scholarly journals 'Can Mummy Come Too?' Rhetoric and Realities of 'Family-Centred Care' in One New Zealand Hospital, 1960-1990.

2021 ◽  
Author(s):  
◽  
Kim Therese Chenery

<p>The development of ‘family-centred care’ began in the United Kingdom during the 1950s and 1960s in response to ‘expert’ concern for the child as an ‘emotional’ being. John Bowlby’s maternal deprivation thesis suggested that constant maternal attention in the early years of life would ensure emotionally healthy future members of society. Application of this theory to the hospital children’s ward indicated that young children should not be without their mothers for long periods of time. This theory and the subsequent release of the Platt Report in the United Kingdom in 1959 provided the necessary ‘scientific’ justification allowing mothers greater access to the historically restrictive hospital children’s wards. Influenced by trends in the United Kingdom the tenets of the separation thesis were reflected in New Zealand government policy towards child care and the care of the hospitalised child. However, the wider societal context in which these changes were to be accepted in New Zealand hospital children’s wards has not been examined. This study explores the development of ‘family-centred care’ in New Zealand as part of an international movement advanced by ‘experts’ in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of ‘family-centred care’ within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children’s emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children’s ward and the subsequent implications for the practice of ‘family-centred care’. This study demonstrates the difference between the professional rhetoric and the parental reality of ‘family-centred care’ in the context of one hospital children’s ward between 1960 and 1990. The practice of ‘family-centred care’ placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment.</p>

2021 ◽  
Author(s):  
◽  
Kim Therese Chenery

<p>The development of ‘family-centred care’ began in the United Kingdom during the 1950s and 1960s in response to ‘expert’ concern for the child as an ‘emotional’ being. John Bowlby’s maternal deprivation thesis suggested that constant maternal attention in the early years of life would ensure emotionally healthy future members of society. Application of this theory to the hospital children’s ward indicated that young children should not be without their mothers for long periods of time. This theory and the subsequent release of the Platt Report in the United Kingdom in 1959 provided the necessary ‘scientific’ justification allowing mothers greater access to the historically restrictive hospital children’s wards. Influenced by trends in the United Kingdom the tenets of the separation thesis were reflected in New Zealand government policy towards child care and the care of the hospitalised child. However, the wider societal context in which these changes were to be accepted in New Zealand hospital children’s wards has not been examined. This study explores the development of ‘family-centred care’ in New Zealand as part of an international movement advanced by ‘experts’ in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of ‘family-centred care’ within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children’s emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children’s ward and the subsequent implications for the practice of ‘family-centred care’. This study demonstrates the difference between the professional rhetoric and the parental reality of ‘family-centred care’ in the context of one hospital children’s ward between 1960 and 1990. The practice of ‘family-centred care’ placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment.</p>


1955 ◽  
Vol 1955 ◽  
pp. 18-29 ◽  
Author(s):  
R. L. W. Averill

Recent work, mainly American, has indicated the possibility of using implanted synthetic oestrogens to induce faster and more economical weight gains in fattening lambs. Little has yet been done in this country to repeat or to extend these observations, and a possible reason for this may lie in the difference between the organisation of the fat lamb industries of the United Kingdom and the United States. Here, as in New Zealand and in other countries rearing sheep principally on pastures, many lambs are sold fat at light weights, while those not so well finished at weaning may either be fattened on grass or other green crops, or be overwintered and fattened as hoggets on grass in the following spring. In the U.K. fat lambs are thus seldom fed dry feeds as they are under U.S. ‘feed-lot’ conditions, and are slaughtered at rather lighter weights than their U.S. counterparts.


2014 ◽  
Vol 47 (4) ◽  
pp. 767-785 ◽  
Author(s):  
Bruce Stone ◽  
Nicholas Barry

AbstractWhy has Australia not followed Canada, New Zealand and the United Kingdom in adopting a formal bill of rights at the national level? We argue that the Australian Constitution has made the difference. The Constitution has underpinned a comparatively strong parliamentary check on the executive, weakening the rationale for a bill of rights and impeding legislative initiatives towards this end; thwarted the drive for a constitutional bill of rights; and helped delegitimize statutory approaches to a bill of rights in general and the “dialogue model” in particular. The article ultimately questions the notion that a common approach to rights protection can apply across Westminster democracies.


