Nurse Practitioners in New Zealand

Nurse Practitioner Employment and Development Working Party

Members

	Jan Bulteel-Adams Jan trained to be a registered nurse and midwife in the UK. She went on to hold a number of positions including in senior nurse management. In those roles, Jan also fulfilled acting hospital management positions. Since migrating to New Zealand in 1992 with her family, Jan has held a number of senior management positions in Waikato, served on the Nursing Council of New Zealand and was a member of the Inquiry into neonatal chest physiotherapy practice. Jan was most recently appointed Director of Nursing for Waikato DHB. In this executive level position, she is responsible for providing strategic advice to the Chief Executive and executive team and has responsibility for fostering excellence in nursing and midwifery practice across the DHB. Jan is also Acting General Manager: Health Services. Jan’s key involvement in the introduction of the role of the Nurse Practitioner to Health Waikato lead to her appointment as a member of the Nurse Practitioner Employment and Development Working Party. Health Waikato employs three nurse practitioners, and has a number of others training to become nurse practitioners.
	Dr Jenny Carryer Jenny has played an important role in the development of the Nurse Practitioner role in New Zealand. She was a member of the 1998 Ministerial Task Force that recommended the formal establishment of an advanced practice nursing role in New Zealand. With Frances Hughes she co-authored the document Nurse Practitioners in New Zealand (Ministry of Health, 2002). As Executive Director of the College of Nursing she has had an ongoing role in the development of the Nurse Practitioner role and as Professor of Nursing at Massey University she has had a close association with Nurse Practitioner education through the clinical masters degree. Jenny was also a member of the Australasian team of researchers developing shared Trans Tasman Standards for Nurse Practitioners and has recently completed a research project to evaluate the New Zealand nurse practitioner authorisation process. She is currently deputy chair of the Ministry of Health Taskforce for the implementation of the primary health strategy.
	Cathy Cooney Cathy qualified as a registered nurse and a registered midwife at Waikato Hospital during the 1970s and has a BA (Hons, First Class) from Massey University. She spent five years working with Volunteer Service Abroad in Kiribati in nursing, midwifery and community development roles. Since returning to New Zealand she spent seven years in public health nursing and community development in Hokianga, Northland. She then moved into nursing leadership and general management roles in Northland and Rotorua/Taupo. Cathy became the Chief Executive of Lakes DHB in January 2001 and is the current Chair of the Midland DHB Chief Executive Group. On behalf of the National DHB Chief Executive Group she holds the portfolios for Quality and Risk Management and for Māori Health. She is the lead Chief Executive for Elective Services and has been appointed as the Chief Executive to represent the National DHB Chief Executive Group on the Nurse Practitioner Employment and Development Working Group. She is also a Director on the Quality Health New Zealand Board and the HealthShare Board, a Justice of the Peace and an Elder with St Johns Church in Rotorua.
	Bernadette Forde Bernadette is a Mental Health Nurse Practitioner employed by the Otago DHB. She has held a variety of leadership roles within the ODHB and also has postgraduate lecturing responsibilities with the Otago Polytechnic’s School of Nursing. Her role is currently split between clinical and project work. In her clinical nurse practitioner role she has primary/clinical responsibility for clients within the mental health service who have a dual diagnosis of intellectual disability and mental illness. Within this role she runs a nurse-led outpatient clinic. Her project work has an overarching purpose of improving the physical health outcomes of people with serious and enduring mental illness. The role is focused on improving integration between primary and secondary (psychiatric) services. Bernadette is a member of the Nurse Practitioner Professional Development Group (a branch of the New Zealand College of Nurses) and was nominated by this group to represent Nurse Practitioners on the current working party. Her nomination was based on her working across primary and secondary sectors and having huge passion and commitment to progressing Nursing Practitioner roles within New Zealand.
	Dr Frances Hughes Frances has had 25 years of experience in the New Zealand health service, working as a health clinician, manager and educator, and has played a major leadership role in the development of Nursing in New Zealand. She was instrumental in both the development of government policy around nurse prescribing, the nursing workforce, nurse practitioners and the application of Magnet principles and in the development of Mental Health Nursing professionally, clinically and educationally. She has worked for the Ministry of Health in the position of the Chief Advisor (Nursing) and Principal Advisor in the Director of Mental Health’s Office and for several years held the position as the Commandant-Colonel of the Royal New Zealand Army Nursing Core. She was the first nurse to be awarded the Harkness Fellowship in Health Care Policy in 2001, from the Commonwealth Fund in New York. Frances currently works in leadership roles at the University of Auckland including Professor of Nursing, Chair of Mental Health Nursing and Director of Centre for Mental Health Research and continues to practice as Mental Health Nurse. She is also involved in international research and has been commissioned by governments, WHO and NGOs for work in relation to Nursing, Policy and Mental Health. She is a member of many national and international nursing and nursing-related groups including the Health Workforce Advisory Committee (NZ) and the international Advisory Group for the ANCC (American Nurses Credentialing Center, USA). In addition to her nursing qualifications, Frances has a BA, MA and a doctorate. She received a Queens Birthday Honour for 2005, and was made an Officer of the New Zealand Order of Merit (ONZM) for her services to Mental Health. She has been published widely in referred journals on areas of adolescent health, primary mental health, policy, nursing leadership and psychosocial emergency response and is a fellow of the New Zealand College of Mental Health Nurses and the Australian and New Zealand College of Mental Health Nurses.
