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Harris, Mary C. "The social construction of prematurity : negotiations in neonatal intensive care /." Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/7310.
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Templeton, Karen Jobe. "In tandem or in tension? Patient-nurse negotiations from ICU to hospital discharge." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/292039.
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Using grounded theory methodology, six intensive care patients were interviewed regarding their perceptions of their own needs, concerns and wants and how nurses responded to those. Each patient was interviewed three times to detect any change in responses during the hospitalization. A theme of patient-nurse negotiation emerged. Patients came into the health care setting with a "generative source," the issues and beliefs they had regarding health-care and nurses in general. This affected patients' definition of themselves, their situation, the caregiver, their relationship with the caregiver, and their own needs and expectations. When a patient's definitions of self or situation varied form the nurse's, negotiation would occur. Two main categories of negotiation were used by both patient and nurse: Personal knowledge & Strategies. If negotiation failed to bring consensus, resulting actions were negative feelings and dissatisfaction, and a sense of vulnerability for the patient. This in turn impacted negatively on the patient's generative source and definitions. As the patient progressed through the hospital system toward discharge, the greatest changes were noted in how they defined themselves and the caregiver, and in the style of negotiation they used.
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Blaxland, Megan. "Everyday negotiations for care and autonomy in the world of welfare-to-work the policy experience of Australian mothers, 2003-2006 /." Connect to full text, 2008. http://hdl.handle.net/2123/4134.
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Thesis (Ph. D.)--University of Sydney, 2008.Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Sociology and Social Policy, Faculty of Arts. Includes bibliographical references. Also available in print form.
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Blaxland, Megan. "Everyday negotiations for care and autonomy in the world of welfare-to-work: The policy experience of Australian mothers, 2003-2006." Thesis, The University of Sydney, 2009. http://hdl.handle.net/2123/4134.
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A significant new direction in Australian income support policy was introduced in 2002. Known as Australians Working Together, this development changed the basis of social security entitlement for parents. Throughout most of the twentieth century, low-income sole mothers, and later sole fathers and parents in couple families, could claim income support throughout most of their children’s school years. The primary grounds for their entitlement were low income and parenting responsibilities. Australians Working Together introduced compulsory employment-oriented activities to Parenting Payment entitlement for parents whose youngest child had turned 13. This thesis investigates mothers’ experience of this new welfare system. Using Dorothy Smith’s ‘everyday life’ approach to research, it draws upon qualitative and quantitative methods to analyse Australians Working Together. The research is grounded in a longitudinal interview survey of Australian mothers of teenage children who were subject to these changes. The analysis moves from their experience outwards through the four levels of analysis in Williams and Popay’s welfare research framework. The thesis examines mothers’ day-to-day worlds, the opportunities and constraints they navigate, the policies and institutions which shape their opportunities, the political framing of those policies, and wider social and economic transformations. In their negotiation of the social security system, mothers are striving for recognition of autonomy and care. They want their capacity to determine for themselves how to live their lives to be acknowledged. They would like the social contributions they make through employment, education and voluntary work to be recognised. They struggle for their unpaid work caring for their families to be valued. They wish that they had sufficient material resources to care well for their families. The thesis develops a theoretical framework to examine these struggles drawing on the work of Honneth, Fraser, Lister, Sennett, Fisher and Tronto, Daly and Lewis. This multi-level, everyday life analysis reveals the possibility of reframing the social security system around mutual respect.
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Blaxland, Megan. "Everyday negotiations for care and autonomy in the world of welfare-to-work: The policy experience of Australian mothers, 2003-2006." University of Sydney, 2009. http://hdl.handle.net/2123/4134.
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Doctor of Philosophy (PhD)A significant new direction in Australian income support policy was introduced in 2002. Known as Australians Working Together, this development changed the basis of social security entitlement for parents. Throughout most of the twentieth century, low-income sole mothers, and later sole fathers and parents in couple families, could claim income support throughout most of their children’s school years. The primary grounds for their entitlement were low income and parenting responsibilities. Australians Working Together introduced compulsory employment-oriented activities to Parenting Payment entitlement for parents whose youngest child had turned 13. This thesis investigates mothers’ experience of this new welfare system. Using Dorothy Smith’s ‘everyday life’ approach to research, it draws upon qualitative and quantitative methods to analyse Australians Working Together. The research is grounded in a longitudinal interview survey of Australian mothers of teenage children who were subject to these changes. The analysis moves from their experience outwards through the four levels of analysis in Williams and Popay’s welfare research framework. The thesis examines mothers’ day-to-day worlds, the opportunities and constraints they navigate, the policies and institutions which shape their opportunities, the political framing of those policies, and wider social and economic transformations. In their negotiation of the social security system, mothers are striving for recognition of autonomy and care. They want their capacity to determine for themselves how to live their lives to be acknowledged. They would like the social contributions they make through employment, education and voluntary work to be recognised. They struggle for their unpaid work caring for their families to be valued. They wish that they had sufficient material resources to care well for their families. The thesis develops a theoretical framework to examine these struggles drawing on the work of Honneth, Fraser, Lister, Sennett, Fisher and Tronto, Daly and Lewis. This multi-level, everyday life analysis reveals the possibility of reframing the social security system around mutual respect.
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Aeyelts, Renee. "Negotiating care : how care is negotiated between a young carer and a parent facing mental illness and addiction." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/28597.
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This study explores the negotiation of care between a young carer and a parent facing mental illness and addiction. The paradigm derived from the current research focuses mainly on issues faced by young carers, seeing them as a population at risk. With an overrepresentation of research exploring children's caring work, the highly complex relationships between disabled and/or ill parents and their children who care for them tend to be overlooked. Using action theory this study explores a case study of a young carer and parent to answer the question: how is care negotiated between the two? The results demonstrated the fluidity in the relationship in terms of how care was negotiated and that is was more reciprocal than that which is often presented in the literature. This reciprocity challenges the stigma and stereotypes often associated with young caring and parents with disability and/or illness and can help inform both future research and practice.
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Desbruyères, Clément. "L’épreuve du cancer à un âge avancé : pratiques médicales et négociations du soin en oncogériatrie." Electronic Thesis or Diss., Brest, 2024. http://www.theses.fr/2024BRES0036.
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Cette thèse étudie l’épreuve du cancer à un âge avancé, en situant cette dernière à l’interface de pratiques professionnelles et de logiques individuelles et familiales. Certains malades âgés vivent déjà avec diverses fragilités susceptibles de limiter les bénéfices attendus du traitement envisagé par les médecins. Face au risque de voir leur âge chronologique déterminer à lui seul l’accès aux thérapeutiques, le dispositif oncogériatrique est envisagé comme permettant d'orienter les processus décisionnels médicaux vers davantage de justice, en adaptant les traitements anticancéreux à la qualification de la fragilité des personnes. La mise en oeuvre d’un tel dispositif interroge les modes d’appropriation du vieillissement par les cancérologues, comme la manière dont l’épreuve du cancer est pensée, exprimée et agie par les vieilles personnes incluses dans ce dispositif de soin. Pour ce faire, j’ai mené une enquête qualitative combinant des observations in situ dans deux établissements de santé bretons et des entretiens semi-directifs auprès de professionnels de santé, de malades et de certains de leurs proches. L’analyse a permis d’appréhender l’épreuve du cancer à un âge avancé comme façonnée par des différents temps et temporalités, tant du côté des malades que des professionnels soignants. Elle a également conduit à apporter un nouvel éclairage sur les négociations du soin en cancérologie, en partie déterminées par l’âge et la qualification de fragilité des malades du cancerThis research aims at understanding the trial of cancer when it is diagnosed at an advanced age, considering it at the interface of professional practices and individual and family reasoning. Some older patients already live with various frailties, which can reduce the expected benefits of the treatment envisaged by physicians. Facing the risk of seeing their chronological age determining the access to therapies, oncogeriatrics is believed to guide medical decision-making processes towards greater fairness, through the assessment of patient’s frailty. The implementation of this approach questions the ways in which oncologist engage with aging, as well as how the trial of cancer is conceptualized, expressed, and addressed by elderly individuals included in such a care system. To do so, I conducted a qualitative investigation combining in situ observations in two healthcare establishments in Brittany (France) and semi-structured interviews with healthcare professionals, patients, and some of their relatives. The analysis allowed to highlight the trial of cancer at an advanced age as shaped by different times and temporalities, both from the perspective of patients and professionals. It has also led to shed new light on care negotiations in the field of oncology, partly determined by the age and qualified frailty of cancer patients
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Van, Graan André. "Negotiating modernism in Cape Town: 1918-1948 : an investigation into the introduction, contestation, negotiation and adaptation of modernism in the architecture of Cape Town." Doctoral thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11100.
