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Organization of Perinatal Nurses' Work following Epidural InsertionBaribeau, Isabelle 07 January 2014 (has links)
The perinatal nurse’s work is influenced by the particular needs of each labouring women as well as by institutional discourses and textually mediated work processes that guide obstetrical care in hospital. Institutional Ethnography (IE) was used to explore the work performed by perinatal nurses in relation to the pain management of women labouring with mobile labour epidural analgesia. The data collection process involved interviews with five perinatal nurses working in a tertiary care centre in British Columbia and an in-depth review of the institutional texts used by these nurses.
The perinatal nurse’s work associated with the initiation and maintenance of the epidural involves a constant re-prioritizing of the nurse’s actions and interventions in order to attend to multiple demands associated with the care of a labouring woman. The nurse’s extensive knowledge work requires an awareness of the effects of the epidural on maternal and fetal wellbeing and the labour progress. The nurse’s work of promoting effective pain relief is managed separately from the process of supporting labour and birth.
Once the epidural is inserted and the contraction pain alleviated, all manifestations of pain are perceived as problematic. Within the context of epidural management, the goal becomes taking every measure possible to alleviate the presence and re-occurrence of contraction pain. The nurse’s work of mobilizing a labouring woman with an epidural involves an additional layer of assessment and evaluations which require additional work on the part of the nurse. The nurse must choose and prioritize the care she provides to the labouring woman. Needing to focus more intensely on the safety of the labouring woman and her fetus, alongside ensuring the required epidural work processes are completed, results in mobility falling to the lowest priority level within the nurse’s epidural management work. The textually mediated work processes embedded in the intuitional policies and forms associated with epidural management reinforce this hierarchy of priorities and directly structure the nurse’s work time away from providing care that supports women to cope with labour pain and encouraging mobility to promote labour progress. The various hospital forms, policies and guidelines coordinate and organize the nurse’s epidural work so that promoting mobility is subsumed; potentially increasing the risk of labour dystocia and caesarean birth for women labouring with a mobile labour epidural analgesia. / Graduate / 0570 / 0380 / 0626 / isabelle@dccnet.com
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(Re)placing ourselves in nature: An exploration of how (trans)formative places foster emotional, physical, spiritual, and ecological connectedness / Replacing ourselves in nature: An exploration of how transformative places foster emotional, physical, spiritual, and ecological connectednessStanger, Nicholas Richard Graeme 08 April 2014 (has links)
This research considers a person’s ontological fabric woven from experiences of and in (trans)formative childhood and adolescent places through three conceptual frameworks: complexity theory, endogeny, and i/Indigenous ways of knowing. By re-visiting the (trans)formative places of four exemplary citizens with them, creating an interactive website and iBook, and exploring ten online public participants’ posts, I gained an understanding of how childhood and adolescent outdoor places act as catalysts of community, ecological, and civic environmental engagement. To achieve this, I asked the question: Does learning that occurs in childhood and adolescent outdoor places inform civic, emotional, physical, and/or spiritual engagement or connectedness over the course of people’s lives? If so, how?
Tsartlip (Coast Salish First Nations) Elder, May Sam, Hua Foundation co-founder Claudia Li, National Geographic Explorer-in-Residence, Wade Davis, and former Lieutenant Governor of BC, Iona Campagnolo, all exemplary individuals, shared personal relationships with their childhood and adolescent places. They engaged though participatory action research by taking me to these places, contributing to the interview process, and supporting the analysis of the results. As a way to engage decolonizing methodologies and encourage authentic voice within this research, I took great care in using interview and discourse techniques that were respectful, engaging, and empowering. Each of these visits were filmed and appropriate sections were shared through online social media as a way to invite participation from the larger North American public (www.transformativeplaces.com). Ten more participants’ experiences were analyzed based on their submissions to this website. Data were explored through a hybrid of phenomenological and participatory analysis and participants were invited to help discern meaning through post-filming interviews and dialogue.
