Faculty of Education - Theses
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ItemLessons to be learned from an internal evaluation within an acute health care setting: a case study( 2001)Through a case study in Melbourne, this thesis examined the issues associated with internal evaluations conducted in an acute hospital setting, but specifically for a particular health care project titled, The Hospital and Community Partnerships Project (HCPP). Professional experience as an internal evaluator, combined with primary and secondary data was analysed and compared with the existing body of published literature, in order to investigate issues associated with the process and outcomes of an internal evaluation within a major public teaching hospital. The evaluation design chosen for this study was a single qualitative case study. This approach represented a critical case. The data collection methods selected within this approach entailed document analysis, as well, as semi-structured interviews with six hospital personnel who participated in the HCPP. The critical case dramatises a number of key issues inhibiting a successful internal evaluation process that are consistent with those identified in the literature. These include a lack of resources committed to the project such as funds; time and staff; clarity of purpose of the evaluation; and lack of organisational interest and willingness to participate in and adopt recommendations, regarding a specific innovation such as consumer participation. It is argued that to improve the internal evaluation process, there should be a clear brief as well as increased resources such as specifically trained staff made available during evaluation and subsequent implementation of findings. This would improve the performance of internal evaluations as a valuable means of monitoring progress, and developing policy and programs to facilitate change in response to evolving staff and patient needs. It is also argued there are constraints inherent within the process of internal evaluation relating to organisational politics and culture, professional objectivity and ethics. Furthermore, it is important to understand the purpose for the evaluation. While both the literature and findings of this thesis identify such limitations, in-house evaluations are necessary, valuable and important processes for improving health service delivery. Advantages include the evaluator's intimate knowledge of internal structures and processes. As well as, evaluators possess an awareness and sensitivity regarding the idiosyncrasies that influence the likelihood of successful implementation of recommendations for effective and valuable change. It is believed this is particularly important within an acute hospital environment, where organisational requirements are quite specific and complex. It is recommended that to improve objectivity and consistency in conducting internal evaluations, there should be clearly defined guidelines for health care professionals working in public hospitals. This thesis ends by outlining a number of such guidelines focussing on how to conduct internal evaluations within an acute health care setting, and what critical issues should be considered when embarking on such a task. Finally, through experience of conducting this internal evaluation of an initiative within a Melbourne hospital and the lack of relevant literature for support, it is suggested that there is a need for more health evaluation research of acute health care settings within an Australian context. This is particularly critical due to a shift within the Australian public and private health sectors towards greater accountability in services.
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ItemThe experience of Third Culture Kids entering secondary education in Melbourne, Australia( 2003)The term Third Culture Kids (TCKs) was first used by the sociologist Ruth Hill Useem in 1976 to describe children of diplomats, missionaries, business people and military personnel who have lived outside their native country for periods of time. The literature suggests that transition concerns for TCKs have not always been recognised or taken seriously, and that the transition process can be traumatic. The identification of significant needs for TCKs is an essential initial step in addressing the sources of trauma associated with re-entering the Australian classroom following time spent overseas. This study focuses on the identification of those significant needs. Six TCKs were approached, and five agreed to participate in this study. All of the participants completed their secondary education at the same school, in outer eastern Melbourne, in either 2000 or 2001. This qualitative study consisted of one on one semi structured interviews with the five participants, followed by a focus group interview involving four of the participants. A key issue identified by the participants during their transition was the desire to be treated as individuals who do not wish to appear different from their peers. The study also identified the importance of supporting the TCKs during their transition, primarily through access to a mentor. The establishment of small groups consisting of other TCKs was also identified as helpful. The main factor that influenced the length of the adjustment period was the time taken to make a personal decision to accept the change of circumstances and move on. This process took anywhere between six months and three years. Each of the participants displayed an amazing ability to rebound from the lows. Their resilience, aided by strong support from family, other TCKs and peers, is evident in their unanimous view that being a TCK is a very positive experience.