Use this URL to cite or link to this record in EThOS: | https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.539557 |
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Title: | Power and politics in post-operative cardiothoracic critical care pain management : a Foucauldian analysis of clinical nursing practice | ||||
Author: | Lee, Susan E. C. |
ISNI:
0000 0004 2704 7757
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Awarding Body: | University of Liverpool | ||||
Current Institution: | University of Liverpool | ||||
Date of Award: | 2010 | ||||
Availability of Full Text: |
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Abstract: | |||||
At the philosophical heart of this study is the recognition that the implementation
and use of the evidence-base regarding pain management in cardiothoracic critical
care is problematic because clinical nursing practice within the context of the
multi-disciplinary team is not straightforward; the practice of nursing is mediated
through layers of professional hierarchy and power relationships which constrain
and limit it. Its contribution to the knowledge base is its account of the effects of
the multi-disciplinary team on nursing practice using a Foucauldian discourse
analytic framework. Achieving patient throughput was the main goal of care;
effective pain management was not prioritised. The underpinning approaches are
qualitative; data were collected through observation of practice, interviews and
written texts. The 24-hour span of clinical practice was observed within a large
cardiothoracic unit for a total period of 5 weeks; 21 qualified nurses (all grades,
full- and part-time, purposively sampled) were interviewed. The fllldings of the
study impose Foucauldian discourse analysis terms of nonnalisation, hierarchical
observation, examination, discipline, docile bodies, surveillance, 'the gaze', and
panopticism, as well as the nurses' resistance practices, to describe the techniques
of power and authority which are utilised (and resisted) within clinical practice.
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Supervisor: | Not available | Sponsor: | Not available | ||
Qualification Name: | Thesis (Ph.D.) | Qualification Level: | Doctoral | ||
EThOS ID: | uk.bl.ethos.539557 | DOI: | Not available | ||
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