| Records |
Author  |
Miles, M.A.P. |
| Title |
A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Policy; Nursing |
| Abstract |
This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions. |
| Call Number |
NRSNZNO @ research @ 596 |
Serial |
582 |
| Permanent link to this record |
| |
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| Author |
Miles, M.A.P. |
| Title |
A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
NZNO Library, University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Interprofessional relations; Policy |
| Abstract |
This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions. |
| Call Number |
NRSNZNO @ research @ 1146 |
Serial |
1131 |
| Permanent link to this record |
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| Author |
Lilley, S. |
| Title |
Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives |
Type |
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| Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Mentoring; Students; Registered nurses; Primary health care |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 505 |
Serial |
491 |
| Permanent link to this record |
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| Author |
Jefferson, F.E. |
| Title |
An exploration of the competencies for advanced nursing practice in the perioperative setting |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Advanced nursing practice; Operating theatre |
| Abstract |
A clinical research practicum. |
| Call Number |
NRSNZNO @ research @ 826 |
Serial |
810 |
| Permanent link to this record |
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| Author |
Howie, E. |
| Title |
A nutritional education needs assessment of child health nurses |
Type |
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| Year |
1989 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
|
| Abstract |
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| Call Number |
NRSNZNO @ research @ 229 |
Serial |
229 |
| Permanent link to this record |
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| Author |
Henderson, A.P. |
| Title |
Nursing a colonial hangover: towards bicultural planning in New Zealand |
Type |
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| Year |
1994 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
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| Call Number |
NRSNZNO @ research @ 409 |
Serial |
409 |
| Permanent link to this record |
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| Author |
Gray, H.J. |
| Title |
Clinician or manager: An exploration of duty management in New Zealand hospitals |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse managers; Administration; Scope of practice; Hospitals |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 741 |
Serial |
727 |
| Permanent link to this record |
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| Author |
Grant-Mackie, D. |
| Title |
A literature review of competence in relation to speciality nursing |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library, NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Paediatric nursing; Nursing specialties; Professional competence; Nursing; Education |
| Abstract |
The original aim of the study was to find out through a questionnaire what child health/paediatric nurses in New Zealand/Aotearoa saw as their needs for post-registration education. Nurses were completing courses in the United Kingdom and returning to New Zealand/Aotearoa and realising that their nursing capabilities had improved. They became senior nurses with education responsibilities and exhibited political leadership among their colleagues in the field of child health/paediatric nursing. They were becoming increasingly concerned at the lack of any clinical courses in the specialty of child health/paediatric nursing to promote an appropriate standard of practice. It was intended that a research project about post-registration child health/paediatric education would assist concerned nurses to develop a programme. The time needed for such a project did not fit with a limited research paper. It was decided to reduce the project to a review of the literature on competence in nursing, with some comment on the specialty of child health/paediatric nursing. In order for nurses to find what they need to learn and know, an understanding of competence in nursing practice is required. Competence is defined as the ability of the nurse to carry out specific work in a designated area at a predetermined standard. Issues around competence, defining a scope of practice, development and assessment of competence, and regulation of nursing, are part of the context in which accountability for the practice of nurses sits. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1123 |
| Permanent link to this record |
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| Author |
Goulding, M.T. |
| Title |
The influence of work-related stress on nurses' smoking: A comparison of perceived stress levels in smokers and non-smokers in a sample of mental health nurses |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Smoking; Psychiatric Nursing; Stress; Mental health |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 701 |
Serial |
687 |
| Permanent link to this record |
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| Author |
Codlin, K.C. |
| Title |
Mental health nurses and clinical supervision: A naturalistic comparison study into the effect of group clinical supervision on minor psychological disturbance, job satisfaction and work-related stress |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 845 |
Serial |
829 |
| Permanent link to this record |
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| Author |
Chick, D.N.P. |
| Title |
Rural district nurses as rehabilitationists |
Type |
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| Year |
2003 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Rural nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1259 |
Serial |
1244 |
| Permanent link to this record |
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| Author |
Caygill, J. |
| Title |
