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Author Lewer, D.
Title Analysing the Mental Health Act Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue (down) 8 Pages 14-16
Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics
Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.
Call Number NRSNZNO @ research @ 1039 Serial 1023
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Author McCallum, C.
Title Balancing technology with the art of caring Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue (down) 7 Pages 21-23
Keywords Technology; Nursing; Nurse-patient relations; Ethics
Abstract The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring.
Call Number NRSNZNO @ research @ 1017 Serial 1001
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Author Paterson, M.
Title Dealing with life and death decisions Type Journal Article
Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue (down) 7 Pages 14-16
Keywords Ethics; Nursing; Patient rights; Clinical decision making; Euthanasia
Abstract This article examines the implications for nurses of not-for-resuscitation orders and orders to withdraw treatment. The rights of patients and correct procedure in the case of not-for-resuscitation or do-not-resuscitate orders are considered, as well as the ethical dilemma facing nurses in cases of the withdrawal of treatment. Guidelines are offered to assist nurses in reaching an ethical decision to withdraw treatment. Euthanasia is defined and case law decisions on not-for-resuscitation and treatment withdrawal are cited.
Call Number NRSNZNO @ research @ Serial 1017
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Author Ho, T.
Title Ethical dilemmas in neonatal care Type Journal Article
Year 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue (down) 7 Pages 17-19
Keywords Intensive care nursing; Paediatric nursing; Ethics; Clinical decision making
Abstract The author explores possible approaches to the ethical dilemma confronting nurses of critically ill premature infants with an uncertain or futile outcome despite aggressive neonatal intensive care. A case history illustrates the issues. The morality of nursing decisions based on deontological and utilitarian principles is examined, as are the concepts of beneficence and non-maleficence. A fusion of virtue ethics and the ethic of care is suggested as appropriate for ethical decision-making in the neonatal intensive care environment.
Call Number NRSNZNO @ research @ 1035 Serial 1019
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Author Woods, M.
Title Balancing rights and duties in 'life and death' decision making involving children: A role for nurses? Type Journal Article
Year 2001 Publication Nursing Ethics Abbreviated Journal
Volume 8 Issue (down) 5 Pages 397-408
Keywords Parents and caregivers; Children; Ethics; Clinical decision making; Nurse-family relations; Chronically ill
Abstract This article examines a growing number of cases in New Zealand in which parents and guardians are required to make life and death ethical decisions on behalf of their seriously ill child. Increasingly, nurses and other practitioners are expected to more closely inform, involve and support the rights of parents or guardians in such situations. Differing moral and ethical values between the medical team and parents or guardians can lead to difficult decision making situations. The article analyses the moral parameters, processes, outcomes and ethical responses that must be considered when life and death ethical decisions involving children are made. It concludes with a recommendation that nurses should be recognised as perhaps the most suitable of all health care personnel when careful mediation is needed to produce an acceptable moral outcome in difficult ethical situations.
Call Number NRSNZNO @ research @ Serial 1086
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Author Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type Journal Article
Year 1999 Publication Nursing Ethics Abbreviated Journal
Volume 6 Issue (down) 5 Pages 423-433
Keywords Ethics; Nursing; Education
Abstract This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse's story taken from the study is offered and suggestions are made for nursing ethics education.
Call Number NRSNZNO @ research @ Serial 1092
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Author Wareham, P.; McCallin, A.; Diesfeld, K.
Title Advance directives: The New Zealand context Type Journal Article
Year 2005 Publication Nursing Ethics Abbreviated Journal
Volume 12 Issue (down) 4 Pages 349-359
Keywords Law and legislation; Patient rights; Nursing; Ethics
Abstract Advance directives convey consumers' wishes about accepting or refusing future treatment if they become incompetent. There are associated ethical issues for health practitioners and this article considers the features that are relevant to nurses. In New Zealand, consumers have a legal right to use an advance directive that is not limited to life-prolonging care and includes general health procedures. Concerns may arise regarding a consumer's competence and the document's validity. Nurses need to understand their legal and professional obligations to comply with an advance directive. What role does a nurse play and what questions arise for a nurse when advance directives are discussed with consumers? This article considers the cultural dimensions, legal boundaries, consumers' and providers' perspectives, and the medical and nursing positions in New Zealand.
Call Number NRSNZNO @ research @ 1069 Serial 1054
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Author Litchfield, M.
Title Viewpoint: Telling nursing stories Type Journal Article
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 2 Issue (down) 4 Pages 28
Keywords Nursing research; Ethics; Patient rights
Abstract A brief critique and comment on the ethical implications of nurse researchers using methodology that involves soliciting personal experiences of patients and subsequently publishing them as stories.
Call Number NZNO @ research @ Serial 1321
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Author Connor, M.
Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue (down) 3 Pages 13-21
Keywords Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations
Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.
Call Number NRSNZNO @ research @ Serial 553
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Author Lui, D.M.K.
Title Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results Type Journal Article
Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue (down) 3 Pages 91-96
Keywords Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel
Abstract Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU.
Call Number NRSNZNO @ research @ 966 Serial 950
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Author Spence, D.; Smythe, E.
Title Courage as integral to advancing nursing practice Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue (down) 2 Pages 43-55
Keywords Ethics; Advanced nursing practice
Abstract This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service.
Call Number NRSNZNO @ research @ 470 Serial 456
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Author Lui, D.M.K.
Title Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 1. Literature review Type Journal Article
Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue (down) 2 Pages 45-47
Keywords Attitude of health personnel; Neonatal nursing; Ethics; Technology
Abstract This article seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Advanced technology results in the survival of increasingly premature babies with extremely low birthweights and this has inevitably led to an increase in the ethical dilemmas faced by neonatal staff as to whether continued treatment is actually in the best interests of these infants. Part 1 reviews the literature on this subject. Part 2 describes the results of a survey carried out in a New Zealand NICU.
Call Number NRSNZNO @ research @ 906 Serial 890
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Author Lawless, J.; Moss, C.
Title Exploring the value of dignity in the work-life of nurses Type Journal Article
Year 2007 Publication Contemporary Nurse Abbreviated Journal
Volume 23 Issue (down) 2 Pages 225-236
Keywords Work; Nursing philosophy; Job satisfaction; Ethics
Abstract In this paper the authors draw attention to the value and understandings of nurse dignity in the work-life of nurses. A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas. The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace.
Call Number NRSNZNO @ research @ Serial 1031
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Author Kyle, W.
Title The influence of technology in nursing practice with elder care facilities Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 7 Issue (down) 12 Pages 20-23
Keywords Older people; Technology; Nursing specialties; Ethics; Training
Abstract This article firstly describes the application of technological care practices in elder care, and then looks at the attitudes of the elderly and their families towards this care. The value of the equipment in terms of quality of care is considered, and a discussion of the continuing education needs of nurses is presented. The ethical questions around the use of technology are examined, along with possible strategies to deal with such issues.
Call Number NRSNZNO @ research @ 1299 Serial 1284
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Author Jackson, H.
Title Compassion: A concept exploration Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue (down) 1 Pages 16-23
Keywords Ethics; Nursing philosophy
Abstract This paper explores the nature of compassion and posits it as a moral virtue that requires the nurse to act in the presence of suffering. Compassion is defined in relation to suffering and reciprocity, and distinguished from sympathy and pity.
Call Number NRSNZNO @ research @ 638 Serial 624
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