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Author |
Wilson, D.; Neville, S.J. |
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Title |
Nursing their way not our way: Working with vulnerable and marginalised populations |
Type |
Journal Article |
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Year  |
2008 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
27 |
Issue |
2 |
Pages |
165-176 |
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Keywords |
Maori; Geriatric nursing; Nurse-patient relations |
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Abstract |
This paper uses the findings of two studies to explore the nature of nurses' practice when working with vulnerable and marginalised populations, particularly with regard to the attributes of holism and individualised care. The first study was with the elderly with delirium and used a critical gerontological methodology informed by postmodernism and Foucault's understanding of discourse. The other study with indigenous Maori women utilised Glaserian grounded theory informed by a Maori-centred methodology. The findings show that a problem focussed approach to health care is offered to patients that does not incorporate individual health experiences. In addition, the social context integral to people's lives outside of the health care environment is ignored. Consequently, the foundations of nursing practice, that of holism, is found to be merely a rhetorical construct. |
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Call Number |
NRSNZNO @ research @ 799 |
Serial |
783 |
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Author |
Lawless, J.; Moss, C. |
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Title |
Exploring the value of dignity in the work-life of nurses |
Type |
Journal Article |
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Year |
2007 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
225-236 |
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Keywords |
Work; Nursing philosophy; Job satisfaction; Ethics |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1031 |
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Author |
O'Brien, A.J.; Hughes, F.; Kidd, J.D. |
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Title |
Mental health nursing in New Zealand primary health care |
Type |
Journal Article |
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Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
21 |
Issue |
1 |
Pages |
142-152 |
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Keywords |
Mental health; Primary health care; Nursing specialties; Community health nursing |
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Abstract |
This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care. |
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Call Number |
NRSNZNO @ research @ 730 |
Serial |
716 |
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Author |
Simon, V.N. |
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Title |
Characterising Maori nursing practice |
Type |
Journal Article |
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Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
22 |
Issue |
2 |
Pages |
203-213 |
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Keywords |
Registered nurses; Maori; Nursing models; Culture |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
936 |
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Author |
Smye, V.; Rameka, M.; Willis, E. |
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Title |
Indigenous health care: Advances in nursing practice |
Type |
Journal Article |
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Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
22 |
Issue |
2 |
Pages |
142-154 |
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Keywords |
Cultural safety; Transcultural nursing; Cross-cultural comparison; Nursing; Education |
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Abstract |
In this introduction to a special issue on nursing with indigenous peoples, the authors affirm the need for continued application of tools and strategies for thinking critically about issues of culture, history and race. Without these things, evidence of discriminatory policies and practices in the health system remain hidden to many health professionals. Attention to socio-political structures is as essential to promoting health and preventing illness as are nurses' activities with the individual clients. To develop critical consciousness in nursing requires educational strategies and frameworks that focus on the responsibilities and implications of practicing nursing in a postcolonial context where race and power continue to create patterns of inclusion and exclusion in health care settings. The authors suggest that many contemporary nursing programmes fail to provide such strategies and frameworks, and argue that nursing must view critical analyses of these issues as central aspects of nursing education, research, theory and practice. They go on to engage with the notion of cultural safety as a means of fostering a critical political and social consciousness in nursing to create an opportunity for social transformation. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1037 |
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Author |
McKenna, B.; Simpson, A.I.F.; Coverdale, J. |
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Title |
Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview |
Type |
Journal Article |
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Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
21 |
Issue |
1 |
Pages |
62-70 |
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Keywords |
Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction |
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Abstract |
The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment |
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Call Number |
NRSNZNO @ research @ |
Serial |
1051 |
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Author |
Alavi, C. |
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Title |
Breaking-in bodies: Teaching, nursing, initiations or what's love got to do with it? |
Type |
Journal Article |
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Year |
2005 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
3 |
Pages |
292-299 |
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Keywords |
Nursing; Education; Psychology; Nurse-patient relations; Students |
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Abstract |
This paper discusses how students become able to work with sick patients for whom they may feel disgust or discomfort. It is a sustained engagement with the literature on abjection and disgust and is not the outcome of evaluation research. It considers the role of problem-based learning pedagogy in facilitating students' negotiation of their own discomfort and horror, and describes experiences which enable them to approach abject patients with more comfort and less disgust. The paper argues the importance of creating spaces where students can explore issues which are distressing and disturbing so that they will feel able to remain in nursing. |
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Call Number |
NRSNZNO @ research @ |
Serial |
658 |
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Author |
Wilson, D.; McBride-Henry, K.; Huntington, A.D. |
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Title |
Family violence: Walking the tight rope between maternal alienation and child safety |
Type |
Journal Article |
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Year |
2005 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
1-2 |
Pages |
85-96 |
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Keywords |
Nursing; Domestic violence; Nurse-patient relations; Children |
