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Author |
Caygill, J. |
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Title |
Professional care: structure, strategy and the moral career of the nurse in a psychiatric institution |
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Year |
1989 |
Publication |
New Zealand Sociology |
Abbreviated Journal |
University of Otago Library |
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Volume |
8 |
Issue |
2 |
Pages |
137-165 |
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Abstract |
This thesis presents the job of psychiatric nursing from the nurse's point of view, as derived from the author's personal experience and from interviews with thirty five other staff within a particular psychiatric institution.The first part of the thesis is reconstructed narrative account of an afternoon and a day shift in an acute admission ward. In the second part, the basic situation on the ward and some of the exigencies of nurse-patient and nurse-staff relations are discussed from structuralist and strategic conduct perspectives.The discussion that follows Anthony Giddens' (1976, 1979, 1984) conceptual framework of power, legitimation and signification, with particular attention to the strategic implications of ward routines, nursing practices, and interpersonal relations, as well as the duality of clinical and moralistic interpretive themes. The third part of the thesis 'the nurse's progress' over time. Characteristic changes in understanding and awareness take place with the movement from the 'backwards' to the 'acute' area and from the student to staff nurse. This is portrayed as a 'moral career' analogous to that suggested by Goffman (1968) for psychiatric patients; marked by 'happenings' that generate revised conceptions of self and others, and including those experiences of duality and contradiction discussed in part Two. While acknowledging the diversity of nurses' attitudes and approaches, with variations according to individual temperament, past experiences and the current setting, the suggestion is made of a common and distinctive 'meta-awareness' that develops with the fob |
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Call Number |
NRSNZNO @ research @ 223 |
Serial  |
223 |
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Author |
Berry, R. |
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Title |
Psychiatric comorbidity and childhood adversity in women seeking treatment for alcohol and/or drug dependence |
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Year |
1999 |
Publication |
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Abbreviated Journal |
University of Otago Library, Dunedin |
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Issue |
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Pages |
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Abstract |
Eighty alcohol and/or drug dependent women who were consecutive admissions to an outpatient alcohol and drug service were interviewed with the aim of gathering information regarding childhood adversity, psychiatric comorbidity and alcohol and drug history, including extent of treatment and alcohol and drug related criminality. A secondary aim of the study was to investigate associations between both the multiplicity of alcohol and drug dependence diagnosis and the presence of psychiatric comorbidity in relation to exposure to childhood adversity, including sexual, physical and emotional abuse.The data demonstrate that the study sample was a relatively severe group of alcohol and drug dependent women. A sizeable percentage came from backgrounds characterised by parental separation, conflict and alcohol and drug problems. Many were regularly exposed to physical abuse perpetrated by both parents or main parental figures and over two-thirds were exposed to some form of sexual abuse within their first 15 years. Sixty percent had been dependent on more than one psychoactive substance, with half having undergone previous alcohol and drug treatment. The women also presented with substantial histories of criminal convictions, with a quarter having served a prison sentence. The results indicate the presence of extensive psychiatric comorbidity in the sample. Two-thirds of the women met current DSM-IV criteria forat least one of the following Axis I disorders: major depressive syndrome, social phobia or bulimia nervosa, while nearly half had antisocial personality disorder. More importantly, significant associations were found regarding the presence of psychiatric comorbidity in relation to four measures of severe childhood adversity, i.e. childhood sexual, physical and emotional abuse and parental problems. Multiplicity of alcohol and drug dependence diagnosis was associated with severe emotional abuse, severe parental problems andpsychiatric comorbidity. Emotional abuse during childhood was the most pervasive indicator of comorbidity and multiplicity of alcohol and/or drug dependence. The main implication for clinical practice arising from the results of this study is the need for the development of a broader approach to alcohol and drug service provision. In order to achieve positive treatment outcomes, alcohol and drug service may need to routinely screen and plan treatment for unresolved childhood trauma, psychiatric disorder and other problems related to alcohol and drug use in all clients presenting for alcohol and drug treatment |
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Call Number |
NRSNZNO @ research @ 210 |
Serial |
210 |
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Author |
Miles, M.A.P. |
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Title |
Why they leave: a Heideggerian hermeneutic study of the reasons why ten registered nurses left nursing practice to enter the professions of medicine or law |
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Year |
1997 |
Publication |
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Abbreviated Journal |
University of Otago Library, Bill Robertson Library |
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Issue |
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Pages |
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Keywords |
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Abstract |
The purpose of the study was to research the reasons for the dissatisfaction experienced by ten professional nurse-practitioners who chose to leave nursing to join the professions of law or medicine. The mnotivation for professional nurses to chose entry to these particular professions may in some way throw light upon the difficulties being experienced in attempts to bring about changes of an emancipatory nature in the nursing profession (Habermas, 1974). The approach for the study is hermeneutic phenomenology (Gadamer, 1975 – ; Heidegger, 1962) |
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Call Number |
NRSNZNO @ research @ 148 |
Serial |
148 |
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