The concept (trans)formative places was defined as sites that engage humans in biophysical, emotional, spiritual, and civic engagement. Major notions included the development of a memetic group of concepts that help describe the processes, characteristics, and relationships that occur from, in, and with (trans)formative places. I found that my participants’ relationship to places were formed through family and community bonds, where learning occurs through shared stories, collective healing, and respect-building. Places transformed my participants through identity development, memory and anxiety, resiliency behaviour, nostalgia, and loss. Finally, my participants related to places through connective processes like knowing a place and being home, engendering bliss and appreciation, development of pride and hope and emotionality. The final section of this dissertation is articulated as a manifesto for creating, sustaining, and engaging in (trans)formative places. To download the interactive iBook of this dissertation search for it in iTunes. / Graduate / 0350 / 0525 / 0534 / 0740 / 0768 / 0620 / 0727 / nstanger@nicholasstanger.ca
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Developing critical reading : how interactions between children, teachers and texts support the process of becoming a readerSmith, Vivienne Mary January 2000 (has links)
This thesis is a theoretical exploration of critical reading in the primary school. It interrogates the term 'critical reading', examines and conceptualises the thinking processes by which readers make texts mean and proposes a description of critical reading as it is evidenced in young children. At the heart of this thesis is an ethnographic study of the reading practices of classes in three contrasting primary schools. It follows and records the reading experiences of one class of children from each school, beginning in the middle of Year Two and continuing until the children near the end of Year Three. The resulting empirical data is reflected in and measured against theoretical understandings of learning and of reading derived from a number of sources. Vygotskian and Bakhtinian theories of the interdependency of thought and language are considered, critical pedagogy is explored and literary theory, especially the ideas of reader response theorists and postmodernists, is examined. From this process of reflection and assimilation, three theoretical positions are achieved: • that the interactions that take place between children, between children and teachers and between children, teachers and texts are of vital importance in the development of children as critical readers. The thesis stresses the central role of the teacher in controlling the possibilities of dialogue in the classroom. It argues that children who are exposed to the heteroglossia (Bakhtin 1981) of Mennipean dialogue and rich and varied textual experiences are better equipped to read critically than those who are not. • that the process of reading can be modelled to show the nature of these interactions. The thesis proposes a series of theoretical models that attempt to map out the dynamic, interactive process by which readers make texts mean. The models chart the pushes and pulls of thinking that a reader must employ during the act of reading in order to shape meaning from an indeterminate text. • that a description of critical reading activity in young readers can be postulated. The thesis proposes a sequence of indicators that seem to be characteristic of the behaviour of children who are developing the ability to read critically. Finally, the thesis stresses the necessity of reading widely to children if they are to take on the heteroglossia that will enable them to read critically, and the need to empower them by encouraging and honouring their own interpretive voices.
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The Khecarīvidyā of Ādinātha : a critical edition and annotated translationMallinson, William James January 2003 (has links)
This thesis contains a critical edition and annotated translation of the Khecarīvidyā of Ādinātha, an early haṭhayogic text which describes the physical practice of khecarīmudrā. 31 witnesses have been collated to establish the critical edition. The notes to the translation adduce parallels in other works and draw on Ballāla's Bṛhatkhecarīprakāśa commentary and ethnographic data to explain the text. The first introductory chapter examines the relationships between the different sources used to establish the critical edition. An analysis of the development of the text concludes that its compiler(s) took a chapter describing the vidyā (mantra) of the deity Khecarī from a larger text to form the framework for the verses describing the physical practice. At this stage the text preserved the Kaula orientation of the original work and included verses in praise of madirā, alcohol. By the time that the text achieved its greatest fame as an authority on the haṭhayogic practice of khecarīmudrā most of its Kaula features had been expunged so as not to offend orthodox practitioners of haṭhayoga and a short fourth chapter on magical herbs had been added. The second introductory chapter concerns the physical practice. It starts by examining textual evidence in the Pali canon and Sanskrit works for practices similar to the haṭhayogic khecarīmudrā before the time of composition of the Khecarīvidyā and then discusses the non-physical khecarīmudrās described in tantric works. There follows a discussion of how these different features combined in the khecarīmudrā of the Khecarīvidyā. Then a survey of descriptions of khecarīmudrā in other haṭhayogic works shows how the haṭhayogic corpus encompasses various differnt approaches to yogic practice. After an examination of the practice of khecarīmudrā in India today the chapter concludes by showing the haṭhayogic khecarīmudrā has generally been the preserve of unorthodox ascetics. In the third introductory chapter are described the 27 manuscripts used to establish the critical edition, the citations and borrowings of the text in other works, and the ethnographic sources. The appendices include a full collation of all the witnesses of the Khecarīvidyā, critical editions of chapters from the Matsyendrasaṃhitā and Haṭharatnāvalī helpful in understanding the Khecarīvidyā, and a list of all the works cited in the Bṛhatkhecarīprakāśa.
