Faculty of Education - Theses
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ItemThe political ramifications of changes in the delivery of nursing education in Victoria( 1993)The purpose of this research was to determine; whether, between 1974 and 1987, undergraduate Nursing education in the Colleges of Advanced Education tended to politicize the new recruits to the profession via curricula. whether those asked to participate in the research believed that there was a level of information being provided during their Nursing course which they considered to be political in nature. whether those asked to participate in the research believed that this level of information that they considered to be political in nature influenced their subsequent participation in activities which could be considered in turn to be political in nature. what constraints in the workplace were identified by those asked to participate in the research, which may have adversely effected any political activity they may have been involved in, or influenced by. whether there were any other real or conceptual factors not identified or not specifically addressed in the research which could have impacted on the research participants, and possibly influenced their responses, and thus, research outcomes. Subsequent to the research, the information obtained would be scrutinized for possible outcomes, ramifications and commented on. This process is more formerly addressed in the methodology.
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ItemThe learning needs of non-English-speaking-background student nurses( 1998)This thesis has investigated the learning needs of non-English-speaking-background (NESB) students in a tertiary nursing course and whether they are being met. It has reviewed literature predominently from Australia, Britain and the USA. Whilst there are similarites it has been recognised that all situations are not the same so the literature has been used appropritely to establish the theoretical framework for the study and in the support of the research findings. Qualitative methodology has been used focusing on observation, survey, and interview methods from two groups studied, ie., NESB students and academics. The findings from the two groups researched, are expressed as results; from students who have analysed that their learning as affected by predominently academic factors, such as reading and writing for assessments and professional documentation, and on a minor level by language and cultural expectations in relation to teaching/learning. Academic findings support students responses but also identify some professional nursing issues such as expectations of students as affecting the learning needs of these students. The recommendations of this thesis are to provide better academic support for NESB students and to effect greater academic and university awareness of the learning needs of NESB students.
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ItemEvaluation of a Cancer/Palliative Nursing Care subject and a comparison of processes and outcomes for traditional classroom and distance education teaching modes of delivery( 2000)This Evaluation is concerned with the educational outcomes of a postgraduate subject, 'Cancer/palliative care nursing 1'. The subject is taught in the classroom as well as by distance education in the print medium and, as well as considering the outcomes for the subject per se, the Evaluation also compares the outcomes for each teaching mode. The questions addressed in the Evaluation are: a) does the delivery of the subject (regardless of the method used) have the outcomes that might be expected of a postgraduate diploma level subject? and b) are students taught by distance education mode disadvantaged by comparison with students who are taught by traditional classroom methods? There is an abundance of literature on distance education, most of which uses, explicitly or implicitly, classroom teaching as a largely unexamined exemplar by which distance education is judged. This thesis critically examines the distance education literature and identifies factors salient to a comparison of these two methods of teaching. The Evaluation method is based on the theory-driven approach advocated by Chen (1990) and incorporates an adaptation of the program logic framework put forward by Funnell (1996). It incorporates two methods of evaluation: the subject's outcomes measured against a prescription; and, a comparison of the distance education outcomes with classroom teaching outcomes. A prescription of how the subject should be delivered and the outcomes that should be expected was developed from stakeholder interviews, informed by a critical review of the distance education literature and the evaluator's knowledge of the discipline. A method of measuring the actual delivery of the subject against the prescription (regardless of the teaching mode) was devised and a minimum acceptable standard of success established. Substantive methods used include both qualitative and quantitative data gathered by questionnaires, interviews, classroom observations and a content analysis of the study guide used by distance education students. The Evaluation findings are that on most, but not all, outcome measures the subject met the set standard of success. One outcome unspecified in the prescription (although implied) was the increased clinical confidence engendered by undertaking this subject. Students taught by the traditional mode gained from classroom interaction although the degree of interactivity was found to depend on the personal qualities of lecturers and students and the structure of teaching sessions. Distance education students were not disadvantaged by this teaching mode and on some measures, such as being able to study at their own pace or the grades they achieved, could be said to be advantaged.
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ItemThe getting of professional nursing wisdom : the relevance of knowledge for undergraduate students : a phenomenological comparative study( 1993)The intention of this thesis is to identify any factors which may affect the implementation and practice of therapeutic humanistic care by undergraduate nurse students. Professional nursing practice must be acknowledged as function beyond licensure of safety. Wisdom, with reference to professional practice can only be acquired through relevant education and supported opportunities to practice. The classroom promotion and clinical transfer of empirical, holistic care is an educational mandate and as such must be addressed. The research study of this thesis as a qualitative investigation with a phenomenological approach, was designed as a small comparative study. The literature review of this thesis released certain significant questions for investigation. From these questions eventual research prompts were developed. The participants for this study were nurse student volunteers approaching course completion. The participants as distinct cohorts from a Hospital School of Nursing and a Faculty of Nursing were interviewed using the research prompts. Following data analysis, the study identified apparent differences between the valuing and practice of humanistic caring by the undergraduate nurse students from the two sites.
