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Author Roulston, E. openurl 
  Title Storytelling: The story of my advancing rural nursing journey Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 57-65) Abbreviated Journal  
  Volume (down) Issue Pages  
  Keywords Rural nursing; Nursing philosophy; Scope of practice  
  Abstract The author takes a storytelling approach to describe her advancing practice as a registered nurse in a rural context. She adapted a theoretical 'reflective learning through storytelling' framework, from McDrury and Alterio (2002). The framework includes the concepts of reflection, learning, knowledge and experience which is related to professional practice and one's self.  
  Call Number NRSNZNO @ research @ Serial 751  
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Author Thompson, R. url  openurl
  Title On call but not rostered Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Rural nursing; Ethics; Registered nurses  
  Abstract In this chapter the author uses storytelling to explore the legal and ethical issues she experiences as a rural volunteer registered nurse. She describes the relationship between the nurse and community embodied in areas such as the public perception of nurses, and discusses aspects of her practice in the light of the particular legal and ethical context of rural areas.  
  Call Number NRSNZNO @ research @ 768 Serial 752  
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Author Jamieson, I. url  openurl
  Title The mobile operating theatre project Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Rural nursing; Surgery; Training; Evaluation  
  Abstract This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract.  
  Call Number NRSNZNO @ research @ 769 Serial 753  
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Author Pedersen, C. url  openurl
  Title Nurse-led telephone triage service in a secondary rural hospital Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Rural nursing; Telenursing; Evaluation  
  Abstract This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice.  
  Call Number NRSNZNO @ research @ 770 Serial 754  
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Author Challis-Morrison, S. url  openurl
  Title Management and guidance of patient resuscitations within secondary rural hospitals Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 111-122) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Hospitals; Rural health services; Resuscitation  
  Abstract This chapter firstly offers background information relating to the management and guidance of resuscitation within secondary rural hospitals. Secondly, it discusses the evidence related to issues concerning resuscitation and not-for-resuscitation, including issues involving medical and nursing staff, the patient experience, appropriate documentation, and cultural factors. Thirdly, it presents the findings through an implementation and evaluation plan.  
  Call Number NRSNZNO @ research @ 771 Serial 755  
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Author Horner, C. url  openurl
  Title Emergency health provision and maintaining competency Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 125-136) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Rural nursing; Professional competence; Emergency nursing  
  Abstract This chapter focuses on issues associated with rural nursing and the provision of emergency care for patient(s) located remotely from secondary hospital services. All emergencies have diverse characteristics, but the rural practitioner also contends with having sole practice, professional and geographical isolation, and the lack of regular experience. The chapter reviews the PRIME (Primary Response in Medical Emergency) recommendations and training, and looks in particular at the issues around the maintenance of competency for the rural nurse providing emergency on call health care that includes managing medical and accident emergencies in the absence of a medical practitioner.  
  Call Number NRSNZNO @ research @ Serial 756  
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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 (down) 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 Hale, R. url  openurl
  Title Older patient perceptions of transitional care Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 147-152) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Older people; Rural health services; Community health nursing; Evaluation  
  Abstract The author describes transitional care as undertaken within the Waikato District Health Board health care environment. Transitional care supports people moving between acute health care (inpatient) and primary health care (home). It is a rehabilitative model based in smaller, predominantly rural communities to enable the older person to actively work towards recovery of functional ability within their own environment. Research indicates this rehabilitation model is applicable to the rural situation and satisfaction levels of the patients and caregivers tends to be positive.  
  Call Number NRSNZNO @ research @ 774 Serial 758  
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Author Ferguson, A. openurl 
  Title Diabetes prevention: What is the nutritional environment for Maori in the Southern Lakes District (North Island)? Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 153-164) Abbreviated Journal  
  Volume (down) Issue Pages  
  Keywords Maori; Diabetes Type 2; Colonisation; Obesity  
  Abstract This chapter focuses type 2 diabetes as it relates to one rural Maori community within New Zealand. It provides an in-depth discussion relating to diabetes including the burden of diabetes in New Zealand and evidence for prevention which is played out in an increasing obesogenic environment. The process and findings of a research project to 'map out' the food environment within the Southern Lakes District are reported. Purposive sampling was used to survey 124 food outlets in the area, and findings confirmed the existence of an obesogenic environment for Maori. Such an environment is characterised by an abundance of cheap, energy dense foods, and pricing gradients that favour consumption of such foods.  
  Call Number NRSNZNO @ research @ 775 Serial 759  
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Author Campbell, K. url  openurl
  Title Experiences of rural women who have cared for their terminally ill partners Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 166-178) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Palliative care; Parents and caregivers; Nurse-family relations; Gender; Community health nursing  
  Abstract This chapter firstly offers background information in relation to palliative care and the role of women as providers of care in the home setting. Secondly, it discusses a study that evolved from a trend the author observed as a district nurse providing community palliative care in rural New Zealand and from New Zealand literature; that the majority of carers of the terminally ill in home-settings are women. The aim of this research study was to offer insights into the requirements of caring for a dying person at home and provide information to assist nurses working in the community and other women who take on the caregiver's role.  