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Kultur och utbildning : – en tolkning av två grundskolors mångkulturella kontexterNilsson, Henrik January 2015 (has links)
This dissertation deals with the sort of culture that forms the organization of education and its contents of two multicultural nine-year compulsory schools. The analysis is based on ethnographic work on the municipal school Tallskolan and the free independent Muslim school Jibrilskolan. To illustrate the sorts of social integration offered by Tallskolan and Jibrilskolan and explain whence they came, I have used Alexander’s (2006) conception of incorporation and civilsphere. In relation to the concepts, landscapes of meaning and systems of meaning (Reed, 2011) I ask what they can tell us about the expectations which members of society direct towards themselves, and in particular pupils with an immigrant background and the multicultural schools which they expect to help them into society.The result shows that the prioritizing of Tallskolan's school heads and the municipality changes at the same rate as that of the social geography of the residential district. School politics have tried in different ways to desegregatethe pupils through closing down the intermediate school stage and offeringschool attendance at other schools, but have failed due to parental protest.Overall changes that have been realised during the latter period is a drive to give further educational training to teachers of Swedish as a second language. When looked at through the theoretic concepts of the dissertation these priorities mirror an adaptation to society's main cultural practice. The result for Jibrilskolan shows that the school prioritizes the development of the pupils' Muslim identity and their self-confidence. The school consists of teachers with both Swedish and Muslim backgrounds. The actual teaching activates different opinions as to the degree that religion influences the teaching. Divergent opinions are overruled, however, as teachers with a Swedish background see that Islam can also be used as a resource. The Muslim teachers help the teachers with a Swedish background to explain and convince the Muslim parents to let their children participate in activities which they otherwise would probably not have done. Based on the theoretic concepts of the dissertation the prioritizing mirrors a great variety of different perspectives on knowledge, values and norms.
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The role of entrepreneurial networking on internationalization of a micro-sized Born Global Swedish fashion company : A narrative ethnographic researchAfazeli, Armin, Ivanova, Volha January 2014 (has links)
Background: In recent studies a lot of attention is drawn to the connection between networking and entrepreneurship. Many scholars consider successful business and networking inseparable. Taking into consideration the topicality of the two notions discussed above the authors of this thesis decided to conduct the research dedicated to these phenomena in the field that interests them most – in the field of Swedish fashion. Purpose: The purpose of the thesis is to gain a deeper insight into entrepreneur’s experiences to point out the role of entrepreneurial networking in the process of internationalization of a micro-sized Swedish fashion company and to contribute to the research in this field by telling its unique story. Method: To achieve the purpose of the research a narrative ethnographic research was conducted. This research strategy was chosen because it suits the purpose best by giving an opportunity to get fresh insights into the field of entrepreneurial networking from the point of view of the entrepreneur. The data collected has a narrative nature therefore narrative analysis is used to present it. The methods of gathering the data are face-to-face interview and documents. Conclusion: we can define the most important role of entrepreneurial networking on the internationalization process of Odeur as an effective accelerator and a tool to fulfil the knowledge and expertise gaps in certain areas through other actors in the network.
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An Ethnographic Study of Socio-Emotional Factors In Interpersonal Peer Relationships and Their Impact on the Academic Success of African American High School Students in MathematicsJohnson, Alanna 18 December 2014 (has links)
Nationally, the outlook for African Americans in K-12 education is dismal. While gains are being made, African Americans still lag behind their White peers. The latest reports by the National Center for Education Statistics (2009) show a 31 point gap between 8th grade African Americans and Whites in mathematics. While statistics such as these are in abundance, there are few accounts of stories of success (Berry, 2005; Jett, 2009; Stinson, 2004). Studies directly related to the role of socio-emotional interpersonal relationships and the means by which African American high school students negotiated that space in terms of successful math performance were significantly limited.
The purpose of this study was to explore the nature of socio-emotional factors in peer relationships between school friends and discover the ways in which students negotiated academic success through these relationships. The following research questions guided the study: How do academically successful African American high school students negotiate academic success in mathematics classrooms using peer relationships? What are the socio-emotional factors contributing to the academic success of these students in mathematics? How do students perceive the nature of socio-emotional relationships with peers that contribute to their academic success in mathematics? Using the lens of Critical Race Theory (CRT), this ethnographic study explored how African-American high school students constructed and appropriated socio-emotional relationships to support their academic success. Through the use of purposive sampling, four African-American high school students were observed in an AP Calculus AB course and interviewed over a seven month period at a high school in a southeastern state. The data collected were crystallized using researcher memos and the collection of artifacts. Data was analyzed using five coding techniques: structural, in vivo, subcoding, eclectic, and axial. The study found seven themes related to socio-emotional factors and perceptions about how the characters negotiated academic success in mathematics classes using peer relationships: 1) selective narrowing of social interaction, 2) interpersonal relationships affect academic identity and behaviors, 3) interpersonal engagement, 4) pursuit of emotionally gratifying interactions, 5) satisfaction of emotional needs through social networks, 6) effect of collaborative learning, and 7) illusion of control.
