dc.contributor.author |
Adams, Sue |
|
dc.contributor.author |
Carryer, Jenny |
|
dc.coverage.spatial |
Australia |
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dc.date.accessioned |
2022-05-20T04:56:19Z |
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dc.date.available |
2022-05-20T04:56:19Z |
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dc.date.issued |
2019-07 |
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dc.identifier.citation |
(2019). Journal of Primary Health Care, 11(2), 152-158. |
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dc.identifier.issn |
1172-6164 |
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dc.identifier.uri |
https://hdl.handle.net/2292/59405 |
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dc.description.abstract |
INTRODUCTION The health sector is facing considerable challenges to meet the health needs of rural communities. Nurse practitioners (NPs) deliver primary health care (PHC) services similar to general practitioner (GP) services, within a health equity and social justice paradigm. Despite GP workforce deficits, New Zealand has been slow to effectively utilise NPs. AIM From a larger study exploring the establishment of NP services, this paper reports on the barriers and facilitators to becoming a NP in rural PHC. METHODS Overall, 13 NPs and 4 NP candidates participated in individual or group interviews. Participants were employed in a variety of PHC settings from six district health boards across New Zealand. Using a scaffold map constructed to show the stages of the pathway from nurse to NP, data were analysed to identify experiences and events that facilitated or were barriers to progress. RESULTS Experiences varied considerably between participants. Commitment to the development of the NP role in their local areas, including support, advanced clinical opportunities, supervision, funding and NP job opportunities, were critical to progression and success. Existing GP shortages and the desire to improve health outcomes for communities drove nurses to become NPs. DISCUSSION Implementation of the NP workforce across New Zealand remains ad hoc and inconsistent. While there are pockets of great progress, overall, the health sector has failed to embrace the contribution that NPs can make to PHC service delivery. A national approach is required to develop the NP workforce as a mainstream PHC provider. |
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dc.format.medium |
Print |
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dc.language |
eng |
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dc.publisher |
CSIRO Publishing |
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dc.relation.ispartofseries |
Journal of primary health care |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
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dc.subject |
Humans |
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dc.subject |
Nurse's Role |
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dc.subject |
Nurse Practitioners |
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dc.subject |
Rural Health Services |
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dc.subject |
Primary Health Care |
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dc.subject |
New Zealand |
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dc.subject |
Interviews as Topic |
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dc.subject |
Health Workforce |
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dc.subject |
Clinical Research |
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dc.subject |
8.1 Organisation and delivery of services |
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dc.subject |
Generic health relevance |
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dc.subject |
Science & Technology |
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dc.subject |
Life Sciences & Biomedicine |
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dc.subject |
General & Internal Medicine |
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dc.subject |
Rural health |
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dc.subject |
nursing roles |
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dc.subject |
workforce |
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dc.subject |
equity |
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dc.subject |
PRIMARY-CARE |
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dc.subject |
1110 Nursing |
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dc.subject |
1117 Public Health and Health Services |
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dc.title |
Establishing the nurse practitioner workforce in rural New Zealand: barriers and facilitators. |
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dc.type |
Journal Article |
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dc.identifier.doi |
10.1071/hc18089 |
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pubs.issue |
2 |
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pubs.begin-page |
152 |
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pubs.volume |
11 |
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dc.date.updated |
2022-04-11T06:36:19Z |
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dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
32171358 (pubmed) |
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pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/32171358 |
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pubs.end-page |
158 |
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pubs.publication-status |
Published |
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dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
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pubs.elements-id |
837287 |
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pubs.org-id |
Medical and Health Sciences |
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pubs.org-id |
Nursing |
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dc.identifier.eissn |
1172-6156 |
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dc.identifier.pii |
HC18089 |
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pubs.record-created-at-source-date |
2022-04-11 |
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