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Author Davis, J.; Wiapo, C.; Rehana-Tait, H.; Clark, T.C.; Adams, S.
Title Steadfast is the rock: Primary health care Maori nurse leaders discuss tensions, resistance, and their contributions to prioritise communities and whanau during COVID-19 Type Journal Article
Year 2021 Publication (down) Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 37 Issue 3 Pages 84-93
Keywords COVID-19; Primary health care; Maori nursing leadership; Maori communities
Abstract Recounts the experiences of 3 Maori nurses in a primary health entity in Northland, NZ as they negotiated with health providers and organisations to protect the health of Maori communities during the first lockdown, in 2020. Emphasises the role of matauranga Maori (Maori knowledge and tradition) in ensuring local Maori were prioritised in the pandemic response in the region.
Call Number NZNO @ research @ Serial 1737
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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 (down) 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
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Author Wiapo, Coral; Sami, Lisa; Komene, Ebony; Wilkinson, Sandra; Davis, Josephine; Cooper, Beth; Adams, Sue
Title From kaimahi to enrolled nurse: A successful workforce initiative to increase Maori nurses in primary health care Type Journal Article
Year 2023 Publication (down) Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 39 Issue 1 Pages
Keywords Enrolled nurses; Kaimahi; Maori nurses; Kaupapa Maori; Primary health care
Abstract Describes a national initiative to increase the capacity and capability of the Maori health workforce by supporting kaimahi (unregulated health workers) to become enrolled nurses (EN) delivering care within their communities. Uses Kaupapa Maori principles to create a strengths-based framework, focusing on self-determination and validating Matauranga Maori (Maori knowledge). Outlines the key components of the Earn as you Learn model.
Call Number NZNO @ research @ Serial 1830
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Author Mackay, B.
Title Leadership strategies for role development in primary health care nursing Type Journal Article
Year 2007 Publication (down) Nursing Journal Northland Polytechnic Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume 11 Issue Pages 31-39
Keywords Primary health care; Leadership; Professional development
Abstract This paper has been developed from part of the writer's doctoral thesis on forces influencing the development of innovative roles in primary health care nursing. The focus of this paper is leadership strategies designed to reduce the issue of poor professional identity and support.
Call Number NRSNZNO @ research @ 1049 Serial 1033
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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 (down) 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
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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 (down) 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
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Author Day, D.R.; Mills, B.; Fairburn, F.
Title Exercise prescription: Are practice nurses adequately prepared for this? Type Journal Article
Year 2001 Publication (down) New Zealand Journal of Sports Medicine Abbreviated Journal
Volume 29 Issue 2 Pages 32-36
Keywords Practice nurses; Health education; Primary health care
Abstract This study sought to examine whether practice nurses were prepared to provide exercise prescriptions to clients. It involved administering questionnaires to 53 practice nurses in Otago to examine their understanding of green prescriptions and their knowledge and participation in exercise prescription.
Call Number NRSNZNO @ research @ Serial 628
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Author Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R.
Title Nurse employment in primary care: UK and New Zealand Type Journal Article
Year 2008 Publication (down) New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 35 Issue 1 Pages 4-10
Keywords Primary health care; Scope of practice; Nursing models
Abstract The researchers evaluate and compare the organisation of general practice in the UK and New Zealand. A key aim of the Primary Health Care Strategy is a reduction in health inequalities. Locally, some nurse leaders suggest that changing nurse practice employment from general practitioners to Primary Health Organisations will achieve this aim. The authors take lessons from the UK and suggest that nurses organising themselves into peer groups, remuneration of general practices for the attainment of positive patient outcomes, and a statutory duty of clinical governance, all contributed to the development of practice nurses' roles and expansion of numbers of nurse practitioners in general practice. Nurses have become partners with general practitioners in general practice in the UK, which the authors suggest is a much preferable alternative for some than employment by a Primary Health Organisation.
Call Number NRSNZNO @ research @ Serial 453
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Author Henty, C.; Dickinson, A.R.
