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Author Hales, A.; Dignam, D. openurl 
  Title Nurse prescribing lessons from the US Type Journal Article
  Year 2002 Publication (up) 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  
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Author Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. url  openurl
  Title Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori Type Journal Article
  Year 2003 Publication (up) New Zealand Medical Journal Abbreviated Journal Access is free to articles older than 6 months, and abstracts.  
  Volume 116 Issue 1176 Pages  
  Keywords Advanced nursing practice; Hospitals; Clinical assessment; Evaluation  
  Abstract Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive.  
  Call Number NRSNZNO @ research @ 625 Serial 611  
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Author Speed, G. openurl 
  Title Advanced nurse practice Type Journal Article
  Year 2003 Publication (up) 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  
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Author Spence, D.; Smythe, E. openurl 
  Title Courage as integral to advancing nursing practice Type Journal Article
  Year 2007 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 43-55  
  Keywords Ethics; Advanced nursing practice  
  Abstract This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service.  
  Call Number NRSNZNO @ research @ 470 Serial 456  
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Author Spence, D.; Anderson, M. openurl 
  Title Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
  Year 2007 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 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 McPherson, G.; Horsburgh, M.; Tracy, C. openurl 
  Title A clinical audit of a nurse colposcopist: Colposcopy, cytology, histology correlation Type Journal Article
  Year 2005 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 21 Issue 3 Pages 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 Spence, D. openurl 
  Title Advanced nursing practice through postgraduate education, part one Type Journal Article
  Year 2004 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 20 Issue 2 Pages 46-55  
  Keywords Advanced nursing practice; Education; Professional development; Research  
  Abstract In New Zealand the clinically focused postgraduate papers and programmes, available through universities and polytechnics, are evaluated from an educational perspective but little evaluation of the implications for practice has been undertaken. This paper is Part One of a report on a study that sought to illuminate the impact of clinically focused postgraduate education on advancing nursing practice. Hermeneutic methodology provided a framework for analysing both the perspectives of nurses who had undergone such education and those who had directly employed and worked alongside these nurses. Emerging themes are described here. In a second article the findings will be discussed in relation to literature. Constraining factors will be identified and strategies designed to maximise the benefits of education for advancing nursing practice will be recommended.  
  Call Number NRSNZNO @ research @ 555 Serial 541  
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Author Spence, D. openurl 
  Title Advancing nursing practice through postgraduate education, part two Type Journal Article
  Year 2004 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 20 Issue 3 Pages 21-30  
  Keywords Advanced nursing practice; Professional development; Education; Research  
  Abstract This paper continues presentation of the findings of a North Island based research project that explored the impact of clinically focused postgraduate education on advancing nursing practice. Like their international counterparts, increasing numbers of New Zealand nurses are enrolling in advanced practice programmes. Yet, despite international evidence supporting the usefulness of Masters level preparation for advancing clinical practice, questions about the need for such development persist. This paper argues that postgraduate education contributes to the development of courage and that this, in turn, is essential to overcoming the barriers that currently constrain the advancement of nursing practice.  
  Call Number NRSNZNO @ research @ Serial 542  
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Author Jacobs, S. openurl 
  Title Advanced nursing practice: Time and meaning Type Journal Article
  Year 2003 Publication (up) 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  
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Author Connor, M. openurl 
  Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
  Year 2003 Publication (up) 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  
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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 (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 19 Issue 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 Jacobs, S. openurl 
  Title Credentialling: Setting standards for advanced nursing practice Type Journal Article
  Year 2000 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 15 Issue 2 Pages 38-46  
  Keywords Scope of practice; Advanced nursing practice  
  Abstract This article examines professional regulation with particular reference to advanced practice. As well as providing an overview of credentialing and other aspects of professional regulation, including licensure, certification, registration, and titling, the question of how much regulation, and by whom, is explored.  
  Call Number NRSNZNO @ research @ Serial 632  
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Author Christensen, D.J.C. openurl 
  Title Integrating the terminology and titles of nursing practice roles: Quality, particularity and levelling Type Journal Article
  Year 1999 Publication (up) 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  
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Author Jones, B. openurl 
  Title Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand Type Journal Article
  Year 1999 Publication (up) Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 14 Issue 3 Pages 28-35  
  Keywords Advanced nursing practice; Neonatal nursing; Interprofessional relations  
  Abstract This article outlines the development of the neonatal nurse practitioner role in New Zealand as an example of one advanced practice nursing role. A model of how nursing culture changes to include roles that incorporate components that historically have been considered the domain of other health professionals is proposed. This article outlines some of the issues surrounding the neonatal nurse practitioner role, including the educational requirements for this role in New Zealand.  
  Call Number NRSNZNO @ research @ 659 Serial 645  
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Author Roberts, Jennifer; Floyd, Sue; Thompson, Shona openurl 
  Title The clinical nurse specialist in New Zealand : how is the role defined? Type Journal Article
  Year 2011 Publication (up) 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  
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