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In the early twentieth century modernism radically changed the world, affecting all aspects of life. Twentieth century modernism incorporated new inventions that changed the modes of travel, it restructured methods of production and the way in which people lived, worked and played. This radical change was to be reflected in all sectors, and was particularly manifested physically in architecture. Modernism demanded a radical shift from an architecture that had been slowly evolving from nineteenth century eclecticism, overlaid with reactionary concerns for the overwhelming impact of industrialisation on society and on the built fabric of cities. It sought to identify new ways of dealing with these issues and finding new methods of spatial production and ultimately creating a new means of architectural aesthetic expression that came to be referred to as the Modern Movement. The response to the radical change implied in modernism resulted in a process of negation and contestation, leading through negotiation to a mediated compromise before an ultimate acceptance.
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Shearn, Melanie Victoria. "Jostling for position : fathers negotiating work and care." Thesis, University of Leeds, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.509869.
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Haghshenas, Abbas Public Health & Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.
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BACKGROUND Increasingly, it is recognised that the unique needs of people from culturally and linguistically diverse backgrounds (CaLDB) should be addressed within a framework of cultural competence. To date, there are limited data on the issues facing CaLDB patients in the Cardiac Rehabilitation (CR) setting. Appreciation of an individual???s values, attitudes and beliefs underpins negotiation of behaviour change in the CR setting. Therefore an understanding of patient and professional interactions is of key importance. OBJECTIVES The focus of this study has been to undertake an exploration of CR service delivery to people from culturally and linguistically diverse backgrounds, using Arabic speaking people as an exemplar of a CaLDB group. More broadly, this research project has sought to identify factors, which influence the practice of health professionals towards CaLDB patients, and to develop a model for evaluation of culturally competent health care in the CR setting. The study sought to achieve these aims by addressing the following research questions: 1. In what way do health practitioners in CR adjust their treatment and support to accommodate the perceived needs of CaLDB communities? 2. In what way do factors (such as individual and organisation perspectives) influence the adjustment of clinical practice and service delivery of CR practitioners; and what are practitioners??? and patients??? perception of barriers and facilitators to service delivery? 3. To what level are CaLDB patients satisfied with CR services? This study design is comprised of the following elements: (1) interviews with health practitioners and Arabic speaking background patients as an exemplar of CaLDB patients; (2) review of policy and procedure documents and medical records; and (3) field observation. METHOD This thesis embraces a qualitative approach as the primary method of investigation to align with the exploratory and descriptive nature of the study. The main methods used in the study were: in depth interviews with health professionals and patients; field observations; appraisal of relevant documents and consultation with expert panels. Study samples were selected through a purposive sampling strategy.Data were analysed using the method of content analysis, guided by the research questions. FINDINGS In total, 25 health professionals (20 female and 5 male) and 32 patients (21 male and 11 female) were interviewed. The method of qualitative content analysis was used for data analysis. Data analysis revealed four major themes: 1) The challenging context; 2) Tuning practices; 3) Influencing factors; and 4) Goodness of fit. The study demonstrated a challenging context for CR delivery, both from the perspective of patients and health professionals. Data reveal a process of reflection, negotiation, and navigation of care by CR health professionals in an effort to understand and meet the diverse needs of CALDB patients. CONCLUSION On the basis of the study findings, a process-oriented model of tuning practice to achieve cultural competence in CR delivery is proposed to inform policy, research and clinical practice.
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Acosta, García N. (Nicolás). "Chocó challenges:communities negotiating matters of concern and care on Colombia’s margin." Doctoral thesis, Oulun yliopisto, 2018. http://urn.fi/urn:isbn:9789526218458.
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Abstract Chocó is a remote and biodiverse region located on Colombia’s Northern Pacific Coast. The region is home to indigenous Embera and Afro-descendant communities. Both communities share and contest a legacy of colonisation, violence, dispossession and discrimination. This thesis explores the ways in which the local communities of Chocó challenge and transform the matters that concern them. It focuses on their concerns over the effects of biodiversity conservation, development, and drug trade on their communities. It first investigates the challenges associated with doing research concerning both global and local concerns. Then, based on ethnographic fieldwork conducted in Chocó, it develops a methodology to address environmental value conflicts over the use of Utría National Park, located in the region. Third, the thesis studies the social protest of both local communities for the construction of a small hydroelectric power plant inside the park, finding that this protest for electricity reflects a complex post-colonial politics complementary to the discourse concerning political resistance as expressed by local and indigenous communities protesting against development. Fourth, drift-cocaine has been arriving recently to the coastal region of Chocó as a side effect of the country’s war on drugs. In Chocó, this phenomenon is referred to as the White Fish and is investigated here by situating its associated practices and transformations within the local context. Fifth, Utría National Park is explored visually as a place of rhythms and temporalities. Lastly, it argues that the mechanisms, grounded in concepts of solidarity and co-existence, which are employed by the local communities in negotiating the matters that concern them, provide alternative narratives to the ones often used to described them as in “poverty” and in need of “development”Tiivistelmä Chocó on syrjäinen ja biologisesti monimuotoinen alue Pohjois-Tyynenmeren rannikolla Kolumbiassa. Kyseinen alue on koti useille Embera-alkuperäiskansan jäsenille sekä Afrikasta polveutuville yhteisöille. Ryhmät jakavat ja haastavat kolonialismin, väkivaltaisuuksien, riiston sekä sorron värittämän historian. Tämä väitöskirja tarkastelee tapoja, joilla Chocón paikalliset yhteisöt haastavat ja muokkaavat heitä koskevia kysymyksenasetteluja. Se keskittyy yhteisöjä koskeviin huolenaiheisiin, jotka liittyvät biologisen monimuotoisuuden suojelun vaikutuksiin, kehitysinfrastruktuuriin ja huumekauppaan Ensimmäiseksi väitöskirja tarkastelee haasteita, jotka liittyvät maailmanlaajuisten muutosten ja paikallisten huolenaiheiden tutkimiseen. Tämän jälkeen työ kehittelee Chocóssa kerätyn etnografisen aineiston perusteella metodologiaa käsittelemään ympäristöön liittyviä arvoristiriitoja liittyen alueella sijaitsevan Utrían kansallispuiston käyttöön. Kolmanneksi väitöskirja tutkii paikallisyhteisöjen sosiaalista protestia liittyen pienen vesivoimalan rakentamiseen puiston alueelle. Havainnot haastavat tulkinnan, jonka mukaan infrastruktuurin hyväksyntä tai vastustaminen alkuperäiskansojen toimesta liittyy suoraan myös alkuperäiskansojen elämäntapojen puolustamiseen tai uhmaamiseen. Neljänneksi, ajelehtivaa kokaiinia on viime aikoina päätynyt Chocón rannikkoalueelle maan huumeiden vastaisen sodan seurauksena. Chocóssa ilmiöön viitataan nimellä Valkoinen kala, ja tässä työssä aihetta lähestytään tarkastelemalla siihen liittyviä käytänteitä ja muutoksia paikallisessa kontekstissa. Viidenneksi, Utrían kansallispuistoa tutkitaan visuaalisesti rytmien ja ajallisuuksien paikkana. Lopuksi esitetään, että paikallisten yhteisöjen hyödyntämät mekanismit heitä koskevissa keskusteluissa horjuttavat valtasuhteita epävarmoissa oloissa ja tarjoavat vaihtoehtoisia solidaarisuuden ja rinnakkaiselon narratiiveja, joilla lähestyä huolenaiheita
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Thackwell, Nicola Donna. "“We waited for our turn, which sometimes never came” : registrars negotiating systemic racism in Western Cape medical schools." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86641.
