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CONTENTS
Nursing Praxis in New Zealand
Vol 24 No 2 July 2008
EDITORIAL
ARTICLES
Pipi Barton & Denise Wilson
Te Kapunga Putohe (The Restless Hands): A Maori Centred Nursing Practice Model
Colette Blockley & Maxine Alterio
Patients’ Experiences of Interpersonal Relationaships during First Time Acute
Hospitalisation
Carole Fernandez & Denise Wilson
Maori Women’s Views on Smoking Cessation Initiatives
Judy Yarwood
Nurses’ Views of Family Nursing in Community Contexts: An Exploratory Study
TE KAPUNGA PUTOHE (THE RESTLESS HANDS):
A MAORI CENTRED NURSING PRACTICE MODEL
Pipi Barton, RN, BN, Henry Rongomau Bennett Centre, Waikato DHB,
and Research Assistant, Massey University - Auckland
Ngati Puhiawe, Ngati Horotakere, Ngati Hikairo ki Kawhia
Denise Wilson, RN, PhD, Senior Lecturer in Nursing (Maori Health),
Massey University – Auckland, Tainui Awhiro, Ngati Tahinga
Abstract
Maori are often confronted with nursing practices and services that are at odds with their traditionally wholistic and spiritually based worldview. Keeping Maori clients the central focus of nursing practice can be challenging for nurses but is one way they can increase their efficacy when working with Maori. However, in the nursing literature there is an absence of models to guide Maori centred nursing practice, that is, models constructed within a Maori cultural context. Te Kapunga Putohe (the restless hands) is a Maori centred nursing practice model that uses the hands to illustrate how Maori knowledge and the knowledge of nurses can be incorporated into the health experiences of Maori clients. This paper explains how nurses who possess knowledge of Te Ao Maori can use Te Kapunga Putohe (the restless hands) to work with Maori in a culturally appropriate and acceptable way to improve health outcomes.
Key Words: Maori centred practice, nursing model, Maori health, indigenous,
kaupapa Maori, Maori nursing.
Article OrderCode: 242 A
PATIENTS’ EXPERIENCES OF INTERPERSONAL
RELATIONSHIPS DURING FIRST TIME ACUTE
HOSPITALISATION
Colette Blockley, RN, MA (Nursing), Senior Lecturer,
School of Nursing, Otago Polytechnic, Dunedin
Maxine Alterio, MA, Principal Lecturer,
Educational Development Centre, Otago Polytechnic, Dunedin
Abstract
This article examines the role of interpersonal relationships on patients’ experiences during first time acute hospitalisation. It is developed from a wider study undertaken in 2000 in which patients’ overall experiences were explored. A qualitative methodology was used with data collected by means of semi-structured interviews and personal stories. Twelve participants were involved, seven females and five males of varying ages, all first time acute medical and surgical admissions. Findings suggest that supportive interpersonal relationships reduce patient vulnerability and that nurses play a key role in the development and maintenance of these relationships.
Key Words: Acute hospitalisation, vulnerability, support, nurse-patient
relationships.
Article OrderCode: 242 B
MAORI WOMEN’S VIEWS ON
SMOKING CESSATION INITIATIVES
Carole Fernandez, RN, MN, Health Manager,
Best Care (Whakapai Hauora) Charitable Trust, Palmerston North
Denise Wilson, RN, PhD, Senior Lecturer in Nursing (Maori Health),
Massey University – Auckland, Tainui Awhiro, Ngati Tahinga
Abstract
Smoking is particularly prevalent among Maori women over the age of 15 years and remains a concern despite anti-smoking campaigns. This raises questions about the effectiveness of current smoking cessation initiatives as mainstream tobacco control programmes have not benefited Maori to the same extent as non-Maori. Limited research is available on the effectiveness of smoking cessation initiatives for Maori. In this descriptive qualitative study five Maori women who had ceased smoking were interviewed about such initiatives and what was more likely to influence Maori women to quit. A focus group was used to discuss smoking cessation initiatives and the data were thematically analysed using Boyatzis’ (1998) approach. Two themes were identified: (a) Transmission of Whanau (immediate and extended family) Values that includes the sub-categories whanau experiences, being mothers, and role models; and (b) Factors Crucial in Influencing Change that includes the subcategories choices and exercising own will, a positive perception of self, and a Maori approach. The findings provide insight for nurses into Maori women’s perspectives. These highlight the importance of whanau and supportive relationships, and can be used to inform strategies to assist Maori women in smoking cessation.
Key Words:
Maori health, smoking cessation, primary health care nursing, Maoricentred
research.
Article OrderCode: 242 C
NURSES’ VIEWS OF FAMILY NURSING IN
COMMUNITY CONTEXTS: AN EXPLORATORY STUDY
Judy Yarwood, RN, MA, Principal Lecturer, School of Nursing,
Christchurch Polytechnic Institute of Technology, Christchurch
Abstract
In their day to day practice nurses interact with ‘family’ as a whole in a variety of community locations. Public health, Practice, District, Well child health and Rural nurses participated in a qualitative study in which four focus groups were used to explore the ways in which each nurse integrated ‘family’ into their practice. Thematic analysis of the data revealed four related themes: the labyrinth of family nursing, relational webs, personal and professional knowing, and contextual determinants. It was found that ‘family’ was integrated into participants’ community practice in a “narrative, dialogical, relational and contextual” manner (Doane Hartrick, 2002, p. 623). Each family/nurse interaction had its own story exemplifying the contextual complexity and uncertainty, while at the same time showing the deep satisfaction inherent in working with families. Paramount in this practice was dialogue and building relationships, not only with families, but also with colleagues, health and other professionals. While it is apparent a family/family health nursing role has
yet to be established, the possibilities of such a role have been recognised in this study. Yet considerable work still remains to be done before this nursing role is seen as an imperative in improving family health and wellbeing.
Key Words:
Family, family nursing, community nurses, relationships.
Article OrderCode: 242 D
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