<h4>ABSTRACT</h4> <P>Registered nurses and nurse educators are often unaware of how nursing students experience the nursing profession. In the current practice climate of increased workloads, reduced funding, and higher patient acuity, nurse educators are likely to hear from colleagues how unprepared newly qualified nurses are for the needs of practice. It is difficult for many nursing students to see value in their practice because they become preoccupied with their perceived lack of knowledge and technical skills. Nurses and nurse educators should be aware of how this brands new graduates and informs their sense of developing professional identity. Despite their feelings of deficit in terms of skills and knowledge, it is clear that many nursing students are, in fact, effectively negotiating relational ethics. This article presents a collaborative account of the important relational work being undertaken by one group of nursing students in New Zealand. </P> <h4>AUTHORS</h4> <P>Received: April 22, 2005</P> <P>Accepted: August 1, 2005</P> <P>Ms. Beckett and Ms. Gilbertson are nurses, Waikato District Health Board, and Ms. Greenwood is Principle Academic Staff Member and Senior Lecturer, School of Nursing and Health, Waikato Institute of Technology, Hamilton, New Zealand.</P> <P>Address correspondence to Sallie Greenwood, PGDip. Psy. (Comm.), M.Soc.Sci., RN, Principle Academic Staff Member and Senior Lecturer, School of Nursing and Health, Waikato Institute of Technology, Tristam Street, Private Bag 3036, Hamilton, New Zealand; e-mail: <a href="mailto:sallie.greenwood@wintec.ac.nz">sallie.greenwood@wintec.ac.nz</a>.</P>
A substantial issue in sporting professions today, including elite strength and conditioning is gender imbalance. Attitudes towards women's roles are complex and institutionally entrenched, contributing to barriers to women's success. While real issues still exist for today's elite female strength and conditioners, murmurings of change are audible. Further research on why gender imbalance in strength and conditioning matters as well as the creation of a culture where women feel included and wanted is part of the solution. This research focuses on women leaders in strength and conditioning, their experiences, the barriers they perceive and their ways of overcoming them.
Accessible summary What is known about the subject? While therapeutic relationships remain core to mental health nursing practice and patient recovery, increased managerialism and focus on risk has impacted nurses’ therapeutic practice with patients. While there is anecdotal evidence of the impact there has been little research that demonstrates nurses experience of therapeutic engagement within the current context. What the paper adds to existing knowledge? The paper reports on qualitative research that highlights nurses’ strong attempts to create the space for therapeutic engagement with clients. This research provides evidence of the constraints on practice imposed by new managerial processes and suggests potential means of responding to them. What are the implications for practice? Mental health nurses are committed to working therapeutically but struggle to balance this against new managerial demands imposed across many OECD countries. The New Zealand government has recently reported on positive changes to mental health provision but does not suggest changes to the structures that impede good practice. This research indicates that structural change is essential to therapeutic engagement. Abstract IntroductionIncreasing managerialism, driven in part by notions of risk, compromises the mental health nurses therapeutic engagement with clients potentially impacting their recovery. While the importance of therapeutic relationships in mental health recovery is acknowledged, there is little evidence about how managerial processes encroach on this relationship. AimTo explore mental health nurses experience of engaging in therapeutic relationships within the current practice environment. MethodThis paper utilized an interpretive phenomenological approach, using interviews with mental health nurses. ResultsManagerial processes significantly impacted the practice of nurses who struggled to make space for therapeutic relationships within a chaotic milieu. The chaos is associated with increasing austerity within the health system; this has resulted in high staff turnover and staff shortages. DiscussionManagerial demands dominate the practice field at the expense of therapeutic engagement between nurses and clients ultimately affecting client recovery. While nurses’ integrity means they desperately try to make space for the therapeutic work, they often become burnt out and disheartened. Implications for practiceWhile nurses are often blamed for failures in the system, the structures that disable nurses in their attempts to practice therapeutically require urgent responses, strengthening professional organizations and engaging in democratic partnerships with consumer groups.
Family forms such as foster, adoptive, and blended families where there may be two maternal figures are increasingly common. The relationship between the two women is complex, and it is argued that envy is an affect that may be present yet difficult to acknowledge and work through. Envy is a powerful and painful emotion that can override feelings of compassion, love, and gratitude. Consequently, because envy blocks emotions such as gratitude and generosity, while it is in play, the formation of cooperative relationships between the women are inhibited with potentially deleterious consequences for the family. This article explores contemporary understandings of envy, its potential sources and effects, and implications for counselling and therapy, so that women can be supported to negotiate these relationships if and when they encounter conflict.
Over 10 years, a number of nurse educators at the Waikato Institute of Technology (WINTEC) have worked collaboratively across primary health, cultural safety, and child and family health domains of the nursing curriculum. They share a common philosophy underpinned by notions of diversity and health equity. The philosophy informs their theoretical inquiry, practice and research interests, and pedagogical concerns. This article outlines some key aspects of their practice as nurse educators and researchers committed to the needs of their specific region in the central North Island of Aotearoa New Zealand. They begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They consider the destabilizing effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses.
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