by Lau Ming Ho Victor. / Thesis submitted in: Dec. 1998. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (leaves [111-120]). / Abstract also in Chinese. / Chapter Chapter 1: --- Introduction --- p.1 / Chapter Chapter 2: --- Review of Literature --- p.3 / Chapter 2.1 --- The Learning Disability Hospital as an institution --- p.3 / Chapter 2.2 --- Social Policy --- p.4 / Chapter 2.3 --- Findings of The Interpretative Studies --- p.10 / Chapter 2.3.1 --- Institutional context for staff practice --- p.10 / Chapter 2.3.2 --- Critique of Goffman work --- p.12 / Chapter 2.3.3 --- Theoretical studies in learning disability hospitals: residents as objects --- p.13 / Chapter 2.3.4 --- Institutionally-oriented practice --- p.15 / Chapter 2.3.5 --- Instrumental control --- p.15 / Chapter 2.3.6 --- A ffective control --- p.16 / Chapter 2.4 --- Observational Studies in Hospital Wards for People with Learning Disability --- p.19 / Chapter 2.5 --- Institutional Influences --- p.21 / Chapter 2.6 --- Role Redefinition of Ward Nurses --- p.22 / Chapter 2.7 --- Staff-Resident Dynamic --- p.23 / Chapter 2.8 --- Summary of Literature Review --- p.24 / Chapter 2.9 --- Aims and Objectives of Study --- p.25 / Chapter Chapter 3: --- Methods --- p.26 / Chapter 3.1 --- Operational Definition of Interaction --- p.26 / Chapter 3.2 --- Research Design --- p.26 / Chapter 3.3 --- Setting --- p.28 / Chapter 3.4 --- Data Collection Method: Systematic Observation --- p.30 / Chapter 3.4.1 --- Staff-Resident Interaction Chronograph (SRIC) --- p.30 / Chapter 3.4.2 --- Conducting the observations --- p.34 / Chapter 3.5 --- Data Collection Method: Qualitative Interview --- p.35 / Chapter 3.5.1 --- Conducting the qualitative interviews --- p.35 / Chapter 3.6 --- Sampling for Observation --- p.35 / Chapter 3.7 --- Sampling for Qualitative Interview --- p.36 / Chapter 3.8 --- Ethical issues --- p.39 / Chapter 3.9 --- Pilot Work --- p.40 / Chapter 3.10 --- Major Changes in The Main Study --- p.41 / Chapter Chapter 4: --- Reliability and Validity Issues --- p.44 / Chapter 4.1 --- Validity and Reliability of Systematic Observation --- p.44 / Chapter 4.1.1 --- Observer training --- p.44 / Chapter 4.1.2 --- Enhancement of inter-observer reliability --- p.45 / Chapter 4.1.3 --- Evidence of inter-observer reliability --- p.45 / Chapter 4.1.4 --- Validity of observational data --- p.46 / Chapter 4.2 --- Reliability and Validity of Interview Data --- p.47 / Chapter 4.2.1 --- Strategies to secure validity and reliability of interview data --- p.48 / Chapter Chapter 5: --- Data Analysis --- p.50 / Chapter 5.1 --- Analysis of Observational Data --- p.50 / Chapter 5.1.1 --- Treatment of written description of nursing behaviours --- p.50 / Chapter 5.1.2 --- Interaction and non-interaction cells --- p.51 / Chapter 5.1.3 --- Calculation of interaction rate --- p.51 / Chapter 5.2 --- Qualitative Data Analysis --- p.52 / Chapter 5.2.1 --- Immersion in the data --- p.52 / Chapter 5.2.2 --- Category building --- p.52 / Chapter Chapter 6: --- Results of Observation Data --- p.54 / Chapter 6.1 --- Overall Findings --- p.54 / Chapter 6.1.1 --- Nursing behaviours towards 'Appropriate 226}0ة resident behavior --- p.56 / Chapter 6.1.2 --- Nursing behaviours Towards 226}0بInappropriate Failure' resident behaviour --- p.57 / Chapter 6.1.3 --- Nursing behaviours Towards 226}0بInappropriate Crazy 226}0ب resident behaviour --- p.58 / Chapter 6.1.4 --- "Nursing behaviours towards 226}0بRequest, resident behaviour" --- p.59 / Chapter 6.1.5 --- Nursing behaviours towards 226}0بNeutral 226}0ة