| Records |
| Author |
Taiaroa, H. |
| Title |
Weaving the contemporary position of maatauranga Maaori within nursing practice |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal  |
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| Volume |
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Issue |
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Pages |
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| 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 |
Mortensen, A.; Young, N. |
| Title |
Caring for refugees in emergency departments in New Zealand |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
20 |
Issue |
2 |
Pages |
24-35 |
| Keywords |
Emergency nursing; Culture; Mental health; Health status |
| Abstract |
This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours. |
| Call Number |
NRSNZNO @ research @ 557 |
Serial |
543 |
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| Author |
McEldowney, R.A.; Richardson, F.; Turia, D.; Laracy, K.; Scott, W.; MacDonald, S. |
| 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 |
Report |
| Year |
2006 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| 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 |
Hughes, F. |
| Title |
Nurses at the forefront of innovation |
Type |
Journal Article |
| Year |
2006 |
Publication |
International Nursing Review |
Abbreviated Journal |
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| Volume |
53 |
Issue |
2 |
Pages |
94-101 |
| Keywords |
Organisational culture; Technology; Policy; Nursing |
| Abstract |
This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005. |
| Call Number |
NRSNZNO @ research @ 796 |
Serial |
780 |
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| Author |
Coleman, R.; Sim, G. |
| Title |
The sacredness of the head: Cultural implications for neuroscience nurses |
Type |
Journal Article |
| Year |
2003 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
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| 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 |
Lindsay, L. |
| Title |
Atrocity tales: The language of terrorism in nursing |
Type |
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| Year |
2004 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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| Volume |
11 |
Issue |
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Pages |
27-35 |
| Keywords |
Gender; Male nurses; Culture |
| Abstract |
In this paper, the author explores the concept of 'professional terrorism'. He exposes discrimination against male nurses as being a form of professional terrorism, primarily as it is enacted through use of language. He presents the concept of horizontal violence as a way to understand why nurses, as a marginalised group, perform oppressive acts towards male nurses, who are similarly oppressed. He outlines the cost of such a culture on nursing practice and presents strategies for change. |
| Call Number |
NRSNZNO @ research @ 1310 |
Serial |
1294 |
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| Author |
Morton, J.; Williams, Y.; Philpott, M. |
| Title |
New Zealand's Christchurch Hospital at night: An audit of medical activity from 2230 to 0800 hours |
Type |
Journal Article |
| Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
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| Volume |
119 |
Issue |
1231 |
Pages |
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| Keywords |
Hospitals; Teamwork; Administration; Shiftwork; Organisational culture |
| Abstract |
The authors conduct an audit of medical activity at Christchurch Hospital, a 650 bed tertiary centre, between 2230 and 0800 hours. They measured the volumes of tasks requiring completion overnight and identified the competencies required for this as well as the level of teamwork that existed. They found several organisational areas of concern, that indicate new approaches are required to staff the “hospital at night,” and an Out of Hours Multidisciplinary Team is recommended. Specific issues included the lack of teamwork from the Resident Medical Officers (RMOs), with some overextended while others were inactive. House officer tasks were largely generic rather than specialty specific; there was no formal handover from the afternoon or day shifts and the level of hospital medical staffing did not reflect the activity levels over the time period studied. The researchers also recommend an urgent review of the beep policy. A third of the admissions were to General Medicine, and basic medical activities (including admitting, reviewing, and prescribing drugs and fluids) for patients admitted under all specialties represented the majority of the night workload. Medical registrars had reduced some of the traditional multiple clerking by admitting patients themselves. |
| Call Number |
NRSNZNO @ research @ |
Serial |
528 |
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| Author |
Wilkinson, J.A.; Huntington, A.D. |
| Title |
The personal safety of district nurses: A critical analysis |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
20 |
Issue |
3 |
Pages |
31-44 |
| Keywords |
District nursing; Occupational health and safety; Organisational culture; Risk factors |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
549 |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
A secondary care nursing perspective on medication administration safety |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
60 |
Issue |
1 |
Pages |
58-66 |
| Keywords |
Patient safety; Drug administration; Organisational culture; Nursing |
| Abstract |
This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives. |
| Call Number |
NRSNZNO @ research @ |
Serial |
648 |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
Organisational culture, medication administration and the role of nurses |
Type |
Journal Article |
| Year |
2006 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
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| Volume |
5 |
Issue |
2 |
Pages |
208-222 |
| Keywords |
Patient safety; Medical errors; Organisational culture; Nursing; Drug administration |
| Abstract |
This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety. |
| Call Number |
NRSNZNO @ research @ |
Serial |
784 |
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| Author |
Crowe, M. |
| Title |
Psychiatric diagnosis: Some implications for mental health nursing care |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
53 |
Issue |
1 |
Pages |
125-131 |
| Keywords |
Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models |
| Abstract |
This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9. |
| Call Number |
NRSNZNO @ research @ |
Serial |
837 |
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| Author |
Flynn, L.; Carryer, J.B.; Budge, C. |
| Title |
Organisational attributes valued by hospital, home care, and district nurses in the United States and New Zealand |
Type |
Journal Article |
| Year |
2005 |
Publication |
Journal of Nursing Scholarship |
Abbreviated Journal |
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| Volume |
37 |
Issue |
1 |
Pages |
67-72 |
| Keywords |
Organisational culture; Cross-cultural comparison; Nursing |
| Abstract |
The aim of this study was to determine whether hospital-based, home care, and district nurses identify a core set of organisational attributes in the nursing work environment that they value as important to the support of professional practice. Survey data, collected in 2002 2003 from 403 home care nurses in the United States and 320 district nurses in New Zealand, were pooled with an existing data set of 669 hospital-based nurses to conduct this descriptive, nonexperimental study. The importance of organisational attributes in the nursing work environment was measured using the Nursing Work Index-Revised (NWI-R). The authors found that at least 80% of hospital-based, home care, and district nurses either agreed or strongly agreed that 47 of the 49 items comprising the NWI-R represented organisational attributes they considered important to the support of their professional nursing practice. Mean importance scores among home care nurses, however, were significantly lower than were those of the other two groups. The authors conclude that the overall, hospital-based, home care, and district nurses had a high level of agreement regarding the importance of organisational traits to the support of their professional practice. The intensity of the attributes' importance was less among home care nurses. Further research is needed to determine whether this set of organisational traits, measured using the NWI-R, is associated with positive nurse and patient outcomes in home care and district nursing practice, as has been shown in acute care settings. |
| Call Number |
NRSNZNO @ research @ |
Serial |
886 |
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| Author |
Wepa, D. |
| Title |
An exploration of the experiences of cultural safety educators in New Zealand: An action research approach |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Transcultural Nursing |
Abbreviated Journal |
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| Volume |
14 |
Issue |
4 |
Pages |
339-348 |
| Keywords |
Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori |
| Abstract |
This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted 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 everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for 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 burnout. |
| Call Number |
NRSNZNO @ research @ |
Serial |
887 |
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| Author |
Simon, V.N. |
| Title |
Characterising Maori nursing practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
203-213 |
| Keywords |
Registered nurses; Maori; Nursing models; Culture |
| Abstract |
This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
936 |
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| Author |
Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P. |
| Title |
The professional subcultures of students entering medicine, nursing and pharmacy programmes |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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| Volume |
20 |
Issue |
4 |
Pages |
425-431 |
| Keywords |
Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture |
| Abstract |
This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
937 |
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