Yes / A significant proportion of healthcare that is delivered is wasteful, harmful and not evidence based. There are many wound care related guidelines, but their implementation in practice is variable. The Society of Tissue Viability (SoTV) published updated seating guidelines in 2017, but there is a lack of theoretical and conceptual clarity about how these guidelines are being utilised to inform clinical practice. Therefore, the aim of this paper is to generate a theory that can be used to incorporate the SoTV seating guidelines into policy and clinical practice. Methods: We critically reflected on data from an evaluation study utilising systems-thinking approach, informed by implementation and safety science using wider literature as well as our expertise to generate a guideline implementation theory. Discussion: Factors that facilitate or hinder the incorporation of the SoTV guidelines into policy and practice were characterised. We conceptualised the implementation of these guidelines into policy and practice into a Translation or Implementation into Policy or Practice (TIPP) theory with distinct stages, that we called liminal spaces. Knowledge of the guidelines, and the agency or authority to effect change, are key factors in the translation of these guidelines into clinical practice. Conclusion: Our theory is that there are liminal spaces in the implementation trajectory of these guidelines into practice, which have their own characteristics. This theory provides a framework that can be used to underpin guidelines strategies to embed skin and wound care guidelines into policy and clinical practice in order to improve patient care.

This thesis examines Dickens's uses of images of the river throughout his fiction, and also in the early sketches, the reprinted pieces from Household Words and The Uncommercial Traveller. The river concerned is usually but not exclusively the Thames, usually but not exclusively in London. The thesis offers some practical evidence to account for the powerful influence of the Thames upon Dickens's imagination and shows how he conceives of it both within existing frames of reference and in some distinctively Dickensian ways. It considers how Dickens's representations of the river play into the cult of the picturesque which emerged at the end of the eighteenth century, and into the tradition which sees it as a symbolic conduit of the empire. It goes on to consider his use of the river as a boundary, the consequent importance of river crossings in his work, and his conception of the riparian space as a liminal one. It then explores a distinctive scheme of discourse which uses the river to represent rebellious forces beyond the control of human agency and shows how this reflects the sense of spiritual threat which is to be found in some of the other, albeit rare, depictions of nature to be found in his writing. It then shows how Dickens uses the river symbolically to express ideas about death and rebirth, together with the loss of and changes in identity, and how he draws on a scheme of distinctively Christian iconography to do so. Finally it shows how he uses it to create and represent an underworld for London, using tropes of epic founded on classical models. The thesis concludes that, in its use of natural forces to signify social ones, Dickens's writing about the river serves to amplify his conception of stratification in Victorian society and adds weight to the socially conservative political stance which is known to be present in his world view.

Within the European Union, policies promoting integration and transnationalization have raised questions about the nature of borders and boundaries. With these shifts in conception emerge an opportunity to re-imagine how borders might be urbanized and developed. The Dreiländerecke (the Three Countries Corner between Switzerland, France, and Germany in Metrobasel) is one instance of this phenomenon, standing at the threshold of change towards increased transborder cooperation and a loosening of political boundaries. However, this process is hindered by residual urban barriers. This thesis investigates the liminal space of borders which provides a rich basis for forming a multi-scalar approach towards infrastructural, architectural, and programmatic strategies for cross-border development. Although connectivity is sought, it is not the ultimate aim, for unfettered integration risks a globalizing homogenization. Instead, this thesis investigates an architecture that facilitates the liminal process as core identities become translated at the meeting point of national cultures.

No description available.

No description available.

Hur uppstår kuslighet i liminala ytor bland spel som inte faller under genren skräck? Detta är frågan som kommer försöka besvaras i form av analyser med studier om diverse variabler som ljus, uppsikt, yta, kontext, m.m. Studierna har sina bakgrunder i evolution, psykologi och det kusliga vilket används för att försöka förstå djupare vad som leder till obehag i liminala ytor. Resultatet visar att många olika variabler kan samspela eller att enstaka uppnår obehag i dessa ytor. Ibland spelar bristen av uppsikt stor roll, ibland kan brottet från det normala vara viktigare, många gånger är kontexten viktig – både i form av spelets regler och platsens syfte. Mer djupgående studier behöver framföras för att vidare förstå ämnet. Detta arbete fungerar snarare som en guide för att få en vidare förståelse för kuslighet i liminala ytor eller dyka djupare i dess forskning.