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Thesis(MA)--Stellenbosch University, 2014.ENGLISH ABSTRACT; In order for the transformation objectives of racial and gender diversity to be adequately reflected in the South African medical profession, it is crucial to understand how Black medical registrars experience the training environment. This qualitative study presents the experience of ten Black African medical specialists who completed their registrar training in the Western Cape in the past five years. Using both thematic and discourse analysis the study aimed to identify and describe the interpersonal, structural and institutional factors that may impede or promote Black advancement during registrar training. Participant experiences where contextualised in relation to discourses around the medical profession as a site of cultural reproduction that has been historically constructed as the exclusive domain of the White male. The analysis unearths experiences of systemic racism where the organisational culture of training institutions is experienced as alienating and unwelcoming to Black professionals. The findings raise the need for a more thorough evaluation of how transformations efforts are being received in specialist medical education. Key Words: Black doctors, Transformation in Higher Education, Systemic Racism, Medical training
AFRIKAANSE OPSOMMING: Met die oog op die realisering van die transformasiedoelwitte rakende ras- en geslagsdiversiteit in die Suid-Afrikaanse mediese professie, is dit deurslaggewend om te verstaan hoe Swart mediese spesialis studente die opleidingsomgewing ervaar. Hierdie kwalitatiewe studie gee die ervaring weer van tien Swart Suid-Afrikaanse mediese spesialiste wat die afgelope vyf jaar hulle opleiding in die Wes-Kaap voltooi het. Deur gebruik te maak van beide tematiese- en diskoersanalise, poog die studie daarin om die interpersoonlike, strukturele en institusionele faktore wat Swart bevordering tydens professionele opleiding kan belemmer of bevorder, te identifiseer en te beskryf. Deelnemers se ervarings is gekontekstualiseer in verhouding tot die diskoerse rondom die mediese professie as terrein van kulturele voortsetting van wat histories as eksklusiewe domein van Wit mans gegeld het. Die studie ontbloot ervaringe van sistemiese rassisme, waarin Swart professionele beroepspersone vervreem en onwelkom voel in die organisasiekultuur van opleidingsinstansies.Die bevindinge beklemtoon die behoefte aan ‘n meer diepgaande evaluasie van hoe transformasie-pogings ontvang word in mediese spesialis opleiding. Sleutelwoorde: Swart dokters, transformasie in tersiêre opleiding, sistemiese rassisme, mediese opleiding
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Mitchell, Sharrone CJ. "Women's negotiation of alternative sexualities in the Western Cape: A Cape Town case study." University of the Western Cape, 2012. http://hdl.handle.net/11394/8435.
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Masters of ArtThis mini thesis is an exploratory study of the lived experiences of bisexual and lesbian women in the Western Cape with regard to how they claim agency and negotiate their individual sexualities. Using mixed methodologies this study aims to look at the ways in which bisexual and lesbian women negotiate their sexuality in a landscape dominated by heterosexual discourses. Also considered are the contradictory ways in which these women assert their roles as lesbians and bisexual individuals and how these roles serve to simultaneously reinforce and challenge the dominant order of heterosexuality. The conflicting views of the respondents are documented which further demonstrates the complexities surrounding sexuality. This research identifies and explores both international and local research already conducted on alternative sexualities and address the lack of black researchers' conduct of these studies on the African continent. The study also records an acknowledgement of the researcher's reflection that she too holds contradictory views on some of these issues.
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Brown, S. P. W. "Negotiating priorities : An ethnography of health service management." Thesis, University of Essex, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.371863.
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Hodges, Rebecca. "Negotiating Culture and Care: Challenges and Opportunities in Mental Health and Reproductive Health Care in the Sultanate of Oman." Thesis, University of Oregon, 2015. http://hdl.handle.net/1794/19329.
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The Sultanate of Oman’s health system has developed rapidly since 1970, with the discovery of oil as well as the strong central government of Sultan Qaboos bin Said. However, despite its investment and dedication to improving the health care available to its citizens, Oman has just begun to address concerns linked to cultural beliefs and social perceptions, including mental health and reproductive health. This study examines how the government has addressed mental and reproductive health, the realities on the ground, and the ways in which cultural perceptions and recent social change influence these health challenges. This study is based on semi-structured interviews with Omani health professionals that have been used to identify hurdles as well as opportunities that exist to strengthen the quality of care in these newly emerging fields in the Omani public health system.
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Mai, Magdaline Mbong. "Negotiation of identities and language practices among Cameroonian immigrants in Cape Town." Thesis, University of the Western Cape, 2011. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4581_1363780852.
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This thesis is an exploration of the historical, socio-cultural, economic, and political settings in which identities are negotiated and performed among Cameroonian immigrants in Cape Town. Focusing on language as localized practices and different interaction regimes, the thesis investigates how Cameroonian immigrants maintain and reconfigure the Anglophone/Francophone identity options in novel and hybrid ways. In addition, the study examines how ideologies favouring different languages are reproduced and challenged in translocal and transnational discourses. Guided by the poststructuralist theories the thesis explores the stance that reality is socially constructed, based on symbolic and material structural limitations that are challenged and maintained in interaction. That is, whatever we do or believe in, is supported by some historical or cultural
frames of meanings in our lived world, which often gives room to some manoeuvre to do things in a new way. The study adopts a multiplex interpretive approach to data
collection. This entails a qualitative sociolinguistic approach where interviews, discussion and observations at different socio-economic places namely
meetings, workplaces,
homes, restaurants, drinking spots and many sites from all over Cape Town, were explored. The study suggests that Cameroonians have a multiplicity of identity options, which are manifested and negotiated performatively through language, dress code, song, food, business, and other practices that comprise their lifestyles. These identities are
translocal and transnational in nature, and tend to blend South African, Cameroonian, and even American traits. It is also suggests that the different identity options which they manifest are highly mobile, enabling Cameroonians to fit into South African social structures as well as the Negotiation of Identities and Language Practices Cameroonian ways of doing things. Additionally, the multiplicity of identities that Cameroonians manifest, blur the fault-line between Anglophone/Francophone identities. It is evident from the study that hybridity and the reconstruction practices are not only confined to languages. Hybridity also extends to discourse orders especially in terms of how meetings are conducted. The Cameroonian meetings captured through the activities of Mifi Association and CANOWACAT are characterised by &lsquo
disorder of discourse&rsquo
in which both formal and informal versions of English and French are used separately or as amalgams alongside CPE and their national languages, not only in side talks, but also when contributing to the meeting proceedings. Ultimately, the study concludes that Cameroonians are social actors making up an indispensable part of the social interaction in the Cape Town Diaspora. Just as they influence the languages, the entrepreneurial practices, and spaces in which they interact, the Cameroonian immigrants are also transformed. The major
contribution of the study is that it adds to the recent debates about the nature of multilingualism and identities in late modern society. It emphasises that languages and identities are fluid, complex, and unstable. The distinction or boundaries between the various languages in multilingual practices are also not as clear-cut. This leads to a reframing of voice and actor hood as meaning is constructed across translocal and transnational contexts and domains in a networked world transformed by the mobility of endless flows ofinformation, goods, ideas, and people. Thus, the study contributes to those arguing for a paradigm shift in sociolinguistic theory in which language is not a property of groups, nor is it an autonomous and bounded system fixed in time and space. Thus, identities, languages and the spaces of interaction are not fixed systems
identities, languages, and spaces are dynamic and in a state of flux. This in turn questions the notions of multilingualism and language itself, as well as the veracity of concepts such as code-switching,
speech community, language variation, as the search for a sociolinguistic framework that can deal with phenomena predicated by motion, instability, and uncertainty, continues.
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Knezevic, Danica. "The negotiation of Self and Other in Performative Art Practice as a site of Caregiving." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21911.
