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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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Penny, M. W. (1968). The student nurse in New Zealand: an exploration in role perception. Ph.D. thesis, , .
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Corry, M. F. (1976). Evaluating nursing services. Ph.D. thesis, , .
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Eaddy, J. H. (1976). Nursing care: quality and quantity. Ph.D. thesis, , .
Abstract: A study of the care given by Nurses measuring the quantity of care available against the quantity demanded by the patients at the time of survey
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Clarke-Woolley, C. (1976). The relationship of an instrumental T-Group and personality changes in self concept and self actualisation. Ph.D. thesis, , .
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Boddy, J. M. (1976). Career development and job satisfaction of registered nurses practising in community settings. Ph.D. thesis, , .
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Bates, R. (1976). On the theory and methodology of role: a contribution towards an interactive paradigm. Ph.D. thesis, , .
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Thomson, M., Kinross, D. N. J., Chick, D. N. P., Corry, M. F., & Dowland, J. (1977). People in hospital: a surgical ward. Ph.D. thesis, , .
Abstract: A study of work patterns on a surgical ward
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Butterfield, S. L. (1978). More power to the patient: self-care within acute care situations. Ph.D. thesis, , .
Abstract: “A brief look at self-care and some of the issues relevant to nurses recognising it as a component of acute care”
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Pybus, M. W. (1978). A longitudinal study of new mothers: a student exercise. Ph.D. thesis, , .
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Tangamonsiri, D. (1978). Teaching coping behaviour to psychiatric patients. Ph.D. thesis, , .
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Nevatt, E. A. (1979). The place of the problem oriented record in nursing practice. Ph.D. thesis, , .
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Bird, A. (1979). Social withdrawal among early patients in a long-stay psychiatric ward. Ph.D. thesis, , .
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McIntosh(nee Martison), M. J. (1979). The effect of pre-information on clinical inference and nursing actions. Ph.D. thesis, , .
Abstract: A study to examine the effects of pre- information ( what a Nurse learns about a patient before they meet) on clinical inference and Nursing actions, in a simulated Nurse- Patient situation. It was hypothesised that the nature of the pre-information will influence the way the patient is perceived and the resulting Nursing actions. The research was conducted in an obstetrical setting. There were 55 subjects within three groups. Two groups comprised student midwives and the third group was of second year comprehensive Nursing students near completion of clinical experience in maternal and child health nursing. A 5 minute videotape sequence of a role played post natal patient was made for use in the research. All subjects were given the same initial pre-information, viewed the videotape and gave written description of what they saw on the videotape and their response ( as the Nurse in the situation). This data provided a base line for each subject. Subject were then given additional pre-information concerning the patient's physical condition, her baby's condition or formed part of the control group ( receiving no additional information) The procedure was repeated. These responses were then compared with the base line for each subject. Responses were coded by means of content analysis. Group data was analysed using multivariate one way analysis of variance graphical display. The results indicated support of the hypothesis that the nature of the pre-information does influence the way in which a Nurse perceives a patient and resulting Nursing actions. Implications of these findings for Nurses are discussed
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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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