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Author Adams, Sue url  openurl
  Title Nurse practitioners in rural primary health care in New Zealand : an institutional ethnography Type Book Whole
  Year 2017 Publication Abbreviated Journal (up)  
  Volume Issue Pages 372 p.  
  Keywords Nurse practitioners; Rural primary health care; Rural health; Institutional ethnography; Surveys  
  Abstract Critically examines the work required to establish nurse practitioner (NP) services in rural primary health care in NZ, using the institutional ethnography approach to the inquiry. Explores the work and experiences that nurses undertook to become NPs delivering rural primary health care services. Considers how these were institutionally-shaped and coordinated. Conducts interviews with a total of 13 NPs and four NP candidates.  
  Call Number NZNO @ research @ Serial 1810  
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Author Laidlaw, Rebecca; Mercer, Christine openurl 
  Title Nurse practitioners: does home visiting improve outcomes for people living with long-term conditions Type Journal Article
  Year 2022 Publication Kai Tiaki Nursing Research Abbreviated Journal (up)  
  Volume 13 Issue 1 Pages 39-41  
  Keywords Nurse practitioners; Long-term conditions; Home visiting  
  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.  
  Call Number NZNO @ research @ Serial 1820  
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Author Mackay, B. url  openurl
  Title General practitioners' perceptions of the nurse practitioner role: An exploratory study Type Journal Article
  Year 2003 Publication New Zealand Medical Journal Abbreviated Journal (up) Access is free to articles older than 6 months, and abstracts.  
  Volume 116 Issue 1170 Pages  
  Keywords Nurse practitioners; Physicians; Interprofessional relations; Primary health care  
  Abstract This study explores perceptions of general practitioners in the Northland District Health Board (NDHB) regarding the nurse practitioner role, identifying their knowledge of and perceived problems with that role, and their experience of nurses in advanced practice. A purposive sample of all 108 general practitioners in NDHB was undertaken, with a response rate of 46.3%. General practitioners favourably viewed nurse practitioner functions traditionally associated with nursing, such as health teaching, home visiting, obtaining health histories, and taking part in evaluation of care, but less favourably viewed those functions associated with medicine, such as prescribing, ordering laboratory tests, and physical assessment. While expecting few problems with patient acceptance, the general practitioners felt that funding and doctors' acceptance would be problematic. Most general practitioners indicated they had knowledge of the nurse practitioner role and had experienced working with a nurse in advanced practice, but some uncertainty and lack of knowledge about the nurse practitioner role was evident. The author recommends more education and discussion with Northland general practitioners to ensure they are fully informed about the nurse practitioner role and its potential positioning in primary healthcare, to reduce uncertainty, minimise role confusion and promote collaboration between general practitioners and nurse practitioners.  
  Call Number NRSNZNO @ research @ Serial 557  
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Author Mearns, G. url  openurl
  Title Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice Type
  Year 2005 Publication Abbreviated Journal (up) Auckland University of Technology Library  
  Volume Issue Pages  
  Keywords Nurse practitioners; Geriatric nursing; Older people; Registered nurses  
  Abstract The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner.  
  Call Number NRSNZNO @ research @ Serial 585  
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B. url  openurl
  Title From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
  Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal (up) 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 Pirret, A M url  openurl
  Title Nurse practitioner diagnostic reasoning Type
  Year 2013 Publication Abbreviated Journal (up) Available from the NZNO Library  
  Volume Issue Pages 280 pp  
  Keywords Nurse practitioners; Diagnostic reasoning; Diagnostic accuracy; Surveys; Decision-making theory  
  Abstract Uses a post-positivist mixed-methods convergent-parallel design to explore nurse practitioner diagnostic reasoning and compare it to that of registrars. Includes 30 nurse practitioners and 16 registrars in a case scenario. Outlines nurse practitioner practice in NZ and how the NZ title of nurse practitioner differs from that used internationally.  
  Call Number NZNO @ research @ Reference only Serial 1394  
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Author Vernon, R.A.; Jacobs, S.; Papps, E. url  openurl
  Title An innovative initiative for advanced nursing practice roles Type Journal Article
  Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal (up) Available online from Eastern Institute of Technology  
  Volume 14 Issue 2 Pages 16-17  
  Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models  
  Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.  
  Call Number NRSNZNO @ research @ Serial 1311  
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Author Poot, Betty; Nelson, Katherine; Zonneveld, Rebecca; Weatherall, Mark url  doi
openurl 
  Title Potentially inappropriate medicine prescribing by nurse practitioners in New Zealand Type Journal Article
  Year 2020 Publication Journal of the American Association of Nurse Practitioners Abbreviated Journal (up) JAANP  
  Volume 32 Issue 3 Pages 220-228  
  Keywords Nurse prescribing; Nurse practitioners; Potentially inappropriate medicines (PIM); Older people  
  Abstract Reports the prescribing of potentially-inappropriate medicines (PIM) to older adults (> 65 years). Undertakes a subset analysis of data from the Ministry of Health pharmaceutical collection for the years 2013-2015. Includes nurse practitioner (NP) registration number, medicines dispensed, patient age, gender and NZ Deprivation level. Uses the Beers 2015 criteria to identify PIM. Details the medicines most commonly inappropriately prescribed.  
