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Author Byrson, K
Title Perception of Cultural Safety and Attitudes: A Nursing Student's Reflection and Artwork Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal (down) Available through NZNO library
Volume Issue 19 Pages 51-58
Keywords Cultural Safety; Education Nursing; Nurse Attitudes; Nursing Practice; Students, Nursing
Abstract A nurse's journey in cultural safety and how this is reflected in her nursing practice and described through her artwork.
Call Number NZNO @ research @ Serial 1384
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Author Vernon, R.A.; Jacobs, S.; Papps, E.
Title An innovative initiative for advanced nursing practice roles Type Journal Article
Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal (down) Available online from Eastern Institute of Technology
Volume 14 Issue 2 Pages 16-17
Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models
Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.
Call Number NRSNZNO @ research @ Serial 1311
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B.
Title From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal (down) Author copy available 12 months after publication from QUT ePrints
Volume 17 Issue 2 Pages 250-258
Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation
Abstract This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners.
Call Number NRSNZNO @ research @ 945 Serial 929
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Author McArthur, J.
Title Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation Type
Year Publication Abbreviated Journal (down) Auckland University of Technology Library
Volume Issue Pages
Keywords Advanced nursing practice; Organisational culture
Abstract
Call Number NRSNZNO @ research @ 1280 Serial 1265
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Author Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B.
Title Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori Type Journal Article
Year 2003 Publication New Zealand Medical Journal Abbreviated Journal (down) Access is free to articles older than 6 months, and abstracts.
Volume 116 Issue 1176 Pages
Keywords Advanced nursing practice; Hospitals; Clinical assessment; Evaluation
Abstract Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive.
Call Number NRSNZNO @ research @ 625 Serial 611
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Author Spence, D.; Anderson, M.
Title Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 23 Issue 2 Pages 27-42
Keywords Advanced nursing practice; Education; Nurse practitioners; Prescribing; Teaching methods
Abstract This article reports the implementation of a collaborative project undertaken to monitor and improve the effectiveness of the prescribing practicum papers delivered within two Master's degree programmes in advanced nursing practice. The recent introduction of Nurse Practitioner registration in New Zealand has resulted in the development of a number of Master's degree programmes in which students can complete a Nursing Council of New Zealand approved programme for prescribing. For the study, a developmental action research approach was used. Data were collected through interviews with practicum students, their medical supervisors and academic staff. Formative findings were progressively used to refine delivery of the practicum papers and a thematic analysis of summative findings identified areas for further improvement. The findings suggest that the processes being implemented are developing well. The researchers recommend that further education is required to clearly differentiate medical and advanced nursing roles. They recommend that greater attention needs to be paid to the preparation of medical supervisors and, most significantly, revision of funding is required to more equitably support the ongoing development of nurses for advanced practice roles.
Call Number NRSNZNO @ research @ Serial 457
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Author Spence, D.
Title Advancing nursing practice through postgraduate education, part two Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 20 Issue 3 Pages 21-30
Keywords Advanced nursing practice; Professional development; Education; Research
Abstract This paper continues presentation of the findings of a North Island based research project that explored the impact of clinically focused postgraduate education on advancing nursing practice. Like their international counterparts, increasing numbers of New Zealand nurses are enrolling in advanced practice programmes. Yet, despite international evidence supporting the usefulness of Masters level preparation for advancing clinical practice, questions about the need for such development persist. This paper argues that postgraduate education contributes to the development of courage and that this, in turn, is essential to overcoming the barriers that currently constrain the advancement of nursing practice.
Call Number NRSNZNO @ research @ Serial 542
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Author Jacobs, S.
Title Advanced nursing practice: Time and meaning Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 19 Issue 3 Pages 29-39
Keywords Advanced nursing practice; Nurse practitioners; Professional development; History of nursing
Abstract The particular, contemporary meanings ascribed to “advanced nursing practice” in New Zealand have been debated and delineated in the 1990s, culminating in the launch of the nurse practitioner role at a conference sponsored by the Ministry of Health and the Nursing Council of New Zealand in August, 2001. Drawing on archival materials, documents, other texts and voices, this article explores the evolution of connotations and meanings of the word “advanced” as applied to nursing in New Zealand. The focus is on clinical practice, research, teaching, consulting, higher education, and advancement of the profession. Historical aspects of advancement in New Zealand nursing are examined, including registration, unsupervised practice, technical specialisation, and career development.
Call Number NRSNZNO @ research @ Serial 552
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Author Connor, M.
Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 19 Issue 3 Pages 13-21
Keywords Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations
Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.
Call Number NRSNZNO @ research @ Serial 553
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Author Jacobs, S.
Title Credentialling: Setting standards for advanced nursing practice Type Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 15 Issue 2 Pages 38-46
Keywords Scope of practice; Advanced nursing practice
Abstract This article examines professional regulation with particular reference to advanced practice. As well as providing an overview of credentialing and other aspects of professional regulation, including licensure, certification, registration, and titling, the question of how much regulation, and by whom, is explored.
Call Number NRSNZNO @ research @ Serial 632
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Author Lesa, R.; Dixon, D.A.
Title Physical assessment: Implications for nurse educators and nursing practice Type Journal Article
Year 2007 Publication International Nursing Review Abbreviated Journal (down)
Volume 54 Issue 2 Pages 166-172
Keywords Advanced nursing practice; Clinical assessment; Cardiovascular diseases; Nursing; Education
Abstract In New Zealand, the physical assessment of a patient has traditionally been the domain of the medical profession. Recent implementation of advanced practice roles has expanded the scope of practice and nurse practitioners may now be expected to perform physical assessments. The aim of this literature review was to discover what could be learnt from the experiences of Western countries. Nurses from the USA, Canada and Australia readily incorporate physical assessment skills into their nursing practice as a component of health assessment. The international literature identified that any change to the nurse's role in health assessment, to include physical assessment skills, requires strategies that involve the regulatory, educational and practice components of nursing.
Call Number NRSNZNO @ research @ Serial 786
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Author Smythe, E.
Title Uncovering the meaning of 'being safe' in practice Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal (down)
Volume 14 Issue 2 Pages 196-204
Keywords Childbirth; Patient safety; Advanced nursing practice; Midwifery
Abstract This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations.
Call Number NRSNZNO @ research @ Serial 877
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Author Chadwick, A.; Hope, A.
Title In pursuit of the named nurse Type Journal Article
Year 2000 Publication Australasian Journal of Neuroscience Abbreviated Journal (down)
Volume 13 Issue 4 Pages 6-9
Keywords Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations
Abstract This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required.
Call Number NRSNZNO @ research @ Serial 924
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Author Clendon, J.; White, G.E.
Title The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis Type Journal Article
Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal (down)
Volume 34 Issue 2 Pages 171-178
Keywords Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing
Abstract The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required.
Call Number NRSNZNO @ research @ Serial 952
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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 (down)
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
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