  Call Number NRSNZNO @ research @ 776 Serial 760  
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Author Robertson, A.M. url  openurl
  Title Rural women and maternity services Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 179-97) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Midwifery; Rural nursing; Professional competence; History of nursing  
  Abstract The author discusses the roles that nurses undertake in response to rural communities' health needs, focusing on the provision of maternity service. The author reviews structural changes such as the 1990 Amendment to the Nurses Act 1977 which, the author suggests, introduced a climate of professional rivalry, changes in funding that cut back general practitioners in the field, and the development of Lead Maternity Carers. Despite controversial developments, New Zealand maternity services have evolved to include a unique and internationally respected model of midwifery care. However, the author highlights several areas that limit the positive contribution of rural nurses and midwives. These include workforce recruitment and retention, equity of access, and issues around maintaining competency and education.  
  Call Number NRSNZNO @ research @ Serial 761  
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Author Maw, H. url  openurl
  Title The challenge of developing primary health care nurse practitioner roles in rural New Zealand Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 201-214) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Nurse practitioners; Rural health services; Interprofessional relations; Policy  
  Abstract The author traces the development of the nurse practitioner role in New Zealand, which was finally introduced in 2001. It traces the key events, from early debates on the issue, the influence of the Centre for Rural Health, and a series of government investigations into nursing which noted the untapped potential of the nursing workforce and the lack of ongoing clinical career pathways. Barriers to rural nurses becoming endorsed as primary health care nurse practitioners are examined, and some of the solutions to this issue are explored. Relationships between nurse practitioners and the local general practitioners, and community resistance are areas that need management. Education is seen as a key response to many of these issues.  
  Call Number NRSNZNO @ research @ Serial 762  
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Author Higgins, A. url  openurl
  Title Collaboration to improve health provision: Advancing nursing practice and interdisciplinary relationships Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 215-223) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Interprofessional relations; Rural health services; Nursing; Policy  
  Abstract This chapter introduces national policies and strategies that promote interdisciplinary collaboration as a means of providing better access to health care for all communities. It identifies a role for advancing nursing practice as part of a collaborative approach to healthcare in rural areas. An increasing focus on collaboration as a concept within health practice during the last 10 years has become evident in policy documents from the Report of the Ministerial Taskforce on Nursing (Ministry of Health, 1998) to the Working Party for After Hours Primary Health Care (Ministry of Health, 2005). The emphasis would seem to be in response to political pressure to address health inequalities and an apparent assumption that interprofessional collaboration results in improved communication, fewer gaps in provision of care and more effective use of the limited health funds.  
  Call Number NRSNZNO @ research @ 779 Serial 763  
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Author Armstrong, S.E. url  openurl
  Title Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) Abbreviated Journal Ministry of Health publications page  
  Volume (down) Issue Pages  
  Keywords Interprofessional relations; Rural nursing; Primary health care  
  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. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them.  
  Call Number NRSNZNO @ research @ 780 Serial 764  
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Author Atherfold, C. url  openurl
  Title Will someone walk with me? A case study exploration of graduate nurses' perceptions of the preceptored experience Type
  Year 2008 Publication Abbreviated Journal Unitec New Zealand Library  
  Volume (down) Issue Pages  
  Keywords Preceptorship; New graduate nurses  
  Abstract The transition from student to registered nurse is a challenging and often stressful time in a nurse's career. This thesis is a case study research project that explores the graduate nurses' perceptions of preceptorship as a strategy to support this transition at Lakes District Health Board (DHB). As a provider of graduate nurse programmes since 1995, Lakes DHB has provided preceptorship for the nurse in the initial period of clinical practice. Annual evaluation by questionnaire identified that this has been applied in a range of ways in different clinical settings with varying degrees of effectiveness. Further inquiry into graduate nurses' perceptions of the preceptored experience during the first twelve weeks of practice within Lakes DHB forms the basis of this research project. The intention is to utilise this insight to further inform the development of preceptor education programmes and application of the preceptor role in the practice setting. Using the case study research method, data has been collected from fourteen participants using semi-structured interviews, focus groups and secondary data from the previous year's questionnaire undertaken by preceptors and graduate nurses. Thematic analysis of the data has resulted in two categories, each with three associated themes. The first category relates to functional factors in the way the preceptorship role is applied. This explores the role of the Clinical Nurse Educator (CNE), organisation within the unit and the teaching of clinical skills. The second category relates to psychosocial considerations and includes the graduate's sense of being scared and advocacy of the preceptor, socialisation and team support, and the preceptor's own experience as a registered nurse. Recommendations from the research include the allocation of a dedicated preceptor selected with consideration for relational ability; complementary rostering and workload allocation to ensure that the preceptor and graduate nurse work together; early notification when preceptor arrangements break down; implementation of a clinical coaching plan; and strengthening the CNE's role as a leader facilitating and supporting preceptorship in the units. Opportunities for further research that arise from the study include the perceptions of the preceptors and the nursing leadership in clinical areas. Structuring the application of preceptorship, to ensure that all of these aspects are woven throughout the graduate nurse's transition results in Korowai Aroha, a cloak of covering for a supported transition that facilitates the development of practice.  
  Call Number NRSNZNO @ research @ Serial 866  
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