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Author |
Wilson, D. |
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Title |
The nurse's role in improving indigenous health |
Type |
Journal Article |
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Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
15 |
Issue |
3 |
Pages |
232-240 |
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Keywords |
Transcultural nursing; Maori; Health status |
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Abstract |
The health status of indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. The preliminary findings of grounded theory research project undertaken with a group of 23 New Zealand Maori women about their health priorities and 'mainstream' health service needs provide the foundation for an exploration of issues impacting on the health status of indigenous people. The role that nursing and nurses have in improving access and use of health services by indigenous people is discussed. Strategies are suggested that nurses can utilise within their practice when working with local indigenous groups. |
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Call Number  |
NRSNZNO @ research @ |
Serial |
1065 |
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Author |
Crowe, M.; Carlyle, D. |
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Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
43 |
Issue |
1 |
Pages |
19-27 |
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Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
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Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
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Author |
White, G.E.; Mortensen, A. |
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Title |
Counteracting stigma in sexual health care settings |
Type |
Journal Article |
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Year |
2003 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
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Volume |
6 |
Issue |
1 |
Pages |
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Keywords |
Sexual and reproductive health; Nursing specialties; Attitude to health |
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Abstract |
Sexual health clinics and the people who visit them commonly face stigma. Sexually transmitted infections have historically been used to divide people into “clean” and “dirty”. A grounded theory study of the work of sixteen nurses in six sexual health services in New Zealand was undertaken to explore the management of sexual health care. The study uncovered the psychological impact of negative social attitudes towards the people who visit sexual health services and to the staff who work there. Sexual health nurses manage the results of stigma daily and reveal in their interactions with clients a process of destigmatisation. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1071 |
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Author |
Muir-Cochrane, E.; Holmes, C.; Walton, J.A. |
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Title |
Law and policy in relation to the use of seclusion in psychiatric hospitals in Australia and New Zealand |
Type |
Journal Article |
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Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
13 |
Issue |
2/3 |
Pages |
136-145 |
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Keywords |
Psychiatric Nursing; Law and legislation; Policy; Patient rights; Cross-cultural comparison |
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Abstract |
This paper discusses legal issues associated with the seclusion of acutely disturbed patients in psychiatric hospitals in Australia and New Zealand. There continues to be great variation in opinion and operational definition as to whether seclusion is a medical treatment, nursing intervention and management tool, or merely a form of situational restraint. Reflecting this lack of clarity, mental health acts and policies concerning the regulation and practice of seclusion lack consistency and focus across geographical boundaries and jurisdictions. Australian and New Zealand legislation and institutional policy is discussed in order to shed light on the contemporary issues highlighted by this controversial nursing practice. The authors note that mental health professionals must continue to review the practice of seclusion and to actively promote the use of acceptable alternatives. In addition nurses and other mental health professionals have a responsibility to understand current legislation and policy frameworks and to influence change where this is necessary to ensure the best practice possible in their clinical area. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1074 |
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Author |
Nicol, M.J. |
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Title |
The teaching of genetics in New Zealand undergraduate nursing programmes |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nurse Education Today |
Abbreviated Journal |
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Volume |
22 |
Issue |
5 |
Pages |
401-408 |
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Keywords |
Curriculum; Nursing; Education |
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Abstract |
This paper reports the results of a survey to determine how much genetics is taught in the bioscience component of the three-year Bachelor of Nursing degree offered by 16 tertiary education institutes in New Zealand. A questionnaire was mailed to the bioscience lecturers seeking information on the bioscience and genetics content of current programmes. They were also asked to indicate their perception of the impact and relevance of new genetic knowledge on health care and nursing education. Results indicated that on average 250-350 hours are devoted to the teaching of biosciences. Less than 10 hours are devoted to genetics at 66% of institutes, one institute did not teach any aspect of genetics. None of the institutes taught more than 20 hours of genetics in the programme, although 47% of lecturers said they would like to teach more genetics if there were more time available in the curriculum. Lecturers teaching bioscience to Bachelor of Nursing students are aware of the importance of genetics in health care and to nursing in particular, and the majority are of the opinion that more genetics should be included in undergraduate programmes, however 'curriculum crowding' is a problem. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1076 |
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Author |
Crowe, M. |
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Title |
Reflexivity and detachment: A discursive approach to women's depression |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
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Volume |
9 |
Issue |
2 |
Pages |
126-132 |
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Keywords |
Gender; Mental health; Psychiatric Nursing; Culture |
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Abstract |
This paper explores a discursive approach to understanding women's depression by presenting the results of research into women's narratives of their experiences. The discursive approach taken acknowledges women's immersion in cultural practices that determine the subject positions available to them and places a value on attributes of reflexivity and detachment that are not usually associated with their performance. The social and cultural context of the individual's experience is significant because if the focus is simply on the individual this supposes that the problem lies solely with the individual. An understanding of cultural expectations and their relation to mental distress is important to mental health nursing practice. The psychotherapeutic relationship that is fundamental to mental health nursing practice requires an understanding of the meaning of individual's responses in their cultural context in order to provide facilitative and meaningful care for the women that they nurse. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1077 |
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Author |