Title Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study Type Journal Article
Year 2007 Publication (down) New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue 5 Pages 335-338
Keywords Primary health care; Chronic diseases; Nursing; Evaluation
Abstract The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme.
Call Number NRSNZNO @ research @ 468 Serial 454
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Author McKinlay, E.M.
Title Thinking beyond Care Plus: The work of primary health care nurses in chronic conditions programmes Type Journal Article
Year 2007 Publication (down) New Zealand Family Physician Abbreviated Journal
Volume 34 Issue 5 Pages 322-327
Keywords Primary health care; Nursing models; Chronic diseases
Abstract This paper focuses on the work of primary health care nurses on chronic conditions, through both formal chronic care management (CCM) programmes and informal work. The author overviews the key components of CCM and describes Care Plus, a funding stream accessed via PHOs. The author gives examples of nurse led clinics and programmes in the general practice environment, and outlines the structures and processes necessary. A table summarises nurse involvement in several PHOs throughout the country. The author finds that the role of PHC nurses within a framework of inter-disciplinary chronic condition care is diverse and increasing.
Call Number NRSNZNO @ research @ Serial 455
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Author Pullon, S.; McKinlay, E.M.
Title Interprofessional learning: The solution to collaborative practice in primary care Type Journal Article
Year 2007 Publication (down) New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue 6 Pages 404-408
Keywords Interprofessional relations; Education; Primary health care; Communication
Abstract In this paper the authors outline the basis of interprofessional education, which occurs when members of two or more professions are engaged in learning together. They describe its relationship to primary care clinical practice, where it can lead to collaborative problem-solving approaches, mutual decision making and interdisciplinary teamwork. A New Zealand model of postgraduate interprofessional education is presented. Barriers to the implementation of interprofessional education in New Zealand are identified along with possible solutions.
Call Number NRSNZNO @ research @ Serial 458
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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S.
Title Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction Type Journal Article
Year 2008 Publication (down) New Zealand Family Physician Abbreviated Journal
Volume 35 Issue 3 Pages 183-186
Keywords Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care
Abstract The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal.
Call Number NRSNZNO @ research @ Serial 514
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Author Alcorn, G.
Title The youth health specialty in New Zealand: Collaborative practice and future development Type Journal Article
Year 2007 Publication (down) New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue 3 Pages 162-167
Keywords Adolescents; Community health nursing; Primary health care; Nurse practitioners; School nursing
Abstract This paper details the workforce capacity of youth health nursing and medical staffing required for community-based and school-based youth health services. The author shows how youth health services seek to complement the care delivered by Primary Health Organisations (PHOs) and other allied health care services in the community. She outlines the development and operation at VIBE, a community-based youth health service in the Hutt Valley with school-based youth health services delivered at four low deciles secondary schools. She explains that developing workforce capacity for youth health services is a primary health care priority and an important means to address inequalities and to improve the health services of young people.
Call Number NRSNZNO @ research @ Serial 518
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Author Minto, R.
Title The future of practice nursing Type Journal Article
Year 2006 Publication (down) New Zealand Family Physician Abbreviated Journal
Volume 33 Issue 3 Pages 169-172
Keywords Primary health care; Interprofessional relations; Professional development; Physicians; Practice nurses
Abstract The author describes and discusses the main barriers to practice nurses achieving their potential as a profession. She identifies key obstacles as the funding model, GP attitudes and the current employment model. Shared governance, the development of a patient-centred services, and new employment models are proposed as the basis of a new model of primary care delivery.
Call Number NRSNZNO @ research @ 537 Serial 523
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Author McKinlay, E.M.
Title New Zealand practice nursing in the third millennium: Key issues in 2006 Type Journal Article
Year 2006 Publication (down) New Zealand Family Physician Abbreviated Journal
Volume 33 Issue 3 Pages 162-168
Keywords Primary health care; Practice nurses; Careers in nursing
Abstract The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team.
Call Number NRSNZNO @ research @ 541 Serial 527
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