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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ItemCharacteristics of reflective practice in students of a diploma in nursing program : an issue-centred curriculum evaluation( 1993)This case study was a theory-driven evaluation and an issue-centred curriculum evaluation. By methods of critical multiplism a Diploma in Nursing program was evaluated to identify how a reflective approach to clinical practice was characterised by students, and how the reflective approach to teaching and learning was implemented in the program. Sources of data were the curriculum, Schon's writings and speeches on reflective practice, students, sessional clinical teachers and lecturers. First year graduates of the program were also surveyed, giving a longitudinal aspect to the study. Conclusions were that reflection in action or 'action present' was characterised in students of the course by excellent processes and actions of thinking and attitudes relative to client care when faced with unique, conflicting or divergent situations in practice The student' characteristics included a professional appreciative system of doing the right 'thing' by clients, within the boundaries or role frame of nursing practice. Graduates of the program displayed these characteristics in more autonomous situations consistent with their post-registration status. The structural and administrative arrangements for clinical conferences/reflective seminars were the main factor in developing a reflective approach in students. Implementation of a reflective approach to teaching and learning by means of formal policies or guidelines on the topic was poor. However, although unaware of the reflective approach as a teaching/learning strategy in the formal sense, sessional clinical teachers facilitated reflection on scientific, procedural and intersubjective concepts of understanding with the students, for the purpose of nursing care delivery, as prescribed in the curriculum.
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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.
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ItemToward rational reflective nursing practice: a conceptualisation of key elements of a professional development process( 1994)This paper outlines key elements of Rational Reflective Nursing Practice together with the development and refinement of a conceptual model. An overview of professional development processes is also featured. The key elements of Rational Reflective Nursing Practice are identified as caring, practice dimensions, thinking, intuitive praxis, mentoring, learning and a new gender paradigm. Relevant aspects of each of these key elements are addressed. Rational Reflective Nursing Practice recognises and values "wise nurses" and nursing experience. Wise nurses are talented practitioners with extensive knowledge, skills and experience. Within the current context of clinical nursing practice, there is the potential for these wise nurses to be marginalised by younger, "better educated" nurses. Rational Reflective Nursing Practice may resolve this dilemma as it requires the co-existence of both learning and experience. Rational Reflective Nursing Practice can be viewed as an evolutionary, enabling and dynamic process which may inform and transform aspects of nursing practice.