This ethnographic study provides insight and understanding, which is needed to educate and support the Triage Nursing role in Australian Emergency Departments (EDs). The triage role has emerged to address issues in providing efficient emergency care. However, Triage Nurses and educators have found the role challenging and not well understood. Method: Sampling was done first by developing a profile of 900 nurses who undertake the triage role in 50 NSW EDs through survey techniques. Purposive sampling was then done with data collected from participant observation in four metropolitan EDs (Level 4 and 6), observations and interviews with 10 Triage Nurses and the maintenance of a record of secondary data sources. Analysis used standard content and thematic analysis techniques. Findings: An ED culture is reflected in a standard geography of care and embedded beliefs and rituals that sustain a cadence of care. Triage Nurses to accomplish their role and maintain this rhythm of care used three processes: gatekeeping, timekeeping and decision-making. When patient overcrowding occurred the three processes enabled Triage Nurses to implement a range of practices to restore the cadence of care to which they were culturally oriented. Conclusion: The findings provide a framework that offers new ways of considering triage nursing practice, educational programs, policy development and future research.

Doctor of Philosophy(PhD) / Alongside informal networks of friends and family, formal social groupings such as voluntary associations are valued by older people as opportunities for engagement. In Australia, one such grouping is the licensed social (or ‘registered’) club. Approximately 20 per cent of all older Australians, and 80 per cent of older residents of the state of New South Wales, actively participate in such clubs. Despite this, older people’s registered club participation has received little scholarly attention. This ethnographic study of one particular registered club aimed to discover the nature, meaning and role of club participation for its older members. Social capital existing in club-based networks emerged as a further investigative focus, and its mechanisms and outcomes were examined. Participant observation and in-depth interviewing were the main data collection methods used. Data analysis procedures included thematic analysis (based loosely on grounded theory methodology), as well as the more contextsensitive narrative analysis and key-words-in-context analysis. The study found that club participation enabled older members to maintain valued social networks, self-reliance and a sense of autonomy. Social networks were characterised by social capital of the bonding type, being largely homogeneous with respect to age, gender, (working) class and cultural background. Strong cohesive bonds were characterised by intimacy and reciprocity, and possessed norms including equality and the norm of tolerance and inclusiveness. These helped to minimise conflict and build cohesiveness, while protecting older club-goers from increasing marginalisation within the club. Peer grouping within this mainstream setting may have shielded the older club-goers from stigma associated with participation in old-age specific groups. The nature and scale of registered club participation amongst older Australians points to their unique and important role. The findings of this research indicate that – for at least this group of older men and women - club use is a major contributor to maintaining social connectedness and a sense of self as self-reliant, autonomous and capable. In the context of an ageing population, Australia’s registered clubs feature in the mosaic of resources available to older people, and their communities, for the creation of social capital.

