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Author Water, Tineke; McCall, Elaine; Britnell, Sally; Rea, Miriam; Thompson, Sarah; Mearns, Gael url  openurl
  Title Paediatric nurses' understanding and utilisation Type Journal Article
  Year 2018 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 34 Issue 1 Pages 32-45  
  Keywords Evidence-based practice; Paediatric nursing; Nursing practice; Surveys  
  Abstract Explores how nurses working in a tertiary-level paediatric health-care facility understand research and evidence-based practice. Offers a descriptive, self-reporting, anonymous questionnaire to 600 paediatric nurses, asking both quantitative and qualitative questions on attitudes, knowledge and barriers relating to research and evidence-based practice utilisation. Identifies the barriers to undertaking research/evidence-based practice in paediatric nursing practice.  
  Call Number NZNO @ research @ Serial 1592  
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Author Wilkinson, Jillian Ann url  openurl
  Title The New Zealand nurse practitioner polemic : a discourse analysis : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Wellington, New Zealand Type Book Whole
  Year 2007 Publication Abbreviated Journal  
  Volume Issue Pages 308 pp.  
  Keywords Nurse practitioners; Nursing history; Advanced nursing practice; Nursing identity; Discourse analysis; Nursing regulation; Surveys  
  Abstract Traces the development of the nurse practitioner role in NZ since its establishment in 2001, using a discourse analytical approach to examine those discourses that have defined the role. Employs both textual and discursive analysis of texts from published literature and from nine interviews with individuals influential in the evolution of the role. Examines political perspectives and disciplinary practices dating back to the Nurses Registration Act of 1901. Considers the implications of an autonomous nursing profession in both practice and regulation.  
  Call Number NZNO @ research @ Serial 1614  
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Author Sue, Kim; Lee, Tae W; Kim, Gwang S. and others url  doi
openurl 
  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 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 Spence, D.; Anderson, M. url  openurl
  Title Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study Type Report
  Year 2006 Publication Abbreviated Journal NZNO theses and research material webpage  
  Volume Issue Pages  
  Keywords Prescription authority; Nursing; Education; Students; Advanced nursing practice  
  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.  
  Call Number NRSNZNO @ research @ Serial 1136  
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Author Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. url  openurl
  Title Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori 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 1176 Pages  
  Keywords Advanced nursing practice; Hospitals; Clinical assessment; Evaluation  
  Abstract Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive.  
  Call Number NRSNZNO @ research @ 625 Serial 611  
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Author Wright, Jane; Honey, Michelle url  openurl
  Title New Zealand nurses' experience of tele-consultation within secondary and tertiary services to provide care at a distance Type Journal Article
  Year 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 Dillon, D.R. url  openurl
  Title Rural contexts: Islands Type Book Chapter
  Year 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. url  openurl
  Title The impact of tourism on rural nursing practice Type Book Chapter
  Year 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 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 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 Ferguson, Katelyn Maye url  openurl
  Title The appropriation of cultural safety: A mixed methods analysis Type Book Whole
  Year 2021 Publication Abbreviated Journal  
  Volume Issue Pages 250 p.  
  Keywords Cultural safety; Nursing practice; Cross-cultural communication; Maori health care; Internationally Qualified Nurses (IQN)  
  Abstract Argues that the concept of cultural safety (CS) has been appropriated from an indigenous-led bicutural context to an inclusive cross-cultural framework for working with diverse patient populations. Investigates nurses' understanding of the 'Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice' published in 2011 by the Nursing Council of NZ. Conducts a mixed-methods survey using both closed and open-ended questions to gauge nurses' confidence in applying the guidelines and their view of their relevance. Describes differences between NZ Registered Nurses (RN) and Internationally Qualified Nurses (IQN) in their understanding of CS. Argues that the CS model should be by Maori, for Maori.  
  Call Number NZNO @ research @ Serial 1763  
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Author Officer, Tara N. url  openurl
  Title 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 McLaughlin, K. url  openurl
  Title Nephrology nursing: Early intervention in chronic kidney disease Type
  Year 2004 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Nursing specialties; Diseases; Advanced nursing practice; Kidney disease  
  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.  
  Call Number NRSNZNO @ research @ Serial 1150  
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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 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 Rook, Helen; Hales, Caz; Milligan, Kaye; Jones, Mark url  doi
openurl 
  Title Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing Type Journal Article
  Year 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 Spence, D.; Anderson, M. openurl 
  Title 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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