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Author Rook, Helen; Hales, Caz; Milligan, Kaye; Jones, Mark
Title Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing Type Journal Article
Year (down) 2021 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 37 Issue 1 Pages 37-41
Keywords Advanced nursing practice; Nurse practitioners
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.
Call Number NZNO @ research @ Serial 1689
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Author Sue, Kim; Lee, Tae W; Kim, Gwang S. and others
Title Nurses in advanced roles as a strategy for equitable access to healthcare in the WHO Western Pacific region: a mixed methods study Type Journal Article
Year (down) 2021 Publication Human Resources for Health Abbreviated Journal
Volume 19 Issue 1 Pages 1-9
Keywords Advanced nursing practice; Health promotion; Western Pacific; Surveys
Abstract Investigates current responsibilities of nurses in advanced roles (NAR) in the Western Pacific. Uses a Delphi survey to identify key barriers and challenges for enhancing role development within the country and the region. Conducts semi-structured individual interviews with 55 national experts from clinical, academic and/or governmental backgrounds in 18 countries, to identify strategies for establishing nurses in advanced roles to improve equitable access to healthcare in the region.
Call Number NZNO @ research @ Serial 1777
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Author Officer, Tara N.
Title Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience Type Book Whole
Year (down) 2018 Publication Abbreviated Journal
Volume Issue Pages 301 p.
Keywords Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers
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.
Call Number NZNO @ research @ Serial 1693
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Author Crick, Michelle; MacDonald, Danielle; Perry, Jane; Poole, Nicky
Title Reflections on the influence of grandmothers on the careers of four nurses Type Journal Article
Year (down) 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 21-27
Keywords Reflection; Grandmothers; Advanced nursing practice
Abstract Presents the personal reflections of four nurses who have lived and worked in different parts of the world, revealing the influence of their grandmothers in their career choice. Identifies common values of respect, courage and the importance of listening to others, imparted to the nurses by their grandmothers. Relates these attributes to fundamental elements of the International Council of Nurses (ICN) code of ethics.
Call Number NZNO @ research @ Serial 1547
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Author Wright, Jane; Honey, Michelle
Title New Zealand nurses' experience of tele-consultation within secondary and tertiary services to provide care at a distance Type Journal Article
Year (down) 2016 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 32 Issue 2 Pages 30-38
Keywords Telemedicine; Advanced nursing practice; Remote consultation; Telenursing; Telehealth
Abstract Aims to explore NZ registered nurses' experience of using tele-consultation to provide care at a distance. Using a general inductive approach, single semi-structured interviews were undertaken with nine experienced nurses who provide secondary and tertiary services to patients and healthcare teams. Identifies five themes relating to nurses' role in tele-consultation.
Call Number NZNO @ research @ Serial 1518
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Author Holloway, Kathryn
Title The New Zealand nurse specialist framework: Clarifying the contribution of the nurse specialist Type Journal Article
Year (down) 2012 Publication Policy, Politics, & Nursing Practice Abbreviated Journal
Volume 13 Issue 3 Pages 147-153
Keywords Nurse Specialist Framework; Advanced nursing practice; Workforce planning; Capability models
Abstract Presents an overview of the NZ Nurse Specialist Framework (NZNSF), developed through a consensus approach as part of a doctoral study, and which provides an over-arching structure to support coherence, clarity and consistency for nurse specialists. Maintains that the framework supports workforce policy makers in planning effective utlisation of the nurse specialist in health care delivery.
Call Number NZNO @ research @ Serial 1827
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Author Roberts, Jennifer; Floyd, Sue; Thompson, Shona
Title The clinical nurse specialist in New Zealand : how is the role defined? Type Journal Article
Year (down) 2011 Publication 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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Author Dillon, D.R.
Title Rural contexts: Islands Type Book Chapter
Year (down) 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 19-30) Abbreviated Journal Ministry of Health publications page
Volume Issue Pages
Keywords Rural nursing; Identity; Advanced nursing practice; Professional competence
Abstract This chapter explores the concept of islands particularly in relation to rurality, individual and community identities, and nursing. The author argues that all New Zealanders are islanders, and considers the implications of this on personal and community values, when they are shaped by geographic isolation and structural separateness. She explores commonalities between islanders and rural peoples in areas such as identity, isolation, and health, and outlines the impacts this has on rural nursing practice and competencies. A case study of a nurse on Stewart Island is briefly discussed.
Call Number NRSNZNO @ research @ 765 Serial 461
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Author Fitzwater, A.
Title The impact of tourism on rural nursing practice Type Book Chapter
Year (down) 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 Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B.
Title From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
Year (down) 2008 Publication Journal of Clinical Nursing Abbreviated Journal Author copy available 12 months after publication from QUT ePrints
Volume 17 Issue 2 Pages 250-258
Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation
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.
Call Number NRSNZNO @ research @ 945 Serial 929
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Author Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J.
Title Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units Type Journal Article
Year (down) 2008 Publication Journal of Clinical Nursing Abbreviated Journal
Volume 17 Issue 8 Pages 1035-1043
Keywords Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison
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.
Call Number NRSNZNO @ research @ Serial 962
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Author Spence, D.; Smythe, E.
Title Courage as integral to advancing nursing practice Type Journal Article
Year (down) 2007 Publication 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.
Title Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
Year (down) 2007 Publication 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 Lesa, R.; Dixon, D.A.
Title Physical assessment: Implications for nurse educators and nursing practice Type Journal Article
Year (down) 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 Jefferson, F.E.
Title An exploration of the competencies for advanced nursing practice in the perioperative setting Type
Year (down) 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Advanced nursing practice; Operating theatre
Abstract A clinical research practicum.
Call Number NRSNZNO @ research @ 826 Serial 810
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