Abstract: In 1991 a new labor relations regime was introduced which overturned a 100 year old pattern of 'historic compromise' between capital and labor. In a labor market structured by gender and race, this major change in bargaining arrangements has already widened the pay gap between men's and women's average earnings and reduced union coverage, particularly among women workers in low paid clerical, sales and service work. This study, documenting recent feminist struggle in the area of labor relations, provides a first look at the collective organisation of women under two different labor relations regimes.In the 1980s a particular conjunction of occupational unionism and feminism in New Zealand facilitated some significant improvements in the situation of women in paid employment. The thesis examines feminist strategies which led to a Working Women's Charter adopted by unions, an increase in women holding office in unions, complaints procedures for sexual harassment, standing committees to represent women and Maori in the union movement, and legislation to implement equal employment opportunity programmes and equal pay for work of equal value. It looks at how the institution-alisation of bargaining by occupation supported industrially weak workers and underpinned the unionisation of women, which occupational unions and women's own strategies of organisation provided the autonomous 'political space' to organise around issues specifically relevant to women.At the core of the thesis are three case studies of unions representing three of the occupations in which women are concentrated: clerical work, nursing and cleaning. It examines commonalities and contrasts in the industrial situations covered by these unions, and differences and similarities in the strategies they adopted. The focus of research, conducted between late 1990 and early1993, was the views of officials of these unions in the context of radical change in the regulation of wage bargaining. Particular attention was given to the way issues relating to women workers were prioritised in unions led by women or by men.These case studies are contextualised in chapters examining the position of women in the labor market, feminist organisation within the union movement, and corporatist change in labor relations legislation. In tracing the development of feminist unionism in the 1980s, the thesis considers the strategies of the NZ Council of Trade Unions and looks at what the radical change in bargaining structure will mean for collective organisation by women in paid employment

Abstract: Describes the current use of simulation in tertiary nursing education programmes leading to nurse registration, in Australia and NZ. Determines whether investments in simulation have improved uptake, quality and diversity of simulation experiences. Conducts a cross-sectional electronic survey distributed to lead nursing academics in nursing registration programmes in both countries.

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

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.

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.

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.

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.

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.