The nurse practitioner role in Fiji: Results of an impact study

Kim Usher
School of Nursing, Midwifery and Nutrition, James Cook University, Cairns QLD

David Lindsay
School of Nursing Sciences, James Cook University, Townsville QLD

PP: 083 - 091

Abstract

The Nurse Practitioner role, a relatively new role in Fiji, was introduced by the Ministry of Health in order to increase local access to adequate health care for people living in remote areas. Both developed and developing countries have introduced Nurse Practitioner or similar roles in order to provide a cost effective and sustainable health workforce.

This paper provides the results of a qualitative, descriptive study undertaken to explore the introduction of this role and its impact on health service delivery in Fiji. It involved semi-structured and focus group interviews with nurse practitioners, key stake holders and community members.

The findings demonstrate the positive impact of the role and its benefits to people living in the remote areas of Fiji. It also outlines the satisfaction of villagers with Nurse Practitioners and the extensive scope of practice undertaken by these practitioners. Issues related to the introduction of the role are also discussed. Finally, recommendations for future research and practice are offered.

| More

Keywords

nurse practitioner; Fiji; remote nursing; scope of practice; service delivery


View references

References

Creswell, J.W. (2003): Research Design. Qualitative, quantitative and Mixed Methods Approaches. 2nd edn., Sage Publications, Thousand Oaks.

Department of Human Services, Victoria (October, 2001):'Victorian Nurse Practitioner Project - Bulletin No.3' published by the Victorian Government.

Downes, E. (2001): Mission report to the WHO Regional Office for the Western Pacific. 'Fiji Nurse Practitioner, Nurse Education and Practice.'

Haddad M. & Williams, J. (date unknown): 'Achieving Health for all through Community Partnerships: The Key roles of Nurse Practitioners in Fiji' Emory University, USA.

Hamric, A., Spross, J. & Hanson, C. (2000): Advanced Nursing Practice, An Integrated Approach. 2nd edn., W.P. Saunders, Philadelphia.

Keyzer, D. (1994):'Expanding the Role of the Nurse: Nurse Practitioners and Case Managers.' The Australian Journal of Rural Health 2(4):5-11.

Lindsay, D. & Usher, K. (2002): 'Nurse Practitioners: shaping the future of health care in rural Fiji.' Paper presented at the 2nd International Council of Nursing, International Nurse Practitioner Conference, Advanced Practice Nursing Network, Hilton Hotel, Adelaide, SA, October 31-November 2, 2002.

MacLeod, M., Browne,A. & Leipert, B. (1998): 'Issues for Nurses in Rural and Remote Canada.' The Australian Journal of Rural Health 6(2):72-78.

Mayring, P. (2000): Qualitative content analysis. Forum: Qualitative Social Research 1(2). Retrieved September 19, 2003, from http://www.qualitative-research.net

Offredy, M. (1998): Nurse practitioners in the United Kingdom: some considerations of the literature. Clinical Excellence for Nurse Practitioners 2(5): 307-313.

Offredy, M. (2000): 'Advanced nursing practice: the case of nurse practitioners in three states.' Journal of Advanced Nursing 31(2): 274-281.

Polit, D.F. & Tatano Beck, C. (2004) Nursing Research: Principles and Methods. 7th edn., Lippincott Williams & Wilkins, Philadelphia.

Pulcini, J., & Wagner, M. (date unknown): 'Perspectives on education and practice issues for Nurse Practitioners and Advanced Practice Nursing', published by the Education/Practice Subgroup of the International Nurse Practitioner/Advanced Practice Nursing Network.

Royal College of Nursing Australia (2000): RCNA Position Statement: 'Advanced Practice Nursing'.

Sandelowski, M. (2000): Whatever happened to qualitative description? Research in Nursing and Health 23: 334-340.

Sofaer, S. (1999): Qualitative methods: What are they and why use them? Health Services Research 34(5, II): 1111-1118.

Solomon Cohen, S & Juszczak L. (1997): Promoting the nurse practitioner role in managed care. Journal of Paediatric Health Care 11(1):3-11.

Stark, R., Nair, N.V.K. & Omi, S. (1999): 'Nurse Practitioners in Developing Countries: some ethical considerations', Nursing Ethics 6(4), 273-277.

Streubert, H.J. & Carpenter, D.R. (1999): Qualitative Research. Advancing the Humanistic Imperative. 2nd edn., Lippincott, Philadelphia.

Turner, C. & Keyzer, D. (2002) Nurse practitioners: a contract for change and excellence in nursing. Collegian 9(4): 18-23.

Usher, K. (2001): Study on the impact of the nurse practitioner services, Fiji. Report to the World Health Organization (MR/2001/0864), Western Pacific Office.

World Health Organisation. (2001a): 'The structure and sustainable delivery of essential public health functions in the Western pacific Region.' Country Report, Fiji Islands, World Health Organisation Regional Office for the Western Pacific.

World Health Organization. (2001b): 'Proposed Countries Program Budget 2000-2001.' Geneva: World health Organization. Available from URL: www.wpro.who.int/public/policy/budget/country/07_FIJ.html. Downloaded 27.11.02.



RSS Facebook Twitter

Sign Me Up

*Email Address
First Name
Surname

Web Feed

Latest Articles

Special Issues

Advances in Contemporary Health Care for Vulnerable Populations
Volume 42/1
Summary


Advances in Contemporary Community & Family Health Care (3rd edn)
Volume 41/1
Summary | Contents


Advances in Contemporary Complex Health Care: Nursing Interventions
Volume 40/2
Summary | Contents


Advances in Contemporary Community and Family Health Care (2nd edn)
Volume 40/1
Summary | Contents


Advances in Contemporary Nurse Education (2nd edn)
Volume 38/1-2
Summary | Contents


Advances in Contemporary Indigenous Health Care (2nd edn)
Volume 37/1
Summary | Contents


Advances in Contemporary Nursing: Workforce and Workplaces
Volume 36/1-2
Summary | Contents


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/2
Summary | Contents


Advances in Contemporary Mental Health Nursing (2nd edn)
Volume 34/2
Summary | Contents


Advances in Contemporary Nursing and Gender
Volume 33/2
Summary | Contents


Advances in Contemporary Nurse Education
Volume 32/1-2
Summary | Contents


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Volume 30/2
Summary | Contents


crossref.org - The citation linking backbone



Website by Arrowsmith Websites. Website Design Sunshine Coast, Australia.