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Author Stuart, J.
Title How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland Type (down)
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing specialties; Policy; Technology; Scope of practice; Community health nursing
Abstract This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services.
Call Number NRSNZNO @ research @ 885 Serial 869
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Author Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S.
Title Mental health nursing and its future: A discussion framework: Report from the Expert Reference Group to the Deputy Director-General Dr Janice Wilson Type (down) Report
Year 2006 Publication Abbreviated Journal
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing; Policy; Leadership; Nurse practitioners; Nursing; Education; Careers in nursing
Abstract This project was initiated by the Ministry of Health to ensure a nationally coordinated approach to mental health nursing. The purpose of the project is to provide a national strategic framework for mental health nursing that will strengthen both nursing leadership and practice within the multi-disciplinary clinical environment. The framework reviews a range of key workforce issues identified by the Ministry of Health and provides strategies to move mental health nursing forward. The framework integrates directions from government mental health strategies, policies and directions, national and international literature as well as professional nursing requirements which aim to create a sustainable mental health nursing workforce using evidence based practice. The framework considers a range of key workforce issues identified by the Ministry of Health including: nursing leadership, nurse practitioners, standards, skill mix, clinical career pathways, professional supervision, education, research and recruitment and retention.
Call Number NRSNZNO @ research @ Serial 865
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Author Litchfield, M.
Title A framework of complementary models of nursing practice: A study of nursing roles and practice for a new era of healthcare provision in New Zealand Type (down) Report
Year 2001 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages
Volume Issue Pages
Keywords Nursing models; Rural nursing; Policy; Scope of practice
Abstract This is the second of a series of research projects undertaken to present the contemporary picture of the nurse workforce and their work in rural settings to inform policy for development of rural healthcare. The document presents the findings of telephone interviews with nurses in different work rural work settings around the country discussing their practice. The analysis identified a framework of four models of nursing practice: two traditional models defined by the institutions employing nurses, and two emerging models defined by the new positions requiring nurses to respond directly to health need.
Call Number NRSNZNO @ research @ Serial 1176
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Author Brinkman, A.
Title Collating for collaboration: Tertiary education funding structures Type (down) Report
Year 2008 Publication Abbreviated Journal Available from http://www.nzno.org.nz
Volume Issue Pages
Keywords Nursing; Education; Policy
Abstract The nursing education environment is complex and varied, and is affected by both the education and health systems. This report backgrounds the funding systems that underwrite the Tertiary Education Commission (TEC) processes. The two primary objectives that have guided this collation are: to stimulate awareness and discussion of the issues around funding nursing education in New Zealand; and to promote understanding of the complex funding structures currently in place in New Zealand by students, nurses, nurse educators and nurse managers.
Call Number NZNO @ research @ Serial 1330
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Author Litchfield, M.
Title The innovation effort: ?Are you in or are you out?? Type (down) Miscellaneous
Year 2007 Publication Abbreviated Journal http://www.moh.govt.nz/moh.nsf/pagesmh/7696/$File/mlitchfield.pdf
Volume Issue Pages
Keywords Nursing; Primary health care; Policy
Abstract A graphic presentation in PDF format (April 2007) of the findings and policy implications of the developmental evaluation research programme for the Turangi Primary Health Care Nursing Innovation.
Call Number NZNO @ research @ Serial 1327
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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 (down) 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
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Author Hughes, F.
Title Locating health policy and nursing: Time for a closer relationship Type (down) Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages 5-14
Keywords Policy; Nursing
Abstract This paper outlines the role that policy and nursing have in a demanding and changing health care environment. It shows the basic tenets of policy, and provides strategies to enable nurses to increase their involvement in policy-making.
Call Number NRSNZNO @ research @ 641 Serial 627
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Author Hughes, F.
Title Nurses at the forefront of innovation Type (down) Journal Article
Year 2006 Publication International Nursing Review Abbreviated Journal
Volume 53 Issue 2 Pages 94-101
Keywords Organisational culture; Technology; Policy; Nursing
Abstract This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005.
Call Number NRSNZNO @ research @ 796 Serial 780
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Author Holloway, K. T.
Title The future for nursing education: UKCC review has relevance for New Zealand Type (down) Journal Article
Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 16 Issue 2 Pages 17-24
Keywords Nursing; Education; Recruitment and retention; Clinical assessment; Policy
Abstract The author reviews the report 'Fitness for Practice' by the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) noting many areas of relevance for New Zealand educators in outlining possible strategies for nursing education. Discussion of some of the recommendations is put in the context of a strategic review of undergraduate nursing education recently commissioned by the Nursing Council of New Zealand. Issues such as recruitment and access to education; retention; clinical assessment and placements; clinical skill acquisition and partnership are valid concerns for educators here also. Internationally, the author suggests, the commonalties in issues of concern lend validity to the concept of the global village and the necessity for a global perspective in health care workforce planning, including educational preparation.