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The Paradox of Socially Organized Nursing Care WorkQuinlan, Shelley 29 November 2012 (has links)
As contemporary health care organizations struggle to control costs, yet deliver quality patient-centred care, the concept of care becomes socially transformed through the use of quality improvement models (i.e., Lean methodology) and quality assurance documentation. This research investigates how nurses’ care work is socially organized in a system that defines care through quality management practices. I use Dorothy E. Smith’s Institutional Ethnography as a feminist mode of inquiry and as a guiding framework for my interviews with nurse participants as I explore the complex social relations within the health care system from the vantage point of nurses undertaking care work. I argue that the social reorganization of care work has affected the emotional lives of nurses as they try to balance actual patient-centred care with their reporting obligations under quality management.
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The Social Organization of the Lives of 'Semi-skilled' International Migrant Workers in Alberta: Political Rationalities, Administrative Logic and Actual BehavioursAbboud, Rida 02 August 2013 (has links)
This institutional ethnography is an inquiry into the particular migrant category of International Migrant Workers (IMW) in Canada (otherwise known as Temporary Foreign Workers). It looks at how the daily lives of IMWs who have been deemed as ‘semi-skilled’ by the National Occupational Classification (NOC) system are organized by their immigration and job status in Canada. These IMWs are working primarily in the food service, hotel or retail industries in front-line and often precarious employment in Southern and Western Alberta. The data was collected through a literature review, interviews, observations, and textual analysis. The participants that informed this inquiry are IMWs, service providers in the immigrant sector, representatives from the Alberta Government, and an immigrant recruiter/consultant.
This study uses an ‘ideological circle’ (Yan, 2003), which maps out the process through which governmental ideology is filtered down to all levels of society via a set of ideas, knowledge, procedures and methods about people and processes. It provides a vehicle to identify the specific social relations that organize people in different sites. It becomes apparent through this mapping that along with the political rationalities of neoliberal criteria and the logic of globalization, and market civilization and citizenship, certain administrative logic and technologies of government such as situating IMWs as economic units in the Canadian nation-state, processes of skill codification, and devolution of immigration policies and programs, become the foundations for the ways that IMWs live their lives in Canada. In particular, we can see how and why they ‘work’ for permanent residency, how and why they become vulnerable to precarious employment in their workplace and in other ways, and how and why they become isolated through family separation. The thesis ends with a look into how social workers and social service organizations are managing ‘professional’ relationships with migrant populations whose lives are organized in the above ways, and questions whether it’s possible at all to move beyond supporting ‘bare life’ (Agamben, 1998).
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The Social Organization of Best Practice for Acute Stroke: An Institutional EthnographyWebster, Fiona 25 February 2010 (has links)
Since 1995, a thrombolytic therapy, rt-PA, has been approved for use with acute stroke that significantly reduces, and sometimes reverses, neurological damage. Treatment has to be given within a few hours of the start of symptoms and can only commence once a CT-scan has confirmed a particular type of stroke. In the evidence-based medicine and knowledge translation literature, variations in practice are constituted as a problem to be solved. It is assumed that a physician decides whether or not to use this therapy based on his/her evaluation of the scientific evidence.
In this thesis, I demonstrate that what are less evident in many of these claims are issues related to the social production of knowledge. Little attention is paid to who conducts research, who promotes its findings, and who is expected to implement them. The positivist discourse of evidence-based medicine assumes that research produces knowledge that is neutral and can be translated into treatment that is in the patient’s best interest. Yet these assumptions remain empirically unexamined, despite social science critiques of these processes.
Institutional Ethnography is an approach in sociology developed by Dorothy Smith. Based on Smith’s understanding of the social organization of knowledge, it allows for an examination of the complex social relations organizing people’s experiences of their everyday working lives. Beginning in the experiences of physicians who provide acute stroke services, this dissertation explores an example of how best practice medicine is developed, translated, and taken up in practice across various sites in the province of Ontario. For Smith, texts mediate and organize people’s experiences. In my study, the discourses of both evidence-based medicine and knowledge translation, designed to improve patient care, come into view as managerial tools designed to control the delivery of care. I render visible how in fact things work as they do in real life settings in a way that links back actual people to the texts, or discourse, organizing their experiences. In so doing, I am able to uncover some of the assumptions and hidden priorities underlying the current emphasis on translating scientific knowledge in medicine into practice.
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