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Author Wilkinson, J.A.
Title Creating a culture of workplace safety Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue (down) 6 Pages 14-15
Keywords Occupational health and safety; Workplace violence; District nursing; Organisational culture
Abstract This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study.
Call Number NRSNZNO @ research @ Serial 1002
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Author Wepa, D.
Title An exploration of the experiences of cultural safety educators in New Zealand: An action research approach Type Journal Article
Year 2003 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 14 Issue (down) 4 Pages 339-348
Keywords Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori
Abstract This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout.
Call Number NRSNZNO @ research @ Serial 887
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Author Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P.
Title The professional subcultures of students entering medicine, nursing and pharmacy programmes Type Journal Article
Year 2006 Publication Journal of Interprofessional Care Abbreviated Journal
Volume 20 Issue (down) 4 Pages 425-431
Keywords Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture
Abstract This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education.
Call Number NRSNZNO @ research @ Serial 937
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Author Wilkinson, J.A.; Huntington, A.D.
Title The personal safety of district nurses: A critical analysis Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue (down) 3 Pages 31-44
Keywords District nursing; Occupational health and safety; Organisational culture; Risk factors
Abstract A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.
Call Number NRSNZNO @ research @ Serial 549
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Author Evans, S.
Title Silence kills: Challenging unsafe practice Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue (down) 3 Pages 16-19
Keywords Medical errors; Organisational change; Organisational culture; Patient safety; Interprofessional relations
Abstract The author reviews the national and international literature on medical errors and adverse events. Contributing factors are identified, such as organisational culture, the myth of infallibility, and a one size fits all approach to health care. Conflict and communication difficulties between different health professionals is discussed in detail, as is the issue of disruptive behaviour, which includes intimidation, humiliation, undermining, domination and bullying. Some strategies for addressing these issues are proposed, such as promoting a no-blame culture, and addressing conflict between health professionals.
Call Number NRSNZNO @ research @ Serial 994
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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 (down) 3 Pages 222-232
Keywords Cultural safety; Hospitals; Health behaviour; Culture; Nursing research
Abstract 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 Mowatt, Rebecca; Haar, Jarrod
Title Sacrifices, benefits and surprises of internationally-qualified nurses migrating to New Zealand from India and the Philippines Type Journal Article
Year 2018 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 34 Issue (down) 3 Pages 18-31
Keywords Internationally-qualified Nurses; Migrant nurses; Culture shock; Surveys
Abstract Examines the experiences of internationally-qualified nurses from the

Philippines and India upon migration to NZ. Employs an explanatory sequential mixed-methods study to survey the migrant nurses and to identify dominant themes.
Call Number NZNO @ research @ Serial 1606
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Author Owen, Katie; Day, Liz; Yang, Diya
Title Promoting well-being for Chinese international students in an undergraduate nursing programme: reducing culture shock Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue (down) 24 Pages 13-20
Keywords International students; English as an additional language (EAL); Culture shock; Acculturation; Mental health
Abstract Reviews literature relating to the experience of international tertiary students, particularly Chinese students, undertaking nursing education. Reports that international students cite poorer mental and physical health outcomes than domestic students, and that students with English as an additional language (EAL) experience culture shock, frustration and stress. Suggests that tertiary institutions need to supply targeted interventions for international students in language and cultural adaptation to promote positive acculturation.
Call Number NZNO @ research @ Serial 1546
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Author Mortensen, A.; Young, N.
Title Caring for refugees in emergency departments in New Zealand Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue (down) 2 Pages 24-35
Keywords Emergency nursing; Culture; Mental health; Health status
Abstract This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours.
Call Number NRSNZNO @ research @ 557 Serial 543
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Author Hughes, F.
Title Nurses at the forefront of innovation Type Journal Article
Year 2006 Publication International Nursing Review Abbreviated Journal
Volume 53 Issue (down) 2 Pages 94-101
Keywords Organisational culture; Technology; Policy; Nursing
Abstract This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005.
Call Number NRSNZNO @ research @ 796 Serial 780
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Author McBride-Henry, K.; Foureur, M.
Title Organisational culture, medication administration and the role of nurses Type Journal Article
Year 2006 Publication Practice Development in Health Care Abbreviated Journal
Volume 5 Issue (down) 2 Pages 208-222
Keywords Patient safety; Medical errors; Organisational culture; Nursing; Drug administration
Abstract This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety.
Call Number NRSNZNO @ research @ Serial 784
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Author Simon, V.N.
Title Characterising Maori nursing practice Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 22 Issue (down) 2 Pages 203-213
Keywords Registered nurses; Maori; Nursing models; Culture
Abstract This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes.
Call Number NRSNZNO @ research @ Serial 936
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Author Coleman, R.; Sim, G.
Title The sacredness of the head: Cultural implications for neuroscience nurses Type Journal Article
Year 2003 Publication Australasian Journal of Neuroscience Abbreviated Journal
Volume 16 Issue (down) 2 Pages 20-22
Keywords Paediatric nursing; Transcultural nursing; Culture
Abstract The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting.
Call Number NRSNZNO @ research @ 1083 Serial 1068
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Author Crowe, M.
Title Reflexivity and detachment: A discursive approach to women's depression Type Journal Article
Year 2002 Publication Nursing Inquiry Abbreviated Journal
Volume 9 Issue (down) 2 Pages 126-132
Keywords Gender; Mental health; Psychiatric Nursing; Culture
Abstract This paper explores a discursive approach to understanding women's depression by presenting the results of research into women's narratives of their experiences. The discursive approach taken acknowledges women's immersion in cultural practices that determine the subject positions available to them and places a value on attributes of reflexivity and detachment that are not usually associated with their performance. The social and cultural context of the individual's experience is significant because if the focus is simply on the individual this supposes that the problem lies solely with the individual. An understanding of cultural expectations and their relation to mental distress is important to mental health nursing practice. The psychotherapeutic relationship that is fundamental to mental health nursing practice requires an understanding of the meaning of individual's responses in their cultural context in order to provide facilitative and meaningful care for the women that they nurse.
Call Number NRSNZNO @ research @ Serial 1077
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Author Horrocks, T.
Title Implementing change combining Maori and Western knowledge in health delivery Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue (down) 13 Pages 37-41
Keywords Maori; Cross-cultural comparison; Organisational culture; Quality assurance
Abstract This article explores the incorporation of western knowledge with kaupapa Maori in the delivery of health care. It presents a fictional kaupapa Maori service, as a tool to explore the change process and influence that organisational culture and leadership styles have on a process of integrating a kaupapa Maori nursing service. The importance of continual evaluation through quality assurance measures was also conveyed.
Call Number NRSNZNO @ research @ Serial 1280
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