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Author Bray, Y.M.
Title A migrant family's experience of palliative nursing care Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Palliative care; Cultural safety; Asian peoples; Nurse-patient relations
Abstract (down) The focus of this research was to explore the migrant family's experience in palliative care. In writing this thesis, the author notes that it became evident that cultural safety was a connection that warranted further study in relation to end-of-life nursing care as was illustrated by the intergenerational case study of this migrant family in New Zealand. The use of the case study method of qualitative research enabled the voice of the migrant to be heard and the story of the migrant family's experience to be showcased. The uniqueness of this family's palliative care experience was around the religious and cultural needs and migration as a process of transition from a previous society to a new one. Palliative care was defined by the family approach with strong community support and empowered by culturally safe and appropriate nursing practice. End-of-life illness is a time when cultural perspectives are challenged for patients and their families and religious and cultural practices take on a new priority, regardless of how they have lived life previously. As a migrant nurse living and working in the New Zealand context, the author identifies as an important factor, the nurse-patient interaction as an encounter between two cultural perspectives, the patient's and the nurse as bearer of her own culture. Acknowledging this factor is an important step in developing a culturally safe approach to practice, an approach that proved to be a major ingredient in planning and caring for this patient and his family in end-of-life illness. This study and thesis explores the underpinnings of culturally safe palliative nursing care and identified 'reflexive bracketing' as a useful practice in the process.
Call Number NRSNZNO @ research @ 846 Serial 830
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Author Richardson, S.
Title Aoteaoroa/New Zealand nursing: From eugenics to cultural safety Type Journal Article
Year 2004 Publication Nursing Inquiry Abbreviated Journal
Volume 11 Issue 1 Pages 35-42
Keywords Cultural safety; History of nursing; Nursing philosophy
Abstract (down) The concept of cultural safety offers a unique approach to nursing practice, based on recognition of the power differentials inherent in any interaction. Clarification of the concept is offered, together with a review of the historical shift in nursing attitudes that has led to the emergence of “cultural safety” as a viable and valued component of nursing practice. The argument is made that cultural safety has allowed for a more reflective, critical understanding of the actions of nursing to develop. This includes recognition that nurses' attitudes and values have inevitably been influenced by social and political forces, and as such are in part reflective of those within the wider community. Comparison between the support given by nurses in the early 1900s to the theory of eugenics and the current acceptance of cultural safety is used to highlight this point. An examination of the literature identifies that ideological and conceptual changes have occurred in the approach of Aoteaoroa/New Zealand nurses to issues with cultural implications for practice. A review of background factors relating to Maori health status and the Treaty of Waitangi is presented as a necessary context to the overall discussion. The discussion concludes with an acknowledgement that while the rhetoric of cultural safety is now part of nursing culture in New Zealand, there is no firm evidence to evaluate its impact in practice. Issues identified as impacting on the ability to assess/research a concept, such as cultural safety, are discussed. For cultural safety to become recognised as a credible (and indispensable) tool, it is necessary to further examine the “end-point” or “outcomes” of the process.
Call Number NRSNZNO @ research @ Serial 1062
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Author Kirkham, S.; Smye, V.; Tang, S.; Anderson, J.; Blue, C.; Browne, A.; Coles, R.; Dyck, I.; Henderson, A.; Lynam, M.J.; Perry, J.(see also C.); Semeniuk, P.; Shapera, L.
Title Rethinking cultural safety while waiting to do fieldwork: Methodological implications for nursing research Type Journal Article
Year 2002 Publication Research in Nursing & Health Abbreviated Journal
Volume 25 Issue 3 Pages 222-232
Keywords Cultural safety; Hospitals; Health behaviour; Culture; Nursing research
Abstract (down) The authors trace a series of theoretical explorations, centered on the concept of cultural safety, with corresponding methodological implications, engaged in during preparation for an intensive period of fieldwork to study the hospitalisation and help-seeking experiences of diverse ethnocultural populations.
Call Number NRSNZNO @ research @ Serial 1078
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Author Hughes, F.; Farrow, T.
Title Caring for obese patients in a culturally safe way Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 4 Pages 14-16
Keywords Nursing models; Obesity; Cultural safety
Abstract (down) The authors review the contemporary notion of obesity and suggest that the nursing approach, with an emphasis on treatment, are shaped by a culture located within “western” views of ideal body shape. The biomedical framework regards obesity as disease and obese people as the cause of their own health problems. The authors note varying cultural interpretations of obesity, and suggest that by viewing obesity as a disease, the cultural, social or economic determinants of obesity are not acknowledged. Nursing needs to broaden the concept of the categories of difference to respond in a culturally safe way to obesity. Cultural safety asks that nurses care for people “regardful” of difference. This means nurses must reflect on the care given, so that the biomedical model is not just replicated. Nurse-led clinics offer an opportunity for practices based on nursing values of care and cultural safety. Such clinics are based on nursing's social model of health, rather than a biomedical, disease-focused model.
