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Author  |
Wilkinson, J.A. |
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Title |
The New Zealand nurse practitioner polemic: A discourse analysis |
Type |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse practitioners; History of nursing |
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Abstract |
The purpose of this research has been to trace the development of the nurse practitioner role in New Zealand. Using a discourse analytical approach informed by the work of Michel Foucault, the study foregrounds the discourses that have constructed the nurse practitioner role within the New Zealand social and political context. The author suggests that discourses of nursing and of medicine have established systems of disciplinary practices that produce nurses and physicians within defined role boundaries, not because of legislation, but because discourse has constructed certain rules. The nurse practitioner role transcends those boundaries and offers the possibility of a new and potentially more liberating identity for nurses and nursing. A plural approach of both textuality and discursivity was used to guide the analysis of texts chosen from published literature and from nine interviews conducted with individuals who have been influential in the unfolding of the nurse practitioner role. Both professionally and industrially and in academic and regulatory terms dating back to the Nurses Registration Act, 1901, the political discourses and disciplinary practices serving to position nurses in the health care sector and to represent nursing are examined. The play of these forces has created an interstice from which the nurse practitioner role in New Zealand could emerge. In combination with a new state regime of primary health care, the notion of an autonomous nursing profession in both practice and regulation has challenged medicine's traditional right to surveillance of nursing practice. Through a kind of regulated freedom, the availability of assessment, diagnostic and prescribing practices within a nursing discourse signals a radical shift in how nursing can be represented. The author concludes that the nurse practitioner polemic has revolutionised the nursing subject, and may in turn lead to a qualitatively different health service. |
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Call Number |
NRSNZNO @ research @ 517 |
Serial |
503 |
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Author |
Wilkinson, J.A. |
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Title |
Using adult learning theory to enhance clinical teaching |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
1 |
Pages |
36-44 |
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Keywords |
Critical thinking; Nursing; Education; Motivation; Theory |
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Abstract |
In this article four theories of adult learning theory are presented: self directed learning; experiential learning; constructivist theory; and critical thinking. These are discussed alongside theories about motivation to learn. Suggestions for how the theory may be applied to the clinical learning environment are offered. |
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Call Number |
NRSNZNO @ research @ 565 |
Serial |
551 |
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Author |
Wilkinson, J.A. |
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Title |
Creating a culture of workplace safety |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
6 |
Pages |
14-15 |
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Keywords |
Occupational health and safety; Workplace violence; District nursing; Organisational culture |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1002 |
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Author |
Wilkinson, J.A. |
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Title |
A mantle of protection? A critical analysis of the personal safety of district nurses |
Type |
Journal Article |
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Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Whitireia Community Polytechnic and Massey University libraries |
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Volume |
9 |
Issue |
30-6 |
Pages |
30-36 |
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Keywords |
Occupational health and safety; Workplace violence; District nursing |
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Abstract |
This qualitative inquiry, informed by Critical Social Theory, explored the personal safety experiences of district nurses in a New Zealand city. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1083 |
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Author |
Wilkinson, J.A.; Huntington, A.D. |
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Title |
The personal safety of district nurses: A critical analysis |
Type |
Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
3 |
Pages |
31-44 |
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Keywords |
District nursing; Occupational health and safety; Organisational culture; Risk factors |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
549 |
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