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Author Evans, S. openurl 
  Title Silence kills: Challenging unsafe practice Type (up) Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 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 Wilkinson, J.A. openurl 
  Title Creating a culture of workplace safety Type (up) Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 8 Issue 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 Lapana, S. openurl 
  Title Pa hi atu health model: A Tokelau perspective Type (up) Journal Article
  Year 2007 Publication Whitireia Nursing Journal Abbreviated Journal  
  Volume 14 Issue Pages 35-39  
  Keywords Health promotion; Nursing; Culture; Pacific peoples  
  Abstract In this article, the author describes a health model aimed at providing health practitioners with a better understanding of Tokelau health concepts and values.  
  Call Number NRSNZNO @ research @ Serial 1034  
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Author Coleman, R.; Sim, G. openurl 
  Title The sacredness of the head: Cultural implications for neuroscience nurses Type (up) Journal Article
  Year 2003 Publication Australasian Journal of Neuroscience Abbreviated Journal  
  Volume 16 Issue 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.; Carlyle, D. openurl 
  Title Deconstructing risk assessment and management in mental health nursing Type (up) Journal Article
  Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 43 Issue 1 Pages 19-27  
  Keywords Psychiatric Nursing; Risk management; Policy; Culture  
  Abstract The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities.  
  Call Number NRSNZNO @ research @ Serial 1069  
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Author Crowe, M. openurl 
  Title Reflexivity and detachment: A discursive approach to women's depression Type (up) Journal Article
  Year 2002 Publication Nursing Inquiry Abbreviated Journal  
  Volume 9 Issue 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 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. openurl 
  Title Rethinking cultural safety while waiting to do fieldwork: Methodological implications for nursing research Type (up) 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 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 Horrocks, T. openurl 
  Title Implementing change combining Maori and Western knowledge in health delivery Type (up) Journal Article
  Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal  
  Volume 7 Issue 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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Author Owen, Katie; Day, Liz; Yang, Diya openurl 
  Title Promoting well-being for Chinese international students in an undergraduate nursing programme: reducing culture shock Type (up) Journal Article
  Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal  
  Volume Issue 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 Mowatt, Rebecca; Haar, Jarrod url  openurl
  Title Sacrifices, benefits and surprises of internationally-qualified nurses migrating to New Zealand from India and the Philippines Type (up) Journal Article
  Year 2018 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 34 Issue 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 McEldowney, R.A.; Richardson, F.; Turia, D.; Laracy, K.; Scott, W.; MacDonald, S. url  openurl
  Title Opening our eyes, shifting our thinking: The process of teaching and learning about reflection in cultural safety education and practice: An evaluation study Type (up) Report
  Year 2006 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords Cultural safety; Nursing; Culture  
  Abstract The purpose of the research was an evaluation of practice exemplars as a reflective process in teaching and learning about cultural safety. Six Maori, two Pacific and five Pakeha students, ranging in age from 30 to 40, took part in the research. The research findings revealed five sub themes: personal safety, power/ powerlessness, reflection, teaching and learning and cultural safety. The presentation, while acknowledging that cultural safety shared some commonalities with culture care theory, highlighted differences between the two. These included that cultural safety was explicit in identifying the inherent power of the nurse in health care relationships; related to the experience of the recipient of nursing care, and extended beyond cultural awareness and sensitivity; provided consumers of nursing services with the power to comment on practices; and contributed to the achievement of positive outcomes and experiences for them. It outlined the characteristics of a culturally safe nurse as a nurse who had undertaken a process of reflection on her/his own cultural identity and who recognised the impact their personal culture had on client care.  