Call Number NRSNZNO @ research @ 994 Serial 978
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Author Spence, D.
Title The evolving meaning of 'culture' in New Zealand nursing Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages 51-61
Keywords Cultural safety; Biculturalism; History of nursing; Maori
Abstract (down) The author traces the nursing definition of biculturalism as it has evolved from the colonial period to the present. An examination of nursing literature demonstrates that local understandings of culture have matured beyond anthropological interpretations to a sociopolitical definition of Maori culture. The author suggests that, in nursing, culture has come to mean cultural safety.
Call Number NRSNZNO @ research @ Serial 625
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Author Ramsamy, K.
Title Colonisation: The experience of a psychiatric nurse through the lens of reflective autobiography Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Cultural safety; Colonisation; History; Nursing
Abstract (down) The author points to the oppression of colonisation living on in the daily lives of colonised people, and goes on to say that it is vital for nurses to understand the effects of that oppression, as well as the restrictive impacts, and dislocation from one's land and culture to-day. Nurses come from both the descendants of colonisers and the colonised. This thesis is a journey and a quest for insights into the impacts and significances of colonisation by looking at historical and socio-political contexts that have bearing on the health of colonised people who remain mostly powerless and marginalised. It is prompted in response to a cultural safety model which advocates that nurses should become familiar with their own background and history in order to be culturally safe in practice. This reflective autobiographical account is a personal effort and provides the foundation for an exploration of issues during nursing practice encounters, from a colonised ethnic minority perspective. The method was informed by Moustakas research approach and Johnstone's Reflective Topical Autobiographical process. The selection of specific events are deliberate, to make visible some of the many barriers that exist within our health structures as pertinent issues for non-dominant cultures that remain on the margin of our society. Maori issues provide a contrast and became a catalyst for the author while working for kaupapa Maori services. The intention of this thesis is to generate new knowledge about what it means to be a nurse from an ethnic minority working in a kaupapa Maori mental health service, and to encourage other nurses to explore these issues further. Some recommendations are made for nurses in the last chapter.
Call Number NRSNZNO @ research @ 739 Serial 725
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Author Roberts, M.H.
Title An exploration of the experiences of Maori nurses in Aotearoa/New Zealand Type
Year 2004 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Maori; Nursing; Cultural safety; History
Abstract (down) The author describes the purpose of her writing as exploring the journeys that Maori have experienced within the nursing profession of Aotearoa/New Zealand. It presents the reader with insight into these journeys by examining a broad range of events and experiences from pre European contact up to contemporary times. The intention of providing these insights is for the reader to be made aware of not only the “uniqueness” that Maori nurses bring to the profession in New Zealand but to give voice to the many untold experiences of Maori nurses. The Nursing Council of New Zealand (NCNZ), numerous Maori and non- Maori academics have long acknowledged the uniqueness of Maori health perspectives and needs. However, the author notes there is limited literature which specifically discusses experiences of Maori consumers of health services and until recently, exploration of the experiences of Maori nurses has been limited. The Ministerial Taskforce of Nursing (1998) identified the paucity of research related to Maori nursing and acknowledges the need for Maori nurses to develop a body of knowledge specifically focused in this area. To this end, the author intended that this work would contribute to the increasing body of knowledge regarding this unique group within the nursing profession of Aotearoa/New Zealand.The discussion includes revisiting the history of nursing in Aotearoa/New Zealand and critiquing the participation of Maori nurses. The experiences of Maori nurses and students from within the education sector is detailed with a particular focus on their experiences of Kawa Whakaruruhau / Cultural safety. Contemporary issues for Maori nurses are critiqued and possible solutions offered along with details of the writer's vision for the future direction of Maori within the wider nursing profession in Aotearoa/New Zealand.
Call Number NRSNZNO @ research @ Serial 593
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Author DeSouza, R.
Title Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand Type Journal Article
Year 2008 Publication Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages 125-135
Keywords Cultural safety; Nursing models; Cross-cultural comparison; Maori
Abstract (down) The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process.
