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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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 (up) 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 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 (up) Ministry of Health publications page  
  Volume 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 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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 (up) Ministry of Health publications page  
  Volume 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 Isles, P. openurl 
  Title An exploration of the difference that academic study makes to Registered General Nurses and Registered General and Obstetric Nurses Type Report
  Year 2003 Publication Abbreviated Journal (up) National Library  
  Volume Issue Pages  
  Keywords Registered nurses; Training; Nursing; Education  
  Abstract This paper reports the findings of a three-year longitudinal study of registered nurses studying on a part-time basis towards their Bachelor of Nursing degree. Registered General Nurses and Registered General and Obstetric Nurses have been subject to a good deal of pressure to upgrade their qualifications – from their workplaces, but also from a recognition amongst themselves and their peers that to advance in their careers they need to have equivalent qualifications to new graduates. This study looks at what difference academic study makes to registered nursing practice.  
  Call Number NRSNZNO @ research @ Serial 1158  
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Author Brownie, S.M. openurl 
  Title Management perspectives of the second evel nurse Type
  Year 1993 Publication Abbreviated Journal (up) National Library, NZNO Library,  
  Volume Issue Pages  
  Keywords  
  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  
  Call Number NRSNZNO @ research @ 407 Serial 407  
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Author Englefield, R. openurl 
  Title Research into Nelson health services Type
  Year 1975 Publication Abbreviated Journal (up) Nelson Branch, NZNA.  
  Volume Issue Pages  
  Keywords  
  Abstract A telephone survey on peoples' perceptions of health services in the Nelson district. Conducted in conjunction with Graeme Taylor (Psychologist) and other members of NZNA,  
  Call Number NRSNZNO @ research @ 94 Serial 94  
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Author Corbett, A. openurl 
  Title The use of breast milk and the re-establishment of the Human Breast Milk Bank in the Neonatal Unit in Waikato Hospital Type
  Year 1992 Publication Abbreviated Journal (up) Neonatal Unit, Waikato Hospital  
  Volume Issue Pages  
  Keywords  
  Abstract The suitability of human breast milk for the nurturing and development of the human species is proven over hundreds of thousands of years. Human milk is without peer in containing all the nutrients required for the growth and development of the human infant.Over and above the nutrient factors, human milk has significant immunological, anti-infective, and anti-allergy properties that should be foremost in deliberations of neonatal nurses and doctors, before one considers calorie counts and weight gain. Lucas and Cole ( 1990) have shown the terrible consequences of using formula in preterm babies over those fed only human milk, The NZ Cot Death Studies' first year results have shown the significance of breast feeding in reducing the incidence of cot death., giving an oblique reference to the effects of neonatal staff attitude on mothers milk of at risk babies.A ready supply of human breast milk used to be available to neonatal staff from the milk bank. All but a very few of these banks were closed down all over the world due to AIDS phobia rather than by any scientific fact. Sufficient time has gone by for science and nationality to govern the use of human breast milk, and a case is made for the reopening of the Milk Banks  
  Call Number NRSNZNO @ research @ 209 Serial 209  
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