scholarly journals Internationally Qualified Nurses’ Perceptions of Patient Safety: New Zealand Case Studies

2021 ◽  
Author(s):  
◽  
Annie Kane
Keyword(s):  
Patient Safety ◽  
New Zealand ◽  
Historical Context ◽  
Significant Proportion ◽  
Primary Data ◽  
Competency Assessment ◽  
International Studies ◽  
Significant Finding ◽  
Structured Interviews ◽  
The Social

<p>Twenty five percent of the current New Zealand nursing workforce comprises internationally qualified nurses (IQNs). For a significant proportion of IQNs, English is an additional language and the social, cultural and historical context of the health systems from their country of origin differs significantly to that of New Zealand. International studies have found that despite many of these IQNs having extensive nursing experience prior to entering a new country, the challenges involved with transition can have implications for patient safety. This study aimed to investigate IQNs’ perceptions of the competencies that pertain to patient safety. The study was informed by an interpretive-constructivist approach that acknowledges these perceptions are constructed within a social, cultural, and historical context. A qualitative multiple case study design was used with the Communities of Practice (CoP) theory as the conceptual framework. The primary data source was semi-structured interviews with four IQNs while they attended a Competency Assessment Programme (CAP) to obtain New Zealand nursing registration. The IQNs’ email reflections and programme documents were used as additional data. Thematic analysis of the individual cases followed by cross-case analysis revealed similar perceptions concerning patient safety across the four cases. Exposure to Nursing Council of New Zealand’s (NCNZ) competencies for safe nursing practice during the CAP course did not notably change the participants’ initial perceptions. The most significant finding of this study was that the social, cultural, and historical context of the health system and nursing role mediates how maintaining patient safety will be perceived and enacted in practice. The findings also highlighted the importance of engaging with participant perspectives in order to identify specific areas required for learning and transfer of information. These findings had important implications for further development of educational and healthcare agency support for IQN transition.</p>

scholarly journals Internationally Qualified Nurses’ Perceptions of Patient Safety: New Zealand Case Studies

2021 ◽  
Author(s):  
◽  
Annie Kane
Keyword(s):  
Patient Safety ◽  
New Zealand ◽  
Historical Context ◽  
Significant Proportion ◽  
Primary Data ◽  
Competency Assessment ◽  
International Studies ◽  
Significant Finding ◽  
Structured Interviews ◽  
The Social

<p>Twenty five percent of the current New Zealand nursing workforce comprises internationally qualified nurses (IQNs). For a significant proportion of IQNs, English is an additional language and the social, cultural and historical context of the health systems from their country of origin differs significantly to that of New Zealand. International studies have found that despite many of these IQNs having extensive nursing experience prior to entering a new country, the challenges involved with transition can have implications for patient safety. This study aimed to investigate IQNs’ perceptions of the competencies that pertain to patient safety. The study was informed by an interpretive-constructivist approach that acknowledges these perceptions are constructed within a social, cultural, and historical context. A qualitative multiple case study design was used with the Communities of Practice (CoP) theory as the conceptual framework. The primary data source was semi-structured interviews with four IQNs while they attended a Competency Assessment Programme (CAP) to obtain New Zealand nursing registration. The IQNs’ email reflections and programme documents were used as additional data. Thematic analysis of the individual cases followed by cross-case analysis revealed similar perceptions concerning patient safety across the four cases. Exposure to Nursing Council of New Zealand’s (NCNZ) competencies for safe nursing practice during the CAP course did not notably change the participants’ initial perceptions. The most significant finding of this study was that the social, cultural, and historical context of the health system and nursing role mediates how maintaining patient safety will be perceived and enacted in practice. The findings also highlighted the importance of engaging with participant perspectives in order to identify specific areas required for learning and transfer of information. These findings had important implications for further development of educational and healthcare agency support for IQN transition.</p>

scholarly journals Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

2020 ◽  
Author(s):  
J Wailling ◽  
Brian Robinson ◽  
M Coombs
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
New Zealand ◽  
Health Care Professionals ◽  
Nuclear Power ◽  
High Reliability ◽  
Health Care Systems ◽  
Tertiary Hospital ◽  
Structured Interviews

© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

scholarly journals The Urewera Notebook: Scholarly edition

2021 ◽  
Author(s):  
◽  
Rose Anna O'Rorke Plumridge
Keyword(s):  
New Zealand ◽  
Short Story ◽  
Historical Context ◽  
Social Background ◽  
Sentence Structure ◽  
Native Flora ◽  
Scholarly Edition ◽  
Photograph Albums ◽  
The Social ◽  
John Middleton Murry