The potential of communities for sustainability learning and governance has generated substantial interest in sustainability discourses, but their specific roles and remits are not always critically examined. This thesis' original contribution to these discourses lies in the analysis of community projects as liminal spaces for pro-sustainable change that are limited in scope within wider political landscapes that do not sufficiently address wider challenges of an unravelling biosphere. The particular manifestation of community projects which emerges in Scotland as a result of Climate Challenge Fund funding made available by the Scottish Government is one example of sustainability governance at a local level. The present study draws upon data from field notes of eleven months of fieldwork, and semi-structured interviews with fifty-two informants, constructing two case studies with references to a third one. A transdisciplinary analysis of findings examines leadership and organisational structures and their implication for governance, and similarities and differences in practices and values identified within the case studies. Community projects are described as liminal spaces which facilitate the learning, practice-based and theoretical knowledge of sustainable practices (such as food growing or energy efficiency), and stimulate thinking on behalf of the group of participants or wider community. Community projects may also build temporary spaces demonstrating sustainable solutions visible to passers-by (such as raised vegetable beds in community gardens, or second-hand clothing in a swap shop). However, the longevity of these solutions is uncertain once the grant funding has come to an end. It is argued that in wider Scottish society, high-carbon lifestyles, inequalities and economic growth are the norm, and sustainable practices, community sustainability governance of tangible assets, and Education for Sustainable Development need to become less marginal and more widely embedded across all social and economic institutions.

La présente thèse analyse les textes de fiction de l’écrivain berlinois Klaus Schlesinger sous l’angle de l’écriture de l’histoire. Né en 1937 à Berlin-Est, cet auteur important mais encore sous-estimé connaît cinq régimes différents au cours de son existence – l’Allemagne national-socialiste, l’Allemagne occupée, la RDA (de 1949 à1980), la RFA (de 1980 à 1989), l’Allemagne unifiée – et autant de ruptures majeures dont son œuvre rend compte : révélation de l’ampleur des crimes nazis, réorientations dans l’après-guerre et le socialisme en construction, instauration du Mur de Berlin, « dissidence » et passage à l’Ouest dans le sillage de l’affaire Biermann, puis chute du Mur, disparition de la RDA, réunification. Si un découpage en quatre grandes périodes d’écriture permet d’éclairer un itinéraire intellectuel et politique, l’analyse porte d’abord sur la façon dont Schlesinger représente ce demi-siècle d’histoire allemande, son impact sur les individus et les questions qu’il a soulevées (héritage du passé, place de l’individu dans le socialisme « réellement existant », les sociétés capitalistes ou la guerre froide, utopie, identité). Elle s’intéresse aux choix narratifs et formels opérés dans chaque texte et souligne les enjeux indissociablement historiographiques, moraux, politiques et identitaires dont ils ont été à chaque fois porteurs. Puisant à plusieurs sources théoriques (Ricœur, Foucault, de Certeau, Turner, Geertz), elle met en lumière la nature singulière des espaces souvent hétérotopiques ou liminaux où Schlesinger fait évoluer ses personnages et observe l’écriture de fiction comme un lieu privilégié d’appréhension et de construction de soi dans l’histoire. Centrée sur les textes de fiction, l’analyse exploite également les essais et les textes autobiographiques, ainsi que les archives du fonds Schlesinger de l’Akademie der Künste à Berlin (correspondance, ébauches et fragments, dossiers de surveillance de la Stasi, recensions et coupures de presse, entretiens). / This thesis analyses the fictional texts of Berlin author Klaus Schlesinger under the aspect of history-writing. Born in 1937 in East-Berlin, this important yet still under-estimated writer lived under five different regimes – national-socialist Germany, occupied Germany, the GDR (from 1949 to 1980), the FRG (from 1980 to 1989), unified Germany – and as many major changes that find reflection in his work: the revelation of the scope of Nazi crimes, the reorientations in the post-war era and under the socialist regime, the building of the Berlin Wall, political “dissidence” and exile in the West in the wake of the Biermann affair, then the fall of the Wall, the disappearance of the GDR and German unification. While the analysis falls into four chronological periods, thus allowing for an overview of his intellectual and political itinerary, the thesis primarily focuses on the way Schlesinger represented this half-century of German history, its impact on individuals and the questions that arose from it (the heritage of the past, the individual’s position in “real”-socialism, in capitalist societies or the Cold war, utopia, identity). It looks at the narrative and formal choices made in each text and underlines the historiographical, moral, political and personal-identity questions inextricably linked to them. Drawing from several theoretical sources (Ricœur, Foucault, de Certeau, Turner, Geertz), it underlines the specific nature of the often heterotopical or liminal spaces in which Schlesinger places his characters and interprets fictional writing as a privileged space of self-apprehension and self-construction in history. While focused on the fictional writings, the analyses also uses the author’s essays and autobiographical texts as well as the Klaus Schlesinger archives of the Akademie der Künste in Berlin (correspondence, first drafts, text fragments, Stasi surveillance files, reviews, interviews).

