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Author |
Wilson, H.V. |
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Title |
Surveillance or support: Divergent discourses in Plunket nursing practice |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Public health; Children; Community health nursing; Plunket |
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Abstract |
Plunket nurses are New Zealand child health nurses who work in the community with the families of new babies and preschool children. Their work is called child health surveillance and this is considered to involve routine and unproblematic practices which are generally carried out in homes and clinics in the context of a relationship with the child's mother (Ministry of Health 1996; Royal New Zealand Plunket Society 1997). However, evidence in the literature that surveillance can have implications for power relations throws doubts on official claims that the relationship between the mother and nurse operates as a partnership (Trout and Polaschek 1996). The purpose of this thesis was to explore the way in which surveillance is constituted within the discourses of Plunket nurses and to examine these discourses for any implications of unequal power relations. Foucauldian discourse theory and poststructuralism, which informed this thesis, provided the opportunity to challenge assumptions about power and knowledge in the child health context. Analysis of the discourses generated by interviews with five Plunket nurses revealed that, contrary to the claims in the official literature, the relationship between the Plunket nurse and the mother is not that of an equal partnership but is constituted in various and unexpected ways. It was through the nurses' discourses of surveillance that the power relations underpinning this relationship were surfaced. While these discourses suggested that many mothers who use the nursing service are actively involved on their own terms, there are a number of women for whom the surveillance activities of the nurse have been shown to be particularly intrusive (Mayall 1986; Clinton 1988; Bloor and McIntosh 1990; Knott and Latter 1999). It may be primarily this unwelcome surveillance which accounts for the considerable number of women who, the statistics show, cease using Plunket services particularly in the early months. It is perhaps for this reason that the nurses in this study locate themselves as being caught between divergent discourses of support and surveillance. Findings indicate that the resolution of this dilemma by abandoning surveillance practices might improve maternal satisfaction with the Plunket nursing service. The author concludes that a child health service responsive to mothers' stated needs rather than institutional requirements or the nurse's own agenda could lead to a more open and equal relationship between mother and nurse. This relationship would be likely to benefit mothers and babies and, at the same time, enhance both nursing practice and nurses' satisfaction with their work. |
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Call Number |
NRSNZNO @ research @ |
Serial |
899 |
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Permanent link to this record |
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Author |
Wilson, H.V. |
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Title |
Power and partnership: A critical analysis of the surveillance discourses of child health nurses |
Type |
Journal Article |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
36 |
Issue |
2 |
Pages |
294-301 |
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Keywords |
Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket |
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Abstract |
The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1085 |
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Permanent link to this record |
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Author |
Andrews, C.M. |
![find record details (via OpenURL) openurl](img/xref.gif)
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Title |
Developing a nursing speciality: Plunket Nursing 1905 – 1920 |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Plunket; History of nursing; Nursing specialties; Paediatric nursing |
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Abstract |
This paper focuses on the history of Plunket nursing and Truby King's ideology and other dominant ideologies, during the years 1905 – 1920. To provide a context, the paper explores the development of a new nursing speciality – Plunket nursing, that became part of the backbone of a fledgling health system and the New Zealand nursing profession. Correspondingly, Truby King presented the country with a vision for improving infant welfare underpinned by his eugenics view of the world and his experimentation with infant feeding. The author argues that nurses were drawn to the work of the newly created Plunket Society and that the Society had lasting influence on the development of nursing in New Zealand. |
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Call Number |
NRSNZNO @ research @ 1167 |
Serial |
1152 |
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Permanent link to this record |
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Author |
Wilson, H.V. |
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Title |
Paradoxical pursuits in child health nursing practice: Discourses of scientific mothercraft |
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Journal Article |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2003 |
Publication |
Critical Public Health |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
281-293 |
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Keywords |
Plunket; Nurse-family relations; Paediatric nursing; Nursing philosophy |
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Abstract |
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. |
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Call Number |
NRSNZNO @ research @ 1116 |
Serial |
1101 |
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Permanent link to this record |
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Author |
Pearce, K. |
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Title |
Orientation: Reading the nurses map; what new Plunket Nurses need in an orientation programme |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2003 |
Publication |
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Abbreviated Journal |
Victoria University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Plunket; Training; New graduate nurses; Curriculum; Community health nursing |
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Abstract |
