Richardson, S. (2009). Senior nurses' perceptions of cultural safety in an acute clinical practice area. Nursing Praxis in New Zealand, 25(3), 27–36.
Abstract: Presents the results of a small study aimed at eliciting the beliefs and attitudes of a group of senior nurses with respect to the concept of cultural safety, and their perception of its role in clinical practice.
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Ventura-Madangeng, J., & Wilson, D. (2009). Workplace violence experienced by registered nurses : a concept analysis. Nursing Praxis in New Zealand, 25(3), 37–50.
Abstract: Undertakes a concept analysis, based on the relevant literature from 1990-2005, to develop an operational definition of workplace violence as experienced by registered nurses (excluding mental health nurses), together with a set of criteria to identify the phenomenon.
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Holloway, K., Baker, J., & Lumby, J. (2009). Specialist nursing famework for New Zealand: A missing link in workforce planning. Policy, Politics, & Nursing Practice, 10(4), 269–275.
Abstract: Explores the NZ context underpinning adequate specialist nurse workforce supply, contending that effective workforce planning would be supported by the
development of a single unified framework for specialist nursing practice in NZ, with the potential to support accurate data collection and to enable service providers to identify and plan transparent and transferable pathways for specialist nursing service provision and development. Argues that advanced practice nursing frameworks assist in increasing productivity through building an evidence base about advanced practice, enhancing consistency and equity of expertise, supporting a reduction in role duplication, and enabling succession planning and sustainability.
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Unac, F., Marshall, B., & Crawford, R. (2010). Nurse practitioner access to radiology and laboratory ser. Nursing Praxis in New Zealand, 26(1), 27–37.
Abstract: Reports the findings of a quantitative descriptive survey of all NZ registered nurse practitioners (NPs), exploring NP access to radiology and laboratory services in 2008. Identifies the types of diagnostic tests NPs order from either laboratory or radiology services and the obstacles they face.
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Gilmer, M. J., Meyer, A., Davidson, J., & Koziol-McLain, J. (2010). Staff beliefs about sexuality in aged residential care. Nursing Praxis in New Zealand, 26(3), 17–24.
Abstract: Surveys 52 staff members from the rest-home component of aged-care facilities in one District Health Board, about how staff in such facilities approach and manage the sexuality needs of residents.
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Ripekapaia Gloria Ryan, & Wilson, D. (2010). Nga tukitanga mai koka ki tona ira : Maori mothers and child to mother violence. Nursing Praxis in New Zealand, 26(3), 25–35.
Abstract: Explores the experiences of Maori mothers who have been abused by a son or daughter using a qualitative descriptive research design based on kaupapa Maori methodology. Conducts semi-structured interviews with five Maori mothers, recording their experiences of abuse by a child, and its impact on the whanau/family. Analyses the interview transcripts for common themes. Highlights the importance of nurses in facilitating whanau ora (family wellbeing).
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Paddy, A. (2010). Ageing at work: the phenomenon of being an older experienced health professional. Doctoral thesis, Auckland University of Technology, Auckland.
Abstract: Interviews 14 participants, 10 older and experienced health professionals, and four managers. Describes the lived experience of health professionals ageing at work, and of the managers interacting with them. Demonstrates that the ability of older practitioners to adapt to meet the ongoing physical demands of practice and their shifting workplace environment determines whether they will be valued at work and remain in their roles.
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Eden, S. (2011). An integrated literature review of the role of the nurse practitioner in the emergency department. Master's thesis, , .
Abstract: A dissertation in partial fulfilment of Master Health Sciences (Clinical)through University of Otago
The nurse practitioner is one of the newest nursing health care professionals to be introduced to the New Zealand health system for many years. Eighty-six nurse practitioners are credentialed in New Zealand, with three working in urban Emergency Department settings. Nurse Practitioners are common internationally especially in the United States, Canada, United Kingdom and Australia. The purpose of this integrated literature review is to explore current research and literature in regards to the Emergency Department Nurse Practitioner, and their role within emergency settings. This review presents the growth and development of the nurse practitioner as an advanced practice nursing position. Four key themes emerge from the literature review; education of the Emergency Nurse Practitioner , how and who defined the Emergency Nurse Practitioner role, practice setting of the Emergency Nurse Practitioner, and what the barriers are to independent practice. The economic, legal and governance aspects of the Nurse Practitioner role are also portrayed. This integrated review documents the potential for further development and expansion of the Emergency Nurse Practitioner scope of practice to provide a broad range of patient care services within Emergency Departments, and emergency care settings. Future research is essential for the promotion of autonomous practice of the Emergency Nurse Practitioner within the international and New Zealand health care system.
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Clendon, J., & Walker, L. (2011). Characteristics and perceptions of younger nurses in New Zealand: Implications for retention. Kai Tiaki Nursing Research, 2(1), 4–11.
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Crawford, R., Hedley, C., & Marshall, B. (2011). Influences on Registered Nurses Having an annual influenza vaccination: Lessons from New Zealand. Kai Tiaki Nursing Research, 2(1), 12–16.
Abstract: The aim of this research was to explore what influences registered nurses (RNs) to have the annual influenza vaccine. In the past, influenza vaccination of health care workers has been identified as the primary method of preventing influenza transmission to at-risk groups that, by virtue of illness, congregate in and around hospitals.
