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Author  |
Fitzpatrick, A. |
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Title |
Nurse meeting another: cultural safety in nursing practice |
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Year |
1997 |
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Abbreviated Journal |
Victoria University of Wellington Library, Waiarik |
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Abstract |
This research project, a descriptive study using narratives, explored the application of cultural safety theory and philosophy to clinical nursing practice. This application was illustrated through the stories of four experienced Pakeha,Tauiwi registered nurses in Aotearoa/New Zealand, who described their realities of applying cultural safety to daily clinical practice. The incentive for this study had been identified in light of the current political climate, pragmatic realities and in keeping with the current state of knowledge.Cultural safety was first identified by Maori nursing students and subsequently described and articulated by Maori nurses, as being a potential solution to improving Maori health statistics in Aotearoa/New Zealand. Many Maori and Pakeha/Tauiwi in this country accept that the Treaty of Waitangi, a covenant signed between Maori and the Crown in 1840, is the incentive for giving cultural safety status and credibility. While the Nursing Council of New Zealand has supported this concept and made it a requirement for all nursing education, there is little literature written concerning its application to practice from a Pakeha/Tauiwi perspective.The perceptions and insights of these nurses were heard when they were invited to describe how they saw cultural safety as part of their daily clinical practice and recount their struggles, realities, practice and experience. The literature review supported the use of narratives as an appropriate method for this study. The philosophy and assumptions of narrative appear to match the oral tradition of nursing and thus it was considered possible to contemplate the fit of narrative to nursing research.The stories of these nurses, gave examples of best nursing practice in which cultural safety was integral to practice, and provided exemplars of possible beginnings and possible endings. The depiction of cultural safety in practice surfaced as the weaving of four themes which were consistent in all the stories – themes of reflection, reverencing, the environment, and hidden blessings and healing. The research evidence suggested that cultural safety was visible in practice in many diverse ways; it emphasised the complexity of the concept; accented its evolving status; and identified a relative consistency in defining cultural safety despite the varied contexts of practice.Although this study was limited by the small sample, the findings indicated that there were potential implications for nursing education, research, nurses and nursing practice as well as for other health care providers working in the current health care system. They suggested that actions from nurse educators, nurse managers, health care managers and clinical nurses themselves, would be needed to ensure that cultural safety continued to be part of nursing practice and contribute to the improvement of all health statistics in this country as well as to encourage an increased development in the focus on Maori health issues.Further nursing research suggested by the findings include studies to appraise cultural safety from a patient's perspective, and consideration given to the evaluation and assessment of nurses and their culturally safe practice. In addition, exploration and research could ascertain the benefits and rewards of culturally safe practice and identify ongoing educational needs as well as examining the views of other members of the multi-discipline team |
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Call Number |
NRSNZNO @ research @ 204 |
Serial |
204 |
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Author |
Fowlie, L.G. |
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Title |
Gastric tube placement in neonates |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 255 |
Serial |
255 |
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Author |
Fox, R.A. |
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Title |
The antenatal education needs of Maori women in the Tainui region |
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Year |
1997 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 347 |
Serial |
347 |
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Author |
Gallaher, L. |
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Title |
Expert public health nursing practice: a complex tapestry |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 258 |
Serial |
258 |
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Author |
Giddings, D.L.S. |
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Title |
In/visibility in nursing: stories from the margins (United States, New Zealand, Diversity) |
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Year |
1997 |
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Abbreviated Journal |
University of Colorado University Library |
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Using the life history approach this study investigates the consequences of difference within the context of nursing. Life story interviews were conducted with 26 women nurses of varying racial, cultural and sexual identity backgrounds in the USA and New Zealand.The questions framing the interviews focused on the women's experience of difference and fairness in their lives and specifically within nursing.The creation of life story 'snippets' in the first level of analysis reflected the unique aspects of each woman's story and became the first step in the process of creating a thematic analysis or meta-story. The meta-story that emerged from the juxtaposition of the women's stories was “not fitting in to nursing”.The findings of this study suggest that in spite of the change in location of nursing education and its recent attention to the implications of client diversity, the continued imposition of traditional definitions of 'the nurse' by nursing institutions, renders difference amongst nurses invisible. This limits the ability of nurses to be authentic in their practice and also limits the extent to which they can implement the new policies recognizing difference amongst their client populations |
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Call Number |
NRSNZNO @ research @ 236 |
Serial |
236 |
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Author |
Giles, A.L. |
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Title |
This voice is forever: one woman's experience following total laryngectomy |
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Year |
1997 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
Author, Massey University Library |
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Volume |
14 |
Issue |
1 |
Pages |
50-51 |
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Abstract |
This phenomenological research project focused on one womans experience following total removal of her larynx and aimed to faithfully capture the essential structure of the phenomenon of voice as it emerged for her. For women in particular gaining a new artifical voice following surgery that is considerably lower sounding, plus the large visible opening in the lower neck is psychologically challenging and can be socially isolating. Most literature relating to laryngectomy and rehabilitation comprises quantitative research with limited attention to womens issues. This could be attributed to the small number of women undergoing this surgery. A review of nursing literature revealed minimal research, with none referring specifically to women. Nor were any studies using entirely qualitative methods identified.This research project used a phenomenological approach informed by the work of Michael Crotty, described as within the parameters of mainstream phenomenology. Based on a traditional common core foundation which is critical, holistic and individualistic, mainstream phenomenology requires achieving co-researchership between researcher and participant while exploring phenomena as objects of authentic human experience.The study began with discussing Crottys stepwise method emphasising the activity of bracketing. The co-researcher was then left to ponder or meditate on her experience following bracketing all her prior understandings and ideas, as if this was the first time she had encountered the phenomenon. Three conversations followed which allowed exploration of the co-researchers written statements. The seven interwoven dimensions that emerged represented the essential structure, meaning and essence of 'what voice is for this woman following total laryngectomy |
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Call Number |