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Abstract |
This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the children and the mother provides the basis for discussing implications for nursing practice. Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children. The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family. |
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Call Number |
NRSNZNO @ research @ |
Serial |
698 |
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Author |
DeSouza, R. |
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Title |
Transforming possibilities of care: Goan migrant motherhood in New Zealand |
Type |
Journal Article |
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Year |
2005 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
20 |
Issue |
1 |
Pages |
87-101 |
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Keywords |
Pregnancy; Transcultural nursing; Quality of health care; Attitude to health |
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Abstract |
This paper reports on a study of the maternity care experiences of women from Goa (India) in Auckland. Multiple research strategies were incorporated into the process to prevent reproduction of deficiency discourses. Interviews were carried out with Goan women who had experiences of migration and motherhood. The findings revealed that as a consequence of motherhood and migration, migrant mothers were able to reclaim and re-invent innovative solutions. Nurses and other health professionals can have a significant role in supporting women and their families undergoing the transition to parenthood in a new country and develop their knowledge and understanding of this dual transition. |
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Call Number |
NRSNZNO @ research @ |
Serial |
942 |
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Author |
Drake, M. |
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Title |
The sonata form of musical composition as a framework for thesis writing |
Type |
Journal Article |
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Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
16 |
Issue |
3 |
Pages |
252-258 |
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Keywords |
Nursing research; Nursing; Education |
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Abstract |
This article introduces an innovation in writing master's level research and suggests that other structures may offer new and different frameworks for reporting nursing research. This is exemplified by reference to an example of nursing research which adopted the sonata form of musical composition as the framework for presentation of the thesis. |
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Call Number |
NRSNZNO @ research @ |
Serial |
876 |
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Author |
McKey, A.; Huntington, A.D. |
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Title |
Obesity in pre-school children: Issues and challenges for community based child health nurses |
Type |
Journal Article |
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Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
1-2 |
Pages |
145-151 |
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Keywords |
Obesity; Children; Community health nursing; Parents and caregivers |
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Abstract |
In this paper, literature related to childhood obesity in New Zealand and internationally is explored to identify current issues, and the implications for nurses in community based child health practice are discussed. Themes that emerged from the literature relate to the measurement of obesity, links between childhood and adult obesity and issues for families. Studies that investigated maternal perceptions of childhood obesity found that mothers identified their child as being overweight or obese only when it imposed limitations on physical activity or when the children were teased rather than by referring to individual growth graphs. The implications for nursing in the area of child health practice are discussed. Understanding of the complex and emotive issues surrounding childhood obesity is required when devising health promotion strategies. |
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Call Number |
NRSNZNO @ research @ |
Serial |
946 |
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Author |
Clendon, J. |
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Title |
Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families |
Type |
Journal Article |
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Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
1-2 |
Pages |
164-176 |
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Keywords |
Primary health care; School nursing; Nurse managers |
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Abstract |
The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland. This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage. Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located. |
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Call Number |
NRSNZNO @ research @ |
Serial |
947 |
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Author |
Spence, D. |
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Title |
Nursing people from cultures other than one's own: A perspective from New Zealand |
Type |
Journal Article |
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Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
15 |
Issue |
3 |
Pages |
222-231 |
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Keywords |
Transcultural nursing; Maori; Psychiatric Nursing |
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Abstract |
This paper provides an overview of the evolving meaning of 'culture' in New Zealand nursing. Then, drawing upon the findings of research that used hermeneutic phenomenology to explore the experience of nursing people from cultures other than one's own, a description of the constituent parts is of this phenomenon is briefly outlined and followed by an exemplar that describes the coalescent and contradictory nature of the phenomenon as a whole. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, interplay of the notions of prejudice, paradox and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. |
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Call Number |
NRSNZNO @ research @ 798 |
Serial |
782 |
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Author |
Smythe, E. |
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Title |
Uncovering the meaning of 'being safe' in practice |
Type |
Journal Article |
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Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
196-204 |
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Keywords |
Childbirth; Patient safety; Advanced nursing practice; Midwifery |
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Abstract |
This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations. |
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Call Number |
NRSNZNO @ research @ |
Serial |
877 |
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Author |
Day, W. |
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Title |
Women and cardiac rehabilitation: A review of the literature |
Type |
Journal Article |
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Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
16 |
Issue |
1-2 |
Pages |
92-101 |
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Keywords |
Cardiovascular diseases; Gender; Nursing; Research |
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Abstract |
This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs. |
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Call Number |
NRSNZNO @ research @ |
Serial |
879 |
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