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The understanding of care: caregiving and receiving is fundamental in the way in which we function as individuals, families and as communities. Physically, the action of caregiving is both endurance and enduring. Within the relationship to performance art, caregiving is enduring through the body, duration and engages with the audience in experience through action. Within the traditional context of family, the connections established in infancy are then mirrored in adulthood through the mother (as) or primary caregiver. Within this fundamental relationship, the self acts for the other in an exchange that determines the understanding of self and its position in the world. The profound intimate action of caregiving is a performative act that is based on the relationship of artist and audience (Self and Other). The relationship of Self and Other is an ongoing negotiation that is identified through the carer as Self and the care-receiver as Other. In performance practice this is mutually recognised as the performer as Self and the audience as Other. However, these identifiers of Self and Other are exchanged in the caregiving process, as there are two selves that have their own identity, their own needs and wants. The intimate and focused relationship of caring can cause what I refer to as a Dissonance of Self, in which a reciprocal outcome affects both caregiver and receiver due to the duality of caregiving. My performative practice and this thesis incorporate and demonstrate pertinent psychological, moral and ethical philosophy, as well as gender theory that embraces the deeper characteristics of the relationship to the self and other through caregiving and receiving. This thesis and body of work demonstrate the intertwining of self and other, and the relationship of performative practice to caregiving.
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Olaison, Anna. "Negotiating needs : Processing older persons as home care recipients in gerontological social work practices." Doctoral thesis, Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15968.
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The study concerns the needs assessment processes that older persons undergo to gain access to home care. The participation of older persons, their relatives and municipal care managers was studied from a communicative perspective. The assessment meetings functions as formal problem-solving events. The older persons´ accounts are negotiated discursively in interaction. Various storylines are used by the older persons and their relatives whether they view home care as an intrusion, as a complement or as a right. In case of divergent opinions the older person has the final say as prescribed by the Swedish social service act. One conclusion is that the role of relatives is not defined and a family perspective is not present. In the study the institutional structure of the assessment process was also analyzed. Older persons are processed into clients; their needs are fitted within the framework of documentation and institutional categories. In the transfer of talk to text all the particulars are not reflected and two types of documentation was identified; a fact-oriented objective language or an event-oriented personal language. Care management models and a managerialist thinking has influenced the assessment process by bureaucratisation of older people trough people processing, which is in contradiction to the individual-centric perspective prescribed by the law. The introduction of care management models in gerontological social work has lead to an embedded contradiction and constitutes a welfare political dilemma. Improved communicative methods are needed in order to achieve a holistic assessment situation.Studien tar sin utgångspunkt i de bedömningsprocesser äldre personer genomgår för att få tillgång till hjälp i hemmet. Bedömningsprocessen där äldre, deras anhö-riga och kommunala behovsbedömare deltog studerades ur ett kommunikativt perspektiv. Interaktionen vid behovsbedömningssamtalet fungerar som en pro-blemlösningsprocess. Den äldre personens redogörelse för behov förhandlas diskursivt i interaktionen och tre olika berättelselinjer identifierades, baserade på om de sökande betraktar hemtjänsten som ett intrång, som ett komplement och stöd eller som en rättighet. När olika åsikter uttrycks har de äldre sista ordet i enlighet med Socialtjänstlagens föreskrifter. En slutsats är att de anhörigas roll i behovsbedömningsprocessen inte är definierad och att ett familjeperspektiv sak-nas. I studien analyserades också bedömningsprocessens institutionella struktur. De äldre behovssökande processas till att bli klienter, deras behov anpassas till dokumentationens ramverk och kategoriseras i enlighet med institutionella kate-gorier. I transfereringen av tal till text redovisas inte samtliga element i samtalet. Två typer av utredningstext identifierades, den faktaorienterade och den händelse-orienterade. I studien diskuteras det marknadsekonomiska tänkande som kommit att påverka bedömningsprocessen genom byråkratisering vilket står i motsatsställ-ning till det individcentrerade perspektiv som lagen förespråkar. Introduktionen av marknadsmodeller i det gerontologiska sociala arbetet har medfört en inbyggd motsättning och utgör ett välfärdspolitiskt dilemma. Förbättrade kommunikativa metoder behövs för att uppnå en holistisk bedömningsprocess.
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Platzer, Hazel Katherine. "Negotiating sexual identities : the experiences of lesbians and gay men accessing mental health care." Thesis, University of Southampton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.415238.
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Hunter, Shona Dorothy Jane. "Negotiating Professional And Social Identities: Race, Gender and Profession in Two Primary Care Organisations." Thesis, University of Birmingham, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.668526.
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Jere, Nobert Rangarirai. "Implementation of a rewards based negotiation module for an e commerce platform." Thesis, University of Fort Hare, 2009. http://hdl.handle.net/10353/267.
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Information and Communication Technologies (ICTs) have been widely deployed in developmental programs and this has lead to the creation of a new field – ICT for Development (ICT4D). Within the context of ICT4D, various e-services are being developed, including e-Commerce, e-Government, e-Health and e-Judiciary. ICT4D projects allow Small, Medium and Micro Enterprises (SMMEs) in rural areas to increase sales and gain a market share in the global market. However, many of these ICT4D projects do not succeed, because they fail to bring enough financial value to SMMEs due to the form they currently have. An obvious example is e-Commerce, which should be a source of revenue for business organizations, but most often is not. This thesis presents the design and implementation of a rewarding and negotiation application for a shopping portal to improve the marketing of products for rural entrepreneurs. The shopping portal has been set up for the Dwesa community, a marginalized area in the Eastern Cape province of South Africa. The proposed system, called the Dwesa Rewarding Program (DRP) enables customers buying online to get points for some of the activities carried out on the shopping portal. It also allows customers to negotiate and make offers whilst purchasing and get rewarded for buying online. The novelty of the system is in its flexibility and adaptability. One achievement of this system is the establishment of negotiation rules which allows fairness in rewarding customers. This should in turn lead to increased sales on the e-Commerce platform in marginalized areas and subsequently increased effectiveness of ICT4D for socio-economic development
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Matthews, Waseem. "Multimodality and negotiation of Cape Flats identity in selected Daily Voice front pages." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4688_1315294286.
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This thesis explores the social semiotic relationship of visual and verbal signs of the Daily Voice tabloid as a way to show how the social context influences meaning of the signs used in its multimodal frontpages. The Daily Voice tabloid largely uses Kaapse English/ Afrikaans as spoken by Coloureds on the Cape Flats on its frontpages rather than standard English or standard Afrikaans associated with White people. The study assumes that the meaning constructed by and through the verbal and visual signs on the Daily Voice frontpages is interdependent on the relationship the multimodal texts have with the largely Cape Flats readership. This study maintains the importance of the idea of the localisation of meaning in socio-cultural specific contexts throughout. I conclude that Kress and Van Leeuwen&rsquo
s (1996/2006) design could be extended beyond Westernised contexts and that marginalised discourses such as those unique to the Cape Flats are not static, but indeed dynamic. I also extend the appraisal theory by Martin and White (2005) to marginalised bilingual discourse and establish that Appraisal theory can be used to not only evaluate verbal discourse but also that visual discourse needs to be considered as a tool within the appraisal framework. I also conclude by suggesting a monolectal view of Kaapse English/Afrikaans discourse. That is, the meaning potential of Kaapse English/Afrikaans by Cape Flats speakers would be lost if perceived or analysed as emanating from two languages, (White) English and (White) Afrikaans. Therefore the conclusion is that the Daily Voice uses Kaapse English/Afrikaans as is used in Cape Flats socio-cultural contexts to construct meaning-making options across its frontpages.
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Lawrie, Sabina Louise. "Negotiating work and masculinities through care and development in community groups in Dar es Salaam." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/8713/.