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ItemNurses knowledge of postnatal depression( 1991)Postnatal Depression is a disorder which may occur in some women following childbirth. This research study includes, as a major component, an extensive review of. the literature regarding this disorder. A questionnaire was administered to eighty registered nurses, to survey their level of knowledge about Postnatal Depression. The design used was non-experimental with a descriptive approach to the data. The findings indicated that, (1) a limited amount of information was given to the respondents about the disorder, Postnatal Depression, during their preregistration course; (2) confusion exists between the disorders, Postnatal Depression, postnatal "blues", and puerperal psychosis; (3) many of the respondents failed to recognize the four listed symptoms related to Postnatal Depression, in the questionnaire; (4) further education is needed to enable registered nurses to recognize the disorder, Postnatal Depression, and to differentiate it from postnatal "blues" and puerperal psychosis.
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ItemThe graduate nursing program : an exercise in reality orientation for the beginning practitioner in transition( 1995)Graduate Nurse Education, so long taken for granted, has of recent times been trust into the clinical spotlight. This, from the clinician practitioners, as much as anyone, has come about from the changed focus of undergraduate preparation. Whilst completing baccalaureate preparation in a University has had perceived positive results from a professional perspective it has arguably resulted in graduates demonstrating different attributes to their predecessors. No longer bureaucratically encultured, and with limited exposure to the clinical setting, the requirements of the contemporary graduate program is vastly different to its historical counterpart. Whilst the academics argue the role and place of the "Graduate Year Program" this dissertation seeks to illuminate the requirements of such a program from the unique perspective of the graduate clinician participants. That a program is a requirements is taken as granted, and arguments into the role and place of these programs are presented. The abundant literature related to the experience is discussed, in a focussed sense, within the constructs of its Australian application and in particular the Victorian precepts. The sense of "de ja vue" experienced whilst reviewing the Kramer and Benner experience arguably illuminates the discussion. The Phenomenological approach to the research task, utilising the notion of grounded theory facilitates the story of the Graduates as they experience the first three months of clinical practice in a major metropolitan hospital. An attempt is made to return to the academic agenda the notion of the "Graduate Internship" with recognition of the differing emotions that this notion evokes. The experience is further validated by canvassing the Nurse Unit Manager perceptions of the process. The findings demonstrate the importance of a clinically based transition program, one that this author believes is best offered as a component of a service based practice year. The components of a practice based year are demonstrated as best being advocated by the clinician participants of the program. The validity of their insight into their requirements are born out in this dissertation. What is important is their continued exposure to the rigours of clinical practice. This, to best translate their theoretical preparation into a capacity to meet clinical service needs. Whether these objectives have been successfully achieved will be judged by the readers of this work. Make no mistake, however, that this is an important topic and requires of the profession critical reflection and revision of the impact of the critical first few months of clinical experience for the neophyte practitioner. This is a testament to their own experiences. Experiences that they have agreed to share with us. Listen to the lesson they give, and learn for the future, the future of the Nursing Profession.
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ItemHealing hands: a study of the healing skills and practices of overseas educated registered nurses and the implications for nurse education in Australia( 1996)Australia's health care clientele reflects the diversity of this multicultural society. Patients and health care professionals have expectations of health care which may not be met to their satisfaction, or needs. The perceived inadequacies and increased demands on the Australian health care system are reflected in the literature and by active political lobbying, thus there is an urgent need to investigate how the health care system can be improved or modified to meet these deficits. One mechanism which may provide some of the changes required, is to utilise the skills, experience, and qualifications of Non-English Speaking Background (NESB) nurses. In utilising this valuable and available resource nursing education curricula can be modified to adequately incorporate transcultural nursing practices so that nurses can provide culturally sensitive nursing care for their patients. This study describes some of the dimensions of the cultural diversity in Australia, as it relates to health care. In particular reflections and observations of NESB educated nurses of the Australian health care system are discussed, in particular standards of care, nursing care, nursing education and issues related to the interweaving of cultural diversity within the Victorian health care system and the nursing profession. The purpose of this study is to provide insights on how to enrich the education of all nurses to meet the challenges of caring for Australia's multicultural population. Recommendations for the establishment of the Migrant Health Professionals Network and additional courses to meet the specific needs of NESB health professionals have already come to fruition.