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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
Awarding Body: University of Liverpool
Current Institution: University of Liverpool
Date of Award: 2010
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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.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available