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Author Moko Business Associates, url  openurl
  Title Career pathways and core competencies in Maori mental health nursing Type Report
  Year 2003 Publication Abbreviated Journal  
  Volume Trm/03/04 Issue Pages  
  Keywords Maori; Mental health; Nursing; Careers in nursing; psychiatric nursing  
  Abstract This report reviews relevant literature pertaining to clinical career pathways and associated core competencies for nursing in New Zealand. The review identifies and analyses existing clinical career pathways for nurses and mental health workers in New Zealand, paying particular attention to the content, structure, strengths, criticisms and applicability to the development of a clinical career pathway for Maori registered nurses to work in Maori mental health (NGO organisations). This report is part of Te Rau Matatini's current work on the development of a career pathway for Maori registered nurses with mental health work experience to work in NGO, community settings. It is a preliminary report, based on existing literature. A subsequent report was planned detailing the career pathway developed by Te Rau Matatini, with strong guidance and input from Maori mental health nurses and the wider Maori mental health sector.  
  Call Number NRSNZNO @ research @ Serial 823  
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Author Maxwell-Crawford, K. url  openurl
  Title Huarahi whakatu: Maori mental health nursing career pathway Type Report
  Year 2004 Publication Abbreviated Journal  
  Volume (Trm/04/15) Issue Pages  
  Keywords Professional development; Careers in nursing; Maori; Psychiatric nursing; Mental Health  
  Abstract Huarahi whakatu describes a pathway for recognising the expertise of nurses working in kaupapa Maori mental health services and recommends a professional development programme that can lead to advancement along the pathway. An emphasis on dual competencies – cultural and clinical – underlies the rationale for regarding kaupapa Maori mental health nursing as a sub-specialty. Eight levels of cultural competencies and twelve levels of clinical competencies are used to differentiate career stages and it is recommended that movement from one level to another should be matched by increased remuneration. The report also contains a recommended professional development programme to support the operationalisation of the career pathway.  
  Call Number NRSNZNO @ research @ Serial 824  
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Author Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S. url  openurl
  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 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.; Ross, J. url  openurl
  Title The role of rural nurses: National survey Type Report
  Year 2000 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages  
  Volume Issue Pages  
  Keywords Rural nursing; Personnel; Nursing specialties; Primary health care  
  Abstract A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce.  
  Call Number NRSNZNO @ research @ Serial 1175  
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Author Litchfield, M. url  openurl
  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 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 Howie, L. url  openurl
  Title Rural society and culture Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 3-18 ) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Culture  
  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.  
  Call Number NRSNZNO @ research @ Serial 460  
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Author Horner, C. url  openurl
  Title Emergency health provision and maintaining competency Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 125-136) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Professional competence; Emergency nursing  
  Abstract This chapter focuses on issues associated with rural nursing and the provision of emergency care for patient(s) located remotely from secondary hospital services. All emergencies have diverse characteristics, but the rural practitioner also contends with having sole practice, professional and geographical isolation, and the lack of regular experience. The chapter reviews the PRIME (Primary Response in Medical Emergency) recommendations and training, and looks in particular at the issues around the maintenance of competency for the rural nurse providing emergency on call health care that includes managing medical and accident emergencies in the absence of a medical practitioner.  
  Call Number NRSNZNO @ research @ Serial 756  
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Author Robertson, A.M. url  openurl
  Title Rural women and maternity services Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 179-97) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Midwifery; Rural nursing; Professional competence; History of nursing  
  Abstract The author discusses the roles that nurses undertake in response to rural communities' health needs, focusing on the provision of maternity service. The author reviews structural changes such as the 1990 Amendment to the Nurses Act 1977 which, the author suggests, introduced a climate of professional rivalry, changes in funding that cut back general practitioners in the field, and the development of Lead Maternity Carers. Despite controversial developments, New Zealand maternity services have evolved to include a unique and internationally respected model of midwifery care. However, the author highlights several areas that limit the positive contribution of rural nurses and midwives. These include workforce recruitment and retention, equity of access, and issues around maintaining competency and education.  
  Call Number NRSNZNO @ research @ Serial 761  
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Author Dillon, D.R. url  openurl
  Title Rural contexts: Islands Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 19-30) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Identity; Advanced nursing practice; Professional competence  
  Abstract This chapter explores the concept of islands particularly in relation to rurality, individual and community identities, and nursing. The author argues that all New Zealanders are islanders, and considers the implications of this on personal and community values, when they are shaped by geographic isolation and structural separateness. She explores commonalities between islanders and rural peoples in areas such as identity, isolation, and health, and outlines the impacts this has on rural nursing practice and competencies. A case study of a nurse on Stewart Island is briefly discussed.  
  Call Number NRSNZNO @ research @ 765 Serial 461  
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Author Howie, L. url  openurl
  Title Contextualised nursing practice Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Nursing models; Nursing research  
  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.  
  Call Number NRSNZNO @ research @ 766 Serial 750  
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Author Thompson, R. url  openurl
  Title On call but not rostered Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Ethics; Registered nurses  
  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.  
  Call Number NRSNZNO @ research @ 768 Serial 752  
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Author Jamieson, I. url  openurl
  Title The mobile operating theatre project Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Surgery; Training; Evaluation  
  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.  
  Call Number NRSNZNO @ research @ 769 Serial 753  
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Author Pedersen, C. url  openurl
  Title Nurse-led telephone triage service in a secondary rural hospital Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 99-110) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Telenursing; Evaluation  
  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.  
  Call Number NRSNZNO @ research @ 770 Serial 754  
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Author Fitzwater, A. url  openurl
  Title The impact of tourism on rural nursing practice Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 137-43) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Tourism; Advanced nursing practice; Occupational health and safety  
  Abstract This chapter reviews some effects of the growth of tourism, including adventure tourism and the numbers of tourists over 50, on rural nursing practice. Tourism contributes to socio-cultural change within a community, and health resources that previously met the needs of the local community may not meet the expectations of growing numbers of tourists. The transient visitor includes both the tourist and the seasonal worker, and has become a feature of rural nursing. Major effects on rural nurses include the increased volume of work, the advanced scope of practice required to meet more complex needs of visitors, and challenges to personal and professional safety.  
  Call Number NRSNZNO @ research @ 773 Serial 757  
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Author Hale, R. url  openurl
  Title Older patient perceptions of transitional care Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 147-152) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Older people; Rural health services; Community health nursing; Evaluation  
  Abstract The author describes transitional care as undertaken within the Waikato District Health Board health care environment. Transitional care supports people moving between acute health care (inpatient) and primary health care (home). It is a rehabilitative model based in smaller, predominantly rural communities to enable the older person to actively work towards recovery of functional ability within their own environment. Research indicates this rehabilitation model is applicable to the rural situation and satisfaction levels of the patients and caregivers tends to be positive.  
  Call Number NRSNZNO @ research @ 774 Serial 758  
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