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Eden, S. (2011). An integrated literature review of the role of the nurse practitioner in the emergency department. Master's thesis, , .
Abstract: A dissertation in partial fulfilment of Master Health Sciences (Clinical)through University of Otago
The nurse practitioner is one of the newest nursing health care professionals to be introduced to the New Zealand health system for many years. Eighty-six nurse practitioners are credentialed in New Zealand, with three working in urban Emergency Department settings. Nurse Practitioners are common internationally especially in the United States, Canada, United Kingdom and Australia. The purpose of this integrated literature review is to explore current research and literature in regards to the Emergency Department Nurse Practitioner, and their role within emergency settings. This review presents the growth and development of the nurse practitioner as an advanced practice nursing position. Four key themes emerge from the literature review; education of the Emergency Nurse Practitioner , how and who defined the Emergency Nurse Practitioner role, practice setting of the Emergency Nurse Practitioner, and what the barriers are to independent practice. The economic, legal and governance aspects of the Nurse Practitioner role are also portrayed. This integrated review documents the potential for further development and expansion of the Emergency Nurse Practitioner scope of practice to provide a broad range of patient care services within Emergency Departments, and emergency care settings. Future research is essential for the promotion of autonomous practice of the Emergency Nurse Practitioner within the international and New Zealand health care system.
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Dr Léonie Walker. (2011). Vital Signs: Research Advisory Paper: Highlights of the NZNO Employment Survey, 2011. Wellington: NZNO.
Abstract: This report documents the results of a survey of a random sample of NZNO members.
A 10% sample was drawn by computer from the 45,000 membership, representing nurses and care givers from across New Zealand. Midwives were excluded from the
sample on this occasion.
Issues related to age demographics, low pay, increasing workload, and significant
organisational restructuring continue to contribute to a considerable part of the nursing workforce who will be looking to leave nursing, to nurse overseas, or to retire within the next ten years. These appear to be balanced for now partly by other factors leading to nurses continuing to work long past the normal retirement age.
Changes to the Enrolled Nurse scope of practice (including a drop in employment
opportunities as Enrolled Nurses), difficulties experienced by some newly qualified New Zealand nurses finding suitable employment or supported Nurse Entry to Practice places, and evidence for a drop in the availability of paid access to continuing professional development particularly in the DHB sector, if not addressed urgently, may have longer term implications for the New Zealand nursing workforce and the health service.
Specific issues for nurses under 30 years of age, particularly related to shift work practices and family responsibilities, were explored in more detail in a separate report Young Nurses in Aotearoa New Zealand and specific recommendations made for the long term retention of these skilled and vital health workers.
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Dr Jill Clendon and Dr Léonie Walker. (2011). Young nurses in Aotearoa New Zealand. NZNO.
Abstract: The NZNO Younger Nurse survey examined the characteristics of younger nurse members of NZNO (aged under 30) in order to identify potential recruitment and retention strategies for these nurses, and provide information on how best to support younger members to become involved in NZNO activities.
The findings indicate that while most younger nurses enjoy their work and find it rewarding, they also face a range of challenges in the workplace due to their age ? including bullying and poor choice of shifts. Many younger nurses do not feel appropriately paid for the work they do and believe there are insufficient nurses to provide safe care. Over 10 percent of younger nurses are considering leaving the nursing profession. Many younger nurses feel the emotional challenge of nursing was more than they anticipated and that their education did not prepare them well to manage this.
A range of recommendations are made, including the need to improve undergraduate curriculum content on managing the emotional challenges of nursing, the need to implement clinical supervision for all nurses but particularly for those under 30, the need to develop and implement activities to address bullying in the workplace, and the need to improve pay progression scales in employment contracts.
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Dr Jill Clendon and Dr Léonie Walker. (2011). Research Advisory Paper: Highlights of the 2011 Younger Nurse Study. Wellington: NZNO.
Abstract: The NZNO Younger Nurse survey examined the characteristics of younger nurse members of NZNO (aged under 30) in order to identify potential recruitment and retention strategies for these nurses, and provide information on how best to support younger members to become involved in NZNO activities.
The findings indicate that while most younger nurses enjoy their work and find it rewarding, they also face a range of challenges in the workplace due to their age ?including bullying and poor choice of shifts. Many younger nurses do not feel appropriately paid for the work they do and believe there are insufficient nurses to provide safe care. Over 10% of younger nurses are considering leaving the nursing profession. Many younger nurses feel the emotional challenge of nursing was more than they anticipated and that their education did not prepare them well to manage this.
A range of recommendations are made including the need to improve undergraduate curriculum content on managing the emotional challenges of nursing, the need to implement clinical supervision for all nurses but particularly for those under 30, the need to develop and implement activities to address bullying in the workplace, and the need to improve pay progression scales in employment contracts.
Further research is required to explore why there is a discrepancy between female and male nurses?postgraduate qualifications by age, the particular needs of younger Indian and South East Asian nurses, the discrepancy between younger nurses and older nurses perceptions of insufficient nurses, and what type of emotional stress younger nurses find most challenging.
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Crawford, R., Hedley, C., & Marshall, B. (2011). Influences on Registered Nurses Having an annual influenza vaccination: Lessons from New Zealand. Kai Tiaki Nursing Research, 2(1), 12–16.
Abstract: The aim of this research was to explore what influences registered nurses (RNs) to have the annual influenza vaccine. In the past, influenza vaccination of health care workers has been identified as the primary method of preventing influenza transmission to at-risk groups that, by virtue of illness, congregate in and around hospitals.
Findings showed that some RNs have confidence in the influenza vaccine being effective in preventing influenza infection; however there remained a high proportion of RNs who thought that the vaccine could or might cause influenza. Participants had incorrect knowledge and beliefs about the influenza vaccine, infection and cross infection.
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Clendon, J., & Walker, L. (2011). Characteristics and perceptions of younger nurses in New Zealand: Implications for retention. Kai Tiaki Nursing Research, 2(1), 4–11.
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Batten, L., & Dutton, J. (2011). Young tertiary students and help-seeking for health advice. Nursing Praxis in New Zealand, 27(3), 31–42.
Abstract: Presents the findings of an anonymous, self-administered questionnaire to investigate help-seeking related to health concerns among young tertiary students. Highlights the need for nurses to be aware of the sources of health advice and support young people choose.
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