Masters Dissertations

Permanent link for this collection

https://hdl.handle.net/10292/476
The Masters Dissertations collection contains digital copies of AUT University masters dissertations deposited with the Library since 2007 and made available open access. From 2007 onwards, all dissertations for masters degrees awarded are required to be deposited in Tuwhera Open Theses & Dissertations unless subject to an embargo.

Dissertations submitted prior to 2007 are usually recorded in the AUT Library catalogue where the full text, if available, may be accessed with an AUT password. Other people should request an Interlibrary Loan through their library.

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Browsing Masters Dissertations by Supervisor "Bamford-Wade, Anita"

Now showing 1 - 2 of 2
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    Practice nurses' perception of opportunities and barriers to the expansion of nursing roles within contemporary general practice
    (Auckland University of Technology, 2011) Carthew, Mary Patricia
    The New Zealand government’s plan for ‘better sooner, more convenient primary health care’ (Ryall, 2007) has a clear mandate for developing Integrated Family Health Centers (IFHC) which are patient-centered, lead by clinicians, cost-effective and have a focus on delivering health targets. What is not clear is how this will be achieved in practice, and how IFHC will address some of the disparities which exist in the current model of healthcare in New Zealand; a model which is based primarily on a medicalised model. With the escalating burden of chronic disease it is essential to clearly articulate, strategise and plan how the new model will be different to the current one, and to explore what will be the role of practice nurses in the new and changing environment. The co-location of a multi-disciplinary health team presents opportunities for new, expanded roles and improved collaboration with improved outcomes for patients, particularly for people with complex long-term health conditions (Baileff, 2000). This dissertation explores four practice nurses’ perceptions of opportunities and barriers to the expansion of nursing roles within contemporary general practice using a qualitative descriptive methodology; a methodology used when insight into particular situations, social settings and relationships is required. Purposive sampling was used to identify the participants for the study. This method is used when participants are chosen for their knowledge and experience of the phenomenon to be explored. Four practice nurses participated in the study. The nurses work in four different general practices within the same Primary Health Organisation. They all work and live in a rural area of New Zealand and all four identify as European / New Zealanders. The amount of time they have worked in general practice ranges from nine to twenty years. Three of the nurses have undertaken post-graduate study, two achieving a post-graduate certificate and one achieving a post-graduate diploma. The closest tertiary provider of post-graduate courses is a minimum of four hours travelling distance from the nurses’ homes. The four nurses were interviewed individually, each interview was tape-recorded and the tape recordings were transcribed by an independent person. The data were analysed using thematic analysis. Following coding of the interview narratives two main themes emerged: 1) further education is required before practice nursing roles can be expanded and 2) nurses who work in expanded roles experience enhanced professional self-esteem. Recommendations for further research and development include scoping enhanced and diversified learning methods for nurses who live and work in rural areas and; providing more ‘on-site’ clinical and academic support, mentoring and networking to practice nurses working in general practice in rural areas. Consideration should also be given to integrating practice nurse ‘short courses’ (e.g. vaccination and smear training) into post-graduate study as part of a Postgraduate Certificate in Primary Health Care Nursing. Blending ‘hands on’ courses with the theoretical underpinning of advanced study could attract more practice nurses into a post-graduate pathway of education, essential if practice nurses are to work in expanded, autonomous roles.
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    Transitioning difficulties of overseas trained nurses in New Zealand
    (Auckland University of Technology, 2014) Hogan, Deborah
    Registered Nurses (RNs) who have trained overseas have become an important part of the New Zealand (NZ) workforce. Some 21% of RNs working in NZ were trained overseas. Internationally, NZ has the highest percentage of migrant nurses (Nursing Council of New Zealand, 2011; Wright, 2009). Overseas research recommends efforts be made to enhance adjustment of nurses from other cultures to work and life in a new country (Aitken, Buchan, Sochalski, Nichols, & Powell, 2004; Buchan, Naccarella, & Brooks, 2011; North, 2010; Woodbridge & Bland, 2010; Yi & Jezewski, 2000). Little research has been conducted in this area within NZ. This study will explore the experience of overseas trained nurses (OTNs) who have migrated to NZ within the last two years. It will focus on OTNs lived experience and explore any difficulties that they may have experienced when transitioning into the NZ health system. An exploratory qualitative descriptive study will guide the research.
Dissertations are protected by the Copyright Act 1994 (New Zealand). The dissertation may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use:
  • Any use you make of these documents or images must be for research or private study purposes only, and you may not make them available to any other person.
  • Authors control the copyright of their dissertation. You will recognise the author’s right to be identified as the author of the dissertation, and due acknowledgement will be made to the author where appropriate.
  • You will obtain the author’s permission before publishing any material from the dissertation.