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Author Lim, A.G.; Honey, M.; Kilpatrick, J. openurl 
  Title Framework for teaching pharmacology to prepare graduate nurse for prescribing in New Zealand Type Journal Article
  Year 2007 Publication Nurse Education in Practice Abbreviated Journal  
  Volume 7 Issue 5 Pages 348-353  
  Keywords (up) Prescribing; Nursing; Education; Pharmacology  
  Abstract The educational framework used to teach pharmacology to nurses by one university in New Zealand is presented, along with early findings on the effectiveness of this approach. Nurse prescribing is relatively new in New Zealand and is related to the expanding roles and opportunities for nurses in health care. Opposition to nurse prescribing in New Zealand has been marked and often this has been linked to concerns over patient safety with the implication that nurses could not be adequately prepared for safe prescribing.  
  Call Number NRSNZNO @ research @ Serial 700  
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Author Henty, C.; Dickinson, A.R. url  openurl
  Title Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study Type Journal Article
  Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website  
  Volume 34 Issue 5 Pages 335-338  
  Keywords (up) Primary health care; Chronic diseases; Nursing; Evaluation  
  Abstract The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme.  
  Call Number NRSNZNO @ research @ 468 Serial 454  
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Author Primary Health Care Nurse Innovation Evaluation Team, url  openurl
  Title The evaluation of the eleven primary health care nursing innovation projects: A report to the Ministry of Health Type Report
  Year 2007 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords (up) Primary health care; Evaluation; Nursing  
  Abstract In 2003, as part of implementing the Primary Health Care Strategy, the Ministry of Health announced contestable funding, available over three years, for the development of primary health care nursing innovation projects throughout Aotearoa/New Zealand. The Ministry looked for proposals that would: support the development of innovative models of primary health care nursing practice to deliver on the objectives of the Primary Health Care Strategy; allow new models of nursing practice to develop; reduce the current fragmentation and duplication of services; and assist in the transition of primary health care delivery to primary health organisations. This report describes the findings from the evaluation of the 11 primary health care nursing innovations selected for funding by the Ministry of Health. It provides an overview of the innovations' success and of the lessons learnt from this policy initiative.  
  Call Number NRSNZNO @ research @ Serial 819  
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Author Mackay, B. url  openurl
  Title Leadership strategies for role development in primary health care nursing Type Journal Article
  Year 2007 Publication Nursing Journal Northland Polytechnic Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector  
  Volume 11 Issue Pages 31-39  
  Keywords (up) Primary health care; Leadership; Professional development  
  Abstract This paper has been developed from part of the writer's doctoral thesis on forces influencing the development of innovative roles in primary health care nursing. The focus of this paper is leadership strategies designed to reduce the issue of poor professional identity and support.  
  Call Number NRSNZNO @ research @ 1049 Serial 1033  
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Author McKinlay, E.M. url  openurl
  Title Thinking beyond Care Plus: The work of primary health care nurses in chronic conditions programmes Type Journal Article
  Year 2007 Publication New Zealand Family Physician Abbreviated Journal  
  Volume 34 Issue 5 Pages 322-327  
  Keywords (up) Primary health care; Nursing models; Chronic diseases  
  Abstract This paper focuses on the work of primary health care nurses on chronic conditions, through both formal chronic care management (CCM) programmes and informal work. The author overviews the key components of CCM and describes Care Plus, a funding stream accessed via PHOs. The author gives examples of nurse led clinics and programmes in the general practice environment, and outlines the structures and processes necessary. A table summarises nurse involvement in several PHOs throughout the country. The author finds that the role of PHC nurses within a framework of inter-disciplinary chronic condition care is diverse and increasing.  
  Call Number NRSNZNO @ research @ Serial 455  
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Author Carryer, J.B.; Gardner, G.; Dunn, S.; Gardner, A. openurl 
  Title The core role of the nurse practitioner: Practice, professionalism and clinical leadership Type Journal Article
  Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 10 Pages 1818-1825  
  Keywords (up) Professional competence; Nurse practitioners; Evaluation research; Cross-cultural comparison  
  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.  