NRSNZNO @ research @ 371 |
Serial |
371 |
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Author |
Hendry, C. |
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Title |
Comparison between consumers and providers perceptions of quality maternity hospital care |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Christchurch Medical School Library , Christchurc |
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Abstract |
Maternity services in New Zealand have undergone some fundamental and unique changes over the last few years. The promotion of competition among providers for clients have had repercussions on the way that maternity hospitals offers services to women. In adapting to this change, it is important that 'the baby is not thrown out with the bathwater'. Unfortunately the most commonly used indicators, and the standard “Patient Satisfaction Survey”, neither of which contain many valuable clues for maternity facility providers to determine the quality of their service from the consumer's perspective. The need was identified for the development of quality indicators to evaluate maternity hospital care. Closely related to this was the need to determine of how dependable providers are at determining what consumers would describe as an optimal maternity hospital service |
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Call Number |
NRSNZNO @ research @ 336 |
Serial |
336 |
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Author |
Honey, M. |
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Title |
New Zealand practice nurses' use of and attitude toward computers |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Massey University |
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Call Number |
NRSNZNO @ research @ 433 |
Serial |
433 |
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Author |
Litchfield, M. |
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Title |
The language of nursing practice in hospitals |
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Conference Article |
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Year |
1997 |
Publication |
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Abbreviated Journal |
held by NZNO Library and author |
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Volume |
Proceedings of the National Nursing Informatics Co |
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Pages |
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Keywords |
Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans |
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Abstract |
A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions. |
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Call Number |
NZNO @ research @ |
Serial |
1322 |
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Author |
Litchfield, M. |
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Title |
The process of nursing partnership in family health |
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Year |
1997 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
University of Minnesota Library |
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Volume |
4 |
Issue |
9 |
Pages |
23-25 |
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Abstract |
The study reconceptualises the process of nursing practice where health is expanding consciousness. The praxis methodology and design derive from the findings of the previous study (Litchfield, 1993) through which a framework for personal practice was articulated. The philosophical premises were hermeneutic and dialogic reflecting a narrative orientation within a participatory paradigm. Ontology and epistemology merge and language is fundamental. The findings from this subsequent study depict the process of modeling practice as a tetrahedron to show inter-relatedness of four facets, each defined completely by the others: partnership, dialogue, pattern recognition and health as dialectic. Five young families with complex health circumstances were preferred by Plunket Nurses and visited at hole to talk about health and the family. Th e process of health patterning ended with indication of insight as the potential for action; the partnership ended as the closure of the initial contract to provide a summary text to the family. Transformative change in family living was identified. The continuous analysis of the scripts of the evolving conversations and summary text showed the relational, dialogic processes were identified as vision – finding purpose to act in the here-and-now against the backdrop of past and potential of the future; and community – a sense of being connected, participant and relevant in society. This process of research, as if practice, presented health and caring as synonymous and core of the discipline of nursing |
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Call Number |
NRSNZNO @ research @ 385 |
Serial |
385 |
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Author |
Martin, M.; Mullard, T. |
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Title |
High level of compliance with rifampicin chemoprophylaxis of meningococcal disease |
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Journal Article |
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Year |
1997 |
Publication |
The New Zealand Public Health Report |
Abbreviated Journal |
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Volume |
4 |
Issue |
6 |
Pages |
41-43 |
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Abstract |
This study investigated the degree of compliance and reasons for non-compliance with chemoprophylactic Rifampicin medication among 103 close contacts of memingococcal disease in the greater Auckland region during the period July to September 1996. The study showed a high degree of compliance among close contacts, with 96.1% taking Rifampicin as prescribed. Reasons for compliance were related to the contacts ' perceptions of susceptibility to the illness, the severity of the disease, and the benefits of medical intervention. The contacts found the service provided by the public health staff ws sufficient, and the information provided was valuable |
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Call Number |
NRSNZNO @ research @ 164 |
Serial |
164 |
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Author |
Mayson, J.; Hayward, W. |
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Title |
Learning to be a nurse: the contribution of the hidden curriculum in the clinical setting |
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Journal Article |
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Year |
1997 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
2 |
Pages |
16-22 |
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Call Number |
NRSNZNO @ research @ 264 |
Serial |
264 |
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Author |
Mc Drury, J. |
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Title |
Self assessment and reflective practice: exploring the meaning of self assessment and developing tools to facilitate reflective practice in nursing using a socio-cultural perspective |
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Year |
1997 |
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Abbreviated Journal |
University of Otago |
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Call Number |
NRSNZNO @ research @ 228 |
Serial |
228 |
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Author |
McLauchlan, M.F. |
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Title |
Women's place: an exploration of current discourses of childbirth |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 345 |
Serial |
345 |
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Author |
Miles, M.A.P. |
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Title |
Why they leave: a Heideggerian hermeneutic study of the reasons why ten registered nurses left nursing practice to enter the professions of medicine or law |
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Year |
1997 |
Publication |
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Abbreviated Journal |
University of Otago Library, Bill Robertson Library |
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The purpose of the study was to research the reasons for the dissatisfaction experienced by ten professional nurse-practitioners who chose to leave nursing to join the professions of law or medicine. The mnotivation for professional nurses to chose entry to these particular professions may in some way throw light upon the difficulties being experienced in attempts to bring about changes of an emancipatory nature in the nursing profession (Habermas, 1974). The approach for the study is hermeneutic phenomenology (Gadamer, 1975 – ; Heidegger, 1962) |
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Call Number |
NRSNZNO @ research @ 148 |
Serial |
148 |
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