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Author Walsh, K.; Moss, C.; Lawless, J.; McKelvie, R.; Duncan, L.
Title Puzzling practice: A strategy for working with clinical practice issues Type Journal Article
Year 2008 Publication International Journal of Law and Psychiatry Abbreviated Journal
Volume 14 Issue 2 Pages 94-100
Keywords Nursing philosophy; Clinical decision making; Problem solving
Abstract (up) The authors share the evolution of innovative ways to explore, 'unpack' and re-frame clinical issues that exist in everyday practice. The elements of these processes, which they call 'puzzling practice', and the techniques associated with them, were delineated over a two year period by the authors using action theory based processes. The authors have evolved several different frameworks for 'puzzling practice' which they draw on and use in their practice development work and in research practice. This paper pays attention to a particular form of puzzling practice that they found to be useful in assisting individual clinicians and teams to explore and find workable solutions to practice issues. In this example 'puzzling practice' uses seven different elements; naming the issue; puzzling the issue; testing the puzzle; exploring the heart of out practice; formulating the puzzle question; visualising the future; and generating new strategies for action. Each of the elements is illustrated by the story and the key foundations and ideas behind each element is explored.
Call Number NRSNZNO @ research @ Serial 838
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Author Litchfield, M.
Title The nursing praxis of family health Type Book Chapter
Year 2005 Publication Picard, C & Jones, D., Giving voice to what we know (pp.73-82) Abbreviated Journal
Volume Issue Pages
Keywords Nursing research; Nursing philosophy; Nurse-family relations
Abstract (up) The chapter explores the process of nursing practice and how it contributes to health, derived from research undertaken in New Zealand. It presents the nature of nursing research as if practice – the researcher as if practitioner – establishing a foundation for the development of nursing knowledge that would make a distinct contribution to health and health care. It includes the philosophy and practicalities of nursing through the use of a case study of nursing a family with complex health circumstances.
Call Number NRSNZNO @ research @ 1185 Serial 1170
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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 (up) 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 Bridgen, A.F.
Title A heuristic journey of discovery: Exploring the positive influence of the natural environment on the human spirit Type
Year 2007 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Spirituality; Nursing; Nursing philosophy
Abstract (up) The intention of this heuristic study was to explore and discover the essence of the positive influence of the natural environment on the human spirit. The study quest was identified as a central concern that evolved from the author's personal experience of spiritual awakening in the natural environment and an interest in the concept of connectedness in nursing care and practice. The study also focused on the self of the nurse and the qualities of holistic nursing care. Guided by heuristic methodology developed by Moustakas (1990) the thesis traces a journey of discovery. Using conversational interviews, six nurses were asked to describe their experiences of their spirit being positively influenced in the natural environment. These nurses were also asked if these beneficial experiences had any flow-on effect to their nursing practice. From these interviews various commonalities of experience were identified as well as some experiences unique to the individual participants. The participant knowing was articulated using Reed's (1992) dimensions of relatedness in spirituality as a framework. Reed describes these dimensions as being able to be experienced intrapersonally, interpersonally and transpersonally. A substantive body of nursing and non-nursing literature was explored to support the participant knowing and provide strength to the discussion. The study discovered that the human spirit is positively influenced in the natural environment. The three actions of personal healing and wellbeing in the natural environment, knowing self – knowing others and sustaining self in nursing practice were valued by the participants as contributing to the quality of their nursing care. In bringing together spirituality, the natural environment and nursing, holism was discovered to be the significant and connecting constituent. The study has some implications for the discipline of nursing that are also discussed by the author.
Call Number NRSNZNO @ research @ 831 Serial 815
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Author Schumacher, A.T.
