| Records |
| Author |
Hylton, J.A. |
| Title |
Relearning how to learn: Enrolled nurse transition to degree at a New Zealand rural satellite campus |
Type |
Journal Article |
| Year |
2005 |
Publication |
Nurse Education Today |
Abbreviated Journal |
|
| Volume |
25 |
Issue |
7 |
Pages  |
519-526 |
| Keywords |
Registered nurses; Enrolled nurses; Education; Maori; Scope of practice; Careers in nursing; Rural nursing |
| Abstract |
This paper reports a study that examined the factors that assisted or hindered the transition of a group of enrolled nurses to registration/degree programmes, via a flexible course developed by a North Island tertiary institution. The study follows ten enrolled nurses, primarily Maori and working in rural settings, as they continued to work while studying at a small satellite campus. The study was exploratory and descriptive, and utilised focus group interviews. Two major categories emerged from comparative analysis of the data. One category entitled 'relearning how to learn', demonstrated the cognitive and behavioural adaptations made and is the focus of this paper. The other category 'barriers and catapults', demonstrated the physical and environmental factors that influenced the students' transition but is outside the scope of this paper. Recent changes in New Zealand nursing education have witnessed the clarification of scopes of nursing practice and the controversial development of a new Certificate in Health Science (Nurse Assistant). Currently enrolled nurses are again facing threats to employment and it is envisaged that many will be seeking to undertake transition to registered nurse in the near future. |
| Call Number |
NRSNZNO @ research @ |
Serial |
842 |
| Permanent link to this record |
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| Author |
Ross, Jean |
| Title |
'Place' Matters to Rural Nurses: A Study Located in the Rural Otago Region of New Zealand |
Type |
Book Whole |
| Year |
2017 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
346 p. |
| Keywords |
Rural nursing; Identity; Otago; Sense of place |
| Abstract |
Explores the social construction of the evolving professional identity, of rural nurses between the 1990z and early 2000s, a period of time was associated with two
significant national directives impacting on the professional practice of rural nurses and their contribution to the delivery of health care, from the rural Otago region of NZ. Engages with the concepts of place and governmentality. Demonstrates that rural nursing is a place–based practice governed both from within and beyond location, an analytical diagrammatic matrix. |
| Call Number |
NZNO @ research @ |
Serial |
1555 |
| Permanent link to this record |
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| Author |
Ross, J. |
| Title |
International perspective: The development of the advanced role of rural nurses in New Zealand |
Type |
Journal Article |
| Year |
1999 |
Publication |
Australian Journal of Rural Health |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
4 |
Pages |
253-257 |
| Keywords |
Nursing; Education; Rural nursing; Advanced nursing practice |
| Abstract |
This paper offers an insight into the development of the advanced role of rural nursing practice in New Zealand. The concept of advanced nursing practice is discussed within the context of the interdisciplinary healthcare team. It is argued that as nurses take on advanced practice, it is essential they receive appropriate clinical and theoretical skills to ensure they are in a position to provide competent and clinically safe, effective health care in an ethical, efficient manner. A description of a survey, undertaken by the author, studying rural nurses' skills provides the recommendation for the development of an appropriate postgraduate course at Masters level, designed specifically for primary rural nurses for the advanced role. |
| Call Number |
NRSNZNO @ research @ |
Serial |
953 |
| Permanent link to this record |
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| Author |
Spence, D.; Fielding, S. |
| Title |
Win-win-win: Collaboration advances critical care practice |
Type |
Journal Article |
| Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
2/3 |
Pages |
223-228 |
| Keywords |
Nursing specialties; Rural nursing; Nursing; Education; Curriculum |
| Abstract |
