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Author |
Halligan, S. |
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Title |
The potential role of nurse practitioners within the Family Planning Association New Zealand |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Issue |
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Pages |
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Keywords |
Nurse practitioners |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
746 |
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Author |
Hewson, J. |
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Title |
Professional support for the nurse practitioner in New Zealand |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse practitioners; Mentoring; Professional development |
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Abstract |
The nurse practitioner role is an important addition to nursing workforce development in New Zealand. At present there are relatively few nurse practitioners, however the number of nurses seeking Nursing Council endorsement continues to grow. These nurses are in a unique situation as pioneers having achieved the highest level of autonomous advanced nursing practice. This position will bring with it many challenges for those nurses who are among the first in the profession. Traditionally, nurses have always had formal and informal methods of support such as preceptors, role models and the hierarchy of nursing to help and guide them in their work. This network has generally been comprised of nurses more senior and qualified than the nurse needing support. Yet the nurse practitioner, considered to be the leading clinical nurse in New Zealand, may have very limited resources available for the clinical support needed to sustain their professional practice while keeping them refreshed, curious, creative and committed. The intent of this dissertation is to provide a framework of supportive mechanisms on which the emerging nurse practitioner can draw in their new professional domain throughout their career. The author explores the meaning of support, why there is a need for support for the nurse practitioner, the various methods of support noted in current literature and how these various methods can enhance the nurse practitioner's professional growth and development, maintain clinical safety, and foster job satisfaction. |
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Call Number |
NRSNZNO @ research @ |
Serial |
853 |
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Author |
Carryer, J.B.; Gardner, G.; Dunn, S.; Gardner, A. |
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Title |
The core role of the nurse practitioner: Practice, professionalism and clinical leadership |
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Journal Article |
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Year |
2007 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
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Volume |
16 |
Issue |
10 |
Pages |
1818-1825 |
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Keywords |
Professional competence; Nurse practitioners; Evaluation research; Cross-cultural comparison |
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Abstract |
This article draws on empirical evidence to illustrate the core role of nurse practitioners in Australia and New Zealand. A study jointly commissioned by both countries' Regulatory Boards developed information of the newly created nurse practitioner role, to develop shared competency and educational standards. This interpretive study used multiple data sources, including published and grey literature, policy documents, nurse practitioner programme curricula and interviews with 15 nurse practitioners from the two countries. The core role of the nurse practitioner was identified as having three components: dynamic practice, professional efficacy and clinical leadership. Nurse practitioner practice is dynamic and involves the application of high level clinical knowledge and skills in a wide range of contexts. The nurse practitioner demonstrates professional efficacy, enhanced by an extended range of autonomy that includes legislated privileges. The nurse practitioner is a clinical leader with a readiness and an obligation to advocate for their client base and their profession at the systems level of health care. |
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Call Number |
NRSNZNO @ research @ |
Serial |
932 |
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Author |
Huntington, A.D.; Gilmour, J.A. |
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Title |
A life shaped by pain: Women and endometriosis |
Type |
Journal Article |
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Year |
2005 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
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Volume |
14 |
Issue |
9 |
Pages |
1124-1132 |
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Keywords |
Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
940 |
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Author |
Diers, D. |
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Title |
“Noses and eyes”: Nurse practitioners in New Zealand |
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Journal Article |
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Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
24 |
Issue |
1 (Mar) |
Pages |
4-10 |
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Keywords |
Cross-cultural comparison; Nurse practitioners; History of nursing |
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Abstract |
Principles for understanding and evolving nurse practitioner practice, politics and policy are distilled from 40 years of experience in the United States and Australia. The issues in all countries are remarkably similar. The author suggests that some historical and conceptual grounding may assist the continuing development of this expanded role for nursing in New Zealand. |
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Call Number |
NRSNZNO @ research @ |
Serial |
965 |
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Author |
Smith, M.C. |
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Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
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Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
20-22 |
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Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
993 |
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Author |
Hales, A.; Dignam, D. |
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Title |
Nurse prescribing lessons from the US |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
10 |
Pages |
12-15 |
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Keywords |
Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1007 |
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Author |
Milligan, K.; Neville, S.J. |
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Title |
Health assessment and its relationship to nursing practice in New Zealand |
Type |
Journal Article |
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Year |
2001 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
10 |
Issue |
1/2 |
Pages |
7-11 |
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Keywords |
Nursing; Education; Professional competence; Nurse practitioners; Cross-cultural comparison |
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Abstract |
This article draws on Australian experience to gain insight to three specific areas of health assessment that are topical in New Zealand, which has recently introduced the concept into nursing training. The issues are annual registration based on evidence of competence to practice, a review of undergraduate curricula, and the development of nurse practitioner/advanced nurse practitioner roles. The meaning of the concept 'health assessment' is also clarified in order to provide consistency as new initiatives in nursing are currently being developed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1090 |
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Author |
Speed, G. |
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Title |
Advanced nurse practice |
Type |
Journal Article |
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Year |
2003 |
Publication |
Nursing dialogue: A Professional Journal for nurses |
Abbreviated Journal |
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Volume |
10 |
Issue |
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Pages |
6-12 |
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Keywords |
Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1096 |
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Author |
Mackay, B. |
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Title |
An analysis of innovative roles in primary health care nursing |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Northland Polytechnic Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing |
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Abstract |
An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1124 |
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Author |
Litchfield, M. |
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Title |
Professional development: Developing a new model of integrated care |
Type |
Journal Article |
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Year |
1998 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
4 |
Issue |
9 |
Pages |
23-25 |
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Keywords |
Nursing models; Nurse practitioners; Policy; Nurse-family relations |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1324 |
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Author |
Adams, Sue; Carryer, Jenny; Wilkinson, Jillian Ann |
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Title |
Institutional ethnography : an emerging approach for health and nursing research |
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Journal Article |
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Year |
2015 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
31 |
Issue |
1 |
Pages |
18-26 |
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Keywords |
Institutional ethnography; Ruling relations; Nurse practitioners; Health research; Sociological inquiry |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1499 |
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Author |
Laidlaw, Rebecca; Mercer, Christine |
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Title |
Nurse practitioners: does home visiting improve outcomes for people living with long-term conditions |
Type |
Journal Article |
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Year |
2022 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
39-41 |
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Keywords |
Nurse practitioners; Long-term conditions; Home visiting |
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Abstract |
Explores the potential for nurse practitioners (NP) in NZ to visit people diagnosed with chronic condiitons at home. Evaluates whether home-visiting NPs could provide primary care in place of GPs. Conducts a review of research comprising three themes: reduced barriers to care, improved health outcomes, and role clarity for NPs. |
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Call Number |
NZNO @ research @ |
Serial |
1820 |
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Author |
Rook, Helen; Hales, Caz; Milligan, Kaye; Jones, Mark |
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Title |
Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing |
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Journal Article |
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Year |
2021 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
37 |
Issue |
1 |
Pages |
37-41 |
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Keywords |
Advanced nursing practice; Nurse practitioners |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1689 |
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Author |
Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B. |
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Title |
From competence to capability: A study of nurse practitioners in clinical practice |
Type |
Journal Article |
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Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
Author copy available 12 months after publication from QUT ePrints |
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Volume |
17 |
Issue |
2 |
Pages |
250-258 |
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Keywords |
Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation |
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Abstract |
This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners. |
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Call Number |
NRSNZNO @ research @ 945 |
Serial |
929 |
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