Dr Alison Pirret staff profile picture

Contact details +64 (09) 414 0800  ext. 43345

Dr Alison Pirret PhD, PGCertNurs, MA, BA

Senior Lecturer

School of Nursing

Dr Alison Pirret is Assistant Editor for the Journal of Intensive and Critical Care Nursing and Chair of the Heath Quality &  Commission Deteriorating Patient Programme Expert Advisory Group.

Dr Pirret's research interests focus on innovative initiatives to improve patient care and access. Dr Pirret was lead investigator in the first internationally published research  evaluating the effectiveness of nasal high flow oxygen in the adult ward patient (2017), the lead investigator in the first internationally published research comparing nurse practitioners' and doctors' diagnostic reasoning of a complex case (2016), and leader investigator in the first internationally published research on the effectiveness of ward experienced nurses in a ICU outreach team (2015).

Dr Pirret is author of Acute care nursing; a physiological approach to clinical assessment and patinet care; the 3rd edition is being released in 2018.

Dr Alison Pirret combines her researcher/teacher role with her nurse practitioner (prescribing) ICU outreach role at Middlemore Hospital, managing deteriorating adult ward patients.

Three studies are currently progress. Two are single-site studies: 1) a prospective observational study exploring the effectiveness of nasal high flow oxgyen in the adult ward patient and 2) a qualtiative study exploring patients' and families' perception of their ward deterioration, the need for a patient/family activated call of concern service, and barriers preventing its use. The third study is a national multi-centre study on the effectiveness of nasal high flow oxygen in deteriorating adult ward patients.    

   

 

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Professional

Contact details

  • Ph: 094140800 ext 43345
    Location: 3.18, Quad A
    Campus: Albany

Qualifications

  • Doctor of Philosophy - Massey University (2014)
  • Postgraduate Certificate in Nursing - Massey University (2008)
  • Master of Arts - Massey University (2005)
  • Bachelor of Arts - Massey University (2000)

Prizes and Awards

  • Awarded the Best Nursing Free Paper at the Australia and New Zealand Intensive Care Society (ANZICS) and Australian College of Critical Care Nurses (ACCCN) Annual Scientific Meeting in Perth. The paper presented was entitled "The effectiveness of nasal high flow oxygen therapy in ward patients: a prospective observational design". This paper presented the first research internationally to evaluate the effective of nasal high flow oxygen in the ward setting. - Australia and New Zealand Intensive Care Society (ANZICS) and Australian College of Critical Car (2016)
  • Intensive and Critical Care Nursing Certificate of Outstanding Contribution in Reviewing. Elsevier - Elsevier (2015)
  • Journal of Intensive and Critical Care Nursing Certificate in Excellence Reviewing Award 2013 - (2013)
  • Certificate of outstanding contribution in Reviewing. Intensive and Critical Care Nursing - (2015)

Research Expertise

Research Interests

Diagnostic reasoning

Advanced nursing practice

Improving care of the ward physiologically unstable patient

 

Thematics

Resource Development and Management, Health and Well-being

Area of Expertise

Field of research codes
Clinical Nursing: Secondary (Acute Care) (111003): Clinical Sciences (110300):
Education (130000):
Intensive Care (110310): Medical And Health Sciences (110000): Nursing (111000)

Keywords

Nurse practitioner; advanced nursing practice, ICU outreach, nasal high flow oxygen, patient deterioration,

Research Projects

Summary of Research Projects

Position Current Completed
Project Leader 0 2

Completed Projects

Project Title: Nurse Practitioner diagnostic reasoning

Nurse practitioners were introduced to increase patients' access to healthcare, improve patient outcomes, and provide a sustainable solution to ongoing workforce shortages. They provide a diagnostic role previously delivered by doctors. However, their ability to perform this role has been challenged. Ms Pirret explored nurse practitioner diagnostic reasoning and compared it to registrar (medical specialists in training) diagnostic reasoning. The methods used to assess diagnostic reasoning included a complex case scenario using think aloud technique, a previously validated intuitive/analytic reasoning instrument, a maxims questionnaire and a demographic data sheet. In a sample of 30 nurse practitioners and 16 registrars, Ms Pirret identified no differences between nurse practitioners and registrars' diagnostic reasoning abilities, their diagnostic style, or the maxims they employed to guide their diagnostic reasoning. The findings support the nurse practitioner role as a sustainable solution firstly, to effectively meet the health needs of the New Zealand population and secondly, to address workforce shortages.
Read Project Description Hide Project Description

Date Range: 2012 - 2012

Funding Body: Massey University

Project Team:

