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Author  |
Kwai, K. |
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Title |
The value of a programme of clinical supervision for graduate nurses: An evaluative study |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Clinical supervision; New graduate nurses; Mentoring |
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Abstract |
The function and implementation of clinical supervision in the practice setting presents a number of challenges for new graduate programmes for registered comprehensive nurses. There have been numerous reports and papers promoting its benefits as important and providing the impetus for change. Clinical supervision has been well established as part of social work, counselling, psychotherapy and psychoanalytic practice, and in mental health nursing and midwifery. Its utilisation for graduate nurses is clearly important and should be seen as integral to professional practice. This study evaluated a programme of clinical supervision as a component of a new graduate nurse programme in a secondary health care practice environment. The clinical supervision component aimed to support graduate registered nurses' transition from the role of student nurse to staff nurse in the context of professional clinical practice. This report is also intended to inform the ongoing provision of clinical supervision at Hutt Valley District Health Board. The evaluation process was guided by the work of Owen (1990) and used utilisation focussed evaluation as the framework on which to undertake the evaluation. A mix of quantitative and qualitative methodology was used to collect and analyse the data. Data were collected from nurse graduates of the new graduate programme using a postal questionnaire that covered three areas; clinical supervision, the Hutt Valley District Health Board new graduate programme and an evaluation of stakeholder roles. Twelve of the new graduates responded to the survey. Findings suggest clinical supervision provided professional support and assisted the new graduate in the identification of education needs. Difficulties associated with accessing the structured component of the new graduate programme and clinical supervision were highlighted. The recommendations made to Hutt Valley District Health Board to improve the programme include considering accessibility, consumer rights, acceptability, a comprehensive approach, the Treaty of Waitangi, efficiency and a coordinated approach. |
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Call Number |
NRSNZNO @ research @ |
Serial |
603 |
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Author |
Kyle, W. |
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Title |
Dementia specific nursing in New Zealand: History and practice today |
Type |
Journal Article |
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Year |
2002 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
8 |
Issue |
14 |
Pages |
3-9 |
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Keywords |
Dementia; Nursing specialties |
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Abstract |
The author examines influences on contemporary dementia specific nursing practice. She addresses the current situation and future developments in this area. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1079 |
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Author |
Kyle, W. |
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Title |
The influence of technology in nursing practice with elder care facilities |
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Journal Article |
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Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
7 |
Issue |
12 |
Pages |
20-23 |
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Keywords |
Older people; Technology; Nursing specialties; Ethics; Training |
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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. |
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Call Number |
NRSNZNO @ research @ 1299 |
Serial |
1284 |
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Author |
Laidlaw, Rebecca; Mercer, Christine |
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Title |
Nurse practitioners: does home visiting improve outcomes for people living with long-term conditions |
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Journal Article |
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Year |
2022 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
39-41 |
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Keywords |
Nurse practitioners; Long-term conditions; Home visiting |
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Abstract |
Explores the potential for nurse practitioners (NP) in NZ to visit people diagnosed with chronic condiitons at home. Evaluates whether home-visiting NPs could provide primary care in place of GPs. Conducts a review of research comprising three themes: reduced barriers to care, improved health outcomes, and role clarity for NPs. |
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Call Number |
NZNO @ research @ |
Serial |
1820 |
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Author |
Lake, S.E. |
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Title |
Nursing prioritisation of the patient need for care: Tacit knowledge of clinical decision making in nursing |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Clinical decision making; Nursing |
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Abstract |
Effective nursing prioritisation of the patient need for care is integral to daily nursing practice but there is no formal acknowledgement or study of this concept. Utilising the retroductive research strategy of critical realism, this thesis explores the nursing literature for the tacit knowledge of the discipline about nursing prioritisation and proposes a 'fit' for nursing prioritisation of the patient need for care within the bigger picture of nurse clinical decision-making. The tacit knowledge discerned within the literature indicates that nurses use discretionary judgment and ongoing assessment to determine the relative importance of the many aspects of individual patient situations as they unfold. Such nursing prioritisation takes place concurrently between the competing or even conflicting needs of the several individual patient presentations within the nurse's caseload. Varied frames of reference within different practice settings create specific imperatives on this dynamic and non-sequential process. Starting with an initial set of studies in the 1960s, study of clinical decision-making in nursing has created a significant body of knowledge encompassing a range of approaches. Nursing prioritisation of the patient need for care is most readily discerned in the interpretive perspective and in the plain language descriptions of nurse decision-making. Within the selected literature it is apparent that nursing prioritisation of the patient need for care is an advanced skill of nursing that is developed in practice and honed through experiential learning. |
