Archive for category Clinical issues

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 [...]

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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Retreating under fire?

Well, it seems that the USA medical profession may be retreating under fire with the Obama health reforms. This article suggests that need and healthcare reform may be assisting the nurses to edge ahead on the age old doctor vs nurse practitioner power struggle.Going by the comments the public is divided re the benefits/risk analysis. [...]

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A diagnosis by any other name

Saddened I was when I read the following excerpt in a student nurse’s blog this morning: “….the lecturer mentioned the nursing diagnosis and that it differed from medical diagnosis, in that it could only cover what we as nurses could treat. The example she gave was that instead of giving a diagnosis of diabetes, we [...]

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Nurses do not “pop”

Apparently health chiefs in an Auckland (NZ) hospital are reviewing their safety record as part of their continuing quality improvement plans. I wasn’t going to bring this to the blog but then I spied the last paragraph:  The hospital has been running a pilot to reduce falls……“Nurses popping in every hour to have a chat [...]

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UK nursing crisis

Read here about nursing in the NHS and be glad that we are not yet in this state in NZ. Or are we? Maybe some hospital nurses in NZ would like to comment on this? It seems that number crunching by the Govt is crippling the system over in the Old Country. Let’s hope that [...]

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NZ news on nursing….

Here’s a good nursing story on an interesting website I have never had the occasion to access  before.  It is always heartening to find a positive nursing story- check out the blogs whilst you are there. New research from the New Zealand Nurses Organisation (NZNO) reveals a snapshot survey of caregivers working in residential aged [...]

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