Records |
Author |
Adams, Sue; Boyd, Michal; Carryer, Jenny; Bareham, Corinne; Tenbensel, Tim |
Title |
A survey of the NP workforce in primary healthcare settings in New Zealand. |
Type |
Journal Article |
Year |
2020 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
|
Volume |
133 |
Issue |
1523 |
Pages |
29-40 |
Keywords |
Nurse practitioners; Primary health care; Surveys |
Abstract |
Describes the demographics, distribution, clinical settings and employment arrangements of the NZ nurse practitioner (NP) workforce in primary healthcare settings, and organisational factors limiting their practice. Surveys 160 NPs and finds that general practice and aged residential care were the most common clinical settings. |
Call Number |
NZNO @ research @ |
Serial |
1780 |
Permanent link to this record |
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Author |
Mustafa, Maher; Adams, Sue; Bareham, Corinne; Carryer, Jenny |
Title |
Employing nurse practitioners in general practice: an exploratory survey of the perspectives of managers |
Type |
Journal Article |
Year |
2021 |
Publication |
Journal of Primary Health Care |
Abbreviated Journal |
|
Volume |
13 |
Issue |
3 |
Pages |
274-282 |
Keywords |
Nurse practitioners; Primary health care; Models of care; Surveys |
Abstract |
Explores the perspectives of practice managers on employing nurse practitioners (NP) in general practice. Uses an electronic survey to collect demographic and numerical data, which were analysed descriptively and analytically using SPSS (version 26). Written answers to open-ended questions were analysed qualitatively. |
Call Number |
NZNO @ research @ |
Serial |
1779 |
Permanent link to this record |
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Author |
Mackay, B. |
Title |
An analysis of innovative roles in primary health care nursing |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Northland Polytechnic Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing |
Abstract |
An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process. |
Call Number |
NRSNZNO @ research @ |
Serial |
1124 |
Permanent link to this record |
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Author |
Officer, Tara N. |
Title |
Nurse practitioners and pharmacist prescribers in primary health care: A realist evaluation of the New Zealand experience |
Type |
Book Whole |
Year |
2018 |
Publication |
|
Abbreviated Journal |
|
Volume |
|
Issue |
|
Pages |
301 p. |
Keywords |
Nurse practitioners; Primary health care; Advanced nursing practice; Pharmacist prescribers |
Abstract |
Investigates how nurse practitioner and pharmacist prescriber roles are developing in NZ primary health care, and what is needed to better support the future development of these roles. Employs a qualitative research design involving semi-structured interviews of (1) policy, training, and advocacy stakeholders; (2) primary health-care nurse practitioners, pharmacist prescribers, and general practitioners; and (3) patients of advanced practitioners and carers of patients using such services. |
Call Number |
NZNO @ research @ |
Serial |
1693 |
Permanent link to this record |
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|
Author |
Hales, A.; Dignam, D. |
Title |
Nurse prescribing lessons from the US |
Type |
Journal Article |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
8 |
Issue |
10 |
Pages |
12-15 |
Keywords |
Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education |
Abstract |
The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed. |
Call Number |
NRSNZNO @ research @ |
Serial |
1007 |
Permanent link to this record |
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Author |
Mackay, B. |
Title |
General practitioners' perceptions of the nurse practitioner role: An exploratory study |
Type |
Journal Article |
Year |
2003 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
Volume |
116 |
Issue |
1170 |
Pages |
|
Keywords |
Nurse practitioners; Physicians; Interprofessional relations; Primary health care |
Abstract |
This study explores perceptions of general practitioners in the Northland District Health Board (NDHB) regarding the nurse practitioner role, identifying their knowledge of and perceived problems with that role, and their experience of nurses in advanced practice. A purposive sample of all 108 general practitioners in NDHB was undertaken, with a response rate of 46.3%. General practitioners favourably viewed nurse practitioner functions traditionally associated with nursing, such as health teaching, home visiting, obtaining health histories, and taking part in evaluation of care, but less favourably viewed those functions associated with medicine, such as prescribing, ordering laboratory tests, and physical assessment. While expecting few problems with patient acceptance, the general practitioners felt that funding and doctors' acceptance would be problematic. Most general practitioners indicated they had knowledge of the nurse practitioner role and had experienced working with a nurse in advanced practice, but some uncertainty and lack of knowledge about the nurse practitioner role was evident. The author recommends more education and discussion with Northland general practitioners to ensure they are fully informed about the nurse practitioner role and its potential positioning in primary healthcare, to reduce uncertainty, minimise role confusion and promote collaboration between general practitioners and nurse practitioners. |
Call Number |
NRSNZNO @ research @ |
Serial |
557 |
Permanent link to this record |
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Author |
Wilkinson, Jillian Ann |
Title |
The New Zealand nurse practitioner polemic : a discourse analysis : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Nursing, Massey University, Wellington, New Zealand |
