Neville, S. J. Delirium in the older adult: A critical gerontological approach. Ph.D. thesis, , .
Abstract: The purpose of this thesis has been to explore the discursive production of delirium in people over the age of 65 years. The philosophical approaches underpinning the study were derived from the field of critical gerontology, postmodernism and the utilisation of a Foucauldian understanding of discourse and power/knowledge. Data sources included published documents on delirium, interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, registered nurses and a doctor. Textual analysis revealed the presence of two contesting and contradictory discourses that impacted on being an older person who had delirium. These were identified as the discourse of delirium as a syndrome and a personal discourse of delirium. The discourse of delirium as a syndrome is underpinned by the biomedicalisation of the ageing process. This process utilises scientific methods as the foundation from which to understand, research and provide a health service to older people with delirium. Any personal perspectives on delirium are rendered unimportant and relegated to marginalised positions. Nursing through its vicarious relationship to medicine is interpellated into deploying the discourse of delirium as a syndrome and has largely ignored the personal dimensions associated with this phenomenon. Consequently, the older delirious 'body' is known and inscribed as unruly, problematic, physically unwell, cognitively impaired and at risk. Conversely, a personal discourse of delirium privileges the individual narratives of people who have been delirious and provides a different perspective of delirium. The deployment of a personal discourse of delirium offers another position that views this group of older people as bringing to the health care setting a rich tapestry of life experiences that are more than a cluster of signs and symptoms. It is these varied life experiences that need to be included as a legitimate source of knowledge about delirium. This thesis demonstrates how nursing needs to espouse a critical gerontological position when working with older people who have delirium. Critical gerontology provides nurses with the theoretical tools to challenge the status quo and uncover the multiple, varied, contradictory and complex representations of delirium in older people.
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Mortensen, A. (2000). Destigmatisation: A grounded theory of the work of sexual health nurses. Ph.D. thesis, , .
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Garlick, A. (2006). Determined to make a difference: A study of public health nursing practice with vulnerable families. Ph.D. thesis, , .
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Vernon, R. A. (2003). Developing clinical skill competency of undergraduate nursing students utilising a simulated psychomotor skill laboratory and model of self-directed learning: An evaluation research study. Ph.D. thesis, , .
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Vallant, S. R. (2004). Dialogue and monologue: The relationship between student nurse and nurse clinician: The impact on student learning. Ph.D. thesis, , .
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Young, W. A. (1989). District nursing clients: perceptions of participation in nursing care. Ph.D. thesis, , .
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Davenport, F. A. (2004). Dying to know: A qualitative study exploring nurses' education in caring for the dying. Ph.D. thesis, , .
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Eopapong-Thongkajai, E. (1980). Effects of structured pre-operative teaching upon post-operative physical recovery and psychological welfare. Ph.D. thesis, , .
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Robertson-Green, B. (1993). Enabling choice, public health nurses' perceptions of their work with children and their families. Ph.D. thesis, , .
Abstract: This is a grounded theory study which looked at the perceptions of public health nurses regarding their work. This study focuses on their work with children within the context of their families and their communities
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Hylton, J. A. (2002). Enrolled nurse transition to degree level study based at a rural satellite campus. Ph.D. thesis, , .
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Corry, M. F. (1976). Evaluating nursing services. Ph.D. thesis, , .
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Russell, G. R. (1987). Evaluation of a service delivery programme. Ph.D. thesis, , .
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Gallaher, L. (1997). Expert public health nursing practice: a complex tapestry. Ph.D. thesis, , .
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Roy, D. E. (1995). Exploring the realities: the lived experienced of chronic rheumatoid arthritis. Ph.D. thesis, , .
Abstract: Rheumatoid arthritis is a chronic, systemic inflammatory disease of the connective tissues. People with rheumatoid arthritis often experience chronic pain, chronic fatigue and functional impairment for a large apart of their lives. The cause of rheumatoid arthritis is unknown, with three times more women than men being affected. There are many women who live with rheumatoid arthritis throughout much of their adult lives. Women with rheumatoid arthritis face the challenges and stresses of parenting, partnerships, and employment along with the need to cope with a chronic and increasingly debilitating disease.A review of the literature related to rheumatoid arthritis reveals a dearth of qualitative research, with few studies that focus specifically on women even though they constitute a significant percentage of the client group. Little is known from the clients' perspective of what it is like to live with chronic rheumatoid arthritis. This study, a single-participant case study using a phenomenological analysis, explores one woman's' reality of living with rheumatoid arthritis. As this woman's story unfolds, it is revealed how daily living with rheumatoid arthritis had been incorporated into a new way of being-in-the world. Her way of being-in-the-world is such that rheumatoid arthritis is very much a reality, impacting on most aspects of her life. Yet it does not dominate, as she continues with a very full and active life despite this disease
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Davidson, L. (2000). Family-centred care perceptions and practice: A pilot study.
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