Research Outputs

Journal

Wood, T., Pirret, AM., Takerei, S., & Harford, J. (2017). Staff perceptions of a patient at risk team: A survey design. Intensive and Critical Care Nursing. 43, 94-100 Retrieved from https://www.sciencedirect.com/science/article/pii/S0964339717300332?via=ihub
[Journal article]Authored by: Pirret, A.
Pirret, AM., Takerei, SF., Matheson, CL., Kelly, M., Strickland, W., Harford, J., . . . Allan, CPA. (2017). Nasal high flow oxygen therapy in the ward setting: A prospective observational study. Intensive and Critical Care Nursing. 42, 127-134
[Journal article]Authored by: Pirret, A.
Strickland, W., Takerei, S., Pirret, A., Christopher, E., Duplan, K., Avatea, R., . . . Greaves, R. (2017). Patients' and families' perception of a need for a patient and/or family initiated rapid response service: A case study design. Australian Critical Care. 30(2), 130-131 Retrieved from http://www.sciencedirect.com/science/article/pii/S1036731417300851
[Journal article]Authored by: Pirret, A.Contributed to by: Pirret, A.
Pirret, AM., Takerei, S., Matheson, C., Kelly, M., Strickland, W., Harford, J., . . . Allan, C. (2017). The effectiveness of nasal high flow oxygen therapy in ward patients: a prospective observational study. Australian Critical Care. 30(March), 110-111 Retrieved from http://www.sciencedirect.com/science/article/pii/S1036731417300851
[Journal article]Authored by: Pirret, A.
Duplan, K., & Pirret, AM. (2016). Documentation of cardiopulmonary resuscitation decisions in a New Zealand Hospital. Australian Critical Care. 29(1), 113-113 Retrieved from http://ww.sciencedirect.com/science/article/pii/S1036731415001472
[Journal article]Authored by: Pirret, A.
Duplan, KL., & Pirret, AM. (2016). Documentation of cardiopulmonary resuscitation decisions in a New Zealand hospital: A prospective observational study. Intensive and Critical Care Nursing. 37, 75-81
[Journal article]Authored by: Pirret, A.
Pirret, AM. (2016). Nurse Practitioners' Versus Physicians' Diagnostic Reasoning Style and Use of Maxims: A Comparative Study. Journal for Nurse Practitioners. 12(6), 381-389
[Journal article]Authored by: Pirret, A.
Tilsley, A., Stewart, J., Soldan, J., Simpson, C., Huggins, L., Williams, A., . . . Pirret, AM. (2015). Identifying intensive care staff cultural, spiritual and ethical beliefs to successfully implement a dying pathway: A two stage mixed sequential design. Australian Critical Care. 28(1), 38-38 Retrieved from https://www.sciencedirect.com/science/article/pii/S1036731414001301?via=ihub
[Journal article]Authored by: Pirret, A.
Pirret, AM., Takerei, SF., & Kazula, LM. (2015). The effectiveness of a patient at risk team comprised of predominantly ward experienced nurses: A before and after study. Intensive and Critical Care Nursing. 31(3), 133-140
[Journal article]Authored by: Pirret, A.
Pirret, AM., Neville, SJ., & La Grow, SJ. (2015). Nurse practitioners versus doctors diagnostic reasoning in a complex case presentation to an acute tertiary hospital: A comparative study. International Journal of Nursing Studies. 52(3), 716-726
[Journal article]Authored by: Pirret, A.
Hocking, C., & Pirret, AM. (2013). Using a combined nursing and medical approach to reduce the incidence of central line associated bacteraemia in a New Zealand critical care unit: A clinical audit. Intensive and Critical Care Nursing.
[Journal article]Authored by: Pirret, A.
Pirret, AM. (2012). A critical care nurse practitioner's prescribing using standing orders and authorised prescribing when performing a critical care outreach role: A clinical audit. Intensive and Critical Care Nursing. 28(1), 1-5
[Journal article]Authored by: Pirret, A.

