| Records |
| Author |
Lesa, R.; Dixon, D.A. |
| Title |
Physical assessment: Implications for nurse educators and nursing practice |
Type |
Journal Article |
| Year |
2007 |
Publication |
International Nursing Review |
Abbreviated Journal |
|
| Volume |
54 |
Issue |
2 |
Pages |
166-172 |
| Keywords |
Advanced nursing practice; Clinical assessment; Cardiovascular diseases; Nursing; Education |
| Abstract |
In New Zealand, the physical assessment of a patient has traditionally been the domain of the medical profession. Recent implementation of advanced practice roles has expanded the scope of practice and nurse practitioners may now be expected to perform physical assessments. The aim of this literature review was to discover what could be learnt from the experiences of Western countries. Nurses from the USA, Canada and Australia readily incorporate physical assessment skills into their nursing practice as a component of health assessment. The international literature identified that any change to the nurse's role in health assessment, to include physical assessment skills, requires strategies that involve the regulatory, educational and practice components of nursing. |
| Call Number |
NRSNZNO @ research @ |
Serial  |
786 |
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| Author |
Lee, S.V. |
| Title |
The advanced practitioners' guide to integrating physical and mental health: Introducing the role of the mental health consultation liaison nurse |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Advanced nursing practice; Mental health; Nursing specialties |
| Abstract |
Evidence within the literature highlights that staff within the general hospital wards are not necessarily equipped to assess and meet the needs of patients with mental health or behavioural problems. The author notes that this is cause for concern as a number of people requiring admission to the general wards often have a complex, interrelated combination of physical and mental health problems. Within New Zealand there have also been a number of changes to health care policies that have increased general nurses contact with mental health patients over the last decade. The Mental Health Consultation Liaison Nurse is an advanced nurse specialist who can meet this need. Having reviewed the literature and communicated with Mental Health Consultation Liaison Nurses in New Zealand and Australia, the author says it is clear that the availability of a mental health nurse within the district health board general wards would be advantageous to all. The role has been shown to positively influence the care of patients and benefit other health care professionals. It provides an improved system of care that is co-ordinated, integrated and responsive to the needs of patients and health care staff. The implementation of the Mental Health Consultation Liaison Nurse role has the potential to cut costs in relation to decreasing length of stay with untreated mental health issues, and reduce the cost of continued use of 'specialling' unnecessarily. Also of importance is the fact that such a position would assist the district health board to comply with the standards of health care provision as directed by the Mental Health Commission and the Ministry of Health. The author suggests that the introduction of the Mental Health Consultation Liaison Nurse role represents a change in traditional ways of providing general nursing and consequently there are a number of issues that may hinder its success. This dissertation aims to increase the visibility of mental health nursing and provide a resource for others debating the development and implementation of the Mental Health Consultation Liaison Nurse role. |
| Call Number |
NRSNZNO @ research @ |
Serial |
771 |
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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 |
NRSNZNO @ research @ 773 |
Serial |
757 |
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| Author |
Jacobs, S. |
| Title |
Advanced nursing practice and the nurse practitioner: New Zealand nursing's professional project in the late 20th century |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse practitioners; History; Policy; Leadership; Advanced nursing practice |
| Abstract |
This thesis examines the forces influencing the development of contemporary advanced nursing practice in New Zealand. It begins with an historical approach to explore the various meanings of advanced nursing practice from the late 1800s through the first years of the 21st century. Seven historical understandings of the meaning of 'advanced' nursing practice emerge. The author's analysis of the broad scope of New Zealand nursing history, including a case study of the development and implementation of the nurse practitioner, draws on theoretical perspectives from sociology, political science, and nursing. She develops a “framework of critical factors for nursing to take into account when considering how to ensure the profession is able to deliver on its great potential to improve the health of New Zealand communities”. Examining the work of a range of nursing leaders, past and present, and drawing on the work of political scientist, John Kingdon, the author describes the work of several nurses as “policy entrepreneurship.” |
| Call Number |
NRSNZNO @ research @ |
Serial |
671 |
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| Author |
Davies, M. |
| Title |
Lived experiences of nurses as they engage in practice at an advanced level within emergency departments in New Zealand |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Emergency nursing; Nurse practitioners; Advanced nursing practice |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 682 |
Serial |
668 |
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| Author |
Bleach, A. |
| Title |
Nurses talk the walk: An exploration of nurses' perception of advanced nursing practice on acute mental health inpatient units 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 |
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| Keywords |