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Work is a privileged activity, often considered central to a meaningful life and sustainable development. However, the ways in which different types of work such as volunteering, domestic labour and paid work intersect, as well as their impacts on people’s lives are not well understood. This thesis aims to better understand the work that people do, the value attached to work, the gendered nature of work, and the relationship between work, decision making, and development narratives. I draw upon the research I conducted with four different community groups in Dar es Salaam, which used a mixture of interviews, focus groups and participant observation. I reflect upon the use of translation in research, in particular questioning the impact upon research of linguistically hybrid interviews. Participants engaged in many different and intersecting types of work, which fulfilled different needs, and in which wage earning is not always prioritised. Young men in particular used their work as volunteers, through which they engage in labours of care, to negotiate their own masculinities in a context of severe un(der)employment in Dar es Salaam. By identifying their work as volunteering, participants benefit from an increased sense of self-worth and use this identity as a primary way to define themselves. For many of the young men, it is in part through this volunteer work that they achieve markers of masculinity such as leadership and status. The spaces of the community groups are continually being negotiated through work done, and values assigned to different work. I suggest ways in which a greater understanding of work and masculinity within these contexts could influence development interventions in a bid to make interventions both more equitable and more relevant to those they are intended to help.
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Kasstan, Benjamin James. "Immunities at the margins : negotiating health and bodily care among Haredi Jews in the UK." Thesis, Durham University, 2016. http://etheses.dur.ac.uk/11936/.
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Using an integrated archival and ethnographic approach, this study investigates how the growing Haredi Jewish minority and the UK government negotiate their positions in the context of healthcare services in Manchester as one of the few sites where they directly engage. Low-level uptake of certain maternal and infant health interventions has led to claims that Haredi Jews are ‘hard to reach’ or a ‘non-compliant community.’ This thesis critically engages the above outlook by exploring how responses to healthcare services should be framed. Rather than evading the NHS altogether, as the ‘hard to reach’ label implies, Haredi Jews in Manchester selectively negotiate healthcare services in order to avoid a cosmological conflict with the halachic custodianship of Jewish bodies. Maternal and infant care is situated as a particularly sensitive area of minority-state relations in which competing constructions of bodily protection are at play. Whilst maternal and infant care has historically formed part of the state’s strategy to govern the population, it is increasingly being seized as a point of intervention by Haredi rabbis, doulas, and parents when attempting to reproduce the Haredi social body. Following Roberto Esposito’s (2015 [2002]) theoretical elaboration of ‘immunitas’ the present work depicts the margins as giving rise to antonymic conceptions of ‘immunity’ as a means of protecting collective life. Interventions that the state regard as protecting the health of the nation can, in turn, be viewed as a threat to the life of the Jewish social body. Immunity at the margins can be characterised by an antonymic fault of both the Haredim and the state to understand each other’s expectations of health and bodily care. The margins of the state illustrate how responses to healthcare interventions can be entangled within a struggle of integration, insulation, and assimilation for minority groups in ways that are contiguous over time.
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Mayoma, Jaclisse Lorene. "The identity construction and negotiation of 1.5 generation Congolese migrant youth in Cape Town, South Africa." University of the Western Cape, 2018. http://hdl.handle.net/11394/6678.
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Magister Artium - MAGlobalization has evidently led to an increase in the flow of immigrants across the world, a fact that has and continues to play a significant role in the development of studies on immigration, immigration patterns and the psycho-social struggles that immigrants face; of which identity negotiation in the new context is included. A number of works have been done on the identity negotiation and identity-forming process of immigrant youth. This study attempts to highlight, rather specifically, the unique challenges that 1.5 generation immigrant youth have in forming their identities. Rumbaut coined the term “one-and-a-half generation” to describe “children of Cuban exiles who were born in Cuba but have come of age in the United States” (1976:8). Thus the 1.5 generation immigrant youth constitutes children who were born in their country of origin but was raised and received the education and important experiences in the host country. Hence, the issue of identity becomes important for adolescents such as the 1.5 generation growing up in Diasporic settings. How they come to define who they are, their place in the world and others’ perception of them have significant implications for their successful integration into their new societies (Ogbuagu, 2013). This study takes a socio-cultural approach to investigating the identity negotiation and construction of 1.5 generation Congolese immigrant youth. Sociocultural linguistics refers to an interdisciplinary field which considers language as a sociocultural phenomenon; hence positioning identity as a phenomenon that is socially constructed through language and hence, performed within interaction and conversations.
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Chiwarawara, Kenny. "Contestations, connections and negotiations: the role of networks in service delivery protests in Gugulethu, Cape town." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/3886.
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Magister Artium (Development Studies) - MA(DVS)This study revealed the key role that social, historical, economic and political networks play in initiating and maintaining service delivery protests. While networks help in communicating service delivery problems among protestors and in mobilizing, protests that ensue are a means of communicating anger at the municipal authorities’ actions and or inactions. Using a reference to a hostage situation that occurred, I argued that there is a progression and intensification of protest tactics especially after ‘peaceful and legal’ means of engagement fail. Also, my research findings show that networks used for protest purposes can be used for other purposes. In light of this, I suggested that a better understanding, by protestors, of networks at their disposal and how they can use such networks for other community building projects is needed. Additionally, such an understanding by protestors may prove helpful for protestors to better organize and utilize their network resource and stage more effective but peaceful protests. Municipalities may use this information (networks) to communicate and connect with the communities they serve in a better way. In sum, the study further found that networks are important before the protest, during the protest and after the protest
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Holland-Muter, Susan. "Negotiating normativities: Counter narratives of lesbian queer world making in Cape Town." Doctoral thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/27892.
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This thesis explores the different modes and meanings of queer world making (QWM) of lesbians in Cape Town. Through an analysis of in depth interviews and focus groups it reveals lesbians' constructions of their intersectional and permeable QWM through a series of counter narratives enacted in three interconnected socialities. Generational narratives reveal psycho-social processes of recognition of lesbian desire and coming into a lesbian subjectivity in a range of modes of QWM. Lesbian erotic world making centres their entitlement to enact sexual autonomy and sexual pleasure. Their counter narratives reveal how they simultaneously inhabit and extend normative gender regimes. Their productions of desire reveal a lesbian centred frame of sexual pleasure that extends the erotogenic body beyond the genitalia, innovates and transforms hegemonic libidinal zones, and extends phallocentric culture. Lesbian motherhood as a site of QWM reveals the participants' negotiations, conflict, stress and agency in relation to the 'good mother' discourse that undergirds mothering practices in South Africa. Their counter narratives reveal how they simultaneously resist and re-inscribe heteronormativity in their motherhood practice. Ironically, it is through publicly assuming their sexuality that they are they able to perform 'good motherhood'. They perform private resistance and public complicity with good mother ideologies; and simultaneously centre and destabilize the role of the father. They manage their 'difference' to the heterosexual norm by providing their children with tools to navigate heteronormativity, while simultaneously claiming being an unexceptional family. Their queer place making strategies in everyday spaces in Cape Town demonstrate how they rework racialised notions of belonging to incorporate the queer body (at times ephemerally) to make Cape Town home. Their creation of lesbian social networks and communities, embodied in lesbian social scenes and within their private homes, reveals how Cape Town is experienced as a hybrid space, their contrasting and competing narratives of the city revealing narratives of fractured belonging. QWM reveals how lesbians resist and (re)shape hegemonic identities, discourses and practices, revealing 'a mode of being in the world that is also inventing the world' (Muñoz, 1999: 121). QWM is about borderlands (Anzaldúa, 1987), where one lives within the possibility of multiple plotlines (Clandinin & Rosiek, 2006). Their queer life worlds are permeable to racialised heteronormativities. But their agency reveals multi-vocal and multivalent queer life worlds, enmeshed in the web of racialised, gendered, sexualised, aged and class-based hierarchies in Cape Town. There is no singular way of doing a lesbian subjectivity, no singular utopian notion of a lesbian community. Their differences are located in their varying political perspectives and their social positionalities of privilege and penalty, in short, how they position themselves within the 'politics of belonging' (Yuval Davis, 2006).
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Stephens, Anthea Clare. "Negotiating boundaries : (co)-managing natural and urban areas on the Cape Peninsula." Master's thesis, University of Cape Town, 1998. http://hdl.handle.net/11427/9594.