Call Number NRSNZNO @ research @ 943 Serial 927
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Author Asbury, Elizabeth; Orsborn, Georgina
Title Teaching sensitive topics in an online environment: an evaluation of cultural safety e-learning Type Journal Article
Year 2020 Publication Whitireia Journal of Nursing, Health and Social Services Abbreviated Journal
Volume 27 Issue Pages 23-31
Keywords Cultural safety; Nursing education; Treaty of Waitangi; E-learning; Surveys
Abstract (down) Tests an e-module for teaching cultural safety to address technical issues, content and suitability. Enrols 19 nursing students in an evaluation of the pilot online learning module.
Call Number NZNO @ research @ Serial 1711
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Author McKinney, C.; Cassels-Brown, K.; Marston, A.; Spence, D.
Title Linking cultural safety to practice: Issues for student nurses and their teachers Type Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume Issue 13(1) Pages
Keywords Students; Cultural safety; Teaching methods; Nursing; Education
Abstract (down) Student nurses rely on their teachers, both academic and clinical, to assist them to develop their capacity to practice safely. Yet, in relation to cultural safety, relatively little has been written to assist the integration of theoretical knowledge to the world of practice. This article presents the findings of a small project undertaken by lecturers whose experiences supporting students' learning during clinical placements in Auckland stimulated interest in the students' attempts to use their classroom learning to begin their journey towards culturally safe nursing practice. A qualitative descriptive approach was used to explore the experience of nursing clients from cultures other than one's own and to describe culturally safe practice from the perspective of third year students.
Call Number NRSNZNO @ research @ Serial 862
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Author Hunter, Kiri; Roberts, Jennifer; Foster, Mandie; Jones, Shelley
Title Dr Irihapeti Ramsden's powerful petition for cultural safety Type Journal Article
Year 2021 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 37 Issue 1 Pages 25-28
Keywords Cultural safety; Kawa whakaruruhau; Health equity; Maori health
Abstract (down) Revisits the concepts addressed in Ramsden's speech to nursing graduands in 1990, 'Moving On'. Places the speech in the context of her later articles on cultural safety, in 1993 and 2000. Maintains that the concept is critically relevant in 2021 due to health disparities for Maori.
Call Number NZNO @ research @ Serial 1688
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Author Foxall, Donna
Title Barriers in education of indigenous nursing students : a literature review Type Journal Article
Year 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue 3 Pages 18-30
Keywords Recruitment; Retention; Nurse education; Cultural safety; Maori
Abstract (down) Reports the findings of a review of the literature that sought to identify key barriers for indigenous tertiary nursing students in NZ. Reveals the barriers to recruitment and retention of nursing students, and strategies to overcome them. Stresses the need for partnerships between academic institutes and indigenous communities to ensure the provision of a culturally-safe environment for Maori nursing students.
Call Number NZNO @ research @ Serial 1487
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Author Richardson, Sandra
Title Senior nurses' perceptions of cultural safety in an acute clinical practice area Type Journal Article
Year 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 3 Pages 27-36
Keywords Cultural safety; Attitudes and beliefs; Senior clinical nurses; Nursing perceptions
Abstract (down) Presents the results of a small study aimed at eliciting the beliefs and attitudes of a group of senior nurses with respect to the concept of cultural safety, and their perception of its role in clinical practice.
Call Number NZNO @ research @ Serial 1449
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Author Roberts, Jennifer
Title An investigation into the preparedness for and experiences in working with Maori nursing students among New Zealand tertiary institutes, schools and nurse educators Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 222 p.
Keywords Maori students; Nursing students; Nursing education; Nurse educators; Te Ao Maori; Cultural safety
Abstract (down) Performs an explanatory sequential mixed-methods study comprising a questionnaire followed by interviews, to understand the experiences and preparedness of nurse educators in working with Maori nursing students. Demonstrates that throughout NZ, nursing schools and the educational institutes in which they are situated are informed by a range of strategies aimed at supporting Maori learners. Finds from interviews that environments encompassing te ao Maori (the Maori world) and staff practises that aligned with this were enabling for Maori nursing students.
Call Number NZNO @ research @ Serial 1758
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Author Te Whata, Tracy Deborah
Title Determining the value of Maori nurses in Aotearoa Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 236 p.
Keywords Maori nurses; Kaupapa Maori; Tikanga; Nursing discourse; Discrimination; Cultural safety
Abstract (down) Offers an understanding of how nursing discourse is embedded within legislation, regulatory bodies, and nursing practice and its direct impact on the health and well-being of Maori nurses. Argues that nursing discourse marginalises and undervalues tikanga. Explores the experiences of Maori registered nurses (RN) using a kaupapa Maori, mixed-method approach. Surveys over 300 Maori RNs about career and professional development, use of tikanga, cultural identity, and racism/discrimination at work.
Call Number NZNO @ research @ Serial 1799
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