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Author Hughes, Margaret; Kirk, Ray; Dixon, Alison
Title Direction and delegation for New Zealand nurses Type Journal Article
Year 2018 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 9 Issue (down) 1 Pages 36-37
Keywords Direction; Delegation; Enrolled nurses; Registered nurses
Abstract Investigates how enrolled nurses (EN) and registered nurses (RN) perceive their experiences of direction and delegation. Employs narrative enquiry to describe communication during direction and delegation interactions.
Call Number NZNO @ research @ Serial 1598
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Author Jamieson, Isabel; Harding, Thomas
Title The perspectives of key stakeholders regarding New Zealand's first graduate-entry nursing programme Type Journal Article
Year 2019 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 10 Issue (down) 1 Pages 8-14
Keywords Registered nurses; Nursing education; Graduate entry; Case study
Abstract Backgrounds the circumstances surrounding the establishment of NZ's first graduate-entry registered nursing programme in 2014 an the Christchurch Polytechnic Institute of Technology and the University of Canterbury. Undertakes a qualitative, descriptive case-study involving purposive sampling of stakeholders in the programme's establishment
Call Number NZNO @ research @ Serial 1619
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Author Tabakakis, Costantinos; McAllister, Margaret; Bradshaw, Julie
Title Burnout in New Zealand resgistered nurses: the role of workplace factors Type Journal Article
Year 2020 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 11 Issue (down) 1 Pages 9-16
Keywords Burnout; Harassment; Workplace stress; Registered nurses; Surveys
Abstract Investigates the impact of workplace factors on burnout in NZ RNs. Conducts a cross-sectional survey among 480 RNs in which burnout, practice environment and negative acts in the workplace were self-reported by means of the Copenhagen Burnout Inventory (CBI), the Practice Environment Scale (PES), and the Negative Acts Questionnaire (NAQ).
Call Number NZNO @ research @ Serial 1656
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Author Hutchinson, Rosie; Adams, Sue; Cook, Catherine
Title From regulation to practice: Mapping the organisational readiness for registered nurse prescribers in a specialty outpatient clinic setting Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 36 Issue (down) 1 Pages 31-40
Keywords Registered nurses; Community nursing; Primary health care; Sexual health services; Nurse precsribing; Institutional ethnography
Abstract Asserts that registered-nurse (RN) prescribing could improve equitable access and care delivery for patients. Uses a mapping tool to reflect how one RN qualified to deliver prescribing services in a sexual health clinic. Emphasises the need for organisational readiness to employ RN prescribers.
Call Number NZNO @ research @ Serial 1674
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Author Lim, Gigi; Roberts, Kenzie; Marshall, Dianne; Honey, Michelle
Title Factors that influence registered nurse prescribers' antibiotic prescribing practices Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 36 Issue (down) 1 Pages 42-50
Keywords Registered nurses; Nurse prescribing; Antibiotics; Antimicrobial resistance
Abstract Investigates the attitudes of RN prescribers towards prescribing antibiotics, in the context of increasing antimicrobial resistance (AMR). Focuses on six nurse prescribers in primary health and specialty teams, who are permitted to prescribe antibiotics, asking about their clinical assessments of patients and safety considerations of prescribed antibiotics.
Call Number NZNO @ research @ Serial 1675
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Author Mearns, G.
Title Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice Type
Year 2005 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue (down) Pages
Keywords Nurse practitioners; Geriatric nursing; Older people; Registered nurses
Abstract The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner.
Call Number NRSNZNO @ research @ Serial 585
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Author Bleach, A.
Title Nurses talk the walk: An exploration of nurses' perception of advanced nursing practice on acute mental health inpatient units in New Zealand Type
Year 2005 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue (down) Pages
Keywords Mental health; Nursing; Policy; Registered nurses; Advanced nursing practice; Psychiatric Nursing
Abstract The last twenty years, particularly the early 1990s, ushered in major mental health sector reforms inclusive of deinstitutionalisation policies and subsequent development of community services. Concurrent changes to student nurses' education left registered nurses as the workforce mainstay on inpatient units. However, the author suggests, an emerging global shortage of nurses and implementation of the Employment Contracts Act (1991) negatively impacted on recruitment and retention of registered nurses. Inpatient nurses either left nursing or moved to community positions for better money and increased job status. The author suggests that, as a consequence, the 'critical mass' of experienced and skilled nurses who traditionally provided nursing leadership disappeared resulting in compromised standards of care for patients. As the manager of an inpatient unit, the author proposed the establishment of advanced nursing practice roles as one initiative to provide nursing leadership in order to attract and retain nurses. This study explored five inpatient nurses' perceptions of advanced practice and whether these roles could assist to provide leadership and improve standards of care. The research was a qualitative exploratory descriptive study using a focus group interview as the data collection method. A thematic analysis of the group discussion transcription revealed three key themes: 1) the 'makeup' of advanced nursing practice, 2) moving forwards: establishing roles, 3) moving sideways: barriers to role development. The themes are critically discussed in relation to selected literature. The thesis includes recommendations that could be used by nurses responsible for planning and implementing advanced practice roles on inpatient units.
