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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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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 |
Type |
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 |
Type |
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 |
Vernon, R.A.; Jacobs, S.; Papps, E. |
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Title |
An innovative initiative for advanced nursing practice roles |
Type |
Journal Article |
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Year |
2007 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
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Volume |
14 |
Issue |
2 |
Pages |
16-17 |
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Keywords |
Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1311 |
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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 |
Wilkinson, Jillian Ann |
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Title |
Ministerial Taskforce on Nursing : a struggle for control |
Type |
Journal Article |
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Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
24 |
Issue |
3 |
Pages |
5-16 |
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Keywords |
Nurse practitioner; Politics; Autonomy; Unionism |
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Abstract |
Traces the constitution and work of the Taskforce, along with the struggle that arose between nursing groups for power to control the future of advanced nursing practice. Backgrounds the factors that led to the withdrawal of the NZ Nurses' Organisation (NZNO) from the Taskforce. |
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Call Number |
NZNO @ research @ |
Serial |
1435 |
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Author |
Wilkinson, Jillian Ann |
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Title |
Constructing consensus : developing an advanced nursing practice role |
Type |
Journal Article |
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Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
24 |
Issue |
3 |
Pages |
17-26 |
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Keywords |
Nurse practitioner; Consensus; Autonomy; Unionism |
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Abstract |
Presents a study using a discourse analytical approach to trace the ongoing struggle between nursing groups for power to control the future of advanced nursing practice. Outlines the political discourses dominant in nursing during the period that led to the Nursing Council of New Zealand having regulatory control of the nurse practitioner role. |
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Call Number |
NZNO @ research @ |
Serial |
1436 |
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Author |
Nelson, Katherine M; Connor, Margaret; Alcorn, Gillian D |
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Title |
Innovative nursing leadership in youth health |
Type |
Journal Article |
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Year |
2009 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
25 |
Issue |
1 |
Pages |
27-37 |
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Keywords |
Clinical leadership; Innovation; Youth health; Nurse practitioner; Primary health care |
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Abstract |
Looks one of the eleven health care nursing innovation projects funded by the Ministry of Health: Vibe Youth Transition Services, located in the Hutt Valley, formerly known as the Hutt Valley Youth Service. Highlights the leadership role provided by the nurse practitioner (NP) which led to youth health and development nationally. |
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Call Number |
NZNO @ research @ |
Serial |
1441 |
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Author |
Unac, Fiona; Marshall, Bob; Crawford, Ruth |
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Title |
Nurse practitioner access to radiology and laboratory ser |
Type |
Journal Article |
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Year |
2010 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
26 |
Issue |
1 |
Pages |
27-37 |
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Keywords |
NZ nurse practitioner; Radiology tests; Laboratory tests; Barriers |
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Abstract |
Reports the findings of a quantitative descriptive survey of all NZ registered nurse practitioners (NPs), exploring NP access to radiology and laboratory services in 2008. Identifies the types of diagnostic tests NPs order from either laboratory or radiology services and the obstacles they face. |
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Call Number |
NZNO @ research @ |
Serial |
1453 |
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Author |
Lim, Anecita Gigi; North, Nicola; Shaw, John |
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Title |
Nurse prescribing : the New Zealand context |
Type |
Journal Article |
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Year |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
30 |
Issue |
2 |
Pages |
18-27 |
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Keywords |
Nurse prescribing; Authorised prescribing; Nurse practitioner; Patient safety; Prescribing education |
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Abstract |
Examines the introduction of nurse prescribing in NZ with respect to the level of knowledge and skills required of practitioners for safe prescribing. Compares experiences in NZ with those in the US, UK, and Canada. Critiques the higher educational model as the standard for preparation to prescribe, while supporting alternative models for extending prescribing rights. |
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Call Number |
NZNO @ research @ |
Serial |
1493 |
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