  Call Number NRSNZNO @ research @ Serial 932  
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Author Floyd, S.; Meyer, A. openurl 
  Title Intramuscular injections: What's best practice? Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 6 Pages 20-22  
  Keywords (up) Professional competence; Registered nurses; Quality of health care; Evidence-based medicine  
  Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.  
  Call Number NRSNZNO @ research @ Serial 986  
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Author Wilson, M.J. openurl 
  Title Strategies for the nurse leader to enhance nursing practice and promote workforce development within an interdisciplinary alcohol & other drugs team Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords (up) Professional development; Alcoholism; Nursing specialties; Nursing; Nurse managers; Drug abuse; Substance abuse  
  Abstract This dissertation had two main aims. The first was to explore the literature from which nurse leaders of alcohol and other drug services might develop their leadership skills so as to enhance nursing practice within an interdisciplinary alcohol and other drug team. The second was to further utilise these skills to develop a 'toolkit' which would assist in the successful management of the team but would also aid with workforce development. In addition, this dissertation was linked to the Nursing Council of New Zealand Competencies for the Registered Nurse Scope of Practice (2005) and Competencies for Advanced Nursing Practice (2001). This dissertation provides direction for the nurse leader wishing to develop their toolkit. Implications for the advancement of nursing are suggested.  
  Call Number NRSNZNO @ research @ Serial 474  
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Author Kennedy, W. url  openurl
  Title Professional supervision to enhance nursing practice 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 3-6  
  Keywords (up) Professional development; Clinical supervision; Nursing; Education  
  Abstract This article examines the concept of clinical supervision as “professional supervision”. Professional supervision contains many elements, is structured and not without effort. Fundamentally it is about being safe and professional. 'Reflective learning' and 'Live/tutorial' models are reviewed in different contexts for assisting nurses work through everyday issues, conflicts and problems of their role. The author concludes that regardless of which model is used there are benefits for safety and professionalism.  
  Call Number NRSNZNO @ research @ Serial 1310  
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Author McLoughlin, N. url  openurl
  Title Dying to know: Advancing palliative care nursing competence with education in elderly health settings Type
  Year 2007 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords (up) Professional development; Nursing specialties; Palliative care; Nursing; Education  
  Abstract This paper explores the benefits of using education as one means to advance palliative care competence for nurses. A literature search was conducted revealing numerous educational initiatives and approaches have been developed to improve palliative care. Benefits include improved nursing knowledge, confidence and competence which directly correlate with improved patient outcomes. Accompanying the shift of palliative care from hospices to varied health care providers globally, are disparities in care provision. The literature suggests that reasons for such disparities include insufficient specialised palliative care knowledge and skills of nurses to effectively deliver this care within generalist health settings and lack of information for caregivers. In response, approaches aimed at improving palliative care include reviewing, redefining and implementing nursing roles, education courses, and theoretical frameworks to inform practice and improve outcomes. This paper focuses on the benefits of offering tailored palliative care education in work settings to improve patient care. One entrepreneurial education initiative aimed at advancing palliative nursing and which is currently being implemented in aged care contexts is shared. Careful strategic planning and working more collaboratively between all stakeholders, is strongly recommended in order to manage current and future challenges. Advancing palliative nursing care using appropriate education is achievable and beneficial but is fraught with complexities.  
  Call Number NRSNZNO @ research @ Serial 1190  
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Author Dellagiacoma, T. openurl 
  Title Contracting as a career option for nurses Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 1 Pages 20-22  
  Keywords (up) Professional development; Nursing; Work  
  Abstract A nurse presents research and her own experiences of contracting. Contracting, as defined in this article, refers to a nurse not employed permanently on a wage. It covers agency nursing, short and long fixed-term contracts and secondments. The author identifies the need to continue to develop professionally, which is now a mandatory requirement under the Health Practitioners Competence Assurance (HPCA) Act. Contractors have little, if any financial support to develop professionally, and time taken to do courses is not paid. Taking study leave within a contract may also not be an option. Options for managing professional development in these conditions are offered, including goal setting, investing in education or training, and considering some longer contracts. Practical financial advice and examples are given, including managing accounts and consideration of employment law. The author recommends that skilled nurses looking for interesting ways to develop their careers and to branch out in an entrepreneurial way should seriously consider taking up contract work.  