Conference

Pirret, AM. (2017, April). Using nasal high flow oxygen in the ward patient. Presented at Australia and New Zealand Intensive Care Society (ANZICS) New Zealand Regional Meeting, Wellington. Wellington.
[Conference Oral Presentation]Authored by: Pirret, A.
Pirret, AM., & Pirret AM, . (2017, May). Nasal high flow: An evidenced based approach. Presented at American Association of Critical Care Nurses National Teaching Institute. Houston United States of America.
[Conference Oral Presentation]Authored by: Pirret, A.
Pirret, AM. (2017, May). Identifying the deteriorating patient in the community and hospital setting. Presented at Nurse Practitioner New Zealand Conference Cluster. Wellington, New Zealand.
[Conference Oral Presentation]Authored by: Pirret, A.
Strickland, W., Takerei, S., Pirret, AM., Christophers, E., Duplan, K., Avatea, R., . . . Greaves, R. (2016). Patients' and families' perception of a need for a patient and/or family initiated rapid response service: a case study design. In Program Book(pp. 90 - 90). , Australia and New Zealand Intensive Care Society/Australian College of Critical Care Nurses ASM Australia: ANZICS/ACCCN ASM
[Conference Abstract]Authored by: Pirret, A.Contributed to by: Pirret, A.
Pirret, AM. (2016, October). Nasal high flow therapy: A call to action. Presented at Australia and New Zealand Intensive Care Society/Australian College of Critical Care Nurses ASM, Perth. Perth, Australia.
[Conference Oral Presentation]Authored by: Pirret, A.
Aherns, T., Pirret, AM., & Fealy, N. (2016, May). Nasal high flow - a call to action. Presented at American Association of Critical Care Nurses National Teaching Institute. New Orleans, United States of America.
[Conference Oral Presentation]Authored by: Pirret, A.
Pirret, AM., Takerei, SF., Matheson, CL., Kelly, M., Strickland, W., Harford, J., . . . Allan, CPA. (2016, October). The effectiveness of nasal high flow oxygen therapy in ward patients: a prospective observational design. Presented at Australian and New Zealand Intensive Care Society/Australian College of Critical Care Nurses Annual Scientific Meeting. Perth, Australia.
[Conference Oral Presentation]Authored by: Pirret, A.Contributed to by: Pirret, A.
Duplan, K., & Pirret, AM.(2015, October 29). Documentation of cardiopulmonary resuscitation decisions in a New Zealand Hospital: an observational study. In yes(pp. 110 - 110). , Australia and New Zealand Intensive Care Society/Australian College of Critical Care Nurses ASM Auckland: ANZICS/ACCCN ASM 2016
[Conference Abstract]Contributed to by: Pirret, A.
Pirret, AM. (2015, October). Teams, Roles and Responsibilities. Presented at Australia and New Zealand Intensive Care Society/Australian College of Critical Care Nurses ASM. Auckland, New Zealand.
[Conference Oral Presentation]Authored by: Pirret, A.
Pirret, AM. (2015, March). Research on nurse practitioner diagnostic reasoning. Presented at New Zealand Rural General Practice Network/Rural Health Alliance Aotearoa New Zealand Conference. Rotorua, New Zealand.
[Conference Oral Presentation]Authored by: Pirret, A.
Culverwell, P., & Pirret, AM. (2014). Using nasal bubble continuous positive airway pressure in infants with bronchiolitis to keep them closer to their families. In Yes(pp. 6 - 6). , Australian and New Zealand Intensive Care Society/Australian College of Critical Care Nurses ASM
[Conference Abstract]Authored by: Pirret, A.
Pirret, AM., Takerei, S., & Kazula, L. (2014, May). The effectiveness of a patient at risk team comprised of predominantly ward experienced nurses: a before and after study.. Presented at Australian and New Zealand Intensive Care Society/Australian College of Critical Care Nurses ASM. Melbourne.
[Conference Oral Presentation]Authored by: Pirret, A.
Tilsley, A., Stewart, J., Solden, J., Huggins, L., Simpson, C., Pirret, A., . . . Williams, A. (2014). Identifying intensive care star cultural, spiritual and ethical beliefs to successfully implant a dying pathway: A two stage mixed methods sequential design. In Abstract published in electronic proceedings, Australian and New Zealand Intensive Care Society/Australian College of Critical Care Nurses Annual Scientific Meeting
[Conference Abstract]Authored by: Pirret, A.Contributed to by: Pirret, A.
Pirret, AM. (2013, October). Sepsis, Respiratory Distress. Presented at Post Anaesthetic Care Unit Conference. Hamilton, New Zealand.
[Conference Oral Presentation]Authored by: Pirret, A.
Pirret, AM. (2013, October). Identifying the deteriorating patient. Presented at Post Anaesthetic Care Unit Conference. Hamilton, New Zealand.
[Conference Oral Presentation]Authored by: Pirret, A.
Pirret, AM. (2012, October). Nurse practitioner diagnostic reasoning. Does it differ from registrars?. Presented at Nurse Practitioner New Zealand. Christchurch.
[Conference Oral Presentation]Authored by: Pirret, A.

Thesis

Pirret, AM. (2013). Nurse practitioner diagnostic reasoning. (Doctoral Thesis, Massey University, New Zealand)
[Doctoral Thesis]Authored by: Pirret, A.

Other

Pirret, AM. (2015, March). High flow nasal prongs: The Middlemore Hospitial adult ward experience. In Respiratory Doctors Clinical Meeting.
[Oral Presentation]Authored by: Pirret, A.
Pirret, AM. (2014, May). Nurse practitioner diagnostic reasoning - does it differ from registrar?. In Counties Manukau District Health Board Nursing Research Day.
[Oral Presentation]Authored by: Pirret, A.
Pirret, AM. (2012, May). Nurse practitioner practice: the changing role in critical care.. Presented at ICU Regional Symposium Hamilton.
[Oral Presentation]Authored by: Pirret, A.

Supervision and Teaching

Summary of Doctoral Supervision

Position Current Completed
Co-supervisor 1 0

Courses Coordinated

  • 168.728 Assessment and Clinical Decision-Making

Current Doctoral Supervision

Co-supervisor of:

  • Kishan Kumar - Doctor of Philosophy
    Understanding the work of public health nurses in Fiji and the challenges they face

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