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Author |
Crowe, M.; O'Malley, J.; Gordon, S. |
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Title |
Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand |
Type |
Journal Article |
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Year |
2001 |
Publication  |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
35 |
Issue |
1 |
Pages |
88-96 |
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Keywords |
Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health |
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Abstract |
The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1087 |
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Author |
Kinealy, T.; Arroll, B.; Kenealy, H.; Docherty, B.; Scott, D.; Scragg, R.; Simmons, D. |
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Title |
Diabetes care: Practice nurse roles, attitudes and concerns |
Type |
Journal Article |
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Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
48 |
Issue |
11 |
Pages |
68-75 |
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Keywords |
Diabetes Type 2; Practice nurses; Attitude of health personnel; Primary health care |
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Abstract |
The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1100 |
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Author |
Jonsdottir, H.; Litchfield, M.; Pharris, M. |
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Title |
The relational core of nursing practice as partnership |
Type |
Journal Article |
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Year |
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Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
47 |
Issue |
3 |
Pages |
241-250 |
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Keywords |
Nurse-patient relations; Nursing philosophy; Nursing research |
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Abstract |
This article elaborates the meaning of partnership in practice for nurses practising in different and complementary way to nurses in specialist roles and medical practitioners. It positions partnership as the relational core of nursing practice. Partnership is presented as an evolving dialogue between nurse and patient, which is characterised by open, caring, mutually responsive and non-directive approaches. This partnership occurs within a health system that is dominated by technologically-driven, prescriptive, and outcome-oriented approaches. It is the second of a series of articles written as a partnership between nurse scholars from Iceland, NZ and USA. |
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Call Number |
NRSNZNO @ research @ 1188 |
Serial |
1173 |
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Author |
Polaschek, N. |
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Title |
Negotiated care: A model for nursing work in the renal setting |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
4 |
Pages |
355-363 |
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Keywords |
Chronically ill; Nursing models; Nurse-patient relations; Communication |
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Abstract |
This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1186 |
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Author |
Therkleson,T. |
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Title |
Ginger compress therapy for adults with osteoarthritis |
Type |
Journal Article |
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Year |
2010 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
66 |
Issue |
10 |
Pages |
2225?2233 |
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Keywords |
Ginger compress therapy; Giorgi?s method; nursing; osteoarthritis |
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Abstract |
Abstract
Aim. This paper is a report of a study to explicate the phenomenon of ginger
compresses for people with osteoarthritis.
Background. Osteoarthritis is claimed to be the leading cause of musculoskeletal
pain and disability in Western society. Management ideally combines non-pharmacological
strategies, including complementary therapies and pain-relieving
medication. Ginger has been applied externally for over a thousand years in China
to manage arthritis symptoms.
Method. Husserlian phenomenological methodology was used and the data were
collected in 2007. Ten purposively selected adults who had suffered osteoarthritis
for at least a year kept daily diaries and made drawings, and follow-up interviews
and telephone conversations were conducted.
Findings. Seven themes were identified in the data: (1) Meditative-like stillness
and relaxation of thoughts; (2) Constant penetrating warmth throughout the
body; (3) Positive change in outlook; (4) Increased energy and interest in the
world; (5) Deeply relaxed state that progressed to a gradual shift in pain and
increased interest in others; (6) Increased suppleness within the body and (7)
More comfortable, flexible joint mobility. The essential experience of ginger
compresses exposed the unique qualities of heat, stimulation, anti-inflammation
and analgesia.
