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Author Lewer, D.
Title Analysing the Mental Health Act Type (up) 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
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Author Lawless, J.; Moss, C.
Title Exploring the value of dignity in the work-life of nurses Type (up) 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 Wareham, P.; McCallin, A.; Diesfeld, K.
Title Advance directives: The New Zealand context Type (up) Journal Article
Year 2005 Publication Nursing Ethics Abbreviated Journal
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
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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 (up) 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
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Author Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type (up) Journal Article
Year 1999 Publication Nursing Ethics Abbreviated Journal
Volume 6 Issue 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 Kyle, W.
Title The influence of technology in nursing practice with elder care facilities Type (up) Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal
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
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Author Litchfield, M.
Title Viewpoint: Telling nursing stories Type (up) Journal Article
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
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
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Author Harding, Thomas
Title Cultural safety : a vital element for nursing ethics Type (up) Journal Article
Year 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue 1 Pages 4-11
Keywords Ethics; Cultural safety; Nursing education; Internationalisation
Abstract Argues that the globalisation of nursing and the internationalisation of nursing education potentially leads to the values underpinning nursing curricula coming into conflict with those of other cultures. Suggests the need to examine the values inherent in ethics education in nursing, proposing that cultural safety is incorporated into it in an increasingly multi-cultural nursing environment.
Call Number NZNO @ research @ Serial 1479
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Author Song, Jenny
Title Ethics education in nursing: challenges for nurse educators Type (up) Journal Article
Year 2018 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 9 Issue 1 Pages 12-17
Keywords Ethics; Undergraduate nursing education; Case studies; Nursing students
Abstract Explores the experiences of a group of nurse educators responsible for teaching ethics to undergraduate nursing students. Discusses the ethical challenges they encounter in their classroom practice. Employs a case study approach to explore the experiences of seven educators working at a large tertiary institution. Interviews them to ascertain the challenges they face in teaching ethics to nursing students, and how best to overcome them.
Call Number NZNO @ research @ Serial 1595
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Author Johns, S.
Title Being constrained and enabled: A study of pre-registration nursing students ethical practice Type (up)
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Ethics; Nursing; Students
Abstract This study uncovers the experience of being ethical from the perspective of pre-registration nursing students. Using the qualitative methodology of phenomenology, specifically that outlined by van Manen, it seeks to show how students act ethically within everyday practice. Providing nursing care is an ethically charged undertaking and despite ethics taking an increasingly important place in nursing education, the author suggests that few studies show the contextual nature of ethical practice from the perspective of students. This study aims to partly redress this situation. In this study the author has interpreted the experiences of twelve pre-registration students. Using seventeen stories shared by the student participants, the author's personal understandings and literature, the meaning of being ethical has been illuminated. Three themes emerged from the interpretation. These include 'keeping things 'nice'', 'being true to yourself' and 'being present'. This thesis asserts that the overarching theme within these themes is that of 'being constrained and enabled'. Being constrained shows the experiences of students as they live through the tensions of being and doing as they strive to be ethical. Being enabled shows the experience of self-determination. Finally the study maintains that the shaping of ethical practice for undergraduate students may be enhanced when their reality is positioned and valued within educational processes.
Call Number NRSNZNO @ research @ 614 Serial 600
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Author McClunie-Trust, P.
Title Body boundaries and discursive practices in life threatening illness: Narratives of the self Type (up)
Year 2000 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
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
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Author Cleary, H.
Title Caring and bioethics: Perspectives, predicaments and possibilities Type (up)
Year 2001 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Ethics; Feminist critique; Nurse-patient relations
Abstract This thesis presents an explorative study of the place of caring in bioethics. Through the examination of various sources of literature from the disciplines of nursing, feminist theory and ethics, and bioethics, a case is developed that argues for a valid respected place for caring, as an ethic of care in bioethical decision-making. The case is built by providing evidence to support the fundamental importance of caring to human life, health, relationships, and survival at the broad societal level. This is presented from the feminist and nursing perspectives, along with a critique of the negative aspects of caring practices. The next stage of the case presents a layout of the discipline of bioethics, using an historical perspective to illuminate the influences of bioethics' deep past, as it still affects the discipline in the present. The development of contemporary bioethics' current status is presented along with critiques from bioethicists themselves, and nursing and feminist theory and ethics. In the case at this point, from a bioethical perspective, two major predicaments appear to prevent an ethic of care obtaining a valid place in ethical decision-making in bioethics. These are the justice/care duality, and the conflict between different conceptions of care and autonomy. The bioethical objections and arguments put forward regarding these predicaments are examined and refuted, and the author suggests a case is established for the inclusion of an ethic of care in bioethical decision-making.
Call Number NRSNZNO @ research @ Serial 1198
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Author Lewis, T.
Title Euthanasia: A Foucauldian analysis Type (up)
Year 2005 Publication Abbreviated Journal ScholarlyCommons@AUT
Volume Issue Pages
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
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