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Author Betts, J.A.
Title (up) Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Nurse practitioners; Community health nursing
Abstract
Call Number NRSNZNO @ research @ 684 Serial 670
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B.
Title (up) From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
Year 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 Mackay, B.
Title (up) General practitioners' perceptions of the nurse practitioner role: An exploratory study Type Journal Article
Year 2003 Publication New Zealand Medical Journal Abbreviated Journal 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 Milligan, K.; Neville, S.J.
Title (up) Health assessment and its relationship to nursing practice in New Zealand Type Journal Article
Year 2001 Publication Contemporary Nurse Abbreviated Journal
Volume 10 Issue 1/2 Pages 7-11
Keywords Nursing; Education; Professional competence; Nurse practitioners; Cross-cultural comparison
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.
Call Number NRSNZNO @ research @ Serial 1090
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Author Spence, D.; Anderson, M.
Title (up) Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
Year 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 Adams, Sue; Carryer, Jenny; Wilkinson, Jillian Ann
Title (up) Institutional ethnography : an emerging approach for health and nursing research Type Journal Article
Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 1 Pages 18-26
Keywords Institutional ethnography; Ruling relations; Nurse practitioners; Health research; Sociological inquiry
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.
Call Number NZNO @ research @ Serial 1499
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Author Davies, M.
Title (up) 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 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 Horner, C.
Title (up) Maintaining rural nurses' competency in emergency situations Type
Year 2005 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Emergency nursing; Nurse practitioners; Rural nursing; Education
Abstract On call emergency health services are becoming routinely provided by some rural nurses, predominantly within the South Island. Rural nurses have been advancing their practice to accommodate the limited availability of general practitioners in rural communities. Although this is becoming routine practice, the author has been providing a service such as this for the past 12 years. This dissertation describes this practice in relationship to the present social-political context, advancing nurse competencies and her experience of rural nursing in a rural town within the South Island. Particular significance for the rural nurse is the required independent practice and overall responsibility when remote from traditional medical oversight. Providing on call emergency care with the possibility of a broad spectrum of emergency situations while maintaining competence for the unpredictable frequency (or lack of frequency) of the rural emergency is the focus of this dissertation. The professional and personal risks are high for rural nurses when placed in situations they are not prepared for or unable to remain competent to manage. Implications resulting from the critique of the health service literature on this subject are identified. Firstly, rural nurses need to be insightful of their own emergency on call expertise and limitations. Secondly, rural nurses require ongoing education and thirdly that appropriate education is available and accessible to rural nurses. Lastly, rural nurses require maintenance of competency so these emergency skills are not lost. This dissertation and the resulting recommendations embrace Nursing Council of New Zealand Nurse Practitioner Competencies. The resulting outcomes fulfilling the rural nurse's need for maintenance of competency for emergency on call care, the community's need for safe appropriate emergency care and national legislation requirements.
Call Number NRSNZNO @ research @ Serial 666
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Author McElroy, Jennifer
Title (up) Maternity outcomes and access following regulatory changes for Isotretinoin prescribing in New Zealand Type Book Whole
Year Publication Abbreviated Journal
Volume 2017 Issue Pages 108 p.
Keywords Isotretinoin; Primary health care providers; Nurse practitioners; Nurse prescribing; Special Authority; Decision Support Tools; Funded Access
Abstract Analyses retrospective prescription data for the years 2007-2015 to determine how access to isotretinoin altered before and after funded access was extended from dermatologists to include GPs and nurse practitioners who obtained a Special Authority. Assesses maternity outcomes for females dispensed the drug with regard to pregnancy terminations and isotretinoin-exposed live births. Examines outcomes based on type of prescriber and use or otherwise of the Best Practice Advocacy Centre (BPAC) electronic isotretinoin decision-support tool.
Call Number NZNO @ research @ Serial 1586
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Author Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S.
Title (up) Mental health nursing and its future: A discussion framework: Report from the Expert Reference Group to the Deputy Director-General Dr Janice Wilson Type Report
Year 2006 Publication Abbreviated Journal
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing; Policy; Leadership; Nurse practitioners; Nursing; Education; Careers in nursing
Abstract This project was initiated by the Ministry of Health to ensure a nationally coordinated approach to mental health nursing. The purpose of the project is to provide a national strategic framework for mental health nursing that will strengthen both nursing leadership and practice within the multi-disciplinary clinical environment. The framework reviews a range of key workforce issues identified by the Ministry of Health and provides strategies to move mental health nursing forward. The framework integrates directions from government mental health strategies, policies and directions, national and international literature as well as professional nursing requirements which aim to create a sustainable mental health nursing workforce using evidence based practice. The framework considers a range of key workforce issues identified by the Ministry of Health including: nursing leadership, nurse practitioners, standards, skill mix, clinical career pathways, professional supervision, education, research and recruitment and retention.
Call Number NRSNZNO @ research @ Serial 865
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Author Pirret, A M
Title (up) Nurse practitioner diagnostic reasoning Type
Year 2013 Publication Abbreviated Journal 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 Officer, Tara N.
Title (up) Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience Type Book Whole
Year 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 Adams, Sue
Title (up) Nurse practitioners in rural primary health care in New Zealand : an institutional ethnography Type Book Whole
Year 2017 Publication Abbreviated Journal
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
Title (up) 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
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 Hales, A.; Dignam, D.
Title (up) Nurse prescribing lessons from the US Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 12-15
Keywords Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education
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.
Call Number NRSNZNO @ research @ Serial 1007
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