There is considerable concern regarding the adequacy of rural health services in New Zealand, with much attention having been paid to issues of recruitment and retention of rural general practitioners. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. Using the notion of nurses as a 'stop-gap' in the provision of rural primary health care until problems with recruitment and retention of rural general practitioners are addressed, is a rhetorical device that facilitates the under analysis of the role nurses play and the contribution that they make. The longstanding practice of rural primary care nursing in its various guises over the last century challenges the notion of nursing as a stop-gap.Any investigation of health care in the contemporary moment needs to take account of the influence of biomedical dominance, an increasingly litigious mentality in relation to health care, a shifting focus towards primary rather than secondary health care, and the positioning and re-positioning of health professionals within the neo-liberal state. The very existence of nurses working as the first point of contact in the health care system, with success over time in so far as they do not provoke undue litigation, and appear to deliver an appropriate service must raise questions about who can claim the right to be a primary health care provider. Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.

There is considerable concern regarding the adequacy of rural health services in New Zealand, with much attention having been paid to issues of recruitment and retention of rural general practitioners. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. Using the notion of nurses as a 'stop-gap' in the provision of rural primary health care until problems with recruitment and retention of rural general practitioners are addressed, is a rhetorical device that facilitates the under analysis of the role nurses play and the contribution that they make. The longstanding practice of rural primary care nursing in its various guises over the last century challenges the notion of nursing as a stop-gap.Any investigation of health care in the contemporary moment needs to take account of the influence of biomedical dominance, an increasingly litigious mentality in relation to health care, a shifting focus towards primary rather than secondary health care, and the positioning and re-positioning of health professionals within the neo-liberal state. The very existence of nurses working as the first point of contact in the health care system, with success over time in so far as they do not provoke undue litigation, and appear to deliver an appropriate service must raise questions about who can claim the right to be a primary health care provider. Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.

Ce travail explore les représentations du corps mort dans des cuentos hispano-américains contemporains pour essayer d’établir par ce biais une typologie des rapports que l’être humain entretient de façon générale avec la mort. L’idée centrale que nous avançons est que la littérature reproduit un nombre limité de réactions universellement valables, se montrant ainsi capable de mettre à la disposition de ses lecteurs un inventaire étrangement fiable des attitudes qu’eux-mêmes, à l’instar des personnages, sont susceptibles d’aborder face à cet événement ultime. Le choix du cadavre comme protagoniste des récits étudiés s’explique par le fait qu’il soit la seule image concrète et tangible de la mort et que, par son apparence repoussante, il représente une terrible source de hantise qui conditionne et altère toute tentative paisible de se rapprocher de celle-ci. Le cadre théorique des mondes possibles littéraires qui posent la fiction comme expérience envisageable et la particularité formelle du genre littéraire du cuento avec sa petite étendue et son caractère auto-suffisant permettent la vision du texte comme espace tombal où gisent ces nombreux cadavres fictionnels. Le lecteur a ainsi accès de près au corps mourant/mort, froid, putride, puant, dépecé ou bien embaumé, et les expériences littéraires acquises de cette manière s’ajoutent à son effort d’apprivoisement de la réalité effrayante de la mort. / This work explores the dead body as it is represented in a number of contemporary Latin American cuentos in order to establish a typology of the different reactions of human beings in general when faced with death. I suggest that literature reproduces a limited number of universal behaviours in this situation and thus it gives readers a fairly reliable inventory of the attitudes that they, like the characters, are likely to adopt.The corpse as a protagonist of the short stories discussed here has been selected because it is the only concrete and palpable image of death and that, by its repulsive appearance, it represents a terrible source of fear which conditions and alters any intention of peacefully trying to come to terms with it. The theoretical framework of the literary possible worlds whereby fiction is seen as a potential experience, and the formal characteristics of the cuento, such as its reduced, self-contained nature, allow the text to be read as a funerary space where all these fictional dead bodies lie. The reader is thus brought into close contact to the dying/dead, cold, putrid, stinking, dismembered or embalmed body and the literary experiences he/she goes through help him/her to come to grips with the frightening reality of death.