	Dr Susan Jacobs Susan is a long-time member of Nurse Education in the Tertiary Sector (NETS), and is currently a member of the NETS working group on Nurse Practitioner/Postgraduate Nursing Education. During 1999 – 2000, she was a member of the Nursing Council of New Zealand. Susan has been extensively involved in the development of postgraduate clinically focused nursing programmes. As Dean of a multi-disciplinary health faculty, she has experience working with the Clinical Training Agency (CTA) regarding contracts for both nursing and non-nursing post-entry clinical programmes. Her PhD thesis examined the development of the Nurse Practitioner in New Zealand.
	Kim Tito Kim is Chairman of the Nurse Practitioners Employment and Development Working Party and brings to this role in excess of 30 years experience in the health sector, firstly as a registered nurse and secondly as a general manager of health services, with broad experience in acute, surgical and general hospital services, mental health, forensic psychiatry, disability services, public health, community and rural health and hospital services and school dental services. In his current role as General Manager Service Development and Funding and Māori Health with the Northland DHB, Kim is responsible for leading the strategic and annual planning, health needs analysis and funding functions for the Northland DHB and for contributing Māori health expertise to the Northland DHB’s funding activities across all service areas with a focus on reducing inequalities in health in Northland. Kim has a registered nurse professional background with an Advanced Diploma in Nursing, a Diploma in Health Services Management and a Masters in Business Administration (MBA). Kim is keenly interested in quality and has been a surveyor, Director and Deputy Chair with Quality Health New Zealand. He also has dual interests in specialist indigenous health management approaches and health sector general management.
	Jenny Shieff After a career in management education, Jenny held a variety of positions in health and disability services during the 1990s and managed a non-government organisation. She was a Project Manager for the development of best practice guidelines for ACC and the National Health Committee and a member of the Ministry of Health’s funding team for Disability Services. Jenny is an experienced analyst and writer and fulfils these roles for the Nurse Practitioner Employment and Development Working Party. The types of publications she has worked on include discussion documents and reports. An example of her work is How should we care for the carers, a discussion document written for the National Health Committee after a series of national consultation meetings involving consumer and advocacy groups.
	Susanne Trim After extensive experience in acute nursing and education, Susanne has worked as Professional Nursing Adviser, for the New Zealand Nurses’ Organisation (NZNO) for twelve years. She is adviser for members in the Southern region, NZNO colleges and sections and holds the national portfolios for credentialing and advanced practice. She also sits on the nursing advisory committees of three education providers. Susanne was the inaugural chair of the Nurse Practitioner Advisory Committee of New Zealand (NPAC-NZ) that comprises representatives from New Zealand’s four key nursing organisations. NPAC-NZ works with the regulatory body, the Nursing Council of New Zealand, under the terms of a memorandum of understanding so that the profession works collaboratively on matters relating to Nurse Practitioner endorsement and development of the Nurse Practitioner model. Susanne has a strong interest in professional boundaries of practice and ethical matters impacting on nursing.
	Tony Gibling
	Mark Jones Mark started his nursing career in 1979 after graduating from the University of the South Bank. His first role was at Guy's Hospital where he worked in medical and surgical rotations before moving into intensive care. Mark’s ponderings on how patients ended up in his ward led him to explore a move into primary health care. This led him back to the University of the South Bank where he completed a health visiting course and then worked in health visiting around London. A move to work in the policy and practice development arm of the Royal College of Nursing (RCN) followed. Here Mark progressed to the position of primary care policy adviser with responsibility for developing existing roles, in primary care nursing, and facilitating the emergence of new roles, such as the nurse practitioner and prescriber. Whilst at the RCN, Mark also had the opportunity to work with the US Clinton administration as an adviser on health care reform. This work led to a number of international assignments assessing primary health care interventions in developing countries. Mark is currently the Chief Nurse at the Ministry of Health. He took up this post in October 2005. Prior to joining the Ministry, Mark was Director of a UK based national professional organisation for primary health care nurses and other professional groups, such as pharmacists and allied health professionals. Mark’s academic track includes a Masters in Health Policy from the University of Bristol concerning the competency base of practice nurses. He continues his doctoral studies at Bristol investigating the utility of game and rational choice theory in health care decision making.