Type |
Book Whole |
Year |
2007 |
Publication |
|
Abbreviated Journal |
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Volume |
|
Issue |
|
Pages |
308 pp. |
Keywords |
Nurse practitioners; Nursing history; Advanced nursing practice; Nursing identity; Discourse analysis; Nursing regulation; Surveys |
Abstract |
Traces the development of the nurse practitioner role in NZ since its establishment in 2001, using a discourse analytical approach to examine those discourses that have defined the role. Employs both textual and discursive analysis of texts from published literature and from nine interviews with individuals influential in the evolution of the role. Examines political perspectives and disciplinary practices dating back to the Nurses Registration Act of 1901. Considers the implications of an autonomous nursing profession in both practice and regulation. |
Call Number |
NZNO @ research @ |
Serial |
1614 |
Permanent link to this record |
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Author |
Gagan, M.J.; Boyd, M.; Wysocki, K.; and Williams, D.J. |
Title |
The first decade of nurse practitioners in New Zealand: A survey of an evolving practice |
Type |
Journal Article |
Year |
2014 |
Publication |
Journal of the American Association of Nurse Practitioners |
Abbreviated Journal |
JAANP |
Volume |
26 |
Issue |
11 |
Pages |
612-619 |
Keywords |
Nurse practitioners; Nursing history |
Abstract |
Provides an overview of the practices and outcomes of nurse practitioners (NP) across a variety of healthcare specialties since NPs were first registered in 2002. Uses the PEPPA model as a guide for the organisation of data, the discussion of findings, and recommendations for the future. |
Call Number |
NZNO @ research @ |
Serial |
1845 |
Permanent link to this record |
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Author |
Adams, Sue; Oster, Sandy; Davis, Josephine |
Title |
The training and education of nurse practitioners in Aotearoa New Zealand: Time for nationwide refresh [editorial] |
Type |
Journal Article |
Year |
2022 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
|
Volume |
38 |
Issue |
1 |
Pages |
1-4 |
Keywords |
Nurse practitioners; Nursing education; Primary health care |
Abstract |
Argues that the following measures must be taken to ensure the ongoing development and establishment of nurse practitioners (NP) across the health sector: review of NP competencies; support for NPs to undertake the nurse practitioner training programme
(NPTP); formation of nationally-consistent and funded NPTPs; mentoring novice NPs; and a national workforce plan for NPs. |
Call Number |
NZNO @ research @ |
Serial |
1792 |
Permanent link to this record |
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Author |
Holloway, Kathryn T |
Title |
Development of a specialist nursing framework for New Zealand |
Type |
Report |
Year |
2011 |
Publication |
|
Abbreviated Journal |
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Volume |
|
Issue |
|
Pages |
212 |
Keywords |
Nurse practitioners; Nurse specialists; Workforce planning |
Abstract |
Expresses concern that inconsistent specialist nursing workforce planning and pathways for nursing practice development will adversely affect needed service provision for the population. Reports the outcomes of research, which suggests an alternate approach through the development of a single unified capability framework for specialist nursing practice in NZ. Uses a qualitative descriptive and exploratory multi-method enquiry approach to review extant understandings and develop a consensus framework, identifying the essential elements required for a single national framework for specialist nursing in NZ. Widens the understanding of a more holistic approach to specialist nursing development, which holds great promise for the specialist nursing workforce in NZ and internationally. |
Call Number |
NZNO @ research @ |
Serial |
1506 |
Permanent link to this record |
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Author |
Hewson, J. |
Title |
Professional support for the nurse practitioner in New Zealand |
Type |
|
Year |
2004 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; Mentoring; Professional development |
Abstract |
The nurse practitioner role is an important addition to nursing workforce development in New Zealand. At present there are relatively few nurse practitioners, however the number of nurses seeking Nursing Council endorsement continues to grow. These nurses are in a unique situation as pioneers having achieved the highest level of autonomous advanced nursing practice. This position will bring with it many challenges for those nurses who are among the first in the profession. Traditionally, nurses have always had formal and informal methods of support such as preceptors, role models and the hierarchy of nursing to help and guide them in their work. This network has generally been comprised of nurses more senior and qualified than the nurse needing support. Yet the nurse practitioner, considered to be the leading clinical nurse in New Zealand, may have very limited resources available for the clinical support needed to sustain their professional practice while keeping them refreshed, curious, creative and committed. The intent of this dissertation is to provide a framework of supportive mechanisms on which the emerging nurse practitioner can draw in their new professional domain throughout their career. The author explores the meaning of support, why there is a need for support for the nurse practitioner, the various methods of support noted in current literature and how these various methods can enhance the nurse practitioner's professional growth and development, maintain clinical safety, and foster job satisfaction. |
