The Treaty Of Waitangi : A Contract Between Maori And The Crown

As a primary care nurse at Lahey Health for the past 10 years, I have interacted with patients and families from diverse backgrounds and cultures. I have attempted to build relationships based on respect, empathy, and understanding. By listening and observing, I have gained valuable insight allowing me to address factors affecting patient care and outcome. I have learned that it is not always easy to determine best practice and that careful individual consideration is necessary.

Effective nursing practice is in need of on an effective therapeutic relationship between the nurse and the client. This instruction addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the information needed to be effective. To implement a therapeutic relationship effectively, hospitals characteristics must be supportive. The therapeutic relationship is also known as the helping alliance and it refers to the bond between a healthcare professional and a client. It is the means of professional hopes to involve with, so as to change the outcome result of the client. This relationship is significant to the client’s orientation

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

This assignment is based on a hypothetical clinical placement in the town of Narrabundah, ACT. In three sections, this assignment will identify the population profile of the assigned community, the local Indigenous community health service - Winnunga Nimmityjah and the professional development of nurses addressing the importance of on-going professional development for delivering culturally safe nursing care at this local community health service of Narrabundah.

The central theme of this essay is the therapeutic relationship between a nurse and patient and to discuss one of the attributes identified in the National Competency Standards of Registered Nurse (NMBA 2006) and to illustrate the impact it has on the role of a future registered nurse when it comes to building, maintaining and concluding a relationship with a patient from the Horizon Hospital. In this assignment, the standards and practices of professional boundaries and therapeutic relationships are explained and illustrated with examples of therapeutic and non-therapeutic relationships between nurse and patient. Mary Young, a client at the Horizon Hospital will be included in the discussion and will prove as an example from the standpoint of an indigenous person and the correct approaches to take when giving therapeutic care. Another point that will be emphasised in this essay will be communication and the importance it has when trying to begin establishing that nurse-patient relationship. The phases of the therapeutic nurse patient relationship will also be discussed in this essay.

One of these norms that helped to guide care was the development of the therapeutic nurse-client relationship. Creating this relationship would have allowed for the establishment of trust and respect between the nurse, Jacqueline, and Jack, thereby fostering care and the improvement of personal health. Despite this nursing norm being implemented within the assessment as well as the care plans of both Canadian and Rwandan perspectives, there were also aspects that varied between the practices and norms implemented by the two perspectives. One norm in particular that was apparent in the Canadian, but not the Rwandan perspective was the utilization of community supports. Community supports can help to improve the health of individual(s) by employing various resources that can assist in reaching of the most desirable outcome(s) for said individual(s). As nursing in Canada is thought to be a practice that involves large amounts of collaboration, community supports are a common resource that many nurses rely on and incorporate into care. Moreover, although the Rwandan perspective did not suggest the use of community supports in Jack and Jacqueline’s care, this viewpoint still worked to address their goals, but in a way that solely involved the nurse providing

Patient care is quite complex. Nurses work in diverse Caregiving teams and are expected to collaborate with others to provide efficient patient care. The care delivered to patients has been affected by other health professionals, through the process of diagnosing, planning, referral, or other types of collaboration between health care team members. The complexity of both the healthcare delivery system and the nursing profession, challenges nurses to become efficient in collaboration and team building partnerships, so they can provide the best possible care for patients (Jones, 2007).

The nursing intervention will be cross-culture nursing. Lack of knowledge and history of ancestor ‘s fear and prevention of ultilzating health services in main health organization (building cultural). In order to improve health system for Aboriginal people, it need to address enhancement for culture. The main part will be cultural education, as cultural safety is not only just talk, but also need active listening and talking board with what Aboriginal people are saying (building cultural). McKendrick (as cited in Fredericks) highlights the importance of listening as important to Indigenous Australians of health and wellbeing, to figure out the appropriate way to work with them. Working effectively with Indigenous people, it suggests nurses

