Delineating advanced practice nursing in New Zealand: a national survey

Abstract

By replicating the Australian study of Gardener et al. (2016), this NZ paper extends the international data available to support more evidence-based nursing workforce planning and policy development.

Impact of postgraduate education on advanced practice nurse activity – a national survey

“…The findings in this study and that of Carryer et al (2018) and Gardner et al (2016) show that RNs spend more time in direct patient care than any other domain. As expected, the data demonstrate a clear relationship between level of education and the advanced practice roles of clinical nurse specialist and nurse practitioner.…”

“…Based on work carried out in Australia (Gardner et al 2016), previous analyses used domain scores to identify four groups or bands of nursing position titles in New Zealand (Carryer et al 2018). Two of these bands, Clinical Nurse Specialist and Nurse Practitioner, are considered to encompass advanced practice nurse (APN) roles, the other two (Registered Nurse and Domain Specific) do not meet the threshold to be considered APN roles.…”

“…The survey instrument has been described in detail elsewhere (Carryer et al 2018). The questionnaire was comprised of demographic detail which included years of nursing experience, highest level of education and participation in the PDRP.…”

“…The Strong Model of Advanced Practice is a tool that describes five domains of activity associated with advanced practice: Direct care, Support of systems, Education, Research, and Professional leadership (Mick & Ackerman 2000). With the permission of the Australian researchers, the advanced practice delineation study was recently replicated in New Zealand using the same tool (Carryer et al 2018). With the permission of the Australian researchers, the advanced practice delineation study was recently replicated in New Zealand using the same tool (Carryer et al 2018).…”

Low‐ and lower middle‐income countries advanced practice nurses: an integrative review

“…Justification of RN roles and titles being categorized as APN is widely debated and complex. Some recognized APN roles meet the ICN definition and characteristics whereas others do not (Carney 2016;Carryer et al 2018;Dowling et al 2013;Gardner et al 2016;Kleinpell et al 2014;Lamb et al 2018;Lowe et al 2012;Scanlon et al 2015;Schober et al 2016;Stasa et al 2014). Nurse midwife, nurse anaesthetist and registered nurse first assistant titles fall within this debate.…”