2019 ◽  
Vol 16 (2) ◽  
Author(s):  
Cleopatra Monique Parkins

Even though youth work has played a critical role in fostering the holistic development of today’s youth, much controversy has surrounded the practice. Nevertheless, youth workers are slowly being accorded professional status, and a code of ethics has been developed in some jurisdictions. Some states are still to adopt this code; consequently the credibility of youth workers and the sector in general sway with the wind. This article presents a comparative analysis of ethical practices of youth work in Jamaica, Australia, New Zealand and the United Kingdom, examining current trends in observing ethics and addressing ethical issues. In the case of Jamaica, the researcher used the non-probability convenience sampling technique and collected primary data from a questionnaire administered to a sample of youth workers. The perspective of the ministerial arm responsible for youth work in Jamaica was also captured through an interview. In the case of Australia, New Zealand and the United Kingdom, the framework of the profession and specifically matters pertaining to ethical practices were examined through the use of secondary data sources, which included reports on youth work practices in the selected countries. A mixed methodology was employed in analysing the data collected. The major findings of this study confirmed that advancing youth work as a profession is dependent on the acceptance and integration of a formal code of ethics, that youth workers must receive training on ethics and that a national youth work policy is important to guide youth work practice. In accordance with the findings, the researcher makes a number of recommendations and highlights notable best practices that may help with the overall professionalisation of the sector.


2021 ◽  
pp. 002073142199709
Author(s):  
Marc A. Rodwin

To control costs and improve access, nations can adopt strategies employed in the United Kingdom to control pharmaceutical prices and spending. Current policy evolved from a system created in 1957 that allowed manufacturers to set launch prices, capped manufacturers’ rates of return, and later cut list prices. These policies did not effectively control spending and had limited effects on purchase prices. The United Kingdom currently controls pharmaceutical spending in 4 ways. (a) Since 1999, it has typically paid no more than is cost-effective. (b) Since 2017, for medicines that will have a significant budget impact, National Health Service England seeks discounts from cost-effective prices or seeks to limit access for 2 years to patients with the greatest need. (c) Since 2014, statutes and a voluntary scheme have required branded manufacturers to pay the government rebates to recoup the difference between the global pharmaceutical budget and actual spending. (d) For hospitals, generics and some patented drugs are procured through competitive bidding; community pharmacies are reimbursed through a system that provides an incentive to beat average generic market prices. These policies controlled the growth of spending, with the largest effects following budget controls in 2014. Changes since 2008 have reduced savings, first by paying more than is cost-effective for cancer drugs and then by applying higher cost-effectiveness thresholds for some drugs used to treat cancer and certain other drugs.


1979 ◽  
Vol 73 (4) ◽  
pp. 628-646 ◽  
Author(s):  
James Crawford

In a series of articles in this Journal, Professor Robert Wilson drew attention to the incorporation of references to international law in United States statutes, a technique designed to allow recourse to international law by the courts in interpreting and implementing those statutes, and, consequently, to help ensure conformity between international and U.S. law. The purpose of this article is to survey the references, direct and indirect, to international law in the 20th-century statutes of two Commonwealth countries in order to see to what extent similar techniques have been adopted. The choice of the United Kingdom and the Commonwealth of Australia as the subjects of this survey is no doubt somewhat arbitrary (although passing reference will be made to the legislation of Canada and New Zealand). But the United Kingdom, a semi-unitary state whose involvement in international relations has been substantial throughout the century, and the Commonwealth of Australia, a federal polity with substantial legislative power over foreign affairs and defense -whose international role has changed markedly since 1901, do provide useful examples of states with constitutional and legislative continuity since 1901, and (as will be seen) considerable legislative involvement in this field.


Sign in / Sign up

Export Citation Format

Share Document