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Advanced nursing practice--evolution or revolution?

Sandra Richardson1

  • 1Christchurch Hospital Emergency Department.

Nursing Praxis in New Zealand Inc
|September 20, 2002
PubMed
Summary

New Zealand nursing roles are evolving, not radically changing. Historical analysis reveals current advanced nursing practices are rooted in the profession's origins, suggesting a reclamation of established roles.

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Area of Science:

  • Nursing Studies
  • Healthcare Policy
  • New Zealand Healthcare

Background:

  • Cyclical resurgence of issues in nursing history, including community vs. hospital and generalist vs. specialist practice.
  • Current 'advanced' nursing roles share characteristics with historical nursing practices in New Zealand.

Purpose of the Study:

  • To challenge the unquestioning acceptance of evolving nursing roles in New Zealand.
  • To examine the historical development of nursing in New Zealand to understand contemporary role changes.

Main Methods:

  • Historical analysis of nursing origins and development in New Zealand.
  • Comparative study of historical nursing characteristics with current 'advanced' nursing roles.

Main Results:

  • Nursing role changes in New Zealand are evolutionary rather than revolutionary.
  • Contemporary advanced nursing roles can be seen as a reclamation of historical nursing functions.

Conclusions:

  • The evolution of nursing roles in New Zealand is a continuous process rooted in history.
  • Viewing role changes as a reclamation offers a new perspective on nursing practice development.

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