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Author (up) 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
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Author (up) 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 (up) Miles, M.A.P.
Title Why they leave: a Heideggerian hermeneutic study of the reasons why ten registered nurses left nursing practice to enter the professions of medicine or law Type
Year 1997 Publication Abbreviated Journal University of Otago Library, Bill Robertson Library
Volume Issue Pages
Keywords
Abstract The purpose of the study was to research the reasons for the dissatisfaction experienced by ten professional nurse-practitioners who chose to leave nursing to join the professions of law or medicine. The mnotivation for professional nurses to chose entry to these particular professions may in some way throw light upon the difficulties being experienced in attempts to bring about changes of an emancipatory nature in the nursing profession (Habermas, 1974). The approach for the study is hermeneutic phenomenology (Gadamer, 1975 – ; Heidegger, 1962)
Call Number NRSNZNO @ research @ 148 Serial 148
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Author (up) Morgan, F.A.
Title Primary health care nurses supporting families parenting pre-term infants Type
Year 2006 Publication Abbreviated Journal NZNO Library, University of Otago Library
Volume Issue Pages
Keywords Primary health care; Community health nursing; Paediatric nursing; Premature infants
Abstract This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face.
Call Number NRSNZNO @ research @ Serial 1132
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Author (up) Mossop, M.D.
Title Older patients' perspectives of being cared for by first year nursing students Type
Year 2000 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Older people; Nurse-patient relations; New graduate nurses; Hospitals
Abstract
Call Number NRSNZNO @ research @ 1135 Serial 1120
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Author (up) Murray, C.
Title Clinical supervision in nursing: An investigation of supervisory issues from critical experiences Type
Year 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Clinical supervision; Nursing
Abstract
Call Number NRSNZNO @ research @ 742 Serial 728
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Author (up) Neehoff, S.M.
Title The invisible bodies of nursing Type
Year 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing philosophy
Abstract In this thesis, the author explores what she terms 'invisible bodies of nursing', which are the physical body of the nurse, the body of practice, and the body of knowledge. She argues that the physical body of the nurse is absent in most nursing literature. Her contention is that the physical body of the nurse is invisible because it is tacit and much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. This analysis is informed by Luce Irigaray's philosophy of the feminine, Michel Foucault's genealogical approach to analysing, and Maurice Merleau-Ponty's phenomenology. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures.
Call Number NRSNZNO @ research @ 1124 Serial 1109
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Author (up) Neehoff, S.M.
Title Pedagogical possibilities for nursing Type
Year 1999 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing; Nursing philosophy; Feminist critique
Abstract This thesis is about what the author terms the 'invisible bodies of nursing'. The physical body of the nurse, the body of practice, and the body of knowledge. The physical body of the nurse is absent in most nursing literature, it is sometimes inferred but seldom discussed. The contention is that the physical body of the nurse is invisible because it is tacit. Much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. These issues are approach through an evolving 'specular' lens. Luce Irigaray's philosophy of the feminine and her deconstructing and reconstructing of psychoanalytic structures for women inform this work. Michel Foucault's genealogical approach to analysing discourses is utilized, along with Maurice Merleau-Ponty's phenomenology. Nursing's struggle for recognition is ongoing. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures. The exploration of the embodied self of the nurse and through this the embodied knowledge of nursing is nascent.
Call Number NRSNZNO @ research @ 1287 Serial 1272
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Author (up) Papps, E.
Title The doctoring of childbirth and the regulation of midwifery Type
Year 1992 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 233 Serial 233
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Author (up) Patel, R.
Title Evaluation and assessment of the online postgraduate intensive care nursing course Type
Year 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Education; Intensive care nursing; Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 519 Serial 505
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Author (up) Richardson, A.
Title Health promotion and public health nursing Type
Year 1998 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 405 Serial 405
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Author (up) Richardson, C.A.
Title Ever decreasing circles: Non-curative terminal illness, empowerment and decision making: Lessons for nursing practice Type
Year 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing; Palliative care; Terminal care; Psychology
Abstract
Call Number NRSNZNO @ research @ 683 Serial 669
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Author (up) Ross, M.E.
Title A study into the effects of the New Zealand health reforms of the 1990's on the role of the nurse manager Type
Year 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nurse managers; History; Policy
Abstract
Call Number NRSNZNO @ research @ 687 Serial 673
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Author (up) Sargison, P.A.
Title Essentially a woman's work: A history of general nursing in New Zealand, 1830-1930 Type
Year 2002 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords History of nursing; Gender
Abstract
Call Number NRSNZNO @ research @ 1127 Serial 1112
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Author (up) Sutton, D.M.
Title An analysis of the application of Christensen's Nursing Partnership Model in vascular nursing: A case study approach Type
Year 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing specialties; Nursing models; Cardiovascular diseases
Abstract
Call Number NRSNZNO @ research @ 822 Serial 806
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