Conclusion. Nurses could consider this therapy as part of a holistic treatment for
people with osteoarthritis symptoms. Controlled research is needed with larger
numbers of older people to explore further the effects of the ginger compress
therapy. |
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Call Number |
NZNO @ research @ |
Serial |
1346 |
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Author |
Gagan, M.J.; Boyd, M.; Wysocki, K.; and Williams, D.J. |
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Title |
The first decade of nurse practitioners in New Zealand: A survey of an evolving practice |
Type |
Journal Article |
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Year |
2014 |
Publication |
Journal of the American Association of Nurse Practitioners |
Abbreviated Journal |
JAANP |
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Volume |
26 |
Issue |
11 |
Pages |
612-619 |
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Keywords |
Nurse practitioners; Nursing history |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1845 |
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Author |
Jamieson, I. |
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Title |
The mobile operating theatre project |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Surgery; Training; Evaluation |
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Abstract |
This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract. |
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Call Number |
NRSNZNO @ research @ 769 |
Serial |
753 |
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Author |
Pedersen, C. |
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Title |
Nurse-led telephone triage service in a secondary rural hospital |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Telenursing; Evaluation |
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Abstract |
This chapter describes the development of a nurse-led after-hours telephone triage service in a rural secondary hospital in the Hawke's Bay District Health Board area. This service was a response to the health restructuring in the 1990s, which had led to the shift of secondary services out of the rural areas, and workforce recruitment issues. Secondly, it discusses the process and findings of a research project undertaken to identify and describe telephone callers' reported outcomes after using the service. The study found a high level of satisfaction amongst callers and a high level of compliance to advice. |
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Call Number |
NRSNZNO @ research @ 770 |
Serial |
754 |
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Author |
Thompson, R. |
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Title |
On call but not rostered |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Ethics; Registered nurses |
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Abstract |
In this chapter the author uses storytelling to explore the legal and ethical issues she experiences as a rural volunteer registered nurse. She describes the relationship between the nurse and community embodied in areas such as the public perception of nurses, and discusses aspects of her practice in the light of the particular legal and ethical context of rural areas. |
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Call Number |
NRSNZNO @ research @ 768 |
Serial |
752 |
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Author |
Roulston, E. |
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Title |
Storytelling: The story of my advancing rural nursing journey |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 57-65) |
Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Nursing philosophy; Scope of practice |
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Abstract |
The author takes a storytelling approach to describe her advancing practice as a registered nurse in a rural context. She adapted a theoretical 'reflective learning through storytelling' framework, from McDrury and Alterio (2002). The framework includes the concepts of reflection, learning, knowledge and experience which is related to professional practice and one's self. |
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Call Number |
NRSNZNO @ research @ |
Serial |
751 |
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Author |
Howie, L. |
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Title |
Contextualised nursing practice |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Nursing models; Nursing research |
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Abstract |
This is the first of three chapters that describe nursing practice. The author presents the Rural Framework Wheel to elaborate aspects of the rural context. The Framework comprises four systems which describe aspects of rurality; being are socio-cultural, occupational, ecological, and health. These systems each comprise of subsystems, which provide a detailed analysis of the way nursing practice is particular in diverse rural settings. The Framework is presented as a work in progress, and is grounded in international nursing literature. It highlights rural nursing as a unique and challenging field, with the dominant themes of partnership and nursing emerging as underpinning the practice when nurses live and work in small, sometimes isolated communities. |
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Call Number |
NRSNZNO @ research @ 766 |
Serial |
750 |
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Author |
Howie, L. |
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Title |
Rural society and culture |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 3-18 ) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Rural nursing; Culture |
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Abstract |
The author takes a multidisciplinary approach to examine how the location and concept rural is defined and provides a critique of the disparate definitions available. Definitions encompass different disciplines such as sociology and anthropology, and there are national distinctions based on historical factors. The chapter also investigates the way researchers speak about rural people, particularly as the human aspect of health is a primary concern to nursing. The focus is on the socio-cultural, occupational, ecological, and health aspects of rurality. The Rural Framework Wheel is introduced, which is a method to categorise rural contextual definitions. Rurality is presented as a variable and evolving concept that provides particular challenges to nursing practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
460 |
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Author |
Armstrong, S.E. |
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Title |
Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Interprofessional relations; Rural nursing; Primary health care |
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Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them. |
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Call Number |
NRSNZNO @ research @ 780 |
Serial |
764 |
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Author |
Higgins, A. |
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Title |
Collaboration to improve health provision: Advancing nursing practice and interdisciplinary relationships |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 215-223) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Interprofessional relations; Rural health services; Nursing; Policy |
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Abstract |
This chapter introduces national policies and strategies that promote interdisciplinary collaboration as a means of providing better access to health care for all communities. It identifies a role for advancing nursing practice as part of a collaborative approach to healthcare in rural areas. An increasing focus on collaboration as a concept within health practice during the last 10 years has become evident in policy documents from the Report of the Ministerial Taskforce on Nursing (Ministry of Health, 1998) to the Working Party for After Hours Primary Health Care (Ministry of Health, 2005). The emphasis would seem to be in response to political pressure to address health inequalities and an apparent assumption that interprofessional collaboration results in improved communication, fewer gaps in provision of care and more effective use of the limited health funds. |
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Call Number |
NRSNZNO @ research @ 779 |
Serial |
763 |
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Author |
Maw, H. |
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Title |
The challenge of developing primary health care nurse practitioner roles in rural New Zealand |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 201-214) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse practitioners; Rural health services; Interprofessional relations; Policy |
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Abstract |
The author traces the development of the nurse practitioner role in New Zealand, which was finally introduced in 2001. It traces the key events, from early debates on the issue, the influence of the Centre for Rural Health, and a series of government investigations into nursing which noted the untapped potential of the nursing workforce and the lack of ongoing clinical career pathways. Barriers to rural nurses becoming endorsed as primary health care nurse practitioners are examined, and some of the solutions to this issue are explored. Relationships between nurse practitioners and the local general practitioners, and community resistance are areas that need management. Education is seen as a key response to many of these issues. |
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Call Number |
NRSNZNO @ research @ |
Serial |
762 |
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