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Call Number |
NRSNZNO @ research @ |
Serial |
661 |
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Author |
Lake, Sarah Elizabeth |
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Title |
Nursing Prioritisation of the Patient Need for Care:Tacit Knowledge of Clinical Decision Making in Nursing |
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Book Whole |
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Year |
2005 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
193 p. |
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Keywords |
Clinical decision-making; Patients; Prioritisation; Need for care |
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Abstract |
Explores the nursing literature for the tacit knowledge of the discipline about nursing prioritisation and proposes a 'fit' for nursing prioritisation of the patient need for care within the bigger picture of nurse clinical decision-making. Indicates that nurses use discretionary judgment and ongoing assessment to determine the relative importance of the many aspects of individual patient situations as they unfold. Examines the body of knowledge pertaining to clinical decision-making in nursing, suggesting that nursing prioritisation of the patient need for care is most readily discerned in the interpretive perspective and in the plain-language descriptions of nurse decision-making. |
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Call Number |
NZNO @ research @ |
Serial |
1531 |
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Author |
Lakeman, R.M. |
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Title |
Psychiatric – mental health nurses on the internet |
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Journal Article |
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Year |
1998 |
Publication |
Computers in Nursing |
Abbreviated Journal |
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Volume |
16 |
Issue |
2 |
Pages |
87-89 |
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Keywords |
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Abstract |
This research began in 1995 with an e-mail survey of psychiatric / mental health (PMH) nurses who belonged to an e-mail discussion group. The original aims were to describe how PMH used and learned to use the internet, the benefits to their work, and how they saw the internet affecting their work in future. Data were analysed using content analysis techniques and findings published in a number of forums. In 1999 another survey using the same e-mail list was undertaken to explore how things had changed in terms of internet use and peoples visions of how the internet is likely to impact on nursing in the future. These data are the subject of continuing analysis |
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Call Number |
NRSNZNO @ research @ 191 |
Serial |
191 |
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Author |
Lala, Anita Carol |
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Title |
Variability in neonatal gentamicin administration influencing drug delivery kinetics |
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Book Whole |
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Year |
2016 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
109 p. |
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Keywords |
Drugs; Drug delivery; Neonates; Neonatal nurses; Neonatal Intensive Care Units; Surveys |
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Abstract |
Distributes a self-administered questionnaire to Dunedin Hospital Neonatal Intensive Care Unit (NICU) nurses to investigate: the site of administration, comparing peripheral intravenous line (PIV) or umbilical venous catheter (UVC); and which dose of gentamicin would be used in two clinical scenarios describing babies of 24 and 32-weeks' gestation. Simulates gentamycin delivery and notes clinical variability. |
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Call Number |
NZNO @ research @ |
Serial |
1574 |
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Author |
Lally, E.J. |
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Title |
An exploration of language and nursing practice to improve communication in the context of ear syringing |
Type |
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Year |
2002 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Communication; Practice nurses; Economics |
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Abstract |
This action research inquiry explores communication and nursing practice in an effort to improve practice and enhance patient care. Action research is a critical reflective process that involves spirals or cycles of planning, acting, reflecting/evaluating and replanning the next cycle. Using ear syringing as a procedure, in the general practice setting and at two separate surgeries, the author and another practice nurse co-researched this study during working hours. Twelve people consented to participate in the research that involved the audiotaping of each ear syringing interaction. Following each transcription of the recording, the researchers read their own and then each other's transcripts, and listened to the recordings. They discussed and reflected on their findings and planned the next cycle. Throughout the process, the researchers found a number of areas of practice to change or enhance. Changes included the use of technical language such as “contraindications” and “auditory meatus”, the side effects of syringing, improvements in communicating situations where ear syringing is not recommended and the options available, and post procedure information. These changes became a significant challenge, for example when both researchers forgot the changes, thus repeating previous errors and omissions. This factor highlighted the need to practise any changes prior to interactions, and to have a cue card on hand to facilitate recollection and to cement improvements into practice. Although time constraints limited this inquiry to three cycles, at the final meeting the researchers agreed to continue the reflective process they had begun to explore their practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1189 |
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Author |
Lally, Elsa |
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Title |
Symbiotic relationships in patients' engagements with practice nurses |
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Book Whole |
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Year |
2014 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
262 p. |
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Keywords |
Practice nurses; Patients; Symbiotic relationships; Primary health care; Surveys |
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Abstract |