Submitted by Alexandre Esposito null (alexandreespositosp@gmail.com) on 2018-01-24T17:36:13Z No. of bitstreams: 1 Dissertação-ALEXANDRE.pdf: 1585670 bytes, checksum: f94b18998723853e1139356f166153fa (MD5) / Approved for entry into archive by Maria Luiza Carpi Semeghini (luiza@assis.unesp.br) on 2018-01-24T18:59:10Z (GMT) No. of bitstreams: 1 esposito_a_me_assis.pdf: 1585670 bytes, checksum: f94b18998723853e1139356f166153fa (MD5) / Made available in DSpace on 2018-01-24T18:59:10Z (GMT). No. of bitstreams: 1 esposito_a_me_assis.pdf: 1585670 bytes, checksum: f94b18998723853e1139356f166153fa (MD5) Previous issue date: 2017-12-06 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / O fenômeno da mobilidade está presente na vida do ser humano. Por meio dele, os sujeitos são capazes de se relacionar com diferentes meios conforme transitam por eles. Existem pessoas que fazem movimentos errantes, um caminhar sem rumo pelas estradas a pé ou mesmo de ônibus. Passam por diferentes cidades e não se estabelecem em nenhuma porque apenas transitam por elas. Por diferentes motivos, começaram a fazer esses movimentos errantes e não querem ou não conseguem parar suas caminhadas. Essas pessoas se autodenominam como trecheiros. A presente dissertação de mestrado consistiu em investigar as interações dos trecheiros com o meio por que eles transitam utilizando a etnografia de uma perspectiva situada na interface da psicologia social com a ecologia urbana. A etnografia foi feita acompanhando o processo em que os trecheiros desembarcavam na cidade, acompanhando-os pelas ruas e estabelecimentos até o momento em que embarcavam para outro local. A pesquisa apontou que os trecheiros conseguem recursos usando discursos criativos para pedir, fazem trabalhos temporários e criam objetos de troca. Os objetos são mediadores para a interação dos trecheiros com os ambientes por que transitam, usando-os para conseguir habitar temporariamente os espaços, para proteger das adversidades climáticas e para criar redes de troca e de informações entre eles, que também convivem e interagem com outros sujeitos que habitam o trecho. Ademais, os resultados mostraram as estratégias de sobrevivência que os trecheiros usam para habitar territórios que podem ser violentos e revelaram quais são essas violências sofridas que os prejudicam em habitar o trecho; do mesmo modo, apontaram como mudam de rota conforme fenômenos climáticos, ações humanas e decisões políticas. Dessa maneira, a partir desses resultados e discussões, a dissertação apresenta como os trecheiros interagem com o meio pelo qual transitam. / The phenomenon of mobility is within the life of the human being. Through it, subjects are able to relate to different environments as they travel through them. There are people who make errant movements, an aimlessly walking on foot or even by bus. They pass through different cities and settle in none because they only transit through them. For different reasons they began to make these errant movements and do not want or cannot stop their walks. These people call themselves trecheiros. The present dissertation consisted in investigating the interactions of the trecheiros with the environment that they travel using ethnography from a perspective situated at the interface of social psychology with urban ecology. The ethnography was made following the process in which the trecheiros disembarked in the city, accompanying them through the streets and establishments until the moment they embarked to another place. Research pointed out that trecheiros get resources using creative speeches to beg, to do temporary jobs and to exchange objects. The objects are mediators for the interaction of the trecheiros with the environments where they transit, using them to habit temporarily the spaces, to protect themselves against climate adversities and to create networks of exchange and information among them, that also coexist and interact with other subjects that inhabit the stretch. In addition, the results showed the survival strategies that the trecheiros use to inhabit territories that can be violent and what kind of violences harms them to inhabit the stretch. Likewise, they pointed out how they change of route according to climatic phenomena, human actions and political decisions. Thus, from these results and discussions, the dissertation presents how the trecheiros interact with the environment where they travel. / FAPESP: 2015/15416-3

No description available.

'Wearables' and 'self-quantifying technologies' are becoming ever more popular and normalised in society as a means of 'knowing' the self. How are these technologies implicated in this endeavour? Using insights from a four year multi-sited ethnography of the 'Quantified Self', I explore how the self is 'done' in the context of using technologies that purport to quantify the self in some way. Drawing on Science and Technology Studies (STS) sensibilities, I conduct a four- pronged investigation into 'self-making' by drawing upon, and expanding, existing theories of agency and performativity, number, data-visualisation, and enactment. I find that self-quantifying technologies are productive in the doing of the self and are implicated in the process of making boundaries around that which comes to be known as the 'self' in a particular moment. The numbers and visualisations that result from practices of self-quantification enable a new way of 'seeing' the self, and provide a way of communicating this self with others. The self is thus not a pre-existing entity that simply requires these technologies as a means to 'know' it. Rather, the self is constantly being done with these technologies and within the surrounding practices of self-quantification. In order to highlight the different parts of this process, I proffer the term 'entractment'. This term explains how these different elements come together to culminate in the production of a momentarily constant self in a particular context. It is a way of simultaneously encapsulating the processes of intra-action, extra-action and enactment with/in a community. In sum, it captures the conclusion that, in the context of self-quantification, we must understand the self as a collective enactment, achieved, at least in part, through the use of self-quantifying technologies that produce numerical data which facilitate visualisations that are imperative to the doing of the self.