  Call Number NZNO @ research @ Serial 1768  
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Author Gagan, M.J.; Boyd, M.; Wysocki, K.; and Williams, D.J. url  doi
openurl 
  Title The first decade of nurse practitioners in New Zealand: A survey of an evolving practice Type Journal Article
  Year 2014 Publication Journal of the American Association of Nurse Practitioners Abbreviated Journal (up) JAANP  
  Volume 26 Issue 11 Pages 612-619  
  Keywords Nurse practitioners; Nursing history  
  Abstract Provides an overview of the practices and outcomes of nurse practitioners (NP) across a variety of healthcare specialties since NPs were first registered in 2002. Uses the PEPPA model as a guide for the organisation of data, the discussion of findings, and recommendations for the future.  
  Call Number NZNO @ research @ Serial 1845  
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Author Wilkinson, J.A. url  openurl
  Title The New Zealand nurse practitioner polemic: A discourse analysis Type
  Year 2007 Publication Abbreviated Journal (up) Massey University Library  
  Volume Issue Pages  
  Keywords Nurse practitioners; History of nursing  
  Abstract The purpose of this research has been to trace the development of the nurse practitioner role in New Zealand. Using a discourse analytical approach informed by the work of Michel Foucault, the study foregrounds the discourses that have constructed the nurse practitioner role within the New Zealand social and political context. The author suggests that discourses of nursing and of medicine have established systems of disciplinary practices that produce nurses and physicians within defined role boundaries, not because of legislation, but because discourse has constructed certain rules. The nurse practitioner role transcends those boundaries and offers the possibility of a new and potentially more liberating identity for nurses and nursing. A plural approach of both textuality and discursivity was used to guide the analysis of texts chosen from published literature and from nine interviews conducted with individuals who have been influential in the unfolding of the nurse practitioner role. Both professionally and industrially and in academic and regulatory terms dating back to the Nurses Registration Act, 1901, the political discourses and disciplinary practices serving to position nurses in the health care sector and to represent nursing are examined. The play of these forces has created an interstice from which the nurse practitioner role in New Zealand could emerge. In combination with a new state regime of primary health care, the notion of an autonomous nursing profession in both practice and regulation has challenged medicine's traditional right to surveillance of nursing practice. Through a kind of regulated freedom, the availability of assessment, diagnostic and prescribing practices within a nursing discourse signals a radical shift in how nursing can be represented. The author concludes that the nurse practitioner polemic has revolutionised the nursing subject, and may in turn lead to a qualitatively different health service.  
  Call Number NRSNZNO @ research @ 517 Serial 503  
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Author Davies, M. openurl 
  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 (up) Massey University Library  
  Volume Issue Pages  
  Keywords Emergency nursing; Nurse practitioners; Advanced nursing practice  
  Abstract  
  Call Number NRSNZNO @ research @ 682 Serial 668  
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Author Jacobs, S. openurl 
  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 (up) 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 Jones, B. openurl 
  Title Saving lives and changing dirty nappies: Illuminating nursing in the neonatal nurse practitioner role: The New Zealand experience Type
  Year 2000 Publication Abbreviated Journal (up) Massey University Library  
  Volume Issue Pages  
  Keywords Neonatal nursing; Nurse practitioners  
  Abstract  
  Call Number NRSNZNO @ research @ 919 Serial 903  
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Author Maw, H. url  openurl
  Title The challenge of developing primary health care nurse practitioner roles in rural New Zealand Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 201-214) Abbreviated Journal (up) Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Nurse practitioners; Rural health services; Interprofessional relations; Policy  
  Abstract The author traces the development of the nurse practitioner role in New Zealand, which was finally introduced in 2001. It traces the key events, from early debates on the issue, the influence of the Centre for Rural Health, and a series of government investigations into nursing which noted the untapped potential of the nursing workforce and the lack of ongoing clinical career pathways. Barriers to rural nurses becoming endorsed as primary health care nurse practitioners are examined, and some of the solutions to this issue are explored. Relationships between nurse practitioners and the local general practitioners, and community resistance are areas that need management. Education is seen as a key response to many of these issues.  
  Call Number NRSNZNO @ research @ Serial 762  
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Author Mackay, B. openurl 
  Title An analysis of innovative roles in primary health care nursing Type
  Year 2004 Publication Abbreviated Journal (up) Northland Polytechnic Library  
  Volume Issue Pages  
  Keywords Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing  
  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.  
  Call Number NRSNZNO @ research @ Serial 1124  
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