This paper provides an overview of the structure and processes of an eighteen month, distance education course focused on developing advanced practice in the context of critical care nursing. Within the framework of a Master of Health Science, the postgraduate certificate (critical care nursing) was developed as a collaboration between Auckland University of Technology and two regional health providers. Students enrol in science and knowledge papers concurrently then, in the second half of the course, are supported within their practice environment to acquire advanced clinical skills and to analyse, critique and develop practice within their specialty. This course is set against a background of increasing interest in education post registration. The acquisition of highly developed clinical capabilities requires a combination of nursing experience and education. This requires collaboration between clinicians and nurse educators, and approaches to address accessibility of relevant educational opportunities for nurses outside the country's main centres. |
| Call Number |
NRSNZNO @ research @ |
Serial |
878 |
| Permanent link to this record |
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| Author |
Murrell-McMillan, K.A. |
| Title |
Why nurses in New Zealand stay working in rural areas |
Type |
Journal Article |
| Year |
2006 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
| Volume |
33 |
Issue |
3 |
Pages |
173-175 |
| Keywords |
Rural nursing; Recruitment and retention; Job satisfaction; Teamwork; Primary health care |
| Abstract |
The author investigates why nurses in New Zealand stay working in rural areas when their Australian counterparts and medical colleagues are leaving rural areas at alarming rates. She looks at international recruitment and retention issues, and particularly compares rural nursing in Australia with New Zealand. Local research shows that over 50% of rural nursing is in the practice environment. Practice nurses report high job satisfaction, specifically around working with diverse populations, autonomy, and working with GPs, the local community, and local iwi. The only perceived barrier identified in the New Zealand literature to job satisfaction and collaborative team behaviour has been the funding of nursing services in rural areas. This contrasts with many barriers to rural nursing in Australia, and the author suggests New Zealand policy makers may learn from Australia's retention issues. |
| Call Number |
NRSNZNO @ research @ |
Serial |
530 |
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| Author |
Gubb, Alicia |
| Title |
Rural nurse practitioner role to improve outcomes for Thames-Coromandel community |
Type |
Book Whole |
| Year |
2020 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
115 p. |
| Keywords |
Nurse practitioners; Rural nursing; Transitional care; Thames Coromandel |
| Abstract |
Maintains that the Nurse Practitioner (NP) role has the potential to achieve more equitable outcomes for rural populations, particularly for older adults in their transition from hospital to the rural setting. Examines how NPs can reduce readmissions, from a thematic analysis of the literature using a realist synthesis approach, focusing on the Thames Coromandel rural community. Derives three themes from the analysis: self-efficacy, holistic care, and care grounded in nursing philosophy. |
| Call Number |
NZNO @ research @ |
Serial |
1750 |
| Permanent link to this record |
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| Author |
Hutton, Gemma |
| Title |
How do rural nurse specialists in South Westland perceive their personal safety whilst working in isolation? |
Type |
Book Whole |
| Year |
2018 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
97 p. |
| Keywords |
Rural nursing; Personal safety; Rural conditions |
| Abstract |
Identifies how rural nurse specialists (RNS) working in South Westland (SW) perceiver their personal safety in a rural environment as compared with an urban one. Uses a focus group to explore RNS responses and to identify the following themes related to safety in isolated environments: community, pressure to perform, and luck versus planning for safety. Suggests recommendations for future practice. |
| Call Number |
NZNO @ research @ |
Serial |
1665 |
| Permanent link to this record |
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| Author |
Barber, M. |
| Title |
Exploring the complex nature of rural nursing |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
10 |
Pages |
22-23 |
| Keywords |
Rural nursing; Scope of practice; Community health nursing |
| Abstract |
This article reports the results of a research study undertaken to examine how nurses manage their professional and personal selves while working in small rural communities. The participants were a small group of rural nurses on the West Coast. The rationale for the study was the long-term sustainability and viability of the service to this remote area. The research showed that the rural nurse specialists' role is a complex and challenging one, performed within the communities in which nurses live. |
| Call Number |
NRSNZNO @ research @ 1212 |
Serial |
1197 |
| Permanent link to this record |
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| Author |
Ross, J. |
| Title |
Perspectives on developing the advanced role of rural nursing in New Zealand |