<p>This thesis is a scholarly edition of Katherine Mansfield’s Urewera Notebook. The General Introduction summarises the purpose to which the notebook has been put by previous editors and biographers, as evidence for Mansfield’s happiness or unhappiness in New Zealand throughout 1906-8. It then offers an overview of the historical context in which the notebook was written, in order to demonstrate the social complexity and geographical diversity of the terrain that Mansfield covered during her 1907 camping holiday. This is followed by an analysis of Mansfield’s attitudes towards colonials, Maori and the New Zealand landscape. Mansfield’s notebook is permeated by a sense of disdain for colonials, especially when encountered as tourists, but also a fascination with ‘back-block ’settlers and a sense of camaraderie with her travelling companions. Mansfield repeatedly romanticised Maori as a noble ‘dying race’ with a mythic past, but was also insightfully observant of the predicament of Maori incontemporary colonial society. Her persistent references to European flora, fauna and ‘high culture’, and her delight in conventionally picturesque English gardens, reveal a certain disconnect from the New Zealand landscape, yet occasional vivid depictionsof the country hint at a developing facility for evokingNew Zealand through literature.In the Textual Introduction I discuss the approaches of the three prior editors of the notebook: John Middleton Murry polished, and selectively reproduced, the Urewera Notebook, to depict Mansfield as an eloquent diarist; Ian A. Gordon rearranged his transcription and couched it within an historical commentary which was interspersed with subjective observation, to argue that Mansfield was an innate short story writer invigorated by her homeland. Margaret Scott was a technically faithful transcriber who providedaccuracy at the level of sentence structure but whoseminimal scholarly apparatus has madeher edition of the notebook difficult to navigate,and has obscured what Mansfield wrote. I have re-transcribed the notebook, deciphering many words and phrases differently from prior editors. The Editorial Procedures are intended as an improvement on the editorial methods of prior editors.The transcription itself is supported by a collation of all significant variant readings of prior editions. Arunning commentary describesthe notebook’s physical composition, identifies colonial and Maori people mentioned in the text, and explains ambiguous historical and literary allusions, native flora and fauna,and expressions in Te Reo Maori. The Itinerary uses historical documents to provide a factually accurate description of the route that Mansfield followed, and revises the itinerary suggested by Gordon in 1978. A biographical register explains the social background of the camping party. This thesis is based on fresh archival research of primary history material in the Alexander Turnbull Library, legal land ownership documents at Archives New Zealand, historical newspapersand information from discussions with Warbrick and Bird family descendants.A map sourced from the Turnbull Cartography Collection shows contemporary features and settlements, with the route of the camping party superimposed. Facsimiles of pages from the notebook are included to illustrate Mansfield’s handwriting and idiosyncratic entries. Photographs have been selected from Beauchamp family photograph albums at the Turnbull, from the Ebbett Papers at the Hawke’s Bay MuseumTheatre Gallery, and from private records.</p>

scholarly journals Enhancing Year 7 and Year 8 Boys' Motivation in Narrative Writing Through Peer Collaboration and a Drama Strategy: a Case Study

2021 ◽  
Author(s):  
◽  
Karen Coulton
Keyword(s):  
New Zealand ◽  
Cultural Influences ◽  
Role Playing ◽  
Thought Processes ◽  
Structured Interviews ◽  
Intermediate School ◽  
The Social ◽  
Drama Intervention ◽  
Motivation And Learning

<p>International and New Zealand research continues to show that there is concern about boys being less successful than girls in writing at all levels of the school. This study examines to what extent year 7 and year 8 boys are motivated to advance their writing when they collaborate with a peer and choose to use a drama strategy. A qualitative approach was taken to explore the insiders‟ view of writing from eight year 7 and year 8 boys in an intermediate school in New Zealand. Data gathered were from semi-structured interviews, in class observations and samples of writing. Sociocultural theory was used to inform the investigation of the social and cultural influences on the boys‟ learning about writing. The findings illustrate that the drama intervention was successful as the boys were motivated to write through their social interaction of role- playing characters from a choice of topics represented in their everyday lives. The boys revealed their metacognitive knowledge by showing their awareness of their thought processes about writing and how to use this knowledge to develop their writing abilities. The study makes recommendations for teachers, including the need for teachers to recognise the boys‟ position of authority over their knowledge, which is essential for their motivation and learning to write successfully.</p>

scholarly journals Improving the Accessibility of the Tourism Industry in New Zealand

