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Author Spence, D.; Anderson, M. url  openurl
  Title (down) Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study Type Report
  Year 2006 Publication Abbreviated Journal NZNO theses and research material webpage  
  Volume Issue Pages  
  Keywords Prescription authority; Nursing; Education; Students; Advanced nursing practice  
  Abstract This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements.  
  Call Number NRSNZNO @ research @ Serial 1136  
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Author Spence, D.; Anderson, M. openurl 
  Title (down) Implementing a prescribing practicum within a Master's degree in advanced nursing practice Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 27-42  
  Keywords Advanced nursing practice; Education; Nurse practitioners; Prescribing; Teaching methods  
  Abstract This article reports the implementation of a collaborative project undertaken to monitor and improve the effectiveness of the prescribing practicum papers delivered within two Master's degree programmes in advanced nursing practice. The recent introduction of Nurse Practitioner registration in New Zealand has resulted in the development of a number of Master's degree programmes in which students can complete a Nursing Council of New Zealand approved programme for prescribing. For the study, a developmental action research approach was used. Data were collected through interviews with practicum students, their medical supervisors and academic staff. Formative findings were progressively used to refine delivery of the practicum papers and a thematic analysis of summative findings identified areas for further improvement. The findings suggest that the processes being implemented are developing well. The researchers recommend that further education is required to clearly differentiate medical and advanced nursing roles. They recommend that greater attention needs to be paid to the preparation of medical supervisors and, most significantly, revision of funding is required to more equitably support the ongoing development of nurses for advanced practice roles.  
  Call Number NRSNZNO @ research @ Serial 457  
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B. url  openurl
  Title (down) From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
  Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal Author copy available 12 months after publication from QUT ePrints  
  Volume 17 Issue 2 Pages 250-258  
  Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation  
  Abstract This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners.  
  Call Number NRSNZNO @ research @ 945 Serial 929  
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Author Rook, Helen; Hales, Caz; Milligan, Kaye; Jones, Mark url  doi
openurl 
  Title (down) Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing Type Journal Article
  Year 2021 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 37 Issue 1 Pages 37-41  
  Keywords Advanced nursing practice; Nurse practitioners  
  Abstract Highlights two articles written by Jill Wilkinson in 2008 pertaining to the Ministerial Taskforce on Nursing in 1998, in which she discusses the conflict between autonomy and unionism in nursing and the development of the nurse practitioner (NP) role. Considers the ongoing challenges to establish NP toles in mainstream health services.  
  Call Number NZNO @ research @ Serial 1689  
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Author McArthur, J. openurl 
  Title (down) Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation Type
  Year Publication Abbreviated Journal Auckland University of Technology Library  
  Volume Issue Pages  
  Keywords Advanced nursing practice; Organisational culture  
  Abstract  
  Call Number NRSNZNO @ research @ 1280 Serial 1265  
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Author Jacobs, S. openurl 
  Title (down) Credentialling: Setting standards for advanced nursing practice Type Journal Article
  Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 15 Issue 2 Pages 38-46  
  Keywords Scope of practice; Advanced nursing practice  
  Abstract This article examines professional regulation with particular reference to advanced practice. As well as providing an overview of credentialing and other aspects of professional regulation, including licensure, certification, registration, and titling, the question of how much regulation, and by whom, is explored.  
  Call Number NRSNZNO @ research @ Serial 632  
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Author Spence, D.; Smythe, E. openurl 
  Title (down) Courage as integral to advancing nursing practice Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 43-55  
  Keywords Ethics; Advanced nursing practice  
  Abstract This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service.  
  Call Number NRSNZNO @ research @ 470 Serial 456  
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Author Dulieu, F. openurl 
  Title (down) Collaborative practice: A study in bridging the gap to transform the delivery of specialist palliative nursing care in residential aged care facilities Type
  Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Rest homes; Palliative care; Older people; Nursing; Advanced nursing practice; Terminal care; Geriatric nursing  
  Abstract This paper documents a practice development initiative with the aim of formulating a rationale for the professional practice development of a relatively recently conceived nursing initiative; that of a Palliative Care Liaison Nurse (PCLN) role. The project involved conducting an inquiry through a search of the literature with the aim of discovering ways to articulate, then develop, the role to meet the needs of elderly people living in Residential Aged Care Facilities (RACFs), their family and the whanau. The paper initially explores the concept of liaison roles globally, to consider how this role might be located as an interagency position between palliative care and aged care within the context of Aotearoa/New Zealand. The paper then reveals the perceived skills and personal attributes required by a person in the PCLN role that the author, drawing from personal and professional experience of having been appointed to this position, considers are necessary to effectively manage the diverse dimensions of this role. Bridging the gap is a key role discussed which centres on the capacity to organise and present an effective education programme while supporting, encouraging and role modeling for staff providing the day to day nursing care. This role involves practice wisdom and advocating for change and tolerance within everyday practice. An example of this dimension is discussed in depth, because the researcher considers that through staff working together, they can effectively bridge the knowledge-practice gap which exists between specialist palliative and gerontological nursing care.  