Title More than meets the eye: Explicating the essence of gerontology nursing Type
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Geriatric nursing; Nursing philosophy; Nursing specialties
Abstract (up) The purpose of this hermeneutic phenomenological was to unveil a deeper meaning and understanding of gerontology nursing, thus contributing to its value and worth as a speciality area of nursing. Conversations with four gerontology nurses were taped, transcribed and then analysed using van Manen's (1990) approach to researching lived experience. From the analysis, four cardinal elements emerged: true acceptance, personal knowing, being present, and being alive. Those four cardinal elements were reworked and further analysed to reveal three central aspects or essences of gerontology nursing. These essences were the centrality of temporality, the interconnectedness of human relationships, and the significance of the lived body. Temporality is demonstrated by nursing application of objective, or clock time, as well as subjectively in regards to the lived time of the clients. Interconnectedness is the lived human relationship between nurse and client and is represented by commitment, presencing/giving of self, connecting, and knowing the client holistically. The third essence is corporeality, which is portrayed by the gerontology nurses' distinguishing characteristics and their perception of the lived body of the nursed. The final analysis unveiled caring for the body, the act of seeing, and the joy of care as emergent essences of gerontology nursing. Language of nursing in relationship to 'basic nursing care' is critiqued for its potential to devalue gerontology nursing and, by association, old people.
Call Number NRSNZNO @ research @ 1157 Serial 1142
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Author Wilson, H.V.
Title Paradoxical pursuits in child health nursing practice: Discourses of scientific mothercraft Type Journal Article
Year 2003 Publication Critical Public Health Abbreviated Journal
Volume 13 Issue 3 Pages 281-293
Keywords Plunket; Nurse-family relations; Paediatric nursing; Nursing philosophy
Abstract (up) The purpose of this paper is to examine the discourses of scientific mothercraft and their implications for the nurse-mother relationship, drawing on the author's recent research into surveillance and the exercise of power in the child health nursing context. The application of Foucauldian discourse analysis to the texts generated by interviews with five New Zealand child health nurses confirms that this paradoxical role has never been fully resolved. Plunket nurses primarily work in the community with the parents of new babies and preschool children. Their work, child health surveillance, is considered to involve routine and unproblematic practices generally carried out in the context of a relationship between the nurse and the mother. However, there are suggestions in the literature that historically the nurse's surveillance role has conflicting objectives, as she is at the same time an inspector and family friend.
Call Number NRSNZNO @ research @ 1116 Serial 1101
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title The relational core of nursing practice as partnership Type Journal Article
Year Publication Journal of Advanced Nursing Abbreviated Journal
Volume 47 Issue 3 Pages 241-250
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract (up) This article elaborates the meaning of partnership in practice for nurses practising in different and complementary way to nurses in specialist roles and medical practitioners. It positions partnership as the relational core of nursing practice. Partnership is presented as an evolving dialogue between nurse and patient, which is characterised by open, caring, mutually responsive and non-directive approaches. This partnership occurs within a health system that is dominated by technologically-driven, prescriptive, and outcome-oriented approaches. It is the second of a series of articles written as a partnership between nurse scholars from Iceland, NZ and USA.
Call Number NRSNZNO @ research @ 1188 Serial 1173
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Author French, P.
Title Nursing registration: A time to celebrate? Type Journal Article
Year 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 8 Pages 17-19
Keywords History of nursing; Interprofessional relations; Physicians; Nursing philosophy
Abstract (up) This article examines the knowledge and power relationships between the medical profession and nurses during the first half of the twentieth century. It argues that the 1901 Nurses' Registration Act allowed doctors to exert control over the nursing profession and that the hierarchal structure of the profession contributes to the culture of control and surveillance.
Call Number NRSNZNO @ research @ 1029 Serial 1013
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Author Phillips, B.N.
Title Nursing care and understanding the experiences of others: A Gadamerian perspective Type Journal Article
Year 2007 Publication Nursing Inquiry Abbreviated Journal
Volume 14 Issue 1 Pages 89-94
Keywords Nursing philosophy; Nurse-patient relations
Abstract (up) This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others.
Call Number NRSNZNO @ research @ 797 Serial 781
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Author Greenwood, S.; Wright, T.; Nielsen, H.
Title Conversations in context: Cultural safety and reflexivity in child and family health nursing Type Journal Article
Year 2006 Publication Journal of Family Nursing Abbreviated Journal
Volume 12 Issue 2 Pages 201-224
Keywords Cultural safety; Nursing; Education; Curriculum; Nursing philosophy; Teaching methods; Biculturalism
Abstract (up) This article outlines some key aspects of the practice of a number of nurse educators and researchers, and their commitment to the needs of their specific region. The group has been based at the Waikato Institute of Technology (WINTEC) over the last decade and have worked collaboratively across primary health, cultural safety, and child and family health domains of the nursing curriculum. They share a common philosophy underpinned by notions of diversity and health equity. The philosophy informs their theoretical inquiry, practice and research interests, and pedagogical concerns. In this article, the nurse researchers begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They then consider the destabilising effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses.
