Records |
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 |
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 |
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 |
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 |
Permanent link to this record |
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Author |
Thompson, R. |
Title |
On call but not rostered |
Type |
Book Chapter |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) |
Abbreviated Journal |
Ministry of Health publications page |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Rural nursing; Ethics; Registered nurses |
Abstract |
In this chapter the author uses storytelling to explore the legal and ethical issues she experiences as a rural volunteer registered nurse. She describes the relationship between the nurse and community embodied in areas such as the public perception of nurses, and discusses aspects of her practice in the light of the particular legal and ethical context of rural areas. |
Call Number |
NRSNZNO @ research @ 768 |
Serial |
752 |
Permanent link to this record |
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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 |
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 |
Permanent link to this record |
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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 |
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 |
Permanent link to this record |
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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 |
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Volume |
7 |
Issue |
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 |
Permanent link to this record |
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Author |
Bland, M.F. |
Title |
Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] |
Type |
Journal Article |
Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
12 |
Issue |
1 |
Pages |
42-48 |
Keywords |
Nursing research; Ethics; Rest homes; Nurse-patient relations |
Abstract |
This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for. |
Call Number |
NRSNZNO @ research @ |
Serial |
892 |
Permanent link to this record |
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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 |
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Volume |
2 |
Issue |
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 |
Permanent link to this record |
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Author |
Connor, M. |
Title |
The practical discourse in philosophy and nursing: An exploration of linkages and shifts in the evolution of praxis |
Type |
Journal Article |
Year |
2004 |
Publication |
Nursing Philosophy |
Abbreviated Journal |
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Volume |
5 |
Issue |
1 |
Pages |
54-66 |
Keywords |
Nursing philosophy; Ethics; Nursing |
Abstract |
This paper, firstly, examines the linkages and shifts in the evolution of of praxis. The concept of praxis, also known as the practical discourse in philosophy, has been expressed in different ways in different eras. However, the linkages from one era to another and from one paradigm to another are not well explicated in the nursing literature. Blurring of the linkages occurred from the popular association of praxis within the emancipatory paradigm. Integral to the concept of praxis, since the time of Aristotle, is the notion of phronesis: a process of moral reasoning enacted to establish the 'good' of a particular situation, often referred to as practical wisdom. Secondly, the paper, promotes and affirms the importance of praxiological knowledge development in the discipline. Furthermore, increased appreciation of the concept of praxis provides an important vehicle for the advancement of nursing as a moral endeavour and the nurse as moral agent. |
Call Number |
NRSNZNO @ research @ 890 |
Serial |
874 |
Permanent link to this record |
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Author |
McClunie-Trust, P. |
Title |
Body boundaries and discursive practices in life threatening illness: Narratives of the self |
Type |
|
Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
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Issue |
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Pages |
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Keywords |
Nurse-family relations; Nursing; Ethics |
Abstract |
This thesis tells a story from within and between the boundaries of my professional work as a nurse and my private life as the wife of a patient with life threatening illness. The events related in the thesis are told using a technique I have called writing back to myself, where my own journals and stories of the experience of living with life threatening illness provide data for analysis. The reader is invited to participate in these representations and to consider the potential for the skilful practice of nursing which may be read in the stories, and the analysis I have developed from them. I have developed the theoretical and methodological positionings for the thesis from the work of Foucault (1975,1979,1982,1988), Deleuze (1988), Ellis (1995), Richardson (1998) and other writers who utilise genealogical or narrative approaches. The analysis of my own stories in the thesis explores the philosophical and contextual positionings of the nurse as a knowledge worker through genealogies of practice and the specific intellectual work of the nurse. Local and contextual epistemologies are considered as ways of theorising nursing practice through personal knowledge, which is surfaced through the critical analysis of contextual positionings and the process of writing as inquiry. |
Call Number |
NRSNZNO @ research @ |
Serial |
791 |
Permanent link to this record |
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Author |
Butters, Katheryn Janine |
Title |
A qualitative study of the ethical practice of newly-graduated nurses working in mental health |
Type |
Book Whole |
Year |
2008 |
Publication |
|
Abbreviated Journal |
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Volume |
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Issue |
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Pages |
184 p. |
Keywords |
Newly-graduated nurses; Nursing ethics; Mental health nurses; Surveys |
Abstract |
Presents a qualitative exploration of factors that influence eight newly-graduated nurses as they endeavour to practice ethical mental health nursing. Gathers data from in-depth interviews with the participants, analysed using a thematic analysis method. Considers aspects of the social and political context within which the participants are situated. |
Call Number |
NZNO @ research @ |
Serial |
1861 |
Permanent link to this record |
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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 |
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Volume |
12 |
Issue |
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 |
Permanent link to this record |
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Author |
Lewis, T. |
Title |
Euthanasia: A Foucauldian analysis |
Type |
|
Year |
2005 |
Publication |
|
Abbreviated Journal |
ScholarlyCommons@AUT |
Volume |
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Issue |
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Pages |
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Keywords |
Law and legislation; Euthanasia; Ethics; Pain management; Terminal care; Nursing; Palliative care |
Abstract |
This study drew upon the theoretical insights of Michel Foucault to provide a discursive analysis of the term euthanasia, and the issues surrounding the “right-to-die”. It involved an analysis of primary texts from; nursing, general, and legal literature as well as the media between the years 2002-2004. Drawing upon data researched, the study analyses the main discourses regarding the practice of euthanasia for terminally ill individuals. The two competing discourses that emerged were what the author termed the sanctity-of life-discourse and the right-to-die discourse. The aim of the study was to uncover the discourses understanding of “truth” regarding the right-to-die. The analysis revealed that a small percentage of cancer sufferers (5%) die with their pain insufficiently treated and the right-to-die discourse claims that no individual should have to suffer needlessly, asserting the individuals right to autonomy. Directly opposing this is the sanctity-of life-discourse which states all life is sacred and nothing can justify euthanasia as an acceptable practice in society. These findings indicate the need for effective palliative care and pain management when caring for the terminally ill individual. The legal, ethical and moral implications of euthanasia are many and this study discusses the effects these may have on health professionals involved with the care of terminally ill patients. The study revealed an increasing deployment of the right-to-die discourse in the media and revealed concerns regarding the nursing profession's lack of preparation to deal with euthanasia if it becomes a legal option in end of life care. |
Call Number |
NRSNZNO @ research @ |
Serial |
1226 |
Permanent link to this record |
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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 |
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Volume |
6 |
Issue |
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 |
Permanent link to this record |
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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 |
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Volume |
9 |
Issue |
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 |
Permanent link to this record |