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Author  |
Diack, Aileen |
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Title |
Innovations in home care for infants and young children with long-term illness (observations of care provision in United States of America and England) |
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Report |
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Year |
1993 |
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Abbreviated Journal |
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Pages |
33 p. |
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Keywords |
Child health services; Long-term care; Domiciliary nursing; Reports |
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Abstract |
Visits the US and the UK to observe paediatric nursing services for chronically-ill children at home. Discusses the concepts that enable children with long-term illness to be cared for in the home, how staff are chosen and trained and the degree to which the family is involved in setting objectives and directing the focus of care. Part of the Margaret May Blackwell Scholarship Reports series. |
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Call Number |
NZNO @ research @ |
Serial |
1418 |
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Author |
Brownie, S.M. |
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Title |
Management perspectives of the second evel nurse |
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Year |
1993 |
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Abbreviated Journal |
National Library, NZNO Library, |
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Abstract |
This study presents information, obtained from health service managers, on the present use and possible future use of second level nurses within the region encompassing the Wanganui, Rangitikei, Manawatu, Tararua, Palmerston North City and Horowhenua districts. “ Second level nurses” are currently known as enrolled nurses and, in accordance with Section 53A of the 1983 Amendment to the Nurses Act, are required to work under the direction and supervision of registered nurses or medical practitioners. Enrolled nurses are usually allocated less responsibility for nursing assessment and judgement than registered nurses.Management perspectives, from seventy seven health workforce managers, were sought in relation to the future workforce need, the scope and boundaries of practice, and the alternatives for the future educational preparation of second level nurses. Seventy two percent of managers said that they thought enrolled nurses were essential to New Zealand's future nursing workforce. They predicted increased opportunities for enrolled nurses in care of the elderly and community care settings. Patterns in the current workforce utilization of enrolled nurses, however, did not support these views.In relation to the education of enrolled nurses, managers indicated that hospital-based training was the most preferred option. However, managers asserted that, in view of the current lack of employment opportunities no more enrolled nurses should be prepared at the present time.Although questions about education were focussed on the educational preparation of enrolled nurses, many of the respondent managers also expressed opinions about the educational preparation of comprehensive nurses. As a result, an evaluation of comprehensive nursing programmes is suggested.While the numbers of second level nurses being prepared and used is decreasing, there is a concomitant increase in the preparation and use of caregivers. This rapidly increasing group isfast becoming a “cheaper” second level workforce. The increase in the use of caregivers is seen to result from the pressure on healthcare employers to reduce spending within the current highly competitive, de-regulated economy. Managers asserted that enrolled nurses are not cost effective in comparison with either caregivers or registered nurses.The study concludes with thirteen recommendations which are made under the following four groups;1. Manawatu Polytechnic – provider of nursing education.2. Healthcare employers – users of nursing education.3. Enrolled nurses – participants in nursing education.4. Professional nursing bodies – guardians of nursing education |
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Call Number |
NRSNZNO @ research @ 407 |
Serial |
407 |
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Author |
Ainge, N. |
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Title |
Registered nurses participation in a professional recognition program. Their responses to nine job related factors |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Mary Lambie Collection, Canterbury Medical Library |
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Abstract |
A simple descriptive longitudinal survey monitoring self- reported incidence of satisfaction/ dissatisfaction to nine job related factors. The two hundred RN's participating in the pilot implementation of the Clinical Career Pathway (Canterbury Area Health Board) were surveyed in June 1992 and February 1993. This was a time of change in New Zealand's Health service |
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Call Number |
NRSNZNO @ research @ 13 |
Serial |
13 |
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Author |
Ainge, N. |
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Title |
Report on the pilot implementation of the clinical career pathway for nurses ( CAHB) |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Mary Lambie Collection Canterbury Medical Library |
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Abstract |
During 1992, two hundred Registered Nurses ( RN's) participated in the Pilot Implementation of the Clinical Career Pathway for Nurses. This was conducted according to terms for the Proposal (Shepherd et al 1991) prepared by Nurses throughout the Canterbury Area Health Board.Ten services had a participating ward/ unit. All were volunteers. The framework for a Clinical Career Pathway (CAHB) has six steps. During 1992 attention was focused on the two levels beyond basic functional competency. Nurse Practitioner II, Nurse Specialist. An open system was piloted. There was no change to remuneration. Advancement was- self initiated; by peer review ( the RN was required to meet the performance criteria set by the Unit Nurse Managers.) There was no constraint to numbers advancing. Forty seven RN's advanced to Nurse practitioner II level,nine advanced to Nurse Specialist level.Evaluation covered four areas-1. Qualitative benefits and initiatives to improves patient care. 2. Nurses perception of the project. 3. Benefits of peer review. 4. Secondary gains |
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Call Number |
NRSNZNO @ research @ 93 |
Serial |
93 |
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