  Call Number NRSNZNO @ research @ Serial 580  
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Author Logan, C.M. openurl 
  Title (down) Anaesthetic nursing: Focusing perioperative practice on the patient Type
  Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Nursing specialties; Advanced nursing practice; Nurse-patient relations; Nursing; Education  
  Abstract The purpose of this literature review is to generate a picture of what is known and what needs to be investigated further about anaesthetic nursing in the perioperative nursing role in New Zealand, and to examine this in relation to international trends. Nurse anaesthetists in the United States are described in American nursing literature, and recognised as one of the four advanced nurse practitioner roles. In New Zealand, recent efforts to provide appropriate post-graduate education for the perioperative nurse have been challenged by other inter-professional interests, thus restricting the development of an expanded role. The author notes that this has caused concern for New Zealand's perioperative nurses who consider anaesthetic nursing is an integral part of perioperative practice. Anaesthetic nursing forms a substantial component of the basic competencies required of a registered nurse working in the operating theatres. Orientation programmes and ongoing education at all levels of professional development incorporate anaesthetic nursing competencies to provide continuity of patient care and support perioperative practice. Care of the patient undergoing anaesthesia is an area where nurses demonstrate their advanced assessment skills and clinical judgement and is included in perioperative specialist or nurse practitioner job descriptions. The Perioperative Nurses Association in New Zealand is concerned to develop postgraduate education in their area of speciality to support their application for 'College' status within the New Zealand Nurses Organisation. For this to happen in a cogent fashion, information and knowledge generated from research, are required to clarify perioperative nursing's current position and determine how practice can be shaped to best care for patients undergoing surgical interventions. Evidence from research supports nurses in the anaesthetic role by demonstrating that the preoperative visits and assessments they undertake can reduce patients' anxieties, decrease the need for pain relief and shorten hospital stays. This review includes literature sources that explore disparities between the development of New Zealand anaesthetic nursing and international models. The author suggests that information and understanding gained from conducting this review will allow future developments in anaesthetic nursing practice to be informed by previous initiatives and projects and identifies areas for further research.  
  Call Number NRSNZNO @ research @ Serial 790  
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Author Vernon, R.A.; Jacobs, S.; Papps, E. url  openurl
  Title (down) An innovative initiative for advanced nursing practice roles Type Journal Article
  Year 2007 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology  
  Volume 14 Issue 2 Pages 16-17  
  Keywords Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models  
  Abstract This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme.  
  Call Number NRSNZNO @ research @ Serial 1311  
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Author Jefferson, F.E. openurl 
  Title (down) An exploration of the competencies for advanced nursing practice in the perioperative setting Type
  Year 2007 Publication Abbreviated Journal University of Otago Library  
  Volume Issue Pages  
  Keywords Advanced nursing practice; Operating theatre  
  Abstract A clinical research practicum.  
  Call Number NRSNZNO @ research @ 826 Serial 810  
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Author Spence, D. openurl 
  Title (down) Advancing nursing practice through postgraduate education, part two Type Journal Article
  Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 20 Issue 3 Pages 21-30  
  Keywords Advanced nursing practice; Professional development; Education; Research  
  Abstract This paper continues presentation of the findings of a North Island based research project that explored the impact of clinically focused postgraduate education on advancing nursing practice. Like their international counterparts, increasing numbers of New Zealand nurses are enrolling in advanced practice programmes. Yet, despite international evidence supporting the usefulness of Masters level preparation for advancing clinical practice, questions about the need for such development persist. This paper argues that postgraduate education contributes to the development of courage and that this, in turn, is essential to overcoming the barriers that currently constrain the advancement of nursing practice.  
  Call Number NRSNZNO @ research @ Serial 542  
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Author Connor, M. openurl 
  Title (down) Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
  Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 19 Issue 3 Pages 13-21  
  Keywords Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations  
  Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.  
  Call Number NRSNZNO @ research @ Serial 553  
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Author Jacobs, S. openurl 
  Title (down) Advanced nursing practice: Time and meaning Type Journal Article
  Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 19 Issue 3 Pages 29-39  
  Keywords Advanced nursing practice; Nurse practitioners; Professional development; History of nursing  
  Abstract The particular, contemporary meanings ascribed to “advanced nursing practice” in New Zealand have been debated and delineated in the 1990s, culminating in the launch of the nurse practitioner role at a conference sponsored by the Ministry of Health and the Nursing Council of New Zealand in August, 2001. Drawing on archival materials, documents, other texts and voices, this article explores the evolution of connotations and meanings of the word “advanced” as applied to nursing in New Zealand. The focus is on clinical practice, research, teaching, consulting, higher education, and advancement of the profession. Historical aspects of advancement in New Zealand nursing are examined, including registration, unsupervised practice, technical specialisation, and career development.  
  Call Number NRSNZNO @ research @ Serial 552  
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Author Spence, D. openurl 
  Title (down) Advanced nursing practice through postgraduate education, part one Type Journal Article
  Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 20 Issue 2 Pages 46-55  
  Keywords Advanced nursing practice; Education; Professional development; Research  
  Abstract In New Zealand the clinically focused postgraduate papers and programmes, available through universities and polytechnics, are evaluated from an educational perspective but little evaluation of the implications for practice has been undertaken. This paper is Part One of a report on a study that sought to illuminate the impact of clinically focused postgraduate education on advancing nursing practice. Hermeneutic methodology provided a framework for analysing both the perspectives of nurses who had undergone such education and those who had directly employed and worked alongside these nurses. Emerging themes are described here. In a second article the findings will be discussed in relation to literature. Constraining factors will be identified and strategies designed to maximise the benefits of education for advancing nursing practice will be recommended.  
  Call Number NRSNZNO @ research @ 555 Serial 541  
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