Professional care: structure, strategy and the moral career of the nurse in a psychiatric institution |
Type |
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| Year |
1989 |
Publication |
New Zealand Sociology |
Abbreviated Journal |
University of Otago Library |
| Volume |
8 |
Issue |
2 |
Pages |
137-165 |
| Keywords |
|
| Abstract |
This thesis presents the job of psychiatric nursing from the nurse's point of view, as derived from the author's personal experience and from interviews with thirty five other staff within a particular psychiatric institution.The first part of the thesis is reconstructed narrative account of an afternoon and a day shift in an acute admission ward. In the second part, the basic situation on the ward and some of the exigencies of nurse-patient and nurse-staff relations are discussed from structuralist and strategic conduct perspectives.The discussion that follows Anthony Giddens' (1976, 1979, 1984) conceptual framework of power, legitimation and signification, with particular attention to the strategic implications of ward routines, nursing practices, and interpersonal relations, as well as the duality of clinical and moralistic interpretive themes. The third part of the thesis 'the nurse's progress' over time. Characteristic changes in understanding and awareness take place with the movement from the 'backwards' to the 'acute' area and from the student to staff nurse. This is portrayed as a 'moral career' analogous to that suggested by Goffman (1968) for psychiatric patients; marked by 'happenings' that generate revised conceptions of self and others, and including those experiences of duality and contradiction discussed in part Two. While acknowledging the diversity of nurses' attitudes and approaches, with variations according to individual temperament, past experiences and the current setting, the suggestion is made of a common and distinctive 'meta-awareness' that develops with the fob |
| Call Number |
NRSNZNO @ research @ 223 |
Serial |
223 |
| Permanent link to this record |
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| Author |
Bray, M.L. |
| Title |
Nurses' knowledge of and attitudes to medicine |
Type |
|
| Year |
1995 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
University of Otago Library |
| Volume |
8 |
Issue |
3 |
Pages |
19-23 |
| Keywords |
|
| Abstract |
Abstract information about attitudes to, and knowledge of, prescribed medication from a group of 70 students and 24 registered nurses at Otago Polytechnic. Employs a self-administered questionnaire previously used in a community survey in Southampton, UK |
| Call Number |
NRSNZNO @ research @ 234 |
Serial |
234 |
| Permanent link to this record |
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| Author |
Bigwood, S. |
| Title |
Got to be a soldier: Mental health nurses experiences of physically restraining patients |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Psychiatric Nursing; Workplace violence; Mental health; Stress |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 829 |
Serial |
813 |
| Permanent link to this record |
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| Author |
Berry, R. |
| Title |
Psychiatric comorbidity and childhood adversity in women seeking treatment for alcohol and/or drug dependence |
Type |
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| Year |
1999 |
Publication |
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Abbreviated Journal |
University of Otago Library, Dunedin |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
Eighty alcohol and/or drug dependent women who were consecutive admissions to an outpatient alcohol and drug service were interviewed with the aim of gathering information regarding childhood adversity, psychiatric comorbidity and alcohol and drug history, including extent of treatment and alcohol and drug related criminality. A secondary aim of the study was to investigate associations between both the multiplicity of alcohol and drug dependence diagnosis and the presence of psychiatric comorbidity in relation to exposure to childhood adversity, including sexual, physical and emotional abuse.The data demonstrate that the study sample was a relatively severe group of alcohol and drug dependent women. A sizeable percentage came from backgrounds characterised by parental separation, conflict and alcohol and drug problems. Many were regularly exposed to physical abuse perpetrated by both parents or main parental figures and over two-thirds were exposed to some form of sexual abuse within their first 15 years. Sixty percent had been dependent on more than one psychoactive substance, with half having undergone previous alcohol and drug treatment. The women also presented with substantial histories of criminal convictions, with a quarter having served a prison sentence. The results indicate the presence of extensive psychiatric comorbidity in the sample. Two-thirds of the women met current DSM-IV criteria forat least one of the following Axis I disorders: major depressive syndrome, social phobia or bulimia nervosa, while nearly half had antisocial personality disorder. More importantly, significant associations were found regarding the presence of psychiatric comorbidity in relation to four measures of severe childhood adversity, i.e. childhood sexual, physical and emotional abuse and parental problems. Multiplicity of alcohol and drug dependence diagnosis was associated with severe emotional abuse, severe parental problems andpsychiatric comorbidity. Emotional abuse during childhood was the most pervasive indicator of comorbidity and multiplicity of alcohol and/or drug dependence. The main implication for clinical practice arising from the results of this study is the need for the development of a broader approach to alcohol and drug service provision. In order to achieve positive treatment outcomes, alcohol and drug service may need to routinely screen and plan treatment for unresolved childhood trauma, psychiatric disorder and other problems related to alcohol and drug use in all clients presenting for alcohol and drug treatment |
| Call Number |
NRSNZNO @ research @ 210 |
Serial |
210 |
| Permanent link to this record |
