Engelbert Teekman

Doctor of Philosophy, (Nursing)
Study Completed: 2013
College of Humanities & Social Sciences

Citation

Thesis Title
In Search of Nursing: The Long Term Impact of the New Zealand Health Reforms on Ward Nursing

Over the last three decades New Zealand health service delivery has undergone significant change, including the introduction of a generic management model. Mr Teekman investigated the impact these changes had on nursing practices in a hospital setting. The findings suggest that nurses are asked to rely on predetermined and highly standardised intervention processes, which are based on managerial risk aversion. Thus, nurses rely significantly less on knowledge of a patient’s actual health status than they did prior to the introduction of the changes. These developments have altered the nature of ward nursing and contributed to a reduction in nurses’ professional autonomy and reductions in levels of patient care.

Supervisors
Professor Julie Boddy
Professor Jenny Carryer

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