Call Number NRSNZNO @ research @ Serial 663
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Author Williams, B.G.
Title The primacy of the nurse in New Zealand 1960s-1990s: Attitudes, beliefs and responses over time Type
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (down) Pages
Keywords Nursing; History; Registered nurses
Abstract Exploring the past, and pulling ideas through to the present, to inform the future can make a valuable contribution to nurses and nursing in New Zealand. By gaining some understanding of the attitudes and beliefs nurses held, and how these influenced their responsiveness, we can learn what active responses might help inform our future. Nurses in New Zealand, as individuals and within the profession as a whole, reveal the primacy of the nurse – nurses who have made and can continue to make a difference to the health of the peoples of New Zealand. A hermeneutic process was used to interpret material, from international texts, national texts and public records over four decades, the 1960s to 1990s. This was supplemented and contrasted with material from twelve oral history participants. Analysis of the material led to the emergence of four themes: Nurses' decision-making: changes over time; An emerging understanding of autonomy and accountability; Nurses as a driving force; and Creating a nursing future. These four themes revealed an overall pattern of attitudes, beliefs and responses of the New Zealand registered nurse. The themes surfaced major revelations about the primacy of the nurse in New Zealand, nurses confident in their ability to take the opportunity, seize the moment, and effect change. The author suggests that the contribution this thesis makes to the discipline of nursing is an understanding of how the nurse actively constructs the scope of a professional response to the context. The author notes that the thesis demonstrates how nurses can learn from the past, that the attitudes and beliefs that underpin our active responses can either move us forward, or retard our progress. As nurses we can also learn that to move forward we need particular attitudes, beliefs and responses, that these are identifiable, and are key factors influencing our future, thus ensuring the continued primacy of the nurse.
Call Number NRSNZNO @ research @ Serial 905
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Author Pearson, J.R.; Holloway, K. T.
Title A postgraduate primary health care programme for experienced registered nurses and newly graduated nurses Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 13 Issue (down) Pages 44-52
Keywords Primary health care; New graduate nurses; Registered nurses; Nursing; Education
Abstract This paper outlines the historical development of the Postgraduate Certificate in Primary Health Care Specialty Nursing programme. The paper discusses the multiple contextual considerations for the programme in terms of New Zealand health policy direction, academic level, and appropriate level of competency development for nurses new to primary health care and newly graduated nurses.
Call Number NRSNZNO @ research @ Serial 1040
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Author Wassner, A.
Title Labour of love: Childbirth at Dunedin Hospital, 1862-1972 Type Book Whole
Year 1999 Publication Dissector Abbreviated Journal
Volume Issue (down) Pages
Keywords Hospitals; History of nursing; Maternity care; Registered nurses; Nursing; Education
Abstract This book covers obstetrical care from a nursing perspective at the Dunedin Hospital's Maternity Units. The researcher found little information on the two lying-in (maternity) wards of the first two Dunedin Hospitals. The book presents historical records outlining obstetric nursing procedures and maternity culture at the Dunedin Hospitals, The Benevolent Institution, The Batchelor Maternity Hospital, and Queen Mary Hospital. It covers cultural, social and legislative changes over the period, and examines conditions and pay for nursing staff across this time. A chapter on the evolution of baby care looks at changes in acceptable practices around nursery care, breast and bottle feeding, and medical procedures. The book has an extensive list of appendices, including staff lists, training notes for staff, duty lists, and interviews with staff and patients.
Call Number NRSNZNO @ research @ Serial 1049
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Author Isles, P.
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 National Library
Volume Issue (down) 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 Kennedy, W.