This thesis describes a qualitative study exploring the use of critical care diaries from the experiences and perspectives of patients, family members and nurses in a Scottish Intensive Care Unit (ICU). Diaries are currently used in some ICUs across Europe, the UK, Australia and other countries to help patients come to terms with the experience of critical illness. Started in the ICU, the diary is written at the bedside by nurses and family members providing an account of what happened when the patient was in ICU. Following discharge, the diary is handed over to the patient for them to read and refer to during their recovery. Therefore, the diary is used by different people, at different times and in different ways throughout the critical illness journey. However, until recently, research has mainly focused on the diary being read by the patient after ICU as an aid to recovery with little known about family members and nurses despite them being the main authors during the time in ICU. This doctoral research was designed to explore critical care diaries from multiple perspectives and experiences to gain a greater understanding of the different ways in which diaries can be used. Furthermore, it is the first known research study in this area to have been undertaken in NHS Scotland where the use of diaries remains a relatively new practice. The theoretical perspective of Symbolic Interactionism helped to inform the development and design of the research study. A focused ethnographic approach was taken to explore the use of critical care diaries from the different groups identified, during and after a stay in ICU. The setting was an Adult ICU in Scotland where diaries were being used as part of a follow up service for patients and family members after ICU. Data were collected from February 2013 to June 2014. Semi-structured interviews were the main method of data collection. A purposive sampling strategy was adopted to recruit participants in triads with a related patient, family member and nurse involved in their care during the time in ICU. This is a novel and unique approach to research in this area. Four complete triads and two incomplete triads were recruited giving a total of sixteen interviews with four patients, six family members and six nurses. Interviews were supplemented with a small number of formal observations of nurses carrying out diary related activities (n=9) and field notes from time spent at the site. Transcribed interview data were analysed using a thematic approach, uncovering five main themes: (1) Information; (2) Communication; (3) Emotion; (4) Person Centered and (5) Gender. The concept of ‘Stories as joint actions’ developed by the sociologist Ken Plummer in 1995 was used as a framework to discuss and explain the findings. Diaries were found to support information sharing and facilitate communication interactions between nurses, family members and patients in the ICU as well as promoting and demonstrating a person centered approach to care. Emotional support was experienced by family members from writing in and reading the diary during the time in ICU whereas patients experienced emotional support from reading diary entries after the time in ICU. However emotional effort was associated with reading and writing in the diary during and after the time in ICU for patients, family members and nurses. Male family members were found to be less likely to write in the diary compared to female family members. Factors such as gender and literacy appeared to influence diary use however this requires further investigation. A new conceptual model ‘Critical Care Diaries as Joint Actions’ was created to address the complex nature of experiences with critical care diaries. Exploring the use of diaries from multiple perspectives and experiences has provided valuable insight into the different ways in which diaries are used during and after the time in ICU demonstrating that although the diary is primarily written for the patient, family members, nurses and patients use the diary in different ways to support their needs and others needs throughout the experience of critical illness.

Networked information technologies and especially the internet, have brought about extensive changes and re-arrangements in cultural production, distribution, commercialisation and consumption of creative content. As an attempt to create a type of copyright licenses better suited for the online environment, the Creative Commons (CC) organisation has launched a license suite that allows creators to openly distribute and share their work under varying levels of restrictions. This thesis aim is to explore the motivations, expectations and understandings of both users and non users of CC licenses within the Independent Filmmaking Community. The research maps out the strategies and diverse business models that users of the licenses develop around their implementation but also the problems and conflicts that arise for both users and non users of the licenses. It therefore sheds light on the processes of adoption, implementation and subsequent fragmentation of the socio-legal innovation that is the CC license suite. While Free and Open Source models of software development (FOSS) have been thoroughly researched, little is known about how other content creators incorporate open licensing strategies within their creative fields. This research aims to address this gap in the literature through the examination of the use of CC licenses by Open Content Filmmakers. Building on theoretical and empirical research in Science and Technology Studies my aim is to analyse the legal innovation of CC licenses by focusing on how they are embedded within the everyday practices of open content filmmakers. By applying the Social Shaping of Technology framework and more specifically the Social Learning perspective, I examine the ways different actors ascribe meaning and conceptualise the role and usefulness of the licenses for their creative practices. Filmmakers negotiate the licenses’ significance through their interactions with diverse actors. These negotiations entail conflicting interpretations as different actors often have different agendas, commitments and resources, resulting in the transformation of both the licenses’ stated goals and of the perceived affordances of digital technologies. Drawing on multi-sited ethnography and rich qualitative data, this thesis captures the processes of learning by doing and learning by interaction, as filmmakers seek to find an appropriate way of applying the licenses, situating them within their localised creative endeavours through trial and error practices. The analysis of empirical evidence reveals how independent filmmakers navigate between ideological imperatives and practical considerations in order to form distinct, heterogeneous configurations that work for them, instead of outright adopting a homogeneous generic vision for how copyright should be applied in the digital environment.