  Call Number NRSNZNO @ research @ 996 Serial 980  
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Author Carryer, J.B.; Russell, L. openurl 
  Title Nurses' understandings of the Professional Development Recognition Programme Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 5-13  
  Keywords (up) Professional development; Professional competence  
  Abstract Professional Development and Recognition Programmes (PDRP) for nurses have developed out of the Clinical Career Pathways (CCP) of the 1990s. The Health Practitioners Competence Assurance Act (2003) has now required all health professionals to provide evidence that their practice meets criteria set by the individual regulatory body, which, for nursing, is the Nursing Council of New Zealand. In 2002 a tool was developed to measure knowledge and attitudes of the then CCP which was tested with 239 nurses. This paper is a report on the second application of the tool in the same hospital in New Zealand. Results show that knowledge and attitudes of the PDRP are similar to those found in the previous study. It also suggests that greater understanding of the PDRP and the implementation process increases the likelihood of a positive response to the programme.  
  Call Number NRSNZNO @ research @ 476 Serial 463  
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Author McLean, J.M. url  openurl
  Title Pushing the boundaries: Relationships with adolescents Type
  Year 2007 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords (up) Psychiatric Nursing; Mental health; Adolescents; Nurse-patient relations  
  Abstract Therapeutic relationships are central to mental health nursing. The nurse's role in maintaining professional yet therapeutic boundaries within this relationship can be challenging. When therapeutic boundaries are breeched within the nurse adolescent relationship the adolescent's safety within this relationship is compromised. There is currently limited literature on how nurses are managing professional boundaries in relationships with adolescents in this setting. The adolescent's nature is to push boundaries; therefore the nurse needs to be acutely aware of this boundary pushing in everyday practice settings. For the safety of the adolescent and the nurse it is vital the nurse understands her role in managing the professional boundary. This thesis explores, through the use of narrative inquiry, four adolescent mental health nurses' experiences of assessing, understanding and maintaining therapeutic boundaries with adolescents in a mental health setting in New Zealand. The unique and specific implications for adolescent mental health nursing are discussed. Three key themes emerged from the analysis and findings: the importance of the nurse clarifying his/her role; the learning that occurs throughout the practice journey; and the role of the nurse in keeping the adolescent and the nurse safe. These findings highlight the importance of clinical supervision and open communication with senior nurses and mentors, which assist the nurse in monitoring practice. When nurses do not have sufficient knowledge of the fundamental principles of adolescent mental health nursing; such as knowledge and skills in both adolescent development and psychodynamic nursing, they are at risk of boundary crossings. Recommendations from this research include more emphasis on psychodynamic nursing principles in nursing education and nursing practice. There is a need for specialised education for nurses in child and adolescent mental health nursing. Nursing entry to practice programmes for new graduate nurses working in mental health, could assist in providing this. There is a call for further research into therapeutic relationships and professional boundaries in this complex nursing specialty.  
  Call Number NRSNZNO @ research @ 762 Serial 748  
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Author Prebble, K. url  openurl
  Title Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 Type
  Year 2007 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages  
  Keywords (up) Psychiatric Nursing; Mental health; History; Gender  
  Abstract This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role.  
  Call Number NRSNZNO @ research @ 763 Serial 749  
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Author Bigwood, S. openurl 
  Title Got to be a soldier: Mental health nurses experiences of physically restraining patients Type
  Year 2007 Publication Abbreviated Journal University of Otago Library  
  Volume Issue Pages  
  Keywords (up) Psychiatric Nursing; Workplace violence; Mental health; Stress  
  Abstract  
  Call Number NRSNZNO @ research @ 829 Serial 813  
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