Records |
Author |
Wilson, H.V. |
Title |
Surveillance or support: Divergent discourses in Plunket nursing practice |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Public health; Children; Community health nursing; Plunket |
Abstract |
Plunket nurses are New Zealand child health nurses who work in the community with the families of new babies and preschool children. Their work is called child health surveillance and this is considered to involve routine and unproblematic practices which are generally carried out in homes and clinics in the context of a relationship with the child's mother (Ministry of Health 1996; Royal New Zealand Plunket Society 1997). However, evidence in the literature that surveillance can have implications for power relations throws doubts on official claims that the relationship between the mother and nurse operates as a partnership (Trout and Polaschek 1996). The purpose of this thesis was to explore the way in which surveillance is constituted within the discourses of Plunket nurses and to examine these discourses for any implications of unequal power relations. Foucauldian discourse theory and poststructuralism, which informed this thesis, provided the opportunity to challenge assumptions about power and knowledge in the child health context. Analysis of the discourses generated by interviews with five Plunket nurses revealed that, contrary to the claims in the official literature, the relationship between the Plunket nurse and the mother is not that of an equal partnership but is constituted in various and unexpected ways. It was through the nurses' discourses of surveillance that the power relations underpinning this relationship were surfaced. While these discourses suggested that many mothers who use the nursing service are actively involved on their own terms, there are a number of women for whom the surveillance activities of the nurse have been shown to be particularly intrusive (Mayall 1986; Clinton 1988; Bloor and McIntosh 1990; Knott and Latter 1999). It may be primarily this unwelcome surveillance which accounts for the considerable number of women who, the statistics show, cease using Plunket services particularly in the early months. It is perhaps for this reason that the nurses in this study locate themselves as being caught between divergent discourses of support and surveillance. Findings indicate that the resolution of this dilemma by abandoning surveillance practices might improve maternal satisfaction with the Plunket nursing service. The author concludes that a child health service responsive to mothers' stated needs rather than institutional requirements or the nurse's own agenda could lead to a more open and equal relationship between mother and nurse. This relationship would be likely to benefit mothers and babies and, at the same time, enhance both nursing practice and nurses' satisfaction with their work. |
Call Number |
NRSNZNO @ research @ |
Serial |
899 |
Permanent link to this record |
|
|
|
Author |
Gray, L.-M. |
Title |
Should I stay or should I go? An examination into the Plunket Nurses' perception of the employment environment |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
Unitec Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Recruitment and retention; Community health nursing; Plunket |
Abstract |
Participants for this study consisted of six Plunket Nurses from three Plunket operations areas within the North Island, varying in experiences from two to twenty three years, working with both urban and rural communities. |
Call Number |
NRSNZNO @ research @ |
Serial |
742 |
Permanent link to this record |
|
|
|
Author |
Falleni, P.M. |
Title |
The implications of stress and the effect it has on Maori who have type 2 diabetes in Aotearoa/New Zealand |
Type |
|
Year |
2007 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Maori; Diabetes Type 2; Stress; Community health nursing |
Abstract |
In this review, the author illustrates the connection between diabetes, stress and barriers to care, and the impact these have on Maori who have type 2 diabetes. A literature review, which focused mainly on indigenous peoples, and more specifically on Maori was undertaken. The connections between all the factors involved are explored, and combined with reflections from the author's own clinical practice experience. She argues that stress, diet, exercise and barriers to care place a heavy burden on the lives of Maori who live in Aotearoa/New Zealand, suffering from the disease of diabetes. By empowering them to face their situation and see this from a wellness rather than an illness perspective, they can take control of their diabetes and so will live a healthy, longer life, ensuring quality time with their mokopuna/grandchildren. |
Call Number |
NRSNZNO @ research @ |
Serial |
1155 |
Permanent link to this record |
|
|
|
Author |
McKey, A.; Huntington, A.D. |
Title |
Obesity in pre-school children: Issues and challenges for community based child health nurses |
Type |
Journal Article |
Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
Volume |
18 |
Issue |
1-2 |
Pages |
145-151 |
Keywords |
Obesity; Children; Community health nursing; Parents and caregivers |
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. |
Call Number |
NRSNZNO @ research @ |
Serial |
946 |
Permanent link to this record |
|
|
|
Author |
Elliott, M.M. |
Title |
Model of care development: Moving between liaison and complex care coordination in the community health setting |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing; Nursing models |
Abstract |