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Bibliography: leaves 178-189.The opportunities and constraints experienced in managing abutting urban and natural areas represent a microcosm of the issues facing future conservation practices. The focal areas for this study are Kommetjie and Ocean View -- two adjacent but insulated communities, that reflect basic socio-economic characteristics of South African cities, and situated amidst the natural areas of the Cape Peninsula. Current theoretical perspectives on natural and urban areas fail to offer a practical approach to inform integrated and equitable management of these ostensibly disparate realms of the environment. Although largely based in rural research, political ecology, which embraces a multidisciplinary perspective, promotes an integrated framework for managing adjacent urban and natural boundaries of the kind associated with the Cape Peninsula. Using conventional botanical methods, evidence in the case studies suggests that a relationship exists between environmental degradation in natural areas and the proximity of urban settlements. Moreover, the nature of environmental degradation seems contingent on the level of economic development of local communities. A social analysis of the communities reveals that co-operative management between landowners and key-players on either side of the boundary is similarly hindered by socio-economic factors. Using an adaptation of Blaikie's (1995b) "Chain of Explanation", the interactions between Kommetjie and Ocean View, and surrounding natural areas are integrated in an analysis which crosses disciplinary divides, and exposes the relationship between local environmental conditions and broader social issues. The boundary of a national park is not sufficient to manage the interactions between protected areas and neighbouring communities, but must be supported by partnerships between city and conservation authorities, NGOs, private landowners and residents in ways that address the needs of neighbouring communities. To facilitate local involvement in the management of the environment, residents, both rich and poor, must understand how the state of the environment directly affects their lives.
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Huynh, Thuy Phuong Hong. "The positioning of nurses in health care in Vietnam: Interactions, organisations and space." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/199694/1/Thuy%20Phuong%20Hong_Huynh_Thesis.pdf.
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The research extended insight into the national and international contexts of nursing practice in Vietnam. Observations and semi-structured individual interviews were conducted with 29 registered nurses working across a major hospital in Vietnam. At the micro level, nurses produced and reproduced spatial forms to challenge taken for granted practices and an entrenched hierarchy. Yet, nursing reform was constrained by the competing interests of a nationally financed health care labour market and an internationally funded higher education sector. The influence of foreign investment on the health education sector was significant but translated into minimal change at the level of healthcare services.
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Jameson, Elizabeth M. "Review, analysis and operational readiness of Crisis Negotiation Cadre, Correctional Service of Canada, Pacific Region." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62022.pdf.
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Manning, Alexandra. "Nurses negotiating the pensions between bed management and individual atient care : the case of medical assessment units." Thesis, University of Nottingham, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.523596.
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McLean, Stacy Avril. "Negotiating identity in multilingual parliamentary discourses in the Western Cape: a discourse analysis." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/4282.
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Magister Artium - MASouth Africa transitioned from an apartheid system of government, with one ruling party to a new democracy; a transition that is still currently in progress. With this transition came many new freedoms, such as the ability to choose and freely express one’s linguistic and cultural preferences, amongst many others. This study analyses the negotiation of identity in constitutionally multilingual parliamentary discourses in the Western Cape in order to create a better understanding of the influence the new South Africa has on the identities constructed in parliamentary discourses whereby polylingualism is used as a linguistic resource. The parliamentary discourse is deemed constitutionally multilingual due to the fact that before 1994, African languages were not considered official, but presently Afrikaans, English and isiXhosa are credited provincial official languages in the Western Cape and are amongst the eleven national official languages. In order to investigate how performative identities are constructed discursively in the relatively new spaces of linguistic democracy, this study conducted a multisemiotic analysis on political manifestos in conjunction with a discourse analysis of a randomly selected Hansard Report of the Western Cape Provincial Parliament, which is the only parliament of the national nine to have an alternate political party in government. In collaboration with consulting the Standing Rules of the House, the National Language Policy Framework, the Western Cape Language Policy and observing the actual sitting, scholarly literature pertaining to language use, multisemiotic features and identity negotiation were evaluated to better understand the discursive spaces in which identity is negotiated as well as to achieve the objectives of this study.
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Miller, Paul K. "The social reality of depression : on the situated construction, negotiation and management of a mental illness category in primary care." Thesis, Lancaster University, 2003. http://insight.cumbria.ac.uk/id/eprint/75/.
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This project is a study of the way that people use language actively to achieve certain ends in communication, the way that they organise their spoken discourse to construct, convincingly, the state of their lives, both ‘internal’ and ‘external’. It does this primarily through an analysis of the systematic properties of the descriptive, communicative and interpretative skills which members use in the accomplishment of the meanings central to everyday existence. More specifically, this project is a study of verbal accounts of, and doctor-patient interaction relating to, clinical depression. The project begins from the premise that most social studies of depression and its diagnosis have been subject to the same problematic treatment of language as a ‘transparent medium’ as the psychiatric frames upon which the modern clinical understanding of depression in the UK is itself based. I aim, in view of this, to demonstrate how hitherto neglected elements in the social analysis of the condition can be revealed with the application of an alternative methodology, a methodology which treats talk-in-interaction as a dynamic and constructive phenomenon rather than a neutral conduit for the passage of information. The empirical data takes the form of a set of General Practitioners from a single practice in the North West talking freely about depression and their experiences of diagnosing it, and actual consultations between these GPs and their patients. Drawing upon Wittgenstein, Ethnomethodology, Discursive Psychology and, particularly, Conversation Analysis this project examines the ways in which doctors and patients construct, negotiate and manage ‘depressive’ meanings in the course of medical interaction, always holding tightly to Wittgenstein’s maxim that practice gives words their significance.
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Tang, Pui-yee, and 鄧珮頤. "Understanding informal caregiving in Hong Kong : a public health perspective on the negotiation between traditional values and modern living." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206947.
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Introduction
Having a caring family is an important resource to any older person, not only does it provide a great source of care and support when they require others’ help and assistance in performing daily activities, it also serves to alleviate the burden of welfare system and balances health care expenditure.
The traditional paradigm reinforced the idea that healthcare is and should be provided by doctors, nurses and health professionals within the healthcare settings (e.g. clinics and hospitals), although family members for centuries had provided care, support and assistance to each other in time of illness. The role of informal care provided by family members was often overlooked.
Hong Kong, like many other advanced economies in the world, is facing this care challenge at all levels, including not limited to family, community and institutions as population ages rapidly. The proportion of the population aged 65 or older is estimated to reach a whopping 28% in 2034 from the current 13%, as a result of increased longevity, low fertility rate and the ageing of baby‐boomers. This extends the parent‐child relationship and thus would significantly prolong the extent of care to be provided by adult children. In addition, the majority of older persons in Hong Kong prefer to live and age at home than being institutionalized, implying that a large proportion of long‐term care burden of older persons, of which 74% of them live with multiple chronic diseases, would fall upon informal caregivers within family.
Objectives
This qualitative study was convened against this background and the purpose of this qualitative study was to develop a better understanding and more comprehensive description of the complicated, fluid, and multidimensional caregiving experience among Chinese caregiving adult children, especially daughters, who assume most responsibilities in caregiving tasks and work a greater number of hours in delivering care as compared to male caregivers by addressing the following three objectives:
(1) Capturing more accurately the interaction among different factors that influence their caregiving identity, experiences and subsequent practices;
(2) Highlighting the needs and gaps in support services that would allow caregivers to continue caring, working and managing other aspects of their lives; and
(3) Adding to the range of perspective towards informal caregiving by conducting a case study of male caregivers.
It was hoped that these efforts would enable us to understand the commonalities or essences of the subject matter being investigated and deeper insights could be developed to inform and orientate policies and services, and to make informal caregiving more gender equitable.
