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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 | ||
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| Author | Bland, M.F. | ||||
| Title | All the comforts of home? A critical ethnography of residential aged care in New Zealand | Type | |||
| Year |
2004 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Rest homes; Older people; Patient satisfaction | ||||
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| Call Number | NRSNZNO @ research @ 1141 | Serial | 1126 | ||
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| Author | Litchfield, M. | ||||
| Title | Achieving health in a rural community: A case study of nurse – community partnership | Type | Book Whole | ||
| Year |
2004 | Publication | Abbreviated Journal | University and Polytechnic Libraries, NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change | ||||
| Abstract | This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy. | ||||
| Call Number | NRSNZNO @ research @ 1183 | Serial | 1168 | ||
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| Author | Paton, B.I. | ||||
| Title | Unready-to-hand as adventure: Knowing within the practice wisdom of clinical nurse educators | Type | |||
| Year |
2003 | Publication | Abbreviated Journal | NZNO Library, Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Nursing; Education | ||||
| Abstract | This research aims to clarify the knowing and wisdom that inform clinical nurse educators' responses through unpredictable situations. The author referred to philosophical literature on the notions of tacit knowledge, practical wisdom, smooth activity and the Unready-to-Hand experience. She created an explanatory framework and utilised this in a thought experiment by reflecting on personal experiences. To add clarity to these reflections, two layers of interviewing with nurse educators teaching in practice were carried out. The first layer was an interview with eight clinical nurse educators who in their role experienced Unready-to-Hand situations. The second layer consisted of four clinical nurse educators who volunteered to be involved in more in-depth interviews. An interpretive analysis of these clinical nurse educators stories illuminated the “Unready-to Hand as Adventure”, highlighting the uncertainty and energy associated with opening in the adventure, not knowing what will unfold, yet committed to remaining engaged and doing the best they can. Through the process of attuning to difference, accessing and deciphering knowing, nurse educators create meanings of situational complexities. By preserving the ideals of good practice and engaged caring, nurse educators salvage learning by creating opportunities for learning and teaching. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1134 | ||
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| Author | Wepa, D. | ||||
| Title | An exploration of the experiences of cultural safety educators | Type | |||
| Year |
2003 | Publication | Abbreviated Journal | Held in NZNO Library thesis collection | |
| Volume | Issue | Pages | |||
| Keywords | Cultural safety; Nursing; Education; Teaching methods | ||||
| Abstract | This thesis is a study of the experiences of four cultural safety lecturers in nursing education in Aotearoa / New Zealand. A review of literature reveals the recent and turbulent evolution of cultural safety. The media which documented this journey in a negative light in the 1990s prompted ministerial inquiries and the publication of the Nursing Council of New Zealand's guidelines for cultural safety in nursing and midwifery education (1996). Action research methods enabled 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 every day stressors of teaching but they were also required to formulate knowledge of cultural safety. For the Maori participants their stress was confounded with recruiting and retaining Maori students and macro issues such as commitments to iwi. Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that it was organisational in nature and out of their immediate control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations have been made which focus on supporting cultural safety educators to dialogue on a regular basis through attendance at related hui; the introduction of nurse educator programmes; paid leave provisions for cultural safety 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 burn out. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1137 | ||
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| Author | Surtees, R. | ||||
| Title | Midwifery as Feminist Praxis in Aotearoa/New Zealand | Type | |||
| Year |
2003 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 323 pp | ||
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| Abstract | A thesis submitted in fulfilment of the requirements for the Degree of DOCTOR OF PHILOSOPHY IN EDUCATION, UNIVERSITY OF CANTERBURY 2003. This thesis highlights the ways in which the practices of contemporary midwives in Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. The context for this is the reconstruction of midwifery in Aotearoa/New Zealand as an autonomous feminist profession founded on partnership with women. Interviews and participant observation with midwives, based mainly in one New Zealand city, are the basis of an analysis of the complexity of midwives? praxis as professionals. The analysis draws on insights from critical and feminist approaches to Foucault?s theories of discourse, power and the subject. It includes discussion of the conditions which came to produce and authorise the concept of ?partnership?. Which subjects can speak about partnership, and when? What claims are made about it? What challenges it? |
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| Call Number | NZNO @ research @ | Serial | 1403 | ||
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| Author | Mason, B. | ||||
| Title | An analysis of the role of the practice nurse in primary health care, 2000/2001 | Type | |||
| Year |
2002 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Primary health care; Practice nurses | ||||
