Gendequitee

Ok ...I'm catching on here... Is it not the right of the client to decide if he has been threatened and abused? Is it not the right of the client to voice his experience of the interaction? In my case the client has never been formally consulted/interviewed about his experience.. in fact in the transcripts of my disciplinary hearing he is specifically quoted as saying he had no wish to make a complaint of any description. There is also an issue of gender: Is it appropriate for five women to sit in judgement upon a prolonged interaction between 2 men? 2 men who have formed a unique relationship and have shared a unique culture? How can such people make a judgement about what is or is not a threat or abuse? What place metaphor? Shouldn't such an interaction be judged within the societal context of the event and within the context of the 'bigger picture'...? Is it not totally inappropriate to adopt a reductionist, deontological approach, isolating a small fraction of a prolonged conversation.. putting it under the microscope and assuming that it represent the whole interaction? I suggest to you that such deontologism has no place in Mental health Nursing. I suggest that such an approach reflects the beliefs and attitudes of those that judge, NOT the experience and reality of the client? Client-centred care? Collaborative care? I suggest to you that such an approach is representative of a system centred model of care, not a client-centred approach. Mental health nurses invariably work within multi-disciplinary teams..how can quality care be client focussed when professional boundaries and ethics not only differ but conflict? The client becomes the pawn of professional politics, not the entire focus of therapy... The sworn testimony of both Consultant Psychiatrist (and Former Deputy Director of NZ mental health services) and the Commander of the Armed Offenders Squad at the scene, supported and endorsed my actions. The two Nurses who testified did not, whilst the person who should be the judge, who is CENTRAL to the whole issue,and whose rights to be heard are enshrined in our laws has been actively ignored for 4yrs. Is this not an abuse of his Rights? I hope I have furnished you with material for debate. I truly hope that I have stayed within the rules with this post...I do not wish to earn more demerit points... Love and Peace Gendequity

Thanks for your thoughts and time thunderwolf... In my original post I gave the Website address: asking that readers review the debate on my site before they passed an opinion. Unfortunately this was instantly spotted by your moderator who removed the website address from the posting.( understandably as I was breaching TOS.) My blithe ignorance in oversubscribing contributed I'm sure to the trepidation of the moderators. I am not out to promote myself commercially as you will see. I hope that this accounts for most of the major deficits you describe. I beg your forbearance and ask that you further explore the issues I raise by first of all reading the debate. It may authenticate me a little to tell you that one contributor is a former Chairperson of the Nursing Council of New Zealand. I feel confident that you will then fully understand my situation, and the significance of the same to Mental health Nursing practice Thankyou for your time and effort so far. It is my hope that I can further stimulate your professional interest, and that of the membership. Kiora Gendequity

Kiora/G'day.....Greetings from the Antipodes..... Whilst the clinical matters discussed here involve mental health care, the fundamental principal of caring is relevant to all practising Nurses, and so I invite your interest. I'm a mental health nurse of 40 years experience who has been embroiled for the last 4 years in a legal conflict regarding safety to practice: In essence ....in an emergency situation .......when core services totally failed ..........I acted in good faith as a nurse in order to protect safety and save life....succeeding in my object. As a result of my actions I was struck from the NZ Nurses Register for one year for 'professional misconduct". I have fought this decision through the NZ legal system to no avail, and have now learned to accept the decision of the NZ Nursing Council...... and the constraints on my practice as a Psychiatric Nurse in New Zealand. Presently I am fighting for reinstatement by Council who still oppose my return to practice. During the years of this conflict I have remained under monthly professional supervision and have also initiated a debate on the professional issues involved. The invitation to debate was extended to 36 prominent mental health nursing clinicians, academics, and other mental health professionals here in NZ. Also invited to contribute were 2 academics from the UK and 2 from Australia. Four courageous folk from NZ contributed. and 3 of the 4 from outside NZ contributed. It appears that there is a reluctance to debate the real professional dilemma that I unfortunately experienced. I believe the debate raises important concerns about language usage and metaphor in the relationship between client and Mental Health Nurse: concepts of CARE that are relevant to mental health nursing internationally, particularly those of us with specialist training in the area of interpersonal skills. The exploration of 'safe practice' and 'reality ethics' cannot progress in the climate of fear and suppression I presently experience here in NZ Nursing. My experience of the Disciplinary Processes of The NZ Nursing Council throughout the last 4 yrs of my life.... cause me to reflect upon, examine, and question the relationship between a truly "UNIVERSAL concept of what being MENTALLY HEALTHY"....actually means! AND: The fundamental privileges of democracy.....freedom of thought, speech, expression....to be free of discrimination and abuse....to be protected by common law and natural justice.....all the protections we should enshrine in a hopefully.... 'Mentally Healthy Caring Society'..... I am eager to hear feedback on the relevant professional issues from outside NZ. The complete documentation of all that has transpired is available to authentic Nursing Researchers. The issue of my Reinstatement has now reached the Offices of the NZ Ombudsman. Presently my Reinstatement Hearing is schedule for 22nd February 2008. Respectful regards to you all Gendequity

Kiora/G'day.....Greetings from the Antipodes..... I'm a mental health nurse of 40 years experience who has been embroiled for the last 4 years in a legal conflict regarding safety to practice: In essence ....in an emergency situation .......when core services totally failed ..........I acted in good faith as a nurse in order to protect safety and save life....succeeding in my object. As a result of my actions I was struck from the NZ Nurses Register for one year for 'professional misconduct". I have fought this decision through the NZ legal system to no avail, and have now learned to accept the decision of the NZ Nursing Council...... and the constraints on my practice as a Psychiatric Nurse in New Zealand. Presently I am fighting for reinstatement by Council who still oppose my return to practice. During the years of this conflict I have remained under monthly professional supervision and have also initiated a debate on the professional issues involved. The invitation to debate was extended to 36 prominent mental health nursing clinicians, academics, and other mental health professionals here in NZ. Also invited to contribute were 2 academics from the UK and 2 from Australia. Four courageous folk from NZ contributed. and 3 of the 4 from outside NZ contributed. It appears that there is a reluctance to debate the real professional dilemma that I unfortunately experienced. I believe the debate raises important concerns about language usage and metaphor in the relationship between client and Mental Health Nurse: concepts of CARE that are relevant to mental health nursing internationally, particularly those of use with specialist training in the area of interpersonal skills. The exploration of 'safe practice' and 'reality ethics' cannot progress in the climate of fear and suppression I presently experience here in NZ Nursing. My experience of the Disciplinary Processes of The NZ Nursing Council throughout the last 4 yrs of my life.... cause me to reflect upon, examine, and question the relationship between a truly "UNIVERSAL concept of what being MENTALLY HEALTHY"....actually means! AND: The fundamental privileges of democracy.....freedom of thought, speech, expression....to be free of discrimination and abuse....to be protected by common law and natural justice.....all the protections we should enshrine in a hopefully.... 'Mentally Healthy Caring Society'..... I am eager to hear feedback on the relevant professional issues from outside NZ. The complete documentation of all that has transpired is available to authentic Nursing Researchers. The issue of my Reinstatement has now reached the Offices of the NZ Ombudsman. Presently my Reinstatement Hearing is schedule for 22nd February 2008. I invite all with an interest in the dynamics of the nurse/client relationship and relative ethical issues. Respectful regards to you all Gendequity