Findings
Nineteen women and two men were interviewed during the study. Their stories highlighted the diverse, wide‐ranging and dynamic nature of informal caregiving experiences. Regarding the study objectives, nine predominant themes were invoked from the participants’ narratives, including: (1) Self-identification with the identity of being an informal caregiver being gradually and socially constructed process through recognizing and acknowledging the roles constituting informal caregiving; (2) Positive and negative feelings occur simultaneously but positive ones are important motivator that keep informal caregivers in their role; (3) Support services remained largely unavailable and inaccessible to informal caregivers; (4) Team approach to caregiving as the flexible solution to family care; (5) Psychosocial support and taking occasional breaks from caregiving duties to get recharged; (6) Influences of family values, living arrangements, time resources, and social expectations towards informal care provided by adult family members; (7) Men focused more on tasks and facts instead of emotions; (8) Men are more assertive when expressing themselves to the care‐recipients and authority figures; and (9) Men were more reserved and less likely to open up and talk about feelings and emotions.
Recommendations
These themes reflected efforts for understanding informal caregiving in Hong Kong in terms of the forming of identity, the positive and negative experiences of being caregivers and the communication among different values in driving filial behavior among family members in Hong Kong. These had marked the beginning of the long journey to recognizing, supporting, and protecting these unsung heroes and heroines through policies and practices. Three potential directions for future development in regards to adult‐child‐parent caregiving were also discussed, which included: (1) framing informal caregiving as a public health issue; (2) understanding, promoting and celebrating male caregiving; and (3) stocktaking, need‐matching and review of support services.published_or_final_version
Public Health
Master
Master of Public Health
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Klenk, Andreas [Verfasser], Georg [Akademischer Betreuer] Carle, and Alexander [Akademischer Betreuer] Schill. "Bilateral and Multilateral Negotiation for Agreement Discovery and Formation / Andreas Klenk. Gutachter: Alexander Schill. Betreuer: Georg Carle." München : Universitätsbibliothek der TU München, 2012. http://d-nb.info/1024567451/34.
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Schermbrucker, Noah. "A tenuous middle ground : conflicting rationalities and the lived negotiation of low income housing in Cape Town." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/11705.
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Includes bibliographical references (p. 157-166).This thesis explores debates surrounding the social production and interaction of divergent housing rationalities through qualitative research in a low income housing development called Stock Road and in the offices of the para-statal company that developed and administered the area, the Cape Town Community Housing Company (CTCHC). Investigations draw on literatures of the state, development and critiques of South African housing policy to "sketch" the predominant characteristics of the CTCHC’s housing rationality. The contours of residents housing rationalities are explored through an engagement with literatures and case studies that stress the social and historical aspects of home-ownership.
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Ridley, Tamerin Amy. "Negotiating identity and belonging: perspectives of children living in a disadvantaged community in the Eastern Cape Province." Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1019871.
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Developing an identity with self-esteem and a sense of self-worth is a child’s fundamental right (Vandenbroek, 2001). To encourage identity formation children need to ask and answer questions such as: ‘Who am I?’, ‘Where do I belong?’ and ‘Is it ok to be who I am?’ A child’s identity is shaped largely by his/her experiences with regards to relationships and belonging within communities and familial structures. However, South Africa faces a host of problems, including poverty, violence, HIV/AIDS, all of which contribute to the breakdown of these familial and community structures. Utilising a participatory action framework, this research aims to provide insight into how children living in a disadvantaged community negotiate identity and belonging. This insight into children’s perceptions of identity and belonging is useful for identifying resources within the community which promote a positive sense of identity and belonging, and also to identify areas where support and intervention are required.
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Trif, Georgiana. "Lost in transition? : the mitigating role of social capital in negotiating life after care of youth from Romania and England." Thesis, University of Kent, 2018. https://kar.kent.ac.uk/66432/.
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Most young people today can enjoy an extended stay under parental care unlike young adults who age out of residential, foster care or other alternative care systems ("care leavers"). Care leavers are expected to look after themselves in matters such as securing employment, and housing without necessarily being in possession of a durable supportive social network system. Increasingly, many significant worldwide studies concerning care leavers show the importance of relationship-based practice, and the pivotal role of networking to enhance interpersonal skills and emotional maturity. These ingredients are viewed to contribute to more positive outcomes at adulthood. However, relatively few studies have solely focused on the utilization of social capital and social networks to negotiate independent living. It is this gap that the present study addresses. The dearth of knowledge of the care leavers' own safety net and how they negotiate independent living has driven this research. Qualitative in approach, this empirical research used interviews and vignettes on a sample composed of 58 participants (31 care leavers from Romania and 17 from England ranging from 17 to 29 years of age together with five professionals from each country). Aimed at understanding strategies used to negotiate independent living through the lenses of social capital and social networks, this empirical study subsequently provides key indicators to improve leaving care policy and practice. According to young people's and professionals' testimonies, elements of social capital such as trust, encouragement, reciprocity, and access to information contributed to boosting levels of confidence that further lead to optimization of resources such as employment prospects. A close relationship between social networks/social capital and the participants' outcomes, including individual (enhanced resilience, positive identity formation) and attained socio-economic status has been identified here. This comparative study between Romania and England, chosen for their different welfare systems and wider social contexts, illustrates that social capital and social networks have acted as a main channel to socio-professional integration among the young adults. The findings suggest the essence of having established a strong foundation of support prior to leaving care. Nevertheless, as social capital is in its infancy in this domain, more empirical evidence is necessary to deepen an understanding of the concept's mitigating role in youth well-being and outcomes. This includes whether established capital prior to leaving care can contribute to positive experiences specifically during the early periods of transition. Another aspect to explore is whether fellow colleagues could represent an effective strategy in service provision during the preparatory stages to independence.
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Sandin, Niklas. "“Jag har inte tid” : En kvalitativ studie om föräldrapars förhandlingar vid vård av sjukt barn." Thesis, Södertörns högskola, Institutionen för samhällsvetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-26288.
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The purpose of this paper is to create an understanding of the negotiation process behind the decision of who will stay at home with a sick child and to develop the knowledge of the mechanisms considered to affect the negotiation process, in particular, the mechanisms likely to contribute to an uneven use of care leave. In the study six interviews were conducted with three sets of parents. These interviews were then analysed with Janet Finch’s (1989) definition of negotiation of family responsibilities. The study finds that the negotiation on care leave is a result of the negotiation of the shared view of reality. This image is in turn influenced by a number of institutional aspects such as job design, relative resources, and the couple's ideological points. Previous studies that found that relative resources, converted to salary, affects the distribution greatest. Instead the results of this study points out that the nature of work is most important for how parents divide their care leave. If one parent have work that easier can be pushed forward or to be away from, the latter tend to be the one who stays at home. This arrangement, however, is affected by a number of other factors. For example, the ideas of a fair distribution of care leave counteract this tendency.
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Breen, Keith. "Negotiating the 'iron cage' : Jürgen Habermas, Hannah Arendt, and Alasdair MacIntyre in response to Max Weber." Thesis, University of Edinburgh, 2004. http://hdl.handle.net/1842/23765.
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This study in political theory explores the challenges and potentialities of modern politics as envisaged within the work of Jürgen Habermas, Hannah Arendt, and Alasdair MacIntyre. It begins by confronting Max Weber’s seminal diagnosis of the crisis era of late modernity. According to this diagnosis the world-historic process of rationalization is deeply paradoxical in promising freedom and yet threatening servitude under an “iron cage” of deadening specialism and senseless hedonism. Weber responds to this paradox by conceding that all endeavour will henceforth take the form of a specialism but that it can be rendered meaningful by a fundamentally inscrutable decision to devote oneself to a cause or vocation. For those called to politics this means accepting three ineluctable facts: that politics is a contest over the means of violence in which the “ethics of brotherhood” has no place; that freedom endures only when organizational machines are dominated by charismatic leaders; and that there are no criteria to determine political legitimacy except the subjective decision to act responsibly and not otherwise. With Weber as both foil and problem, this study then explores the profound impact his pessimistic diagnosis of modernity, elitist account of politics, and subjectivist theory of ethics have had on Habermas, Arendt and MacIntyre. Although very different in terms of philosophic background and commitment, these three are united by a critical urge to think beyond his dark prescriptions. Each begins with and largely accepts Weber’s narrative of modernity, seeing in his account of rationalization and disenchantment an apposite description of the age. Each nonetheless rejects his understanding of the grounds and possibilities of politics, accusing him of complicity in the very realities he sought to resist. The central argument of this study, however, is that these thinkers simultaneously aid and hinder the attempt to think beyond the “iron cage,” their thought both a critique of and yet an abutment to Weber’s.