Mental health; Nursing; Policy; Registered nurses; Advanced nursing practice; Psychiatric Nursing |
| Abstract |
The last twenty years, particularly the early 1990s, ushered in major mental health sector reforms inclusive of deinstitutionalisation policies and subsequent development of community services. Concurrent changes to student nurses' education left registered nurses as the workforce mainstay on inpatient units. However, the author suggests, an emerging global shortage of nurses and implementation of the Employment Contracts Act (1991) negatively impacted on recruitment and retention of registered nurses. Inpatient nurses either left nursing or moved to community positions for better money and increased job status. The author suggests that, as a consequence, the 'critical mass' of experienced and skilled nurses who traditionally provided nursing leadership disappeared resulting in compromised standards of care for patients. As the manager of an inpatient unit, the author proposed the establishment of advanced nursing practice roles as one initiative to provide nursing leadership in order to attract and retain nurses. This study explored five inpatient nurses' perceptions of advanced practice and whether these roles could assist to provide leadership and improve standards of care. The research was a qualitative exploratory descriptive study using a focus group interview as the data collection method. A thematic analysis of the group discussion transcription revealed three key themes: 1) the 'makeup' of advanced nursing practice, 2) moving forwards: establishing roles, 3) moving sideways: barriers to role development. The themes are critically discussed in relation to selected literature. The thesis includes recommendations that could be used by nurses responsible for planning and implementing advanced practice roles on inpatient units. |
| Call Number |
NRSNZNO @ research @ |
Serial |
663 |
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| Author |
Jones, B. |
| Title |
Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand |
Type |
Journal Article |
| Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| 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 |
| Permanent link to this record |
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| Author |
Christensen, D.J.C. |
| Title |
Integrating the terminology and titles of nursing practice roles: Quality, particularity and levelling |
Type |
Journal Article |
| Year |
1999 |
Publication |
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 |
| Permanent link to this record |
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| Author |
Jacobs, S. |
| Title |
Credentialling: Setting standards for advanced nursing practice |
Type |
Journal Article |
| Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| 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 |
| Permanent link to this record |
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| Author |
Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. |
| Title |
Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori |
Type |
Journal Article |
| Year |
2003 |
Publication |
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 |
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 |
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| 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 |
| Permanent link to this record |
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| Author |
Dulieu, F. |
| Title |
Collaborative practice: A study in bridging the gap to transform the delivery of specialist palliative nursing care in residential aged care facilities |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rest homes; Palliative care; Older people; Nursing; Advanced nursing practice; Terminal care; Geriatric nursing |
| Abstract |
This paper documents a practice development initiative with the aim of formulating a rationale for the professional practice development of a relatively recently conceived nursing initiative; that of a Palliative Care Liaison Nurse (PCLN) role. The project involved conducting an inquiry through a search of the literature with the aim of discovering ways to articulate, then develop, the role to meet the needs of elderly people living in Residential Aged Care Facilities (RACFs), their family and the whanau. The paper initially explores the concept of liaison roles globally, to consider how this role might be located as an interagency position between palliative care and aged care within the context of Aotearoa/New Zealand. The paper then reveals the perceived skills and personal attributes required by a person in the PCLN role that the author, drawing from personal and professional experience of having been appointed to this position, considers are necessary to effectively manage the diverse dimensions of this role. Bridging the gap is a key role discussed which centres on the capacity to organise and present an effective education programme while supporting, encouraging and role modeling for staff providing the day to day nursing care. This role involves practice wisdom and advocating for change and tolerance within everyday practice. An example of this dimension is discussed in depth, because the researcher considers that through staff working together, they can effectively bridge the knowledge-practice gap which exists between specialist palliative and gerontological nursing care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
580 |
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| Author |
Connor, M. |
| Title |
Advancing nursing practice in New Zealand: A place for caring as a moral imperative |
Type |
Journal Article |
| Year |
2003 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| 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 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
Spence, D. |
| Title |
Advancing nursing practice through postgraduate education, part two |
Type |
Journal Article |
| Year |
2004 |
Publication |
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 |
| Permanent link to this record |
