Abstract
Hermeneutic approaches to research focus on understanding and interpretation of experience but differ in process and emphasis. Gadamerian hermeneutics concentrates on expanding horizons of understanding through dialogue, between people or between a researcher and texts, in which taken-for-granted assumptions are examined and opinions willingly put at risk. This article is the fourteenth in a series of articles 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. It considers a Gadamerian hermeneutic research approach as interpreted by Brian Phillips (RN, PhD) in interview. Brian is Research Fellow in the Graduate School of Nursing and Midwifery at Victoria University of Wellington. For his PhD research Brian used Gadamerian hermeneutics to interpret have shaped their understandings.
Key Words:
Research, methodologies, Gadamerian hermeneutics, suicidality,
masculinity.
Article Order No: 212A
INVISIBLE BORDERS: SEXUAL MISCONDUCT IN
NURSING
Margaret Hughes, RN, BN, Dip Hlth System Man, MBS (Health Systems),
PG Cert (Nursing), C.A.T., Senior Lecturer,
Christchurch Polytechnic Institute of Technology
Tony Farrow, RN, BN, Dip Health (Mental Health Nursing), MHSc (Hons), Grad Cert Higher Ed., Senior Lecturer,
Christchurch Polytechnic Institute ofTechnology
Abstract
Sexual misconduct can occur when nurses practise in close physical or emotional proximity with patients. Nurses, however, have a professional responsibility to maintain professional boundaries to avoid the potential for sexual misconduct to occur. In New Zealand, there is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, we make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
Key Words:
Sexual misconduct, sexual boundaries, professional boundaries,
nursing guidelines.
Article Order No: 212B
THE WHANAUNGATANGA MODEL OF CARE
Shirley Lyford, RN, BN, MCNA(NZ), Cardiac Liaison Nurse,
Te Puna Hauora, Kaupapa Maori Services, Tauranga Hospital
Patricia Cook, RN, BN, Nurse Manager,
Te Puna Hauora Kaupapa Nursing Service, Tauranga Hospital
Abstract
The 1988 Royal Commission on Social Policy recommended that the Treaty of Waitangi (‘the Treaty’), be “enshrined” within social policy. Subsequently health care organisations have integrated the Treaty principles as defined by the Royal Commission (1988) - partnership, protection and participation - into the philosophies underpinning their services. Through the Treaty partnership at Tauranga Hospital a unique secondary health service evolved, one that is delivered by Maori for Maori1. The Kaupapa nursing service at Te Puna Hauora implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the Kaupapa Service and the model it uses. It also explores the benefits and challenges associated with implementing such a model.
Key Words:
Whanaungatanga, Maori health, Te Whare Tapa Wha, Indigenous health model.
Article Order No: 212C
A LONGITUDINAL SURVEY OF NURSES’ SELFREPORTED
PERFORMANCE DURING AN ENTRY TO PRACTICE PROGRAMME
Di Roud, RN, MHSc(Hons),
Nurse Advisor (Professional Development), Auckland District Health Board
Lynne S. Giddings, RN, RM, PhD, Associate Professor,
Faculty of Health & Environmental Studies,
Auckland University of Technology
Jane Koziol-McLain, RN, PhD, Associate Professor,
Auckland University of Technology
Abstract
Performance expectations are a critical issue in the transition from student to practising nurse for both nurses and their employers. We conducted a study to compare self-reported changes in both frequency and quality of performance of nursing behaviours in a cohort of Aotearoa/New Zealand recently graduated nurses undertaking a one year entry to practice programme. Thirty-three nurses were surveyed, seven weeks after beginning the programme and again seven months later, using a modified version of Schwirian’s (1978) Six-Dimension Scale of Nursing Performance (6-DSNP). Over the study period participants reported significant increases in frequency of performance for the domains of leadership, critical care, teaching/collaboration, and planning/evaluation. Significant increases in the quality of nurse behaviours in the domains of critical care, planning/evaluation and interpersonal relations/communication were also reported. The modified Schwirian 6-DSNP was found to be a useful instrument for measuring nurses’ self reporting of performance during periods of transition.
Key Words:
Longitudinal survey, new graduate nurse, nursing performance.
Article Order No: 212D
COMMEMORATING NURSING: AN EXERCISE IN
HISTORICAL IMAGINATION
Pamela J. Wood, RN, PhD, Associate Professor,
Graduate School of Nursing and Midwifery, Victoria University of Wellington
Abstract
From the early 1900s, New Zealand nurses joined an international tradition of commemorating nurses and significant nursing events by establishing memorials. These were acts of ‘historical imagination’. This article proposes that nurses have erected four kinds of memorial ‘stones’ on their professional landscape: ‘scratchstones’ (simple markers of identity), touchstones (tangible links to nurses in the past), boundary stones (markers of exemplary service or extreme sacrifice) and milestones (markers of the past which guide professional direction). The article also argues that nursing memorials serve five functions: they perpetuate memory, honour, inspire emulation, shape professional identity and demonstrate the profession’s worthiness. The article also explores the tensions surrounding memorials and finally considers their durability and place in the profession’s present and future.
Keywords:
Nursing history, historical imagination, commemoration, memorials.
Article Order No: 212E