Call Number |
NRSNZNO @ research @ |
Serial |
853 |
Permanent link to this record |
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Author |
Laidlaw, Rebecca; Mercer, Christine |
Title |
Nurse practitioners: does home visiting improve outcomes for people living with long-term conditions |
Type |
Journal Article |
Year |
2022 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
|
Volume |
13 |
Issue |
1 |
Pages |
39-41 |
Keywords |
Nurse practitioners; Long-term conditions; Home visiting |
Abstract |
Explores the potential for nurse practitioners (NP) in NZ to visit people diagnosed with chronic condiitons at home. Evaluates whether home-visiting NPs could provide primary care in place of GPs. Conducts a review of research comprising three themes: reduced barriers to care, improved health outcomes, and role clarity for NPs. |
Call Number |
NZNO @ research @ |
Serial |
1820 |
Permanent link to this record |
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Author |
Jacobs, S. |
Title |
Advanced nursing practice and the nurse practitioner: New Zealand nursing's professional project in the late 20th century |
Type |
|
Year |
2005 |
Publication |
|
Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; History; Policy; Leadership; Advanced nursing practice |
Abstract |
This thesis examines the forces influencing the development of contemporary advanced nursing practice in New Zealand. It begins with an historical approach to explore the various meanings of advanced nursing practice from the late 1800s through the first years of the 21st century. Seven historical understandings of the meaning of 'advanced' nursing practice emerge. The author's analysis of the broad scope of New Zealand nursing history, including a case study of the development and implementation of the nurse practitioner, draws on theoretical perspectives from sociology, political science, and nursing. She develops a “framework of critical factors for nursing to take into account when considering how to ensure the profession is able to deliver on its great potential to improve the health of New Zealand communities”. Examining the work of a range of nursing leaders, past and present, and drawing on the work of political scientist, John Kingdon, the author describes the work of several nurses as “policy entrepreneurship.” |
Call Number |
NRSNZNO @ research @ |
Serial |
671 |
Permanent link to this record |
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Author |
Jacobs, S.; Boddy, J.M. |
Title |
The genesis of advanced nursing practice in New Zealand: Policy, politics and education |
Type |
Journal Article |
Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
Volume |
24 |
Issue |
1 (Mar) |
Pages |
11-22 |
Keywords |
Nurse practitioners; History of nursing; Policy; Scope of practice |
Abstract |
This contemporary historical study examines the health sector environment of the 1990s and the turn of the 21st century, and assesses the policy initiatives undertaken to advance nursing in New Zealand during that period. The authors look at the conditions and forces that saw nursing achieve a new emphasis on advanced and expanded scope of nursing practice, less than a decade after the commencement of New Zealand's first pre-registration nursing degrees. |
Call Number |
NRSNZNO @ research @ |
Serial |
452 |
Permanent link to this record |
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Author |
Wilkinson, J.A. |
Title |
The New Zealand nurse practitioner polemic: A discourse analysis |
Type |
|
Year |
2007 |
Publication |
|
Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; History of nursing |
Abstract |
The purpose of this research has been to trace the development of the nurse practitioner role in New Zealand. Using a discourse analytical approach informed by the work of Michel Foucault, the study foregrounds the discourses that have constructed the nurse practitioner role within the New Zealand social and political context. The author suggests that discourses of nursing and of medicine have established systems of disciplinary practices that produce nurses and physicians within defined role boundaries, not because of legislation, but because discourse has constructed certain rules. The nurse practitioner role transcends those boundaries and offers the possibility of a new and potentially more liberating identity for nurses and nursing. A plural approach of both textuality and discursivity was used to guide the analysis of texts chosen from published literature and from nine interviews conducted with individuals who have been influential in the unfolding of the nurse practitioner role. Both professionally and industrially and in academic and regulatory terms dating back to the Nurses Registration Act, 1901, the political discourses and disciplinary practices serving to position nurses in the health care sector and to represent nursing are examined. The play of these forces has created an interstice from which the nurse practitioner role in New Zealand could emerge. In combination with a new state regime of primary health care, the notion of an autonomous nursing profession in both practice and regulation has challenged medicine's traditional right to surveillance of nursing practice. Through a kind of regulated freedom, the availability of assessment, diagnostic and prescribing practices within a nursing discourse signals a radical shift in how nursing can be represented. The author concludes that the nurse practitioner polemic has revolutionised the nursing subject, and may in turn lead to a qualitatively different health service. |
Call Number |
NRSNZNO @ research @ 517 |
Serial |
503 |
Permanent link to this record |