Healthcare systems in New Zealand and the western world are grappling with changes with an aging population; increased use of technology resulting in shorter inpatient stays, increasing chronic illness rates and people with complex health needs. Supporting people through the health system and meeting their needs is an aim of all services. Trying to support seamless transition and manage complex care requirements has become important for community health services. In the district health board, where the author works, the role of Liaison Nurse/Complex Coordinator was established to support this. This role has become important in reviewing what the best model of care for Community Health Services is and how to describe the current practices in this context in an appropriate way. The first section of the report reviews the literature and current practice in relation to liaison nursing. This section explores how to make the role clear and identify its clinical and organisational effectiveness, drawing out the key elements and aspects for this role that will contribute to a model of care. The second section progresses onto the clinical work related to managing patients with chronic illness and complex needs. Utilising literature to inform current practice when supporting patients through health transitions to achieve seamless care and identifying key aspects required to manage this and adding these aspects to the model of care. Following this, a review of current care models available and in use in the health care systems is undertaken. There are some elements and aspects similar in these models and those explicated in the previous sections. Finally a model of care is developed bringing all the key aspects and elements together. This model describes the practice of Liaison/Complex Coordination role in community health service in New Zealand and identifies the need for care, provision of care, outcomes of care provided and impact for the service and organisation. The author suggests that this model is relevant for any liaison or complex coordination role and could be a basis for other models of care to expand upon the specific needs for their services. |
Call Number |
NRSNZNO @ research @ |
Serial |
684 |
Permanent link to this record |
|
|
|
Author |
Russell, D. |
Title |
Changing public health nursing practice |
Type |
Journal Article |
Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
5 |
Issue |
11 |
Pages |
18-19 |
Keywords |
Public health; Community health nursing; Nursing models; Teamwork |
Abstract |
A new approach to public health nursing in the Otago region is described, which comprises of 3 distinct groups of nurses working in early childhood centres, primary schools and high schools. A family nursing assessment approach is used. The philosophical underpinnings of this approach are examined, which seeks to empower patients and engage them in their health care. Two public health nurses are interviewed about the new partnership model of nursing. |
Call Number |
NRSNZNO @ research @ 1041 |
Serial |
1025 |
Permanent link to this record |
|
|
|
Author |
Challis-Morrison, S. |
Title |
Caring for a community wanderer |
Type |
Journal Article |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
Volume |
12 |
Issue |
11 |
Pages |
20-22 |
Keywords |
Case studies; Older people; Community health nursing; Dementia |
Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
Call Number |
NRSNZNO @ research @ |
Serial |
977 |
Permanent link to this record |
|
|
|
Author |
Farrow, T. |
Title |
'No suicide contracts' in community crisis situations: A conceptual analysis |
Type |
Journal Article |
Year |
2003 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
Volume |
10 |
Issue |
2 |
Pages |
199-202 |
Keywords |
Mental health; Community health nursing; Psychology; Suicide |
Abstract |
'No suicide contracts' take the form of a 'guarantee of safety', along with a 'promise' to call specified persons if the suicidal ideation becomes unmanageable for the person concerned. They are commonly used in community crisis situations with suicidal people in New Zealand. This article describes and analyses the use of 'no suicide contracts' in these settings. It is argued that the theoretical base (transactional analysis) of the 'no suicide contract' is likely to be deleterious in the community crisis situation. |
Call Number |
NRSNZNO @ research @ |
Serial |
779 |
Permanent link to this record |
|
|
|
Author |
Farrow, T. |
Title |
Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments |
Type |
Journal Article |
Year |
2002 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
Volume |
11 |
Issue |
4 |
Pages |
214-219 |
Keywords |
Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide |
Abstract |
'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly. |
Call Number |
NRSNZNO @ research @ |
Serial |
785 |
Permanent link to this record |
|
|
|
Author |
Hetaraka, B. |
Title |
A study of nurses working in a community development model |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing; Health promotion; Nursing |
Abstract |
|
Call Number |
NRSNZNO @ research @ 486 |
Serial |
472 |
Permanent link to this record |
|
|
|
Author |
Grayson, S. |
Title |
Nursing management of the rheumatic fever secondary prophylaxis programme |
Type |
|
Year |
2001 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing; Management; Nursing specialties |
Abstract |
|
Call Number |
NRSNZNO @ research @ 576 |
Serial |
562 |
Permanent link to this record |
|
|
|
Author |
Weidenbohm, K. |
Title |
Pioneering rural nursing practice: An impact evaluation of a preventive home visiting service for older people |
Type |
|
Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing; Rural health services; Older people; Home care; Preventive health services |
Abstract |
|
Call Number |
NRSNZNO @ research @ 579 |
Serial |
565 |
Permanent link to this record |
|
|
|
Author |
Wilson, B. |
Title |
Maintaining equilibrium: The community mental health nurse and job satisfaction |
Type |
|
Year |
2005 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing; Mental health; Job satisfaction; Stress |
Abstract |
|
Call Number |
NRSNZNO @ research @ 681 |
Serial |
667 |
Permanent link to this record |
|
|
|
Author |
Betts, J.A. |
Title |
Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey |
Type |
|
Year |
2005 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse practitioners; Community health nursing |
Abstract |
|
Call Number |
NRSNZNO @ research @ 684 |
Serial |
670 |
Permanent link to this record |
|
|
|
Author |
Trout, F. |
Title |
Health needs assessment within the ecology of caring |
Type |
|
Year |
1999 |
Publication |
|
Abbreviated Journal |
Massey University Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Community health nursing |
Abstract |
|
Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
Permanent link to this record |