Agile is an idea that has spread far within the corporate world and was originally designed for use in small, single- team project within IT. To this, limited is known about agile in larger settings and the purpose of this thesis is to explore the translation of agile in a large organization. Conducting an ethnographic study at SEB Pension & Försäkring we illustrate that the translation of agile imply adaption. We identify three processes of translation; (1) adaption through unifying the understanding of agile, (2) adaption through testing of agile elements, and (3) adaption through negotiations. The ethnography indicates that translation of agile in large organizations is challenging and individuals struggle to convey the essence of the idea, ending up in discussions through various interventions. Due to the popularity of agile the contributions is of value for organizations that attempts to become agile. The thesis is limited by the restricted time of conducting ethnographic studies. Further research is needed to explore the translation of agile in larger settings and to provide validity for the three processes of translation.

abstract: In a mere thirty years, hospice has grown from a purely ideological philosophy of care for terminally ill individuals and their families, to a large and well organized healthcare entity. And government statistics project that healthcare will generate more new jobs than any other industry in America until at least 2018. While most of the extant literature that has been published on healthcare workers has focused on negative organizational processes, such as stress and burnout, there has been a recent shift in scholarly ideology in which researchers have been challenged to consider the positive aspects of organizational life as well. Compassion, theorized as a three-part interrelated process, is one area that is garnering interest within organizational studies. Utilizing grounded theory, this study engaged literature from organizational studies on emotional labor, stress, and burnout, as well as literature on positive organizational communication. What emerged from the data is a richly detailed picture of the emotional highs and lows that hospice workers experience in their jobs. Research was conducted at two large hospices in the desert southwest, utilized qualitative methods of participant observation (161 hours), and informal and semi-structured interviews (29 interviews) as a means to understand hospice workers--nurses (32), nursing assistants (23), social workers (14), and spiritual care providers (4)--experiences of emotion. Through data analysis, compassion emerged as a salient concept in worker's daily experiences. Yet, my data suggested a reconceptualization of the way in which compassion has been theorized in the past--as noticing, feeling, and responding. Based on my findings, I argue that the three subprocesses could more accurately be described recognizing, relating, and responding. / Dissertation/Thesis / Ph.D. Communication 2010

abstract: The Burning Man Festival, a free-spirited yet highly sophisticated social experiment celebrating "radical self expression and radical self reliance" is well-known for its large-scale and highly interactive public art installations. For twenty-five years, Burners (as festival participants are called) have been creating and displaying amazing works of art for the annual event, which currently takes place in Nevada's Black Rock Desert. In the desert, Burners build a temporary city, appropriate the open space to serve as their "tabula rasa" or "blank canvas," and unleash their creative potential in the name of "active participation" and social civility. In the process, they produce public art on a scale unprecedented in United States history. This dissertation, a visual and narrative ethnography, explores the layers of aesthetic and social meanings Burners associate with public art. Told in narrative form, this project utilizes "in situ" field notes, photographic field notes, rhetorical analyses of art installations, thematic analysis of Burner storytelling, and writing as a method of inquiry as means for investigating and understanding more fully the ways Burners create, display, and consume public art. Findings for this project indicate Burners value public art beyond its material presentation. Preparing for, building, celebrating, and experiencing aesthetic transformation through the engagement of public art all are viewed as valuable"art" experiences at Burning Man. Working in tandem, these experiences also produce profound feelings of connection and collaboration in the community, suggesting Burning Man's methods for producing public art could serve as model to follow, or points for reflection, for other groups wishing to use public art and other forms of material expression to bring their members closer together. / Dissertation/Thesis / Ph.D. Communication 2010