Nursing - Theses

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End date: 2009 × Start date: 2001 × Subject: nursing practice ×

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    Governing recovery: a discourse analysis of hospital stay length
    Heartfield, Marie ( 2002-12)
    This research examines hospital length of stay as a feature of contemporary health care reforms. The ideas of Michel Foucault on governmentality enable length of stay to be studied, not as numerical values of hospital use, but rather as one of the social and political processes through which certain concepts are made susceptible to measurement and part of practice. In this study length of stay is examined as a programmatic rationality, evident in the reengineering of the modern hospital. However, the focus of analysis is not the ‘effect’ of this reengineering, as seen in the substantial changes to hospital treatments and the shifting burden of responsibility for health and ill-health care to individuals and communities. Rather, analysis is directed at understanding how such rationalities make possible reengineering or shifts in the local contexts of hospital care practices. (For complete abstract open document)
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    Shaped to care: a study of subjectivity and emotional labour in nursing theory and practice
    Duncan, Rachael ( 2002)
    This research is a study of the theoretical understandings of emotion work in nursing. Ideas of poststructuralist subjectivity are used to offer a critical perspective on emotion work in humanist influenced nursing literature. The study reveals profound skill in the way nurses use their emotions at work through examples of routine care. This vital part of nursing practice is invisible and, crucially, it appears effortless. The argument is supported by illustrations from practice, nursing literature, focus group research and a secondary analysis of interview data from a Malignant Wound Care Study (Parker & Aranda, 2000). It is argued that emotional labour is a positive capacity that nurses develop as a skilled part of the work of nursing. This capacity is invisible, unarticulated and being intensely pressured by healthcare restructuring. The thesis contends that if the conditions which facilitate this critical set of practices are eroded, patients will receive markedly inferior healthcare.