2020 ◽  
Vol 12 (24) ◽  
pp. 10478
Author(s):  
Cheryl Cockburn-Wootten ◽  
Alison McIntosh
Keyword(s):  
New Zealand ◽  
Tourism Industry ◽  
Social Model ◽  
Structured Interviews ◽  
Social Model Of Disability ◽  
Tourism Sector ◽  
The Social ◽  
Destination Competitiveness ◽  
Equity Of Access ◽  
Equity And Inclusion

Internationally, the accessible tourism market has been identified as a growing segment that could lead the way for social inclusiveness, as well as providing the industry with financial gains and destination competitiveness. Despite the increased number of people who travel with access requirements, the sector still lacks an understanding of the expectations and experiences of access tourists. Accessible tourism covers an array of impairments from people who are immobile, visually impaired, an invisible impairment, parents with pushchairs, and seniors. The purpose of this study was to understand the expectations and experiences of the access consumer to suggest improvements for accessibility for the New Zealand tourism sector. The social model of disability was adopted to examine the sector and framed the semi-structured interviews with access consumers. Key results identified from the data were the need to achieve dignity in service offerings to gain experiences that facilitate independence and equity of access, access to information before the travel that is clear and accurate to aid planning, and accessible transport and education. In conclusion, the paper calls for the New Zealand tourism industry to align with the Disability Strategy sustainability goals to achieve equity and inclusion and create enjoyable accessible experiences in their tourist offerings.

scholarly journals Developing Gateways as Tourist Destinations: Ferry Services and Nodal Functions in Wellington and Picton

2021 ◽  
Author(s):  
◽  
Gui Lohmann
Keyword(s):  
New Zealand ◽  
Relative Length ◽  
Analytical Framework ◽  
Capital City ◽  
Primary Data ◽  
Structured Interviews ◽  
Tourist Attractions ◽  
Secondary Sources ◽  
Tourist Destinations ◽  
Catchment Areas

<p>This thesis discusses the relationship between transport and tourism with a particular focus on how to improve the destination function of gateways. The case study chosen for this research is the Cook Strait ferries and the ferry ports of Wellington and Picton, in New Zealand. With the absence of academic literature dealing with the impacts of tourism in gateways and the fact that the concept of gateway has not been operationalised yet, the thesis proposes, via empirical analysis, a classification of ferry passengers according to four different functions: gateway tourists; overnight gateway visitors; stopover visitors and destination tourists. These nodal classifications basically comprise two variables: the absolute and relative length of stay in the nodes and the main reason for going there. The analytical framework also takes into consideration the passengers' place of origin: those living within the gateways' catchment areas (the Centre Stage of New Zealand Region - CSNZ); those living in New Zealand but outside the catchment areas; and passengers living overseas. Apart from secondary sources, on-board surveys with ferry passengers and semi-structured interviews with operators in Wellington and Picton are used to collect primary data. What the results show is that some segments of passengers are interested in extending their stay in Wellington and Picton if they had been offered more information about these two nodes or a special deal including the ferry crossing and accommodation in one of the gateways. International passengers are the group of passengers most likely to take advantage of these opportunities as those living in New Zealand are more interested to reach their final destinations and perhaps more familiarised with both nodes, so the incentives would not be very appealing to them. However, local operators were not able to suggest offers/arrangements to engage passing travellers to stop and visit these gateways. This can be attributed to lack of funds and relationship issues between tourism operators, particularly in Picton, and one of the ferry operators. In comparison to Picton that has a smaller destination function, results from this research suggested that gateways with a more developed destination function, such as the case of Wellington, are better prepared to convince traffic passing by to stop and visit them as tourist destination. The existence of more tourist attractions and activities is certainly an incentive to persuade travellers to stay longer in gateways. From the operationalisation of the concepts proposed in this thesis and the results obtained from the questionnaires and interviews, this research concludes that not only nodal functions vary from place to place (e.g. Picton as a small resort town and Wellington as a capital city), but also that these functions evolve throughout time, with seasonal variations also occurring (high vs. low seasons). With regards to the direction passengers are travelling and the influence on travellers' functions, variations are identified only among overnight gateway visitors, with the common pattern being passengers staying overnight before catching up the ferry the following day.</p>

scholarly journals Communicating for Systemic Change

2018 ◽  
Vol 5 ◽  
pp. 79
Author(s):  
Jonathan Oosterman
Keyword(s):  
New Zealand ◽  
Systemic Change ◽  
Vital Role ◽  
Economic Transformation ◽  
Structured Interviews ◽  
Change Communication ◽  
The Social ◽  
Communication Practices ◽  
Climate Crisis ◽  
Shed Light

