Harkness Project Title: Advanced Nursing Practice: Lessons and Comparisons for New Zealand
Mentor: Linda Aiken, Ph.D.
Placement: University of Pennsylvania
Biography at time of Harkness Fellowship: Frances A. Hughes, a 2001-02 Commonwealth Fund Harkness Fellow in Health Care Policy, is chief advisor for nursing in New Zealand’s Ministry of Health. She is responsible for leading all government nursing policy initiatives in New Zealand, including nurse prescribing, primary health care nursing, and nurse practitioners. She represents New Zealand on international committees and has been part of the New Zealand delegation to both World Health Organization and Commonwealth Health Ministers Meeting. Prior to her current appointment, she served as senior advisor (Nursing) with the Ministry’s Personal Health. Hughes has 20 years of experience in the New Zealand health service working as a health clinician manager and educator, and has done extensive research into workforce development. She is currently completing a doctoral thesis at the University of Technology, Sydney, looking at the role of interest groups in policymaking. She is also a fellow of both the College of Nurses Aotearoa and the Australian and New Zealand College of Mental Health Nurses and is an accredited New Zealand Nurses Organisation nurse clinician. Hughes has represented nursing in New Zealand and the Ministry of Health on national and international committees. She is also Full Colonel of the Royal New Zealand Nursing Corps.
Project: Hughes explored the uses of advanced nursing practices in the U.S., and issues such as regulations, professional education, funding, and differences between states. She reviewed literature and government documents on advanced nursing practice, made site visits, and interviewed nursing leaders for context on the issues and on different models of nursing practice. She also conducted a second project on comparing New Zealand hospitals’ performance against international benchmarks, for which she replicated an analysis of the International Hospital Outcome Consortium Research using New Zealand data.
Career Activity Since Fellowship
- Fulbright Senior Scholar, 2012-2013 (Researching the preparation of health professionals for psychosocial response to natural disasters, at Rutgers University in Piscataway, New Jersey)
- Principal Advisor, Mental Health, New Zealand Ministry of Health, 2006
- Officer of the New Zealand Order of Merit (ONZM) in the Queen’s Birthday Honours for services to mental health, 2005
- Professor and Director of Centre for Mental Health Research, Policy and Service Development, University of Auckland, 2004
- Joint Chief Advisor Nursing and Professor of Nursing, New Zealand Ministry of Health/University of Auckland, 2004
Chief Nursing and Midwifery Officer, Queensland Health
- Director, Hillcrest Lodge
- Director, Profocs Limited, WHO PIMHnet facilitator
- Adjunct Professor, University of Technology, Sydney, and Auckland University of Technology
(Updated June 2013)
Stone, P., Tourangeau, A., Duffield, C., Hughes, F., Jones, C., O’Brien-Pallas, L., Shamian, J. “Evidence of Nurse Working Conditions: A Global Perspective.” Policy, Politics & Nursing Practice, 4 p.120-130
Hughes, F., Grey. “Cultural Safety and the Health of Adolescents.” BMJ 2003, 9(327).
Hughes, F., Lockyer, H. “Evidence and engagement in the introduction of nurse prescribing in New Zealand.” Nurse Prescribing, 2(3) p.131-136.
Hughes, F., Calder, S. “Development of Nurse Practitioners in New Zealand.” The Nurse Practitioner Series, 1(2) p.13-25.
Hayes, L.J, O'Brien-Pallas, L., Duffield, C., Shamian, S., Buchan, J., Hughes, F., Spence Laschinger, H. K., North, N., Stone, P. W. Nurse Turnover: a literature review.” International Journal of Nursing Studies. 2006; 43: 237-263.
Hughes FA. “Health Care Delivery and Relationships: Lessons from the USA,” Health Care Analysis 2002.
Hughes FA. “A Harkness Fellowship in Health Care Policy- Nursing Caucus” Te Puawai College of Nursing NZ 2002; pp.14-15.
Hughes FA. “Nurses Respond to Crisis in America” Kaitiaki Nursing New Zealand 2006; p.26.
Hughes FA. “Nurse Practitioners in New Zealand”, New Zealand Ministry of Health, 2002