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CONTENTS
Nursing Praxis in New Zealand
Vol 24 No 3 November 2008
EDITORIAL
ARTICLES
Jill Wilkinson
The Ministerial Taskforce on Nursing: A Struggle for Control
Jill Wilkinson
Constructing Consensus: Developing an Advanced Nursing Practice Role
Liz Smythe
Re-Collecting and ‘Thinking’ the Story of New Zealand’s Postgraduate Nursing
Scholarship Development
Paul Watson
Pre-School Children Frequently Seen but Seldom Heard in Nursing Care
THE MINISTERIAL TASKFORCE ON NURSING:
A STRUGGLE FOR CONTROL
Jill Wilkinson, RN, PhD, MCNA(NZ), Senior Lecturer,
School of Health & Social Services, Massey University, Wellington
Abstract
It is now ten years since the Ministerial Taskforce on Nursing released its report identifying the barriers that prevented nursing from realising its full potential. A key recommendation was the development of advanced clinical nursing roles that went beyond traditional and institutional boundaries. The constitution and work of the Taskforce is traced in this study, along with the struggle that arose between nursing groups for power to control the future of advanced nursing practice. The convergence of political discourses with those that were dominant in nursing during this period produced considerable tension and contributed to the eventual withdrawal of New Zealand Nurses Organisation representation from the Taskforce membership
Key Words: Nurse practitioner, politics, autonomy, unionism.
Article OrderCode: 243 A

CONSTRUCTING CONSENSUS: DEVELOPING AN
ADVANCED NURSING PRACTICE ROLE
Jill Wilkinson, RN, PhD, MCNA(NZ), Senior Lecturer,
School of Health & Social Services, Massey University, Wellington
Abstract
Following the release of the Ministerial Taskforce on Nursing in August 1998 and the withdrawal of the New Zealand Nurses Organisation from the Taskforce membership, a 'decision-making’ workshop was held to further advance nursing practice roles in New Zealand. Momentum about advanced nursing roles had been gathering spurred on by political reform and the research about established nursing practitioner and clinical nurse specialist roles overseas. This study uses a discourse analytical approach to trace the ongoing struggle between nursing groups for power to control the future of advanced nursing practice. The convergence of political discourses with those that were dominant in nursing during this period produced considerable tension, but eventually led to a consensus position concerning the location of a nurse practitioner role within the regulatory framework of the Nursing Council of New Zealand.
Key Words: Nurse practitioner, consensus, autonomy, unionism.
Article OrderCode: 243 B

RE-COLLECTING AND ‘THINKING’ THE STORY
OF NEW ZEALAND’S POSTGRADUATE NURSING
SCHOLARSHIP DEVELOPMENT
Liz Smythe, RN, RM, PhD, Associate Professor,
Division of Health Care Practice, Auckland University of Technology, Auckland
Abstract
Nursing in New Zealand has undergone a rapid rise of postgraduate scholarly development over the past four decades. Early nurse scholars had no choice but to study university papers outside the discipline of nursing. Their reflections show how much their thinking was sparked by such experiences. On the other hand, the excitement of nursing finding its own body of knowledge and moving into research is also recalled. Hermeneutic analysis of these two aspects encourages ‘thinking’ of how postgraduate education gets shaped. The discussion draws on Heidegger’s notion that it is the void of the jug that holds the fluid – what goes into the jug itself (postgraduate learning) is often discretionary.
Key Words: Scholarship, postgraduate education, Heidegger.
Article OrderCode: 243 C

PRE-SCHOOL CHILDREN FREQUENTLY SEEN BUT
SELDOM HEARD IN NURSING CARE
Paul Watson, RN, PhD, Senior Lecturer, School of Nursing and
Human Services, Christchurch Polytechnic Institute of Technology
Abstract
A significant number of users of nursing services are pre-school children, and have a right to be heard in matters affecting their health. Despite nurses’ duty to seek and take seriously the views of children in matters concerning children’s health, children are rarely directly consulted as consumers of health care. Thus, children’s voices are largely unheard in nursing practice. Furthermore, research about children’s experience of illness generally excludes preschool children. Therefore, preschool children’s voices are also mostly unheard in nursing research about the experience of being ill. Consequently, there is little evidence from nursing practice or research to show the potential benefits of ensuring these voices are heard. This line of reasoning forms the basis of recommending the need for research that seeks to understand how preschool children experience being ill and how they communicate those experiences to others.
Key Words: Preschool children, children’s voices, paediatric nursing.
Article OrderCode: 242 D

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