Includes bibliographical references and index.

In 2012, the lead author, Sue, commenced doctoral study to critically examine the establishment of nurse practitioner services in rural primary health care in New Zealand using institutional ethnography, under the supervision of Jenny. There is an identifiable need for a nurse practitioner workforce, yet the growth has been slow. The research project was designed to explore from the standpoint of nurse practitioners their experiences of registering as nurse practitioners and delivering health services. Institutional ethnography allows for the explication of how the experiences of individuals across multiple local settings are coordinated textually. Reproducible texts, including discourse and written material, are produced by various institutions and organizations across time and place, creating a web of ruling relations. In turn, the activities of individuals in the local situation are consequently organized. This case study explores the ethics review process as encountered during our research. Institutional ethnography is a research approach which is explorative, open-ended, and often participatory and activist in nature, and consequently poses particular concerns for ethics review committees (as may other research approaches) where the research direction is often unknown. However, institutional ethnography also offers a way of explaining how research ethics committees work within the regulatory and institutional ruling relations. There are broadly two parts to this case study. The first provides an overview to institutional ethnography, using our research on nurse practitioners to provide examples; the second part focuses on the process of ethics approval, the need for ongoing ethical consideration, and how this was practically approached.

Description based on XML content.

Licensed e-book