Records from patient perspectives the nature of the engagements patients have with practice nurses which influence patients' health and well-being. Posits this mutually-beneficial close association as a form of symbiosis. Surveys 15 patients from seven rural and urban general practices in NZ about aspects of the participants' relationships and engagements with nurses, analysing the results using Narrative Inquiry methodology. |
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Call Number |
NZNO @ research @ |
Serial |
1699 |
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Author |
Lamb, J and others |
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Title |
Cigarette smoking and the frequency of colposcopy visits, treatments and re-referral |
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Journal Article |
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Year |
2013 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
29 |
Issue |
1 |
Pages |
24-33 |
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Keywords |
Cervical cancer; Colposcopy; Cigarette smoking; Ethnicity; Cervical intraepithelial neoplasia |
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Abstract |
Aims to identify whether female smokers referred to the colposcopy department at a city hospital required more follow-up visits, treatments and re-referrals than did non-smokers. Performs a retrospective descriptive study observing 494 new patients over 6 years. Identifies the percentage of Maori women attending the clinic who were smokers and their likelihood of non-attendance. Emphasises the need for smoke-free education for women that highlights the link between smoking and cervical cancer. |
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Call Number |
NZNO @ research @ |
Serial |
1481 |
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Author |
Lamb, Jillian |
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Title |
The Effect of Cigarette Smoking On the Frequency of Colposcopy Visits, Treatments and Re-referrals |
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Year |
2009 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
Current research has confirmed that cigarette smoking is a risk factor for cervical cancer. The objective of this pilot study was to observe if women who smoked and were referred to the colposcopy department at Christchurch Women?s Hospital, required more follow up visits, treatments and re-referrals compared to non-smokers. New patients (n=494) who attended at the Christchurch Women?s Hospital colposcopy department in 2001 had their data observed for a six year period. The results identified that women who smoked were three times more likely to need a third follow up visit and twice more likely to need further treatments to remove abnormalities when compared to non-smokers. This pilot study also identified that 71% of Maori women attending the clinic were smokers compared to 44% of non-Maori women. The results are being used to highlight to health professionals that treatment has a greater chance of success if patients cease smoking. The results have also supported the maintenance and development of the smoking cessation clinic for colposcopy patients at Christchurch Women's Hospital where the link to cervical abnormalities and smoking is explained and behaviour modification is offered. We also found that Maori women were poor attendees for colposcopy when compared to non-Maori and these results identified a need for further research and development of strategies to improve attendance. |
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Call Number |
NZNO @ research @ |
Serial |
1333 |
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Author |
Lambert, J. |
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Title |
They can't see what we see: voices and standpoint of twelve Plunket Nurses |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
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Call Number |
NRSNZNO @ research @ 273 |
Serial |
273 |
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Author |
Lapana, S. |
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Title |
Pa hi atu health model: A Tokelau perspective |
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Journal Article |
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Year |
2007 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
14 |
Issue |
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Pages |
35-39 |
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Keywords |
Health promotion; Nursing; Culture; Pacific peoples |
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Abstract |
In this article, the author describes a health model aimed at providing health practitioners with a better understanding of Tokelau health concepts and values. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1034 |
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Author |
Laracy, K. |
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Title |
Exploration of the self: The journey of one pakeha cultural safety nurse educator |
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Year |
2003 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Cultural safety; Teaching methods; Nursing; Education; Professional development; Transcultural nursing; Maori; Identity |
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Abstract |
Cultural safety is taught in all undergraduate nursing programmes in Aotearoa/New Zealand. There is a predominance of Pakeha nurse educators in teaching this content. There is little explanation of what being Pakeha entails. This perpetuates a silence and continues the dominant hegemonic position of Pakeha in Aotearoa/New Zealand. This study suggests that as Pakeha cultural safety nurse educators we examine our dominance and critique the delivery of cultural safety education. This autobiographical study undertakes to explore the Pakeha identity of a cultural safety nurse educator. The author discusses identity in the context of a globalised world, and challenges the idea of a definitive Pakeha identity. There are multiple descriptions of Pakeha, all underdeveloped and inadequate for the purposes of cultural safety education. In this study, the author uses the heuristic process of Moustakas (1990) and Maalouf's (2000) ideas of vertical and horizontal heritage to locate and present the essence of the self. In keeping with the purpose of cultural safety education, the author considers her ethnic cultural self as described by Bloch (1983) and explores Helms' (1990) theory of White racial identity development. This thesis describes the position of one Pakeha in the context of teaching cultural safety in an undergraduate nursing degree programme in Aotearoa/New Zealand. For Pakeha cultural safety nurse educators the author argues that exploration of one's heritages and location of a personal Pakeha identity is pivotal to progressing the enactment of cultural safety in Aotearoa /New Zealand. |
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Call Number |
NRSNZNO @ research @ |
Serial |
864 |
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