Kirkham, S.; Smye, V.; Tang, S.; Anderson, J.; Blue, C.; Browne, A.; Coles, R.; Dyck, I.; Henderson, A.; Lynam, M.J.; Perry, J.(see also C.); Semeniuk, P.; Shapera, L. |
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Title |
Rethinking cultural safety while waiting to do fieldwork: Methodological implications for nursing research |
Type |
Journal Article |
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Year |
2002 |
Publication |
Research in Nursing & Health |
Abbreviated Journal |
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Volume |
25 |
Issue |
3 |
Pages |
222-232 |
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Keywords |
Cultural safety; Hospitals; Health behaviour; Culture; Nursing research |
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Abstract |
The authors trace a series of theoretical explorations, centered on the concept of cultural safety, with corresponding methodological implications, engaged in during preparation for an intensive period of fieldwork to study the hospitalisation and help-seeking experiences of diverse ethnocultural populations. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1078 |
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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 |
McLeland, A.; Williams, A. |
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Title |
An emancipatory praxis study of nursing students on clinical practicum in New Zealand: Pushed to the peripheries |
Type |
Journal Article |
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Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
12 |
Issue |
2 |
Pages |
185-193 |
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Keywords |
Nursing; Education; Clinical supervision; Preceptorship |
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Abstract |
The purpose of this qualitative study was to analyse the learning experiences of nine nursing students on clinical placement in New Zealand. The students were in their third and final year of their baccalaureate nursing degree. The study specifically examined what impinged upon their learning experience in the clinical venue. Data was obtained from interviewing the students, initially individually and finally in a focus group. Themes emerged through words and concepts as the data was analysed. The themes included powerlessness; marginalisation; the move from a holistic to a reductionist approach in care; the exploitation of minority students and the myth of praxis. Clinical practice was a time for nursing students to apply their knowledge to their practice, and to gain experience and confidence. Their clinical practice was normally a positive experience, but, each student spoke of the occasional negative episode. These left them with feelings of powerlessness and marginalisation. The Maori students felt exploited. The students were concerned about the lack of time to debrief at the end of the day, and to share their experiences with their educator and colleagues. The students' negative experiences were often the result of a clinical practitioner's high workload, under resourcing and the nurse educator's unavailability. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1081 |
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Author |
Garrod, A. |
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Title |
Cultural safety: Living with disability |
Type |
Journal Article |
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Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
9 |
Issue |
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Pages |
14-19 |
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Keywords |
Cultural safety; People with disabilities; Nursing models |
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Abstract |
This article outlines some of the health experiences and concerns of people with physical and/or mental disabilities. These experiences and concerns are explored within the context of the practice of cultural safety. In 1996, the Nursing Council of New Zealand adopted its definition of cultural safety and defines 'culture', in the context of 'cultural safety', as involving all people who are not part of the culture of nursing. Each person with a disability is unique, and they may also be part of a larger disability culture, which has its own shared experiences, values, beliefs and lifestyles. People with disabilities are also a minority within the population. Therefore, any power they might have within their own culture is minimal, compared to the advantages enjoyed by the rest of the population. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1082 |
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Author |
Wilkinson, J.A. |
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Title |
A mantle of protection? A critical analysis of the personal safety of district nurses |
Type |
Journal Article |
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Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
Whitireia Community Polytechnic and Massey University libraries |
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Volume |
9 |
Issue |
30-6 |
Pages |
30-36 |
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Keywords |
Occupational health and safety; Workplace violence; District nursing |
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Abstract |
This qualitative inquiry, informed by Critical Social Theory, explored the personal safety experiences of district nurses in a New Zealand city. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1083 |
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Author |
Rameka, M. |
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Title |
Perioperative nursing practice & cultural safety |
Type |
Journal Article |
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Year |
2001 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
29 |
Issue |
3 |
Pages |
21-23 |
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Keywords |
Nursing specialties; Surgery; Cultural safety |
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Abstract |
This article is from a conference paper presented to the 12th World Conference on Surgical Patient Care. It presents cultural safety, as differentiated from transcultural nursing, and investigates how it relates to perioperative nursing. Examples are presented of how nurses can adhere to medical requirements, and address the cultural needs of Maori patients. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1084 |
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Author |
Wilson, H.V. |
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Title |
Power and partnership: A critical analysis of the surveillance discourses of child health nurses |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
36 |
Issue |
2 |
Pages |
294-301 |
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Keywords |
Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket |
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Abstract |
The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1085 |
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Author |
Crowe, M.; O'Malley, J.; Gordon, S. |
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Title |
Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
35 |
Issue |
1 |
Pages |
88-96 |
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Keywords |
Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health |
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Abstract |
The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1087 |
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Author |
O'Brien, A.J. |
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Title |
The therapeutic relationship: Historical development and contemporary significance |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
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Volume |
8 |
Issue |
2 |
Pages |
129-137 |
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Keywords |
Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations |
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Abstract |
This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1088 |
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