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Nursing Praxis in New Zealand
Vol. 16 No.3 - November 2000
EDITORIAL
Abstracts of Articles published in this volume:
Pamela Wood & Lynne Giddings
Changing Practice Through Action Research: An Interview with Rachel Stevenson
Lyn Dyson
The Role of the Lecturer in the Preceptor Model of Clinical Teaching
Jann Fielden
Creating a Child Abuse Policy that Reflects an Ethic of Care
Richard Lakeman
Negotiating the Ethical Minefield of Psychiatric Nursing Practice
CHANGING PRACTICE THROUGH ACTION RESEARCH:
AN INTERVIEW WITH RACHEL STEVENSON
Pamela J. Wood, RGON, PhD, Senior Lecturer
Department of Nursing and Midwifery, Victoria University of Wellington
Lynne S. Giddings, RGON, PhD, Associate Professor
School of Nursing and Midwifery, Auckland University of Technology
Abstract
Nurses and midwives in Aotearoa/New Zealand use a broad range of research methodologies to explore aspects of practice. This is the second article in a series based on interviews with nursing and midwifery researchers, designed to offer the beginning researcher a first-hand account of the experience of using particular methodologies. This article focuses on action research. After describing briefly the key elements of this methodology, the article presents an interview with Rachel Stevenson (RGON, MA) who used action research to explore the experience of nurses and people with asthma in the secondary care setting.
Key Words: Research, methodologies, action research.
Article Order No: 163A

THE ROLE OF THE LECTURER IN THE PRECEPTOR
MODEL OF CLINICAL TEACHING
Lyn Dyson, RGON, MA(Hons)
Senior Lecturer, Division of Nursing, University of Auckland
Abstract
Preceptorship models of clinical teaching are becoming increasingly popular in undergraduate nursing education. According to the literature the role of the lecturer is very unclear in this model of clinical teaching. This article reports on a descriptive study undertaken within a school of nursing where the author was formerly employed. The study explored the role of the lecturer. The findings demonstrate the educational orientation of the lecturer role and also highlight the tension that continues to exist between the world of education and the world of practice.
Key Words: Preceptorship, clinical teaching.
Article Order No: 163B

CREATING A CHILD ABUSE POLICY THAT
REFLECTS AN ETHIC OF CARE
Jann Fielden RCpN, BA, MCNA(NZ)
Orthopaedic Research Nurse, Department of Surgery,
Wellington School of Medicine
Abstract
The primary purpose of child abuse policy is to guide the action of health care
providers and so ensure that the fundamental rights of those the policy intended to protect are not compromised. This discussion paper explores the ethical considerations underlying child abuse policy from bioethical and from caring ethical perspectives, both of which are outlined briefly. A process that could be used to create or analyse existing child abuse policy, in relation to underlying ethical considerations, definitions of child abuse, level of health care, resourcing needs and relationship to employment policy is outlined. A hypothetical example of such a policy is used to illustrate elements of this process. Assuming that policy is designed to direct action, it is argued that if child abuse policies were rewritten to reflect an ethic of care the quality and scope of health care provided to children and their families would improve. Consequently, stated government objectives of improving child health services, as well as primary health care aims of achieving equitable, accessible and affordable health care for children in New Zealand would be better facilitated.
Key words: Child abuse, ethics of care, bioethics, health policy.
Article Order No: 163C

NEGOTIATING THE ETHICAL MINEFIELD OF
PSYCHIATRIC NURSING PRACTICE
Richard Lakeman, DipCompN, BN, BA Hons
Currently: Clinical Nurse Consultant, Mobile Intensive Treatment Team,
Townsville Integrated Mental Health Services, Queensland, Australia
At time of article submission author was Senior Lecturer, Faculty of
Health Studies, Eastern Institute of Technology, Hawke’s Bay
Abstract
Psychiatric nursing practice can be likened to an ethical minefield. Nurses are
often in the middle of the minefield and are pushed and pulled by forces, which are sometimes beyond their control. This paper signposts some of the more problematic areas of practice so that nurses may be equipped with at least a broad over-view of the ethical terrain.
Key Words: Ethics, psychiatric nursing, mental health.
Article Order No: 163D

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