @ Serial 1586  
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Author Carryer, J.B.; Boyd, M. openurl 
  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 4-12 Pages 4-12  
  Keywords (down) 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 Adams, Sue; Carryer, Jenny; Wilkinson, Jillian Ann openurl 
  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 18-26  
  Keywords (down) 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 Hansen, S. openurl 
  Title The reality: Doctors and nurses in general practice 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 (down) History; Nurse practitioners; Primary health care; Physicians  
  Abstract Provision of a primary health care system that delivers timely, appropriate, affordable and effective care is a challenge throughout the world. The purpose of this work is to discuss the realities of collaborative practice in primary health care, where care is delivered by doctors and nurses in general practice settings in New Zealand. The close relationship between the two professions has been historically marked by the dominance of medicine over nursing. Unclear articulation of nursing practice by the nursing profession along with historical gender issues has further hindered a more collegial relationship between medicine and nursing. The author suggests that historical gender inequalities have also contributed to a system which has disadvantaged nurses in the execution of their work. Collaboration occurs when mutual respect is present between two parties intent on furthering mutual goals. Collaboration is not supervision or co-operation. It is therefore, the author suggests, questionable that collaboration exists in the New Zealand system other than through the good will of individual practitioners. An examination of these issues using the work of Jurgen Habermas and Michel Foucault offers insight into how the current working situation between medicine and nursing came about. The author concludes that the emergence of the nurse practitioner role in New Zealand along with a change in the way that primary health care is being managed nationally provides opportunities for the nursing profession to move into emancipatory collaborative practice roles.  
  Call Number NRSNZNO @ research @ Serial 676  
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Author Papps, E. openurl 
  Title (Re)positioning nursing: Watch this space Type Journal Article
  Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 17 Issue 2 Pages 4-12  
  Keywords (down) History of nursing; Nurse practitioners  
  Abstract This paper traces the emergence of categories of nurse over the last hundred years from the time that the Nurses Registration Act became law in 1901. Insights from the work of Michel Foucault are utilised to show how nurses and nursing have been historically shaped and positioned. It is suggested that the recent endorsement by the Nursing Council of New Zealand of the concept and title of 'nurse practitioner' represents an opportunity for nurses to imagine what might be constructed for their roles.  
  Call Number NRSNZNO @ research @ Serial 630  
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Author Huntington, A.D.; Gilmour, J.A. openurl 
  Title A life shaped by pain: Women and endometriosis Type Journal Article
  Year 2005 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 14 Issue 9 Pages 1124-1132  
  Keywords (down) Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique  
  Abstract The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.  
  Call Number NRSNZNO @ research @ Serial 940  
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