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Author Litchfield, M.
Title Viewpoint: Telling nursing stories Type Journal Article
Year (up) 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 Lewer, D.
Title Analysing the Mental Health Act Type Journal Article
Year (up) 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 Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type Journal Article
Year (up) 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 White, G.E.; Su, H.-R.
Title Am I dying, nurse? Type Journal Article
Year (up) 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 15 Issue 1 Pages 33-40
Keywords Communication; Ethics; Nursing; Palliative care
Abstract This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed.
Call Number NRSNZNO @ research @ Serial 631
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Author McClunie-Trust, P.
Title Body boundaries and discursive practices in life threatening illness: Narratives of the self Type
Year (up) 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 Paterson, M.
Title Dealing with life and death decisions Type Journal Article
Year (up) 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 6 Issue 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 (up) 2000 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
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
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Author Jackson, H.
Title Compassion: A concept exploration Type Journal Article
Year (up) 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 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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Author Woods, M.
Title Balancing rights and duties in 'life and death' decision making involving children: A role for nurses? Type Journal Article
Year (up) 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 Cleary, H.
Title Caring and bioethics: Perspectives, predicaments and possibilities Type
Year (up) 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 Kyle, W.
Title The influence of technology in nursing practice with elder care facilities Type Journal Article
Year (up) 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 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 (up) 2002 Publication Contemporary Nurse Abbreviated Journal
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
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Author McCallum, C.
Title Balancing technology with the art of caring Type Journal Article
Year (up) 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
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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 (up) 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 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 1. Literature review Type Journal Article
Year (up) 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue 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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