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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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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 |
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204 |
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Author |
Alessi, L. |
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Title |
The role of quality assurance strategies in the evaluation of New Zealand nursing services |
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Year |
1990 |
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Victoria University of Wellington Library |
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NRSNZNO @ research @ 221 |
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221 |
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Author |
Wilson, C. |
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Title |
Reflections on care: Older people speak about experiences of nursing care in acute medical and surgical wards |
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Year |
1998 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Older people; Nurse-patient relations |
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Call Number |
NRSNZNO @ research @ 289 |
Serial |
289 |
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Author |
Boyle, S.D. |
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Title |
Nursing education in New Zealand: a case study of experiential learning |
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Year |
1994 |
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Abbreviated Journal |
Victoria University of Wellington Library & Welli |
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This thesis presents a study of a nursing 'practicum' from the perspectives of nursing students and staff 'buddies'. A grounded theory approach was used to interview six nursing students during their transition placement, the final practicum of their Diploma in Nursing programme. Five staff nurse buddies selected by the students were also interviewed. An informal, conversational interview was used and data was analysed from an experiential learning perspective.This study differs from others because it focuses on the clinical experience component of nursing education, 'practicum', and includess practitioners viewpoints. At present there is a re-evaluing of experience within nursing education with a new emphasis on practice-based learning. Experience-based learning is becoming increasingly acceptable within academia as a 'seamless' education system evolves.I identified three learning stages which students' experience during practicum – initiation, exploration and consolidation. The key stage for learning through experience was exploration. Learning during this stage was predominantly buddy-directed which contradicted the self-directed curriculum design. Students and staff nurses however agreed that communication between them during this stage enabled the development of 'competence'.The learning /teaching approach used by the students and staff nurses made it difficult for students to translate their 'all-round' competencies during practicum. It is argued that it is the useof such competencies during practicum which enable nursing students to become autonomous in the attitudinal and epistemological sense. The predominantly 'technical training' approach adopted was understood by students and staff nurses to be reinforced by 'silence' from tutors.Restructuring gives the opportunity for nursing to develop an ';investigative', enquiry-based approach in practice. There will increasingly be an emphasis on practice-based research as a result of the implementation of degree and post-graduate programmes in nursing. This study highlights some aspects of nursing education and it's relationship with practice which can assist the development of such an approach |
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Call Number |
NRSNZNO @ research @ 339 |
Serial |
339 |
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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 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 345 |
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345 |
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Author |
Pairman, S. |
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Title |
The midwifery partnership: an exploration of the midwife/women relationship |
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Year |
1998 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 346 |
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346 |
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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 |
Gully, E.M. |
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Title |
A retrospective case study of one wymyns experience of a life threatening/challenging illness |
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Year |
1998 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 348 |
Serial |
348 |
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Author |
Parr, J.E. |
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Title |
The stories of colleagues, patients and their partners reflecting on the impact a life threatening cancer has on intimacy and sexual needs |
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Year |
1998 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 349 |
Serial |
349 |
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Author |
Bride, A.M. |
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Title |
Contract clinical tutors experience of working with Bachelor of Nursing students in clinical practice |
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Year |
1999 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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The aim of this qualitative study is to explore four clinical tutors' perceptions of their role on facilitating Bachelor of Nursing students' learning in the practice setting of the health sector in New Zealand. Participants were asked to share their personal experiences including the positive aspects and the difficulties and challenges they encountered when working with students.Contract clinical tutors, are employed because of their clinical experience and expertise to enable students to apply the knowledge learned in theory and the professional competencies learned in the laboratory into the reality of clinical practice. This requires that clinical tutors be familiar with the curriculum so that their role as supervisor, teacher, facilitator, guide ands mentor can assist the student in fulfilling their learning requirements when in clinical practice. They are not, however, involved in the development or the teaching of the theoretical component of the programme. The difficulties and challenges identified by the contract clinical tutors in this study, resulted in discussion concerning strategies that could be adapted by the faculty to support clinical tutors in their role of ensuring the students receive the best possible learning opportunities when assigned to the clinical areas.Focus groups interviews were chosen as a means of collecting data from four registered nurses currently or previously employed as contract clinical tutors to work with students from an undergraduate degree programme at a small polytechnic.A two hour focus group interview was held as a means of uncovering the shared thoughts and experiences of participants. A second focus group interview was conducted to qualify information and elaborate on some issues. From the data collected a number of recommendations were identified which if adopted by polytechnics will enhance quality teaching by contract clinical tutors. |
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Call Number |
NRSNZNO @ research @ 361 |
Serial |
361 |
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Author |
Skinner, J. |
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Title |
The jewel in the crown: a case study of the New Zealand College of Midwives Standards review process in Wellington |
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Year |
1998 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 369 |
Serial |
369 |
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Author |
Blanchard, D.L. |
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Title |
Nursing practice in the changing health care environment “just keep going until you see it right” |
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Year |
1995 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 410 |
Serial |
410 |
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Author |
Walsh, C. |
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Title |
Psychiatric nursing: a feminist perspective on nursing practice |
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Year |
1995 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 411 |
Serial |
411 |
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Author |
Woodward, J. |
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Title |
Nurse case management: A review of the literature |
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Year |
1999 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Nursing; Nursing specialties; Surgery; Care plans |
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Abstract |
This literature review is an exploration of nurse case management and it will provide the background for the introduction of a nursing case management model in the acute surgical environment at Western Bay Health. Case management is a collaborative process which assesses, plans, implements, co-ordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes (Newell, 1996:.3). In undertaking this review it was the author's intention to include the findings as background to a business case seeking the introduction of a surgical nurse case management model within the surgical service. |
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Call Number |
NRSNZNO @ research @ 483 |
Serial |
470 |
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Author |
Keene, J.M. |
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Title |
The role of the nurse in the outpatient setting |
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Year |
2006 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Nursing; Nursing specialties |
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Outpatient nurses are often seen as nurses who are less important or skilled and can no longer physically cope with working in busy wards. This report is aimed to challenge this presumption and show that there are many educated and highly skilled nurses working in these departments. The diversity of the role of the nurse within the continued advancement of nursing practice in the outpatient department is evidence to disprove the perceptions other nurses have of the outpatient nurse. The purpose of this report was to discuss the changing role of the outpatient nurse from 'handmaiden' to 'autonomous practitioner', and secondly, to discuss nurse-led services and what experience and/or skills these nurses are expected to have to fulfill these roles. Literature was gathered to inform this report from the academic circles, policy from the Ministry of Health, the District Health Board website, and in relation to the author's own role with the outpatient department. |
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Call Number |
NRSNZNO @ research @ 493 |
Serial |
479 |
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