resident behaviour --- p.60 / Chapter 6.1.6 --- Resident behavioural profile in the ward and the Training Center --- p.61 / Chapter 6.2 --- Nurse-Resident Interactions in Ward --- p.62 / Chapter 6.2.1 --- Communication with residents --- p.62 / Chapter 6.2.2 --- Doing nursing care --- p.64 / Chapter 6.3 --- Not Interacting With Residents --- p.65 / Chapter 6.3.1 --- Ward activities --- p.66 / Chapter 6.3.2 --- Self-engaged activities --- p.67 / Chapter 6.3.3 --- Nursing activities --- p.68 / Chapter 6.4 --- Summary of Observational Results --- p.70 / Chapter Chapter 7: --- Results of Interview Data --- p.71 / Chapter 7.1 --- Orientation to A New Clinical Setting --- p.72 / Chapter 7.1.1 --- Meeting with residents 226}0ب disabilities --- p.72 / Chapter 7.1.2 --- Perceptions of residents lives --- p.73 / Chapter 7.1.3 --- Sense of a difference --- p.74 / Chapter 7.2 --- Stressors in Care Setting --- p.75 / Chapter 7.2.1 --- Powerless in caring --- p.75 / Chapter 7.2.2 --- Sense of frustration --- p.77 / Chapter 7.2.3 --- Relative-related stress --- p.78 / Chapter 7.3 --- Experiencing Contextual Constraints --- p.79 / Chapter 7.3.1 --- System constraints --- p.80 / Chapter 7.3.2 --- Managerial constraint --- p.81 / Chapter 7.3.3 --- Time constraint --- p.82 / Chapter 7.4 --- Personal Resolution --- p.83 / Chapter 7.4.1 --- Work attitude --- p.83 / Chapter 7.4.2 --- Self-determination --- p.84 / Chapter 7.5 --- Priority of Care --- p.85 / Chapter 7.5.1 --- Interpretation of care --- p.86 / Chapter 7.5.2 --- Dissimilar approach --- p.87 / Chapter 7.5.3 --- Preference to residents --- p.88 / Chapter Chapter 8: --- Discussion --- p.89 / Chapter 8.1 --- Comparison of present results and previous findings --- p.89 / Chapter 8.2 --- Convergence --- p.91 / Chapter 8.2.1 --- Extrinsic Factors --- p.92 / Chapter 8.2.1.1 --- Contextual constraints --- p.92 / Chapter 8.2.1.2 --- Care Problems --- p.94 / Chapter 8.2.1.2.1 --- Feeding Problems --- p.94 / Chapter 8.2.1.2.2 --- Communication Problem --- p.95 / Chapter 8.2.2 --- Intrinsic Factors --- p.96 / Chapter 8.2.2.1 --- Frustration and powerlessness --- p.97 / Chapter 8.2.2.2 --- Stress coping --- p.99 / Chapter 8.2.2.3 --- Individual work style --- p.101 / Chapter 8.2.3 --- A summary of intrinsic and extrinsic factors --- p.102 / Chapter Chapter 9: --- Recommendations and Conclusion --- p.105 / Chapter 9.1 --- Training Issues --- p.105 / Chapter 9.2 --- Implications for Organisational Change --- p.106 / Chapter 9.3 --- Conclusion --- p.107 / Chapter 9.4 --- Need For Further Research --- p.108 / Chapter 9.5 --- Limitation of the Study --- p.109 / References / Appendices / Appendix A. Geographic map of ward setting / Appendix B. A section of modified behaviour checklist / Appendix C. Interview guides / Appendix D. Observation time-table / Appendix E. Ethical approval / Appendix F. Consent form / Appendix G. Nursing behaviour codes / Appendix H. A section of interview transcript / Appendix I. Sample of interview notes / Appendix J. Sample of matrix method
| Identifer | oai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_322541 |
| Date | January 1999 |
| Contributors | Lau, Ming Ho Victor., Chinese University of Hong Kong Graduate School. Division of Nursing. |
| Source Sets | The Chinese University of Hong Kong |
| Language | English, Chinese |
| Detected Language | English |
| Type | Text, bibliography |
| Format | print, viii, 110, [20] leaves : ill. ; 30 cm. |
| Rights | Use of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
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