Call Number NRSNZNO @ research @ Serial 883
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title Partnership in practice Type Journal Article
Year 2003 Publication Research & Theory for Nursing Practice Abbreviated Journal
Volume 17 Issue 1 Pages 51-63
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract (up) This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need.
Call Number NRSNZNO @ research @ Serial 1172
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Author Jackson, H.
Title Compassion: A concept exploration Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 1 Pages 16-23
Keywords Ethics; Nursing philosophy
Abstract (up) This paper explores the nature of compassion and posits it as a moral virtue that requires the nurse to act in the presence of suffering. Compassion is defined in relation to suffering and reciprocity, and distinguished from sympathy and pity.
Call Number NRSNZNO @ research @ 638 Serial 624
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Author Bavidge, D.
Title Leadership: Further perspectives Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume 14 Issue 1 Pages 20-22
Keywords Leadership; Feminist critique; Nursing philosophy
Abstract (up) This paper uses two perspectives, a feminist analysis and emancipatory leadership model, to analyse the practice and philosophy of leadership. It finds the important components of leadership include communicating understanding, developing a sense of community, and reconstituting the power relationships. This challenges traditional leadership perspectives which privilege individuals hierarchically appointed, or with deemed alienable qualities or traits.
Call Number NRSNZNO @ research @ 1325 Serial 1309
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Author Connor, M.
Title The practical discourse in philosophy and nursing: An exploration of linkages and shifts in the evolution of praxis Type Journal Article
Year 2004 Publication Nursing Philosophy Abbreviated Journal
Volume 5 Issue 1 Pages 54-66
Keywords Nursing philosophy; Ethics; Nursing
Abstract (up) This paper, firstly, examines the linkages and shifts in the evolution of of praxis. The concept of praxis, also known as the practical discourse in philosophy, has been expressed in different ways in different eras. However, the linkages from one era to another and from one paradigm to another are not well explicated in the nursing literature. Blurring of the linkages occurred from the popular association of praxis within the emancipatory paradigm. Integral to the concept of praxis, since the time of Aristotle, is the notion of phronesis: a process of moral reasoning enacted to establish the 'good' of a particular situation, often referred to as practical wisdom. Secondly, the paper, promotes and affirms the importance of praxiological knowledge development in the discipline. Furthermore, increased appreciation of the concept of praxis provides an important vehicle for the advancement of nursing as a moral endeavour and the nurse as moral agent.
Call Number NRSNZNO @ research @ 890 Serial 874
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Author McEldowney, R.A.
Title Shape-shifting: Stories of teaching for social change in nursing Type
Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Nursing philosophy; Teaching methods; Feminist critique; Qualiltative research
Abstract (up) This research explores why and how nurse educators teach for social change. Critical feminist educators provide a useful framework for theorising about teaching for change that addresses issues of hegemony, agency, praxis, individual voice, difference, justice and equity. Six women Pakeha/Tauiwi nurse educators from throughout New Zealand volunteered to participate in this research and share their lived experiences of teaching for social change. In-depth conversations over two years unfolded new and rich material about how and why these six women continue to teach the evaded subjects, like mental health, women's health, community development and cultural safety. All teach in counter-hegemonic ways, opening students' eyes to the unseen and unspoken. Among the significant things to emerge during the research was the metaphorical construct of shape-shifting as an active process in teaching for social change. It revealed the connectedness and integrity between life as lived and the moral imperative that motivates the participants to teach for difference. Shape-shifting was also reflected in other key findings of the study. As change agents, the participants have had significant shape-shifting experiences in their lives; they live and work as shape-shifters within complex social and political structures and processes to achieve social justice; and, they deal with areas of health practice where clients are socially and politically displaced. The research also generated new methods for gathering life-stories and new processes for analysis and interpretation of life-stories. It is hoped that this research will open pathways for other nurse educators to become shape-shifters teaching for social change.
Call Number NRSNZNO @ research @ Serial 1193
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