Call Number NRSNZNO @ research @ Serial 848
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Author Hughes, F.
Title Reconnecting with policy: Requirements for survival as a mental health nurse Type (down) Journal Article
Year 2006 Publication Journal of Psychosocial Nursing & Mental Health Services Abbreviated Journal
Volume 44 Issue 8 Pages 30-39
Keywords Policy; Mental health; Nursing specialties
Abstract This article discusses the disconnection between mental health nurses and policy, and the importance of reconnecting such relationships. It is suggested this will benefit consumers, provide influence in health care policies and, ultimately, contribute to strategies to improve the health of our nation. In this article, the author draws on her own experiences and applies these to a discussion of how mental health nurses can influence and strengthen their relationships with nursing policy.
Call Number NRSNZNO @ research @ Serial 938
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Author Hughes, F.; Duke, J.; Bamford-Wade, A.; Moss, C.
Title Enhancing nursing leadership through policy, politics, and strategic alliances Type (down) Journal Article
Year 2006 Publication Nurse Leader Abbreviated Journal
Volume 4 Issue 2 Pages 24-27
Keywords Policy; Nursing; Leadership
Abstract This paper looks at the links between nursing roles and health policy in New Zealand. Strategic alliances between key professional leaders in different nursing roles can help the profession by directly influencing policy development and implementation. This form of policy entrepreneurship is an important component of professional leadership.
Call Number NRSNZNO @ research @ 955 Serial 939
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Author Stone, P.W.; Tourangeau, A.E.; Duffield, C.M.; Hughes, F.; Jones, C.A.; O'Brien-Pallas, L.; Shamian, J.
Title Evidence of nurse working conditions: A global perspective Type (down) Journal Article
Year 2003 Publication Policy, Politics, & Nursing Practice Abbreviated Journal
Volume 4 Issue 2 Pages 120-130
Keywords Nursing; Recruitment and retention; Policy; Cross-cultural comparison; Nursing research
Abstract The purpose of this article is to review evidence about nurse workload, staffing, skill mix, turnover, and organisational characteristics' effect on outcomes; discuss methodological considerations in this research; discuss research initiatives currently under way; review policy initiatives in different countries; and make recommendations where more research is needed. Overall, an understanding of the relationships among nurse staffing and organisational climate to patient safety and health outcomes is beginning to emerge in the literature. Little is known about nursing turnover and more evidence is needed with consistent definitions and control of underlying patient characteristics. Research and policy initiatives in Australia, Canada, New Zealand, and the United States are summarised.
Call Number NRSNZNO @ research @ Serial 951
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Author Woods, M.
Title Dissecting a brave new nursing world Type (down) Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 20-22, 36
Keywords Nursing; Education; Nursing Council of New Zealand; Policy
Abstract This article critiques the 'Strategic Review of Undergraduate Education' commissioned by the Nursing Council. The premise of the review is examined, along with the foundations of nursing practice and the role of nursing education.
Call Number NRSNZNO @ research @ Serial 1003
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Author Crowe, M.; Carlyle, D.
Title Deconstructing risk assessment and management in mental health nursing Type (down) Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 43 Issue 1 Pages 19-27
Keywords Psychiatric Nursing; Risk management; Policy; Culture
Abstract The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities.
Call Number NRSNZNO @ research @ Serial 1069
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Author Muir-Cochrane, E.; Holmes, C.; Walton, J.A.
Title Law and policy in relation to the use of seclusion in psychiatric hospitals in Australia and New Zealand Type (down) Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 13 Issue 2/3 Pages 136-145
Keywords Psychiatric Nursing; Law and legislation; Policy; Patient rights; Cross-cultural comparison
Abstract This paper discusses legal issues associated with the seclusion of acutely disturbed patients in psychiatric hospitals in Australia and New Zealand. There continues to be great variation in opinion and operational definition as to whether seclusion is a medical treatment, nursing intervention and management tool, or merely a form of situational restraint. Reflecting this lack of clarity, mental health acts and policies concerning the regulation and practice of seclusion lack consistency and focus across geographical boundaries and jurisdictions. Australian and New Zealand legislation and institutional policy is discussed in order to shed light on the contemporary issues highlighted by this controversial nursing practice. The authors note that mental health professionals must continue to review the practice of seclusion and to actively promote the use of acceptable alternatives. In addition nurses and other mental health professionals have a responsibility to understand current legislation and policy frameworks and to influence change where this is necessary to ensure the best practice possible in their clinical area.
Call Number NRSNZNO @ research @ Serial 1074
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