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Wilson, Joanne. "A mixed-method psychosocial analysis how senior health care professionals recognise dying and engage patients and families in the negotiation of key decisions." Thesis, University of Bath, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.725396.
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Successive “National Care of the Dying Audit for Hospitals” record that Health Care Professionals (HCPs), are recognising that patients are dying only days before their death, reducing opportunities for patient involvement in decision-making. This PhD, utilizing a mixed and iterative methodology, addresses how senior HCPs in one hospital recognise dying, and negotiate decision-making with patients and families in this process. In Study One thirteen senior HCPS undertook a Critical Incident Review. These involved the ward based senior HCP who identified dying, and the Hospital Palliative Care Team (HPCT) HCP(s) subsequently involved in the patient’s care. Interviews were recorded, transcribed and themed. In Study Two senior HCPs across the hospital were invited to four consecutive Participatory Action Research (PAR) workshops to critically reflect on the themed data from Study One. Ten HCPs took part (three HPCT HCPs were involved in both studies). The workshops were similarly recorded, transcribed and themed. The themed analysis yielded a model for decision-making but did not explain why dying was identified so late. A psychoanalytically informed psychosocial approach was taken to examine anomalies and contradictions in the data that pointed to less conscious undercurrents in the personal, professional, educational and institutional dynamics involved in the care of patients who are dying. Through this analysis, it is clear that identifying dying, and negotiating decision-making with the patient and their family at this time, is extremely anxiety provoking. Individual and social psychological defence mechanisms that avoid the recognition of dying come into play. HCPs’ experience of learning to care for the dying patient and their family is “chaotic” and anxiety provoking and leaves them ill-equipped. Complicating matters, at the point of recognition of dying, the institution devolves its responsibility for care (requirement for space and time for patient and family conversations, and emotional support for HCPs who sometimes have to deal with angry families) to individual HCPs. The argument is put forward that the HPCT have become part of modern NHS social defence mechanisms. Sensitively facilitated PAR workshops allow interested HCPs to mutually consider how to identify dying earlier; implications of this for the patient, family and themselves; the organisational resources available; and the role of education. Attention is paid to the HCPs emotional experience and psychological defences, and over time there is opportunity to negotiate sustainable practice change.
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Paul, David. "Casting shadows and struggling for control : silence, resistance and negotiation in Australian Aboriginal health." University of Western Australia. School of Primary, Aboriginal and Rural Health Care, 2007. http://theses.library.uwa.edu.au/adt-WU2008.0015.
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Self determination has been recognised as a basic human right both internationally and, to an extent, locally, but it is yet to be fully realised for Aboriginal Peoples in Australia. The assertion of Aboriginal community control in Aboriginal health has been at the forefront of Aboriginal peoples' advocacy for self determination for more than thirty years. Aboriginal Community Controlled Health Services and their representative organisations have been the site of considerable resistance and contestation in the struggles involved in trying to improve Aboriginal health experiences. Drawing on some of these experiences I explore the apparent inability of policy and decision makers to listen to systematic voices calling for change from the Aboriginal Community Controlled Health sector. It is government inability to act more fully on clear and repeated messages that is a source of much disquiet within representative Aboriginal organisations. Such disquiet is grounded in a belief that colonial notions continue to influence decision making at policy, practice and research levels resulting in a significant impediment to the realisation of self determination and associated human rights in Aboriginal health matters and Aboriginal Affairs more broadly.
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Ezechukwu, Rebecca Nneoma. "Negotiating (Un)Heard Voices: Exploring A Fourth Generation Evaluation Approach to Examining the Wraparound Process." Oxford, Ohio : Miami University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1260316500.
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Broadbridge, Helena Tara. "Negotiating post-apartheid boundaries and identities : an anthropological study of the creation of a Cape Town Suburb." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52353.
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Thesis (PhD)--University of Stellenbosch, 2001.ENGLISH ABSTRACT: This study explores the complex and contested processes of drawing boundaries and negotiating identities in the post-Apartheid South African context by analysing how residents in a new residential suburb of Cape Town are working to carve out a new position for themselves in a changing social order. Drawing on data gathered through participant observation, individual and focus group interviews, and household surveys between November 1998 and December 2000, the study examines how residents draw and negotiate boundaries in their search for stability, status, and community in a society characterised by social flux, uncertainty, ambiguity and contradiction. It explores the construction and shifting of identities believed to be embodied in those boundaries, at the levels of the individual, the household and the community. A range of everyday social and spatial practices - including streetscape design, its use and contestation, neighbourliness and sociality, .household livelihoods and strategies, home maintenance and improvements - are shown to reveal residents' own conceptualisations of boundaries, their practical significance and symbolic power, as well as their permeability and transgression. The marking and maintenance of boundaries convey how social relationships, practices and power in the suburb are structured and continually negotiated. By analysing these actions and responses, the study illustrates some of the ways in which recent changes in South African society have unsettled the relationship between class, race and space to construct new boundaries and shape new identities. The fmdings suggest that although social differentiation among the residents is increasingly being restructured around class, race remains a salient variable in residents' constructions of themselves and each other. Ethnic-religious prejudice is also shown to influence local conflict and constructions of community. The study draws out four discourses through which residents contemplate and formulate circumstances and processes in their neighbourhood. The first emphasises racial integration, the second middle class suburban living, the third safety from crime, the fourth distrust and disorder. The discourses are significant, not only in their practical manifestation in everyday interaction but also because they suggest some of the ways in which connections and disconnections with the past, with (he old identities and the old affiliations, are managed in a new, post-Apartheid South Africa.
AFRIKAANSE OPSOMMING: Hierdie studie verken die komplekse en betwiste prosesse van die trek van grense en die onderhandeling van identiteite in die Suid-Afrikaanse post-Apartheid konteks, deur te analiseer hoe inwoners in 'n nuwe Kaapstadse residensiële voorstad te werk gaan om 'n nuwe posisie in 'n veranderende sosiale orde vir hulself daar te stel. Op grond van data bekom deur deelnemende observasie, onderhoude met indiwidue en fokusgroepe, en opnames in huishoudings tussen November 1998 en Desember 2000, ondersoek die studie hoe inwoners grense trek en onderhandel in hulle soeke na stabiliteit, status, en gemeenskap in 'n samelewing gekenmerk deur sosiale vloeibaarheid, onsekerheid, dubbelsinnigheid en teenstrydigheid. Dit verken die konstruksie en die verskuiwing van identiteite wat gesien word as dat dit binne hierdie grense tuis hoort, op die vlakke van die indiwidu, die huishouding en die gemeenskap. 'n Reeks alledaagse sosiale en ruimtelike praktyke - insluitende omgewingsbeplanning, die benutting en betwisting daarvan, buurskap en gemeenskapsin, huishoudelike bestaansmiddele en strategieë, huisonderhoud en verbeterings - toon inwoners se eie voorstellings van grense, hulle praktiese betekenis en simboliese invloed, sowel as hulle deurdringbaarheid en oorskryding. Die afbakening en handhawing van grense deel mee hoe sosiale verhoudings, praktyke en mag in die voorstad gestruktureer en voortdurend onderhandel word. Deur hierdie optredes en reaksies illustreer die studie sommige van die wyses waarop onlangse veranderings in die Suid-Afrikaanse samelewing die verhouding tussen klas, ras en ruimte beïnvloed het om nuwe grense te konstrueer en nuwe identiteite te vorm. Die bevindings suggereer dat, hoewel sosiale differensiasie tussen die inwoners toenemend geherstruktureer word wat klas betref, ras 'n duidelik waarneembare onderliggende veranderlike in inwoners se siening van hulleself en mekaar bly. Etniesgodsdienstige vooroordeel word ook getoon 'n invloed op plaaslike konflikte en die konstruksie van gemeenskappe te wees. Die studie onthul vier diskoerse waardeur inwoners omstandighede en prosesse in hulle omgewing bedink en