Type |
Journal Article |
| Year |
2001 |
Publication |
Health Manager |
Abbreviated Journal |
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| Volume |
8 |
Issue |
1 |
Pages |
19-21 |
| Keywords |
Rural nursing; Advanced nursing practice; School nursing; Professional competence |
| Abstract |
The author traces the development of rural nursing, which began as an assistant role for general practitioners, to the present role which incorporates advanced nursing practice. She reports the results of two surveys of nurses' roles and skills, from 1996 and 1999-2000. Specific rural competencies are identified, in managing isolation, professionalism in a small community, nurse/patient relationships in a small community, and independence. |
| Call Number |
NRSNZNO @ research @ 1313 |
Serial |
1297 |
| Permanent link to this record |
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| Author |
Connor, Margaret J; Nelson, Katherine M; Maisey, Jane |
| Title |
Impact of innovation funding on a rural health nursing service : the Reporoa experience |
Type |
Journal Article |
| Year |
2009 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
25 |
Issue |
2 |
Pages |
4-14 |
| Keywords |
Primary health care; Rural nursing; Innovation; Advancing practice |
| Abstract |
Examines the impact of innovation funding through the MOH primary health-care nursing innovation funding scheme on Health Reporoa Inc, which offers a first-contact rural nursing service to the village of Reporoa and surrounding districts. Looks at funding impact during the project period of 2003-2006, and in the two years that followed. |
| Call Number |
NZNO @ research @ |
Serial |
1443 |
| Permanent link to this record |
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| Author |
Beasley, Catherine; Dixon, Robyn |
| Title |
Phase II cardiac rehabilitation in rural Northland |
Type |
Journal Article |
| Year |
2013 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
29 |
Issue |
2 |
Pages |
4-14 |
| Keywords |
Cardiac rehabilitation; Rural nursing |
| Abstract |
Reports a descriptive, exploratory, qualitative study of the perceptions and experiences of nurses who delivered cardiac rehabilitation in a rural health-care setting in Northland. Gathers data from two focus groups of 12 nurses in which five themes relating to cardiac rehabilitation are identified using a general inductive approach. |
| Call Number |
NZNO @ research @ |
Serial |
1482 |
| Permanent link to this record |
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| Author |
Howie, L. |
| Title |
Rural society and culture |
Type |
Book Chapter |
| Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 3-18 ) |
Abbreviated Journal |
Ministry of Health publications page |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural nursing; Culture |
| Abstract |
The author takes a multidisciplinary approach to examine how the location and concept rural is defined and provides a critique of the disparate definitions available. Definitions encompass different disciplines such as sociology and anthropology, and there are national distinctions based on historical factors. The chapter also investigates the way researchers speak about rural people, particularly as the human aspect of health is a primary concern to nursing. The focus is on the socio-cultural, occupational, ecological, and health aspects of rurality. The Rural Framework Wheel is introduced, which is a method to categorise rural contextual definitions. Rurality is presented as a variable and evolving concept that provides particular challenges to nursing practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
460 |
| Permanent link to this record |
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| Author |
Dillon, D.R. |
| 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 |
| Permanent link to this record |
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| Author |
Lindley, G. |
| Title |
Using frameworks to critically analyse the advancement of rural practice: One nurse's experience |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Rural nursing; Nursing models |
| Abstract |
The process of describing her scope of practice led the author to become interested in just how she has advanced her practice and the journey that unfolded. The author was introduced to a number of models or frameworks and these frameworks have been critiqued within this dissertation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
483 |
| Permanent link to this record |
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| Author |
Armstrong, S.E. |
| Title |
Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural nursing; Rural health services; Relationships |
| Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions. |
| Call Number |
NRSNZNO @ research @ |
Serial |
493 |
| Permanent link to this record |