The climate crisis significantly magnifies the urgency of implementing systemic change. Globally, we have little time remaining in which to bring about the social, political, and economic transformation needed to avoid triggering amplifying feedbacks and runaway climate chaos. In this context, a core challenge is how to mobilise people and inspire widespread action to create this transformation. Understanding current approaches to climate communication is crucial for ensuring that our communication practices play the vital role they will need to in the coming decades. In this article, I do not aim to provide a comprehensive set of guidelines that define effective climate communication. My primary aim is to understand current communication practices. To achieve this, I take a movement-centred activist-scholarship approach to research on climate communication decision-making via in-depth semi-structured interviews with 14 members of the New Zealand climate movement. My intent is to synthesise the perspectives and experiences of New Zealand climate movement participants. Through this, I hope to offer a useful analysis of significant dynamics in climate communication and shed light on dynamics in systemic change communication more broadly.  

scholarly journals The Impact of Socio-Historical Context on Identity: An Analysis of Ngāi Tamarāwaho Identity in the Colonisation Era

Te Kaharoa ◽  
2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Melissa Derby
Keyword(s):  
New Zealand ◽  
Social Context ◽  
Historical Context ◽  
Major Focus ◽  
Common Trends ◽  
The Third ◽  
Indigenous Groups ◽  
The Social ◽  
Waitangi Tribunal ◽  
The Impact

The purpose of this article is to illustrate the influence that socio-historical context has on the identity of a group. The identity of the hapū (tribe) Ngāi Tamarāwaho is examined to demonstrate the impact that specific phenomena associated with colonisation had on hapū identity, and the major focus of this chapter is the interplay between Ngāi Tamarāwaho and the phenomenon of colonisation. This article concentrates specifically on hapū identity during the colonisation era, which, in the context of this article, commenced with the arrival of Pākehā (British) settlers in New Zealand in 1814, and concluded with the establishment of the Waitangi Tribunal in 1975. For comparative purposes, parallels are drawn with other indigenous groups globally to highlight similarities between the colonisation experiences of these groups and those of Ngāi Tamarāwaho, and to illustrate common trends that occur as a result of colonisation and its associated phenomena. The first section in this article discusses the need to consider socio-historical context in research pertaining to identity, and provides examples of research that has been conducted to this effect. The second section establishes the social context of Ngāi Tamarāwaho, and the third section outlines the historical context. Following this is an analyis of the effects of aspects of colonisation on Ngāi Tamarāwaho identity, and this article concludes by discussing ways in which the hapū revived and reasserted their identity

scholarly journals The CEO Role in New Zealand: Perceptions and Interpretative Schema - Tensions and Paradoxes

2021 ◽  
Author(s):  
◽  
Beverley McNally
Keyword(s):  
New Zealand ◽  
Empirical Work ◽  
Social Institution ◽  
Research Literature ◽  
The Body ◽  
Primary Data ◽  
Theory Approach ◽  
Structural Process ◽  
The Social ◽  
Social Structural