This essay intends to describe how Health worker teams contribute to succeeding a therapeutic relationship. It supplementary backbone discover what governs a therapeutic relationship according to the code of practice’ 9 ‘established by the nursing governing frame, Nursing and Midwifery Board of Australia. (NMBA 2006) considering into reflection what is expected from health worker as health professionals. The therapeutic relationship is built on conviction, admiration, sympathy and professional communication, and also involves appropriate custom of features in the nurse actions (Arnold &Boggs 2007). The care giver-persistent connection is habitually labelled as 'therapeutic '; for the reason that it is constructed on a reciprocal admiration amid a health worker and the enduring. Bach & Grant (2011) stated that trust is a dominant factor for every connection to grow. There are numerous categories of Health worker-persistent dealings totally of which will depend on the dimension of enduring interaction with the caregiver, the client’s disease, necessities and dependency (NMBA 2006). Willy-nilly of the category of connection, the persistent must feel appreciated, significant and self-assured to interconnect any anxieties and be confident to trust the medical staff (Sheldon et al 2006). Active communiqué reinforces blameless healthcare (Webester 2010). In the case of Mr. Vincent Romero, who is a catholic- Australian/Italian 70-year aged guy living locally in horizon community

Health is a dynamic, changing state of well-being, which includes physical, mental, sociological, and cultural factors of both individual members and the whole family system (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015, p. 5). The Health and well-being of individuals and families are important in order to attain a healthy lifestyle. Community health promotion allows nurses to work with individuals, families, and groups from diverse cultures, traditions and languages to teach health-seeking behaviors (Stamler & Yiu, 2012). Health promotion engulfs preventing, maintaining, strengthening and improving each person’s health; by allowing them to learn ways to take an active part in self-care through education. The purpose of this paper is to discuss community health nursing, and how it fosters nursing practice through the experience gained from analyzing two scenarios from the Aberhart Center Tuberculosis Clinic. The CARNA competencies will be applied to the experiences.

The core of nursing is the attainment of optimum care of patients and their families. Understanding the individuality of each patient; “that all nursing is based on the interpersonal process and the nurse-patient relationship” is a precursor to attaining the desired outcome of care, Peplau, 1988 (as cited by Chitty & Black, 2007, p 340). For over hundred years, from Florence Nightingale to Jean Watson, numerous theories have emerged that emphases the very essence of nursing, “care” of the patient (Nay, 2010). Hence, I my personal practice, caring for the patients also entails caring for the needs of the families. The patient’s and their care partners are always in sync with the healthcare team. The result is, the patients and their appointed care partners are empowered and fully informed of their health. This approach of care not only increases patient’s satisfaction, it also reduces preventable medical

Chose TWO patients from different cultural backgrounds and discuss how you were able to meet their needs.

The purpose of this essay is to write a patient case study surrounding the care of an in- patient at the local hospital where I was on placement. It should allow the reader to focus, on the appraisal of the nursing model used in practice during the patients care. The social and cultural components of care that demonstrate the authors’ knowledge, and awareness of the patients needs and beliefs, any health promoting activities and patient education opportunities undertaken. Inter/ Multidisciplinary teams approach to care provision and access to specific services and facilities will also be included.

Before reading Wynyard’s article, I was aware of the general story about how Māori people sold their land in exchange for guns, clothing, and unfamiliar items that the British settlers had. I came to know about this information through hearsay when I first arrived in the country and wanted to know a quick story about New Zealand and Māori people. It was just in the last few years that I was given more and appropriate information about the true history of Aotearoa New Zealand (hearing it from Māori’s viewpoint). Upon reading this article, I came to realise the suffering that Māori people had to go through at the time in regards to losing their land and the Government not honouring their part of the Treaty of Waitangi (Wynyard, 2017). The writer also introduced me to new concepts that changed my viewpoint as to why Māori people are

Te Tiriti o Waitangi is an agreement made between groups of people representing the British crown and Māori chiefs in 1840 (Orange, 2004). The Treaty of Waitangi has four elements: kawanatanga, tino rangatira, oretitanga and tikangatanga. This essay will focus on oritetanga element of the treaty in relation to socio-political contexts and social justice with examples. It will then go on to the current views of Maori in health experiences in relation to existing clinical and community health/disability services. It will then apply the knowledge of Maori health to everyday professional practice. Finally, this essay will have a brief discussion of nursing practice in relation to oritetanga.