  Call Number NRSNZNO @ research @ 693 Serial 679  
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Author Tuitea, I. openurl 
  Title Solution focused nursing: An alternative model for assessing psychosis and mai aitu in mental health Type (up)
  Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Pacific peoples; Mental health; Psychiatric Nursing; Culture  
  Abstract The objective of this paper is to establish if there is any documented research and literature evidence that describe what the presenting clinical symptoms of Mai Aitu is, and also to explore an alternative frame-work to assess Pacific Islanders who present to mental health in crisis. As a community mental health nurse in the Crisis Assessment and Treatment Team (CATT), the author reports being confronted almost every day with an increasing number of Pacific Islanders presenting in crisis with symptoms consistent with the well documented signs of psychosis. For instance, symptoms like hallucinations, delusion and paranoid ideation which are also well known for describing schizophrenia. Her concern is that mental health nurses may be compromising their practice, the safety of the Pacific Island population and possibly the credibility of the profession with what appears like a lack of knowledge and awareness regarding the clinical symptoms of some Pacific Island mental illness. In Tonga it is called Avea Avanga, in Fiji it is referred to as Lialia, in Samoa it is known as Mai Aitu. The author notes that the issue becomes apparent when Samoan clients present in crisis with what appears to be psychosis but the fanau believe their love one is not mentally unwell, that he or she is simply suffering a traditional Samoan illness. Therefore they insist he or she be treated at home, instead of through admission to the psychiatric hospital, and also that they be seen by a Samoan healer instead of a psychiatrist.  
  Call Number NRSNZNO @ research @ 753 Serial 739  
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Author Kidd, J.D. url  openurl
  Title Aroha mai: Nurses, nursing and mental illness Type (up)
  Year 2008 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages  
  Keywords Mental health; Nursing; Culture  
  Abstract This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs.  
  Call Number NRSNZNO @ research @ 478 Serial 465  
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Author Taiaroa, H. url  openurl
  Title Weaving the contemporary position of maatauranga Maaori within nursing practice Type (up)
  Year 2007 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords Maori; Culture; Nursing models; Nursing; Health status  
  Abstract This thesis explores the customary kaupapa of Matauranga Maori or Maori knowledge, which the author identifies as the appropriate technique to determine how health care should be maintained by and for Maori. The research highlights the need to meld these kaupapa with that of a contemporary Maori viewpoint, to focus more on a deeper enhancement of these kaupapa, and develop an understanding of the social, cultural, educational, political and economic contexts these concepts have on Maori as a people. This research identified six Maori registered women nurses, who shared their experiences regarding Matauranga Maori and its importance to their nursing practice. Over a period of one year, in-depth conversations unfolded and produced data on what Matauranga Maori involves and how the six participants in the study believe it influences their nursing practices. All were currently practicing nurses within various health settings such as psychiatric and comprehensive nursing. From the inception of this study, the focus was to introduce Matauranga Maori as the epistemological framework of choice. The author notes that the findings of this research indicate that a collection of key kaupapa, namely whakapapa, whanaungatanga, te reo Maori, wairuatanga, tuurangawaewae, manaakitanga and rangatiratanga are crucial to the health and wellbeing of Maori as a people. These kaupapa enable Maori to determine and strengthen their worldview, which in turn reflects the concept of being Maori thereby contributing to the health and status of their whanau, hapu and iwi. She goes on to say that the findings support the view that there is a substantial collection of kaupapa, which are inherent in Matauranga Maori as being able to provide a framework for theoretical research. These kaupapa will provide a framework for nursing practice and educational curricula that will develop and maintain nursing standards to meet the needs of Maori.  
  Call Number NRSNZNO @ research @ 489 Serial 475  
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Author Roberts, C. openurl 
  Title The influence of nursing culture on family visiting in adult intensive care units Type (up)
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Intensive care nursing; Nurse-family relations; Culture; Nursing  
  Abstract This dissertation considers the implications of the relationship between nurses and the patient's family, when family members visit intensive care units (ICUs) following the acute admission of a relative there. In particular it explores the issues of power and control, nurses might have in this setting, the culture that supports that, and the implications this has for practice in the New Zealand context. A comprehensive literature review on the perspective of nurses in relation to relatives visiting adult intensive care units was conducted. The author concludes that nurses modify policies related to visiting access for family members to suit themselves, and the needs of their patient. Nurses use a variety of tactics to maintain a position of power and control by looking out for themselves first, their patient second, and relatives third. The need of the patient and their families is not well understood by nurses, and nurses feel they have inadequate skills to cope with the needs and stresses of visiting relatives. The author suggests that for nurses to provide family focused care in ICU they must develop a therapeutic relationship with all concerned. ICU nursing culture affects nurses ability to focus on caring for their patients and their families. Nurses in ICU appear to need to maintain power and control over their environment but further research is needed to identify the current situation in New Zealand ICUs.  
  Call Number NRSNZNO @ research @ Serial 502  
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