| Abstract | In 1999 primary health care in New Zealand was in the process of change from the current personal health care model, which focuses on general practitioner based care, to a population and community based health care programme. Carryer, Dignam, Horsburgh, Hughes and Martin (1999) submitted a report to the National Health Commission entitled “Locating Nursing in Primary Health Care”. This report envisaged that nurses in primary health care would be part of interdisciplinary teams, act autonomously and undertake community consultation and education. The submission suggested that nurses, currently working in primary health care, were alraedy prepared and able to move across into the new form of primary health care, without further education or training. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1130 | ||
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| Author | Barton, J. | ||||
| Title | Pain knowledge and attitudes of nurses and midwives in a New Zealand context | Type | |||
| Year |
2001 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Nursing; Pain management; Attitude of health personnel | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ 1140 | Serial | 1125 | ||
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| Author | Boyd, L. | ||||
| Title | “It could have just as easily been me”: Nurses working in mental health services who have experienced mental illness | Type | |||
| Year |
2001 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Nursing; Mental health; Occupational health and safety | ||||
| Abstract | This research explores the issues and experiences of mental health nurses who experience or have experienced mental illness. This project was prompted by the author's concern for colleagues and friends in this situation. The research topic was approached using a mix of critical ethnography and action research principles. Five mental health nurses who all work for the same district health board were interviewed about their experiences of being mental health professionals with mental illness and the issues that arose from this. The themes that emerged from this research are: the reactions of nurse colleagues, the effects on participants' own mental health treatment, employer responses, professional experiences and issues and strategies for coping. Discussion and recommendations focus on the need for improvements to the responses that mental health nurses with experience of mental illness encounter in their workplace. Recommendations from this research encompass suggestions for both individual and organisational education, action and change. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1127 | ||
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| Author | O'Malley, J. | ||||
| Title | Critical social analysis of acute institutionally based mental health nursing following an action research project | Type | |||
| Year |
2001 | Publication | Abbreviated Journal | NZNO Library, Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Psychiatric Nursing; Hospitals; Quality of health care | ||||
| Abstract | This study using action research involving twelve registered nurses worked toward improving nursing care in an acute mental health in-patient service. Following focus groups with consumers, families, nurses, doctors, and allied health professionals, the action research group developed projects over eighteen months to improve continuity and consistency of nursing care. There was a subsequent restructuring of nursing service to better define leadership, accountability and to strengthen care delivery. The second half of the thesis involves a critical social analysis of the research data and produces a theory of mental health nursing which, the author suggests, has wide application in practice. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1133 | ||
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| Author | Richardson, F.I. | ||||
| Title | What is it like to teach cultural safety in a New Zealand nursing education programme? | Type | |||
| Year |
2000 | Publication | Abbreviated Journal | Massey University Library; NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Cultural safety; Nursing; Education; Transcultural nursing; Maori | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ | Serial | 872 | ||
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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 | ||
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| Author | Jones, R.G. | ||||
| Title | Rongoa Maori and primary health care | Type | |||
| Year |
2000 | Publication | Abbreviated Journal | Held by NZNO Library | |
| Volume | Issue | Pages | |||
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| Abstract | A thesis submitted in partial fulfilment of the requirements for the degree of Master of Public Health. Rongoa Maori, in its wider sense, refers to the traditional medical system of the indigenous people of New Zealand. The aims of this thesis were to identify the major issues involved in incorporating traditional healing in this context and to look at how this might be achieved. |
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| Call Number | NZNO @ research @ WA 300 JON | Serial | 1364 | ||
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| Author | Roberts, F. | ||||
| Title | The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme | Type | |||
| Year |
1999 | Publication | Abbreviated Journal | NZNO Library, Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Careers in nursing; Professional development; Registered nurses | ||||
| Abstract | This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place. | ||||
| Call Number | NRSNZNO @ research @ 1150 | Serial | 1135 | ||
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| Author | Rickard,D | ||||
| Title | Parents as experts: Partnership in the care of chronically ill children | Type | Report | ||
| Year |
1999 | Publication | Abbreviated Journal | Held by NZNO Library | |
| Volume | Issue | Pages | 65 pp | ||
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| Abstract | Margaret May Blackwell Travel Study Fellowship for Nurses of Young Children. This report discusses the partnership between parents and nurses and its relationship to delivering optimal care to the child. The author has a background in paediatric nursing in a hospital environment. |
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| Call Number | NZNO @ research @ | Serial | 1354 | ||
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