Title How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? Type
Year 2008 Publication Abbreviated Journal Eastern Institute of Technology Library
Volume Issue (down) Pages
Keywords Professional development; Registered nurses
Abstract This thesis describes an exploratory study of registered nurses within a local district health board which pursued 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice. Self assessment and performance appraisal are identified as critical elements of professional development by the Nursing Council of New Zealand, and this became the focus of the author's research. A qualitative descriptive framework was utilised to explore the research question, where experiences of registered nurses employed within inpatient adult medical and surgical settings were collected through questionnaire. Analysis of the data was through general inductive thematic approach. Eight themes arose, of which, two have sub-themes. The first four themes relate to self assessment and performance appraisal and the second four themes relate to professional practice. The findings from the participant's perspective provide an understanding of how participants' utilised self assessment and performance appraisal to inform their professional practice. There are significant implications for professional practice within the findings of this study, which are presented along with recommendations for future practice, and future avenues for research.
Call Number NRSNZNO @ research @ Serial 1161
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Author Lyall, C.
Title Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (down) Pages
Keywords Psychiatric Nursing; Registered nurses; Nurse-patient relations; Mental health
Abstract The question explored in this research project is: What are inpatient registered nurses' perceptions of the factors which influence therapeutic relationship development? The literature reviewed for this project includes the history of interpersonal relationships in nursing; therapeutic relationships; what constitutes these relationships. Also discussed is literature about phenomenology as the underlying theoretical and philosophical position that informs the research method. To answer the research question a single focus group was used to gather data from a group of registered nurses practising in inpatient mental health units. Focus groups as a data collection method produce data and insights that would not be accessible without the group interaction. The key themes to emerge from the data analysis were; time, environment, knowing / self-awareness, compassion and power imbalance / empowerment. These key themes are discussed in relation to the literature and the wider context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations to nurses, nurse leaders and managers who aim to provide therapeutic mental health unit environments.
Call Number NRSNZNO @ research @ Serial 1245
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Author Wilson, L.J.
Title Futurist planning, not a shortage stopgap: Recruitment and retention of registered nurses in New Zealand Type
Year 2001 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue (down) Pages
Keywords Recruitment and retention; Registered nurses; Policy; Careers in nursing
Abstract This literature review critically examines contributing factors to the current nursing shortage in New Zealand, centering on recruitment and retention of registered nurses. There is a dramatic widening between the supply of registered nurses and the demand for their services. All regions in New Zealand are reporting difficulty in hiring experienced and specialty nurses, and recruiting time is lengthening. This report suggests that the shortage is closely linked to factors in the nursing care environment. As a result of multiple factors during the centralising, cost-containing, acuity-increasing decade of the 1990s, the care environment has driven practising nurses out of acute care settings and discouraged new students from entering the profession. The availability of numerous alternative career opportunities has heightened the effect. Continuing causes to the non-selection of nursing as a profession are the influences of wage compression and limited career progression over the lifetime of the nurse, and insufficient orientation and mentoring of new nurses. Recent changes in the health care system have gone unevaluated and without oversight by nursing regulatory agencies – a situation not in the best interests of patients or nurses. A number of both literature-supported and resourceful approaches, including recommendations towards addressing the nursing shortage are proposed in this review.
Call Number NRSNZNO @ research @ Serial 1258
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Author Jamieson,I
Title What are the views of Generation Y New Zealand Registered Nurses towards nursing, work and career?: A descriptive exploratory study Type
Year 2012 Publication Abbreviated Journal Available from the NZNO Library
Volume Issue (down) Pages 290 pp
Keywords Generation Y; Young nurses; Registered Nurses; Workforce planning; Attitudes to nursing; Surveys; Nursing shortages
Abstract The author has taken a broad approach to this research to explore the views of Generation Y New Zealand Registered Nurses towards the nursing profession, the work itself and their career plans. This study arose out of the author?s interest in health care workforce planning for nursing and in particular the retention of young nurses given the current national and global shortage of nurses. Because of the broad and descriptive nature of the research, a wide variety of topics are included in the literature reviewed.

Chapter one provides background to the study and an overview of generational cohorts.

Chapter two explores selected literature relevant to the concept of work and the characteristics of the Generation Y workforce.

Other topics included in this chapter include Herzberg?s work motivation hygiene/maintenance theory and a selection of literature about key workforce recruitment and retention issues.

A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Health Sciences
Call Number NZNO @ research @ Serial 1393
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