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BACKGROUND The title, Nurse Practitioner, is protected in most jurisdictions in Australia and New Zealand and the number of nurse practitioners is increasing in health services in both countries. Despite this expansion of the role, there is scant national or international research to inform development of nurse practitioner competency standards. (More)
AIM To draw on empirical evidence to illustrate the core role of nurse practitioners in Australia and New Zealand. BACKGROUND Enacted legislation provides for mutual recognition of qualifications, including nursing, between New Zealand and Australia. As the nurse practitioner role is relatively new in both countries, there is no consistency in role(More)
This paper examines the practice of handover in a large metropolitan hospital. It shows that the handover is a significant site at which to examine how tensions and imperatives derived from the traditional institutional position and role of the nurse are played out in contradiction with emergent professionalism. It identifies handover dimensions and focuses(More)
Nurse practitioners will become a vital component of the health workforce because of the growing need to manage chronic illness, to deliver effective primary health services, and to manage workforce challenges effectively. In addition, the role of nurse practitioner is an excellent example of increased workforce flexibility and changes to occupational(More)
AIM This paper reports a study to develop a research-informed model of the service parameters and an analysis framework for advanced practice nursing roles. BACKGROUND Changing patterns of health care are forcing service planners to examine new service delivery models. Apparent is the call for nursing service that incorporates expanded levels of autonomy,(More)
To determine the low back stressor exposures of hospital nursing staff members, the daily activities of 63 staff members were observed and coded. In addition to direct patient contact activities, non-patient contact activities were common. Many patient contact actions were static (isometric), requiring maintenance of an antigravity position which stresses(More)
BACKGROUND The process and content of nurse practitioner educational preparation has received scant research attention, despite increasing interest in and investigations into nurse practitioner services in Australia and internationally. AIMS The aim of this paper is to report a study investigating the educational process and content required for nurse(More)
AIM To review the titles, roles and scope of practice of Advanced Practice Nurses internationally. BACKGROUND There is a worldwide shortage of nurses but there is also an increased demand for nurses with enhanced skills who can manage a more diverse, complex and acutely ill patient population than ever before. As a result, a variety of nurses in advanced(More)
Mechanical ventilation of patients in intensive care units is common practice. Artificial airways are utilised to facilitate ventilation and the endotracheal tube (ETT) is most commonly used for this purpose. The ETT must be stabilised to optimise ventilation and avoid displacement or unplanned extubation. Tube movement is a major factor in causing airway(More)
OBJECTIVE To evaluate the effectiveness of two pressure-ulcer screening tools against clinical judgement in preventing pressure ulcers. DESIGN A single blind randomised controlled trial. SETTING A large metropolitan tertiary hospital. PARTICIPANTS 1231 patients admitted to internal medicine or oncology wards. Patients were excluded if their hospital(More)