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Author  |
McLaughlin, K. |
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Title |
Nephrology nursing: Early intervention in chronic kidney disease |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing specialties; Diseases; Advanced nursing practice; Kidney disease |
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Abstract |
This study explored the potential for extending the contribution nurses make in managing patients with chronic kidney disease as they progress to end stage kidney failure. In the context of a shortage of nephrologists and an escalating patient population suffering from kidney disease, the potential to include advanced nephrology nursing in early disease management was postulated. The literature was reviewed with regard to initiatives to reduce the progression of kidney failure and the prevention of associated complications. Local and international literature on advanced nursing practice and the nurse practitioner role was examined in relation to the management of chronic kidney disease. The introduction of the nurse practitioner in New Zealand could provide an ideal framework for independent nephrology nursing. Well-established nursing practice in dialysis, transplantation and pre-dialysis provide distinct scopes of practice in these areas for independent nursing in the future. It seems likely that these sub-specialties in nephrology nursing will be the first to experience the value of the nurse practitioner. The creation of early interventionalist nurse practitioners in nephrology health care would allow nurses to step outside these well-established sub-specialties, and provide new resources to help manage chronic kidney disease. A model of care was proposed that outlines how a nephrology nurse practitioner could work collaboratively with community health providers and the local nephrology health care team to manage the early stages of kidney disease. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1150 |
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Author |
McPherson, G.; Horsburgh, M.; Tracy, C. |
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Title |
A clinical audit of a nurse colposcopist: Colposcopy, cytology, histology correlation |
Type |
Journal Article |
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Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
21 |
Issue |
3 |
Pages |
13-23 |
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Keywords |
Nurse practitioners; Professional competence; Diagnosis; Advanced nursing practice |
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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. |
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Call Number |
NRSNZNO @ research @ 548 |
Serial |
534 |
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Author |
Naidu, A. |
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Title |
Is scholarship an integral component of advanced nursing practice? |
Type |
Journal Article |
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Year |
2007 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
14 |
Issue |
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Pages |
50-53 |
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Keywords |
Advanced nursing practice; Professional development |
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Abstract |
This article defines scholarship and how it links to nursing. It explores how nurses perceive scholarship and how it can enhance their practice. While agreeing that scholarship plays a vital role in the image of nursing as a professional practice, the article's main focus is on scholarship as an integral component of advanced nursing practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1035 |
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Author |
Officer, Tara N. |
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Title |
Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience |
Type |
Book Whole |
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Year |
2018 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
301 p. |
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Keywords |
Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers |
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Abstract |
Investigates how nurse practitioner and pharmacist prescriber roles are developing in NZ primary health care, and what is needed to better support the future development of these roles. Employs a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health-care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services. |
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Call Number |
NZNO @ research @ |
Serial |
1693 |
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Author |
Roberts, Jennifer; Floyd, Sue; Thompson, Shona |
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Title |
The clinical nurse specialist in New Zealand : how is the role defined? |
Type |
Journal Article |
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Year |
2011 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
27 |
Issue |
2 |
Pages |
24-35 |
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Keywords |
Clinical nurse specialist; Advanced nursing practice; Clinical expert |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1465 |
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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 |
Type |
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 |
Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J. |
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Title |
Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units |
Type |
Journal Article |
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Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
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Volume |
17 |
Issue |
8 |
Pages |
1035-1043 |
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Keywords |
Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
962 |
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Author |
Ross, J. |
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Title |
Perspectives on developing the advanced role of rural nursing in New Zealand |
Type |
Journal Article |
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Year |
2001 |
Publication |
Health Manager |
Abbreviated Journal |
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Volume |
8 |
Issue |
1 |
Pages |
19-21 |
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Keywords |
Rural nursing; Advanced nursing practice; School nursing; Professional competence |
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Abstract |
The author traces the development of rural nursing, which began as an assistant role for general practitioners, to the present role which incorporates advanced nursing practice. She reports the results of two surveys of nurses' roles and skills, from 1996 and 1999-2000. Specific rural competencies are identified, in managing isolation, professionalism in a small community, nurse/patient relationships in a small community, and independence. |
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Call Number |
NRSNZNO @ research @ 1313 |
Serial |
1297 |
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Author |
Ross, J. |
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Title |
International perspective: The development of the advanced role of rural nurses in New Zealand |
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Journal Article |
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Year |
1999 |
Publication |
Australian Journal of Rural Health |
Abbreviated Journal |
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Volume |
7 |
Issue |
4 |
Pages |
253-257 |
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Keywords |
Nursing; Education; Rural nursing; Advanced nursing practice |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
953 |
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Author |
Smythe, E. |
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Title |
Uncovering the meaning of 'being safe' in practice |
Type |
Journal Article |
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Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
196-204 |
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Keywords |
Childbirth; Patient safety; Advanced nursing practice; Midwifery |
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Abstract |
This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations. |
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Call Number |
NRSNZNO @ research @ |
Serial |
877 |
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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 |
Spence, D. |
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Title |
Advanced nursing practice through postgraduate education, part one |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
2 |
Pages |
46-55 |
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Keywords |
Advanced nursing practice; Education; Professional development; Research |
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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. |
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Call Number |
NRSNZNO @ research @ 555 |
Serial |
541 |
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Author |
Spence, D. |
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Title |
Advancing nursing practice through postgraduate education, part two |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
21-30 |
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Keywords |
Advanced nursing practice; Professional development; Education; Research |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
542 |
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Author |
Spence, D.; Anderson, M. |
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Title |
Implementing a prescribing practicum within a Master's degree in advanced nursing practice |
Type |
Journal Article |
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Year |
2007 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
27-42 |
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Keywords |
Advanced nursing practice; Education; Nurse practitioners; Prescribing; Teaching methods |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
457 |
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Author |
Spence, D.; Anderson, M. |
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Title |
Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study |
Type |
Report |
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Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO theses and research material webpage |
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Volume |
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Issue |
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Pages |
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Keywords |
Prescription authority; Nursing; Education; Students; Advanced nursing practice |
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Abstract |
This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1136 |
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| Permanent link to this record |