Findings showed that some RNs have confidence in the influenza vaccine being effective in preventing influenza infection; however there remained a high proportion of RNs who thought that the vaccine could or might cause influenza. Participants had incorrect knowledge and beliefs about the influenza vaccine, infection and cross infection.
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Warren, B., Dovey, S., & Griffin, F. (2011). The evidence behind more than a decade of policy recommending influenza vaccination for young New Zealanders with long term medical conditions. Held by NZNO Library, 2(1), 27–32.
Abstract: This article reviews the recent evidence underpinning the New Zealand Ministry of Health's recommendation to offer free annual influenza vaccination to people aged six months to 64 years who have certain chronic medical conditions (eligible younger people). These results show there is relatively limited research providing evidence underpinning recommendations for influenza vaccination among people aged <65 years. These results show that there is a need to increase nurses' awareness of the rationale behind the New Zealand influenza vaccination policy, that this may in turn increase their willingness to recommend influenza vaccine to more eligible younger people.
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Dr Jill Clendon and Dr Léonie Walker. (2011). Young nurses in Aotearoa New Zealand. NZNO.
Abstract: The NZNO Younger Nurse survey examined the characteristics of younger nurse members of NZNO (aged under 30) in order to identify potential recruitment and retention strategies for these nurses, and provide information on how best to support younger members to become involved in NZNO activities.
The findings indicate that while most younger nurses enjoy their work and find it rewarding, they also face a range of challenges in the workplace due to their age ? including bullying and poor choice of shifts. Many younger nurses do not feel appropriately paid for the work they do and believe there are insufficient nurses to provide safe care. Over 10 percent of younger nurses are considering leaving the nursing profession. Many younger nurses feel the emotional challenge of nursing was more than they anticipated and that their education did not prepare them well to manage this.
A range of recommendations are made, including the need to improve undergraduate curriculum content on managing the emotional challenges of nursing, the need to implement clinical supervision for all nurses but particularly for those under 30, the need to develop and implement activities to address bullying in the workplace, and the need to improve pay progression scales in employment contracts.
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Dr Jill Clendon and Dr Léonie Walker. (2011). Research Advisory Paper: Highlights of the 2011 Younger Nurse Study. Wellington: NZNO.
Abstract: The NZNO Younger Nurse survey examined the characteristics of younger nurse members of NZNO (aged under 30) in order to identify potential recruitment and retention strategies for these nurses, and provide information on how best to support younger members to become involved in NZNO activities.
The findings indicate that while most younger nurses enjoy their work and find it rewarding, they also face a range of challenges in the workplace due to their age ?including bullying and poor choice of shifts. Many younger nurses do not feel appropriately paid for the work they do and believe there are insufficient nurses to provide safe care. Over 10% of younger nurses are considering leaving the nursing profession. Many younger nurses feel the emotional challenge of nursing was more than they anticipated and that their education did not prepare them well to manage this.
A range of recommendations are made including the need to improve undergraduate curriculum content on managing the emotional challenges of nursing, the need to implement clinical supervision for all nurses but particularly for those under 30, the need to develop and implement activities to address bullying in the workplace, and the need to improve pay progression scales in employment contracts.
Further research is required to explore why there is a discrepancy between female and male nurses?postgraduate qualifications by age, the particular needs of younger Indian and South East Asian nurses, the discrepancy between younger nurses and older nurses perceptions of insufficient nurses, and what type of emotional stress younger nurses find most challenging.
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Dr Léonie Walker. (2011). Vital Signs: Research Advisory Paper: Highlights of the NZNO Employment Survey, 2011. Wellington: NZNO.
Abstract: This report documents the results of a survey of a random sample of NZNO members.
A 10% sample was drawn by computer from the 45,000 membership, representing nurses and care givers from across New Zealand. Midwives were excluded from the
sample on this occasion.
Issues related to age demographics, low pay, increasing workload, and significant
organisational restructuring continue to contribute to a considerable part of the nursing workforce who will be looking to leave nursing, to nurse overseas, or to retire within the next ten years. These appear to be balanced for now partly by other factors leading to nurses continuing to work long past the normal retirement age.
Changes to the Enrolled Nurse scope of practice (including a drop in employment
opportunities as Enrolled Nurses), difficulties experienced by some newly qualified New Zealand nurses finding suitable employment or supported Nurse Entry to Practice places, and evidence for a drop in the availability of paid access to continuing professional development particularly in the DHB sector, if not addressed urgently, may have longer term implications for the New Zealand nursing workforce and the health service.
Specific issues for nurses under 30 years of age, particularly related to shift work practices and family responsibilities, were explored in more detail in a separate report Young Nurses in Aotearoa New Zealand and specific recommendations made for the long term retention of these skilled and vital health workers.
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Haitana, J., & Bland, M. (2011). Building relationships : the key to preceptoring nursing students. Nursing Praxis in New Zealand, 27(1), 4–12.
Abstract: Seeks to understand the experiences of being a preceptor of student nurses, and the factors that impact on the role. Undertakes a qualitative descriptive study in a small provincial hospital of 5 registered nurse preceptors, who complete semi-structured audio-taped interviews. Analyses the data using a step-by-step process.
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