'On the path, off the trail' : the relational work of nurses in outreach health : a thesis presented in partial fulfilment of the degree of Masters of Philosophy in Nursing at Massey University, Wellington, Aotearoa New Zealand

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dc.contributor.authorMartin, Garrick
dc.date.accessioned2017-11-20T03:10:04Z
dc.date.available2017-11-20T03:10:04Z
dc.date.issued2017
dc.description.abstractThis research study draws on the practice reflections of nurses working with people who are homeless and experiencing mental health problems to explore engagement as a core nursing practice in this setting. Therapeutic relationships and engagement are at the heart of nursing practice, and this is especially so in mental health nursing. Homeless and hard-­‐ to-­‐reach clients are an underserved population for mental health services. This research seeks to ‘make visible’ the ways in which mental health nurses uniquely and successfully engage with people experiencing homelessness and marginalisation, which in turn contributes to improved health and social outcomes for those people. Eight New Zealand registered nurses were interviewed and critical thematic analysis used to interpret the resulting data. The research findings were that nurses practicing in this specific homeless health context value relationships as a core nursing intervention. The work of engagement was described as uncertain. The research participants echoed the nursing theory and literature that argues nurses’ relational work is often unseen and undervalued within health systems. Relational work is described as a defining concept for mental health nursing yet the lack of visibility of this skilled work adds to nurses’ experience of uncertainty. The recommendations suggest ways to render visible and hold central the nursing work of engagement.en_US
dc.identifier.urihttp://hdl.handle.net/10179/12439
dc.language.isoenen_US
dc.publisherMassey Universityen_US
dc.rightsThe Authoren_US
dc.subjectNurse and patienten_US
dc.subjectPsychiatric nursingen_US
dc.subjectHomeless personsen_US
dc.subjectMental health servicesen_US
dc.subjectMental health personnel and patienten_US
dc.subjectNew Zealanden_US
dc.subjectResearch Subject Categories::MEDICINE::Psychiatryen_US
dc.title'On the path, off the trail' : the relational work of nurses in outreach health : a thesis presented in partial fulfilment of the degree of Masters of Philosophy in Nursing at Massey University, Wellington, Aotearoa New Zealanden_US
dc.typeThesisen_US
massey.contributor.authorMartin, Garrick
thesis.degree.disciplineNursingen_US
thesis.degree.grantorMassey Universityen_US
thesis.degree.levelMastersen_US
thesis.degree.nameMaster of Philosophy (MPhil)en_US
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