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Nursing Praxis in New Zealand
Vol. 17 No.3 - November 2001
EDITORIAL
Abstracts of Articles published in this volume:
Frances Hughes
Locating Health Policy and Nursing: Time for a Closer Relationship
Pamela Wood & Lynne Giddings
Phenomenology - Telling a story: An interview with Liz Smythe
Geraldine Clear
Shadow Dancing in the Wings: Lesbian Women Talk about Health Care
Lynda Jeffs
Teaching Cultural Safety the Culturally Safe Way
Deb Spence
The Evolving Meaning of ‘Culture’ in New Zealand Nursing
Invited Article
LOCATING HEALTH POLICY AND NURSING: TIME
FOR A CLOSER RELATIONSHIP
Frances A. Hughes RN, MA, FCNA(NZ)
Chief Nurse Advisor, Ministry of Health, New Zealand (on leave)
Abstract
This paper is written in recognition that 100 years ago Grace Neill, first chief nurse in the world, brought about the first separate nursing legislation for nurses in the world and through that formalised the relationship of nurses and health policy in New Zealand.
For nurses in leadership positions it is sometimes difficult to understand why at times the profession can spend a great deal of energy on trying to influence a course of action and nothing happens, while at other times certain courses of action occur “in left field” and change happens quickly. Understanding policy processes allows nurses to make sense of their world and assists them to strategically align their energies to areas that will maximise opportunity and improve their services.
This paper outlines the role that policy and nursing have in a demanding and
changing health care environment. As well it shows the basic tenets of policy and strategies for how nurses can increase their involvement.
Key Words: Health policy, nursing, policy process, policy communities
Article Order No: 173A
PHENOMENOLOGY - TELLING A STORY: AN
INTERVIEW WITH LIZ SMYTHE
Lynne S. Giddings, RGON, RM, MN, PhD, Associate Professor
School of Nursing and Midwifery, Auckland University of Technology
Pamela J. Wood, RGON, PhD, Senior Lecturer
Graduate School of Nursing and Midwifery, Victoria University of Wellington
Abstract
Phenomenology is probably the most common interpretive qualitative research methodology used in nursing and midwifery research in Aotearoa/New Zealand. This is the fifth 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 phenomenology as interpreted by Liz Smythe (RGON, RM, PhD) in interview. Liz teaches phenomenological and hermeneutic philosophies and methodologies at the postgraduate level at the Auckland University of Technology. She used Heideggerian hermeneutical phenomenology for her PhD thesis to explore the issue of ‘safety’ in childbirth.
Key Words: Research, methodologies, hermeneutics, phenomenology, Heideggerian Hermeneutic Phenomenology
Article Order No: 173B
SHADOW DANCING IN THE WINGS: LESBIAN
WOMEN TALK ABOUT HEALTH CARE
Geraldine M Clear, RGN, BN, MA (Hons), MCNA (NZ)
Nursing lecturer, Universal College of Learning, Palmerston North
Jenny Carryer, RGON, PhD, FCNA (NZ), MNZM
Professor of Nursing School of Health Sciences, Massey University
and MidCentral Health, Palmerston North
Abstract
To date, relatively little health-related research has been conducted with lesbian women, either internationally or in New Zealand. The limited research which has been done, rather than viewing lesbian identity as just one component of the whole individual, has sought predominantly to pathologise lesbian existence. A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored with these women factors which hindered or facilitated their sense of safety related to health care.
The findings indicate that barriers to receiving health care exist for these women. This work offers a starting place for future New Zealand nursing research involving lesbian women. The hope is that other nurses will also share a passion for exploring previously ignored sections of our society in order to strive for safety for all those whom nursing serves.
Key Words: Lesbian, cultural safety, nursing, research
Article Order No: 173C
TEACHING CULTURAL SAFETY
THE CULTURALLY SAFE WAY
Lynda Jeffs, RGON, BA MPH (Distinction), MCNA(NZ),
Senior Lecturer, Faculty of Health and Sciences, Christchurch Polytechnic
Institute of Technology, Christchurch
Abstract
The concept of cultural safety emerged in New Zealand in the late 1980s as a
response to the differential health experience and negative health outcomes of
Maori, the first nation people of New Zealand. It was introduced and developed by Irihapeti Ramsden who recognised the effect culture has on health and who understood safety as a common nursing concept. Cultural safety is taught by both Maori and non-Maori educators as part of all nursing and midwifery curricula in New Zealand. This paper presents a strategy to assist nurse educators teach cultural safety in a culturally safe way. It was developed from my own experience and acknowledges the work of (Wood & Schwass, 1993).
Key Words: Cultural safety, nursing education, transformative education.
Article Order No: 173D
THE EVOLVING MEANING OF ‘CULTURE’ IN NEW
ZEALAND NURSING
Deb Spence, RGON, RM, PhD, Principal Lecturer, School of Nursing
and Midwifery, Auckland University of Technology, Auckland
Abstract
In a retrospective analysis of the concept of culture, Hagey (1988) suggested that nursing’s definition of culture had changed from associations with physicality to interpretations based on anthropological understandings. Although this statement describes early understandings of the term culture in New Zealand, examination of nursing literature demonstrates that the meaning of culture has evolved beyond an anthropological meaning. It is abundantly clear that within nursing awareness of cultural issues has changed significantly over time. This article traces the evolving meaning of ‘culture’ within the context of New Zealand nursing.
Key Words: Culture, New Zealand, nursing history
Article Order No: 173E
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