Hierdie proefskrif bied ʼn nie-empiriese ondersoek en ʼn konseptuele analise van die verhouding tussen ruimte en identiteit in Eben Venter (1954-) se oeuvre binne die konteks van ballingskapliteratuur die postkoloniale diskoers. Die manifestasie van die ruimte- identiteitdialektiek, soos wat dit uitgebeeld word in Venter se skryfkuns, word beskryf aan die hand van postkoloniale teorieë en insigte wat verband hou met aspekte soos ruimte, plek, ballingskap, diaspora, ruimtelike verplasing, seksuele migrasie, intra-nasionale migrasie, internasionale migrasie, empiriese en kulturele landskappe, identiteit as sosio-kulturele konstruksie en Suid-Afrikaanse outobiografieë. Vir die doel van hierdie ondersoek is die volgende vertellings geselekteer: Ek stamel ek sterwe (1996), Twaalf (2000), Horrelpoot(2006) en Brouhaha (2010). In ʼn tydsgewrig van grootskaalse migrasie, globale onsekerheid, transnasionale kapitalisme en radikale dekolonisering in die vorm van geweldsmisdaad, gewelddadige betogings by universiteite, plaasmoorde, grondhervorming, haatspraak, arbeidsonrus, xenofobie en die aftakeling van minderheidsregte, sny Venter in sy verhale en outobiografie ʼn verskeidenheid van kwessies aan. Dit sluit in: die naweë van apartheid, die Afrikaner-diaspora, grondeienaarskap, die ideologiese toeëiening van grond, rassisme, homofobie, queer-migrasie, die haalbaarheid van ʼn inklusiewe Afrika-identiteit en die veranderde rol, plek en identiteit van Afrikaners sedert 1994. Die outobiografiese inslag van Venter se skryfkuns is opvallend en word bespreek deur te verwys na die verhouding tussen fiksionele en reële ruimtes en na outobiografie as hibridiese genre en kreatiewe projek. Hierdie studie bied ook ʼn krities-analitiese besinning van Venter se bemoeienis met skryftemas soos selfopgelegde ballingskap, die vervreemding tussen plek en self, globale plekloosheid en “exile as a discontinous state of being” (Said 2000: 177). Een van die belangrikste insigte wat Venter in sy skryfkuns demonstreer, is dat ruimte, soos identiteit, nie ʼn essensialistiese konsep is nie, maar ’n onvoltooide en vloeibare konstruksie wat voortdurend verander na gelang van sosio-politieke ingrepe, internasionale migrasiepatrone en die individu se subjektiewe gewaarwording van plekke, / This dissertation presents a non-empirical and a conceptual analysis of the relationship between space and identity in the works of prose of Eben Venter (1954) within the context of the postcolonial discourse and exile literature. The manifestation of the space-identity dialectic, as portrayed in Venter’s writing, is described on the basis of postcolonial theories and insights related to terms and concepts like space, place, exile, diaspora, spatial displacement, sexual migration, intra-national migration, international migration, empirical and cultural landscapes and identity as a social-cultural construction. For the purpose of this study the following narratives were selected: Ek stamel ek sterwe (1996), Twaalf (2000), Horrelpoot en Brouhaha (2010). At a juncture of mass migration, global uncertainty, transnational capitalism and radical decolonization in the form of violent crime, violent protests at universities, hate speech, farm murders, land reform, labour unrest, xenophobia and the dismantling of minority rights, Venter addresses an assortment of social issues. This include: the aftermath of apartheid, the Afrikaner-diaspora, landownership, the ideological appropriation of land, racism, homophobia, queer-migration, the viability of an inclusive African-identity and the altered role, place and identity of Afrikaners since 1994. The autobiographical element is evident in Venter’s writing and is discussed by referring to the relationship between fictional and real spaces and to autobiography as a hybrid genre and creative project. This study also presents a critical-analytical reflection of Venter’s involvement with writing topics such as self-imposed exile, estrangement between place and self, global displacement/non-belongingness and “exile as a discontinuous state of being” (Said: 2000: 177). One of the key insights Venter demonstrates in his writing, is that space, like identity, is not an essentialist concept, but an incomplete and diffuse construction that is constantly changing depending on socio-political interventions, international migration patterns and the individual's subjective perception of places. / Afrikaans and Theory of Literature / D. Litt. et Phil. (Afrikaans)