Whanaungatanga and Nursing

Having just completed a two day course on the Dynamics of Whanaungatanga, I am even more envious of nursing students today who have the opportunity to explore these concepts as part of their undergraduate nursing training.Indeed New Zealand nurses have described this model of care in practice. The elements of whanaungatanga-Tapu, mana, Pono, Tiki and [...]

Good, Better, Best

With the current activity around Clinical Integration warming up politics and providers in the health sector, Don Matheson’s paper Great to Good has provided an insight into the fiscal and philosophical dilemmas and dicotomies that DHBs have been exposed to, as they attempt to meet targets imposed by the Minister, whilst balancing the need to [...]

Residential Aged Care- who is the winner on the day?

I admit to not being very smart when it comes to big business. I know the reality of private enterprise. But I dont get how big companies owning residential aged care (RAC) facilities can have the gall to crow about big, no I mean HUGE profits made out of money taken off older NZ adults. [...]

NPs are the bomb!

And here is the evidence on national TV news:NP Slash waiting times

A year on and how much has changed?

A year since the last blog was posted on this blog site. Ahh me, how time flies- so much to do, so little time, etc,etc. Doing a scan of the nursing landscape shows some changes but much still as it has been for the past decade for nurses: The Health Promotion Forum of NZ put [...]

The whole shebang

I have just attended an excellent conference including a  presentation on performing pelvic exams on challenging patients. Which begs the question- why do “non-medical smear-takers” aka nurses NOT get taught to do bi-manual pelvic exams with their smeartaking? It is like teaching phlebotomy without teaching how to actually draw the blood. Can anyone tell me [...]

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Clear as Mud?

Nursing models have always made me shake my head in bewilderment.and this article has only made me feel better about my misgivings about the concept of a model espoused by one, to be followed blindly by many, with questionable value for patients.

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Dissected to death????

What is it about nursing that makes funders/academics/anyone have to dissect every aspect of the nursing process/service/experience. We don’t see that volume of scrutiny focused on the doctoring process that I have ever noticed. Is it because we need to justify and prove the value of nursing because the financial benefits to an organisation from [...]

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Penny wise, pound foolish?

I get really nervous when I hear of “specialists” being hired to “analyse” health services….especially when they are focusing on nursing. Maybe it is a hangover from the 1990′s when entire hospitals were brought to their metaphorical knees and plunged into a black hole of despair by such”analyst experts”.   So I read the recent [...]

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Just call me Poly Filler

Sometimes the tug of war (almost literally it seems at times!) between NPs and MDs just gets ridiculous, and I suspect this article will only add fuel to the tuggers. The point of difference here is that the author is an economist so approaches the evidence from the fiscal angle- which will make a whole [...]

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