<p>This thesis examines the perceptions of the CEO role in large New Zealand organisations. The study is a response to calls from scholars for more empirical work on executive leadership specifically, as it pertains to the CEO role, which scholars have identified as an under-researched and less clearly understood construct. A modified grounded theory approach was utilised to establish the research participants' perceptions of the CEO role. Specifically, this thesis focuses on how the participants interpret and construct meaning from the interactions occurring within their context. The sample for the study comprised 30 participants, 22 CEOs and 8 executives in non-CEO roles. The criteria for selection related to the position an individual held in an organisation. The individual was, or had been, a CEO in a large New Zealand organisation or was directly involved with the CEO role, for example, a board chairperson. The primary data were collected from semi-structured interviews of between one to two hours in duration. Informal interviews, company publications and documentation, and the relevant research literature supplemented the primary data. The concurrent data collection and analysis identified two interpretative schemas that guide and inform the CEO role. These were the leadership interpretative schema and the institutionalised interpretative schema. The participants in this study articulated theenactment of their leadership within the frame of the leadership interpretative schema. However, the predominant schema informing the CEO role was the institutionalised interpretative schema. The contact between the two schemas represented collisions. Such collisions, in turn, created a set of tensions and paradoxes for the CEO. In seeking a clearer explanation of these tensions and paradoxes, the study identified the basic social structural process of the CEO role as a social institution. This thesis re-conceptualises the CEO role as a social institution. As such it is a multifaceted construct with its own set of social norms that create, guide and sustain a socialorder governing the behaviour of the CEO. Situated within this social structural process the study identified the social psychological process balancing the tensions and paradoxes. The study identified that the CEOs perceived the need to be able to balance the tensions and paradoxes within their context if they are to enact their role effectively. In other words, an effective CEO is perceived as acting as a mediator, successfully mediating between the dualities created by the conflicting expectations of the two interpretative schemas. Establishing context as a primary factor within the study allowed the contextual factors that enhanced or inhibited the enactment of the CEO role in New Zealand to receive their due emphasis. Such a focus was responsible for allowing the social, cultural, legal and economic forces, within the context of the CEO, to be brought to the fore. These, in turn, were perceived by the participants as having their genesis within in the religious, economic and historical traditions of New Zealand's European colonialism, and in their responses to it. In this study, context is embraced as a means for allowing the voices of the participants to be brought forward and be heard, whereas, the concept of voice has been traditionally ascribed to the weak, minorities, and disadvantaged (Baez, 2002). Paradoxically, this research identified that CEOs perceive themselves as having little voice. This despite the perception, both within society and within organisations, that CEOs have considerable power and status and therefore have the ability to voice their 'true feelings'. The analysis identified that they perceive constraints and silencing with regard to certain aspects of their role, suggesting further research on the CEO responses to such constraints is required. The outcomes of this study have implications for research and practice. In terms of the former, there are opportunities for researchers to build on the findings of the study thereby, contributing to the body of knowledge. With regards to practice, the study raises implications for those involved in the governance function, policy-makers and those having responsibilities for the development of individuals to fill the CEO role.</p>

scholarly journals A Critical Realist Study of Political Identity in Aotearoa New Zealand: Materiality, Discourse and Context

2021 ◽  
Author(s):  
◽  
Jay Woodhams
Keyword(s):  
New Zealand ◽  
Case Studies ◽  
Political Identity ◽  
Historical Context ◽  
Capital City ◽  
Left Wing ◽  
Structured Interviews ◽  
Critical Realist ◽  
Micro Level ◽  
Discursive Context

<p>Political identity is a complex phenomenon that is generated within a rich sociocultural context. This thesis examines political identity in informal talk which is situated within a relatively under-explored context, New Zealand’s capital city and political centre, Wellington. Grounding the study within the critical realist model of stratified reality provides the philosophical motivation to explore multi-layered discourses alongside the extra-discursive referents that underpin them. The analysis centres on a model of identity, contra postmodernism, which shows that identities, while socially recognised in discourse, are articulated in reference to physical and social structures. I adopt a comprehensive multi-layered approach to discourse by examining the macro sociocultural influences that appear to pattern interaction across the country, the meso-level subnational discourses that influence dialogue at a more situated level and the micro-level interactional stances taken up in everyday communication. Discourse at all levels is implicated in the identities I examine in this thesis and it is against this backdrop that I unpack political identity into its indexed discourses and constitutive stance acts.  Framed by my ethnographic immersion in the study context and drawing on in-depth semi-structured interviews with twenty-six individuals, I explore the way in which discourse and stancetaking are implicated in the genesis of the participants’ political selves. I first consider the extra-discursive context, including the geographical, economic and cultural structures that underlie New Zealand discourses. This is followed by detailed analysis of sociocultural discourse as it appears in talk. I identify egalitarianism and tall poppy as two related discourses which are embedded within the historical context of the country. I also explore four subnational discourses relating to Wellington city, including the political town, left-wing and small town discourses, which occur alongside a discourse of contrast. These sociocultural and subnational discourses influence much of the talk that occurs in reference to politics in Wellington and are thus implicated in political identity as it is generated in moment-by-moment interaction. To explore this in further detail I examine the micro-level of interactional discourse, more specifically the processes of stancetaking, in two detailed case studies. The two focus participants demonstrate prominent stance processes which I argue are central to much identity work: intersubjectivity, in which the stances of all those involved in the discussion interact in complex ways; and multiplicity, when participants take numerous stance directions that appear to contribute to different aspects of their identities. The intensive focus on the case studies, alongside analysis of the full discursive and extra-discursive context, provides a multi-layered and philosophically anchored approach that seeks to contribute to current understandings of and approaches to the study of discourse and identity.</p>

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