The Plunket orientation programme, first implemented in 1994, aims to prepare new Plunket Nurses for autonomous practice within the complexity of community based nursing. This study seeks to identify what new Plunket Nurses feel are their orientation needs. An evaluation research approach was used. An examination of the literature explored how orientation is conducted and the needs of nurses in orientation. Key aspects in relation to orientation were identified as including socialisation, job change, new graduates, preceptorship, orientation frameworks and retention. A focus group followed by a postal survey were utilised to collect data from new Plunket Nurses nationwide to ascertain what they thought their orientation needs were. Data analysis was completed using descriptive statistics and thematic analysis. The results of the study identified key orientation needs for new Plunket Nurses. These were an orientation programme, preceptorship, clinical skills teaching, time in own area and beginning autonomous practice, administration needs and support needs. The participants recommended quality preceptorship and early clinical teaching from the Clinical Educator. There was a general dissatisfaction with orientation as it stands in preparing them for their role as a Plunket Nurse. Recommendations to the Plunket Management Team were made based on the results of this study. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1240 |
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Permanent link to this record |
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Author |
Gray, L.-M. |
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Title |
Should I stay or should I go? An examination into the Plunket Nurses' perception of the employment environment |
Type |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2006 |
Publication |
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Abbreviated Journal |
Unitec Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Recruitment and retention; Community health nursing; Plunket |
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Abstract |
Participants for this study consisted of six Plunket Nurses from three Plunket operations areas within the North Island, varying in experiences from two to twenty three years, working with both urban and rural communities. |
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Call Number |
NRSNZNO @ research @ |
Serial |
742 |
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Permanent link to this record |
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Author |
Macfie, B. |
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Title |
Assessing health needs and identifying risk factors |
Type |
Journal Article |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
6 |
Pages |
16-18 |
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Keywords |
Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket |
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Abstract |
In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas. |
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Call Number |
NRSNZNO @ research @ |
Serial |
974 |
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Permanent link to this record |
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Author |
Carter, Lynn J |
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Title |
Am I doing the right thing?: Plunket Nurses' experience in making decisions to report suspected child abuse and neglect |
Type |
Book Whole |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2010 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
144 p. |
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Keywords |
Child abuse; Child neglect; Community nursing; Plunket nurses; Ethics; Surveys |
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Abstract |
Studies the experiences of Plunket Nurses reporting suspected child abuse and/or neglect in uncertain situations, using hermeneutic phenomenology. Selects a purposeful sample to ensure participants could provide rich data through semi-structured, face-to-face and recorded telephone interviews. Guides data analysis using the framework developed by van Manen to formulate meaning from participant experiences. |
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Call Number |
NZNO @ research @ |
Serial |
1781 |
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Permanent link to this record |
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Author |
Tipa, Zoe Kristen |
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Title |
Family Partnership as a model for cultural responsiveness in a well child context |
Type |
Book Whole |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2013 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
149 p. |
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Keywords |
Family partnership model; Communication; Cultural competence; Plunket nurses; Community nursing; Maori children |
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Abstract |
Examines whether the Family Partnership model could be considered a model for cultural responsiveness while simultaneously providing a platform for more accurate assessment of the cultural competence of Plunket nurse practice. Determines the relationship between Family Partnership training for Plunket nurses and Maori child health outcomes. Distributes an online survey to Plunket nurses who had completed the training and to a group who had not. Conducts 10 observations and interviews with Plunket nurses and Maori clients. Presents the findings in three areas: Plunket nurse practice, client experience, and the impact of Family Partnership training on Plunket as an organisation. |
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Call Number |
NZNO @ research @ |
Serial |
1782 |
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Permanent link to this record |
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Author |
Clendon, Jill; McBride-Henry, Karen |
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Title |
History of the Child Health and Development Book : part 1, 1920 to 1945 |
Type |
Journal Article |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
30 |
Issue |
1 |
Pages |
29-41 |
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Keywords |
Maternal and child health; History of nursing; Plunket; Child health and development record book |
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Abstract |
Traces the history of the Plunket Book, or Well Child/Tamariki Ora Health Book, during the years 1920-1945, chronicling the development of a medicalised relationship between mothers and health professionals during this era. |
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Call Number |
NZNO @ research @ |
Serial |
1490 |
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Permanent link to this record |
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Author |
Clendon, Jill; McBride-Henry, Karen |
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Title |
History of the Child Health and Development Book : part 2: 1945-2000 |
Type |
Journal Article |
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Year ![sorted by Year field, ascending order (up)](img/sort_asc.gif) |
2014 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
30 |
Issue |
2 |
Pages |
5-17 |
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Keywords |
Maternal and child health; History of nursing; Plunket, Child health and development record book |
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Abstract |
Highlights how women challenged the concept of 'medicalised mothering' during the period 1945-2000, and how these views affected the development of the Well Child/Tamariki Ora Health book, or Plunket book. Analyses how the language of the book reflects tensions between competing discourses and knowledge sources among mothers and health professionals. |
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Call Number |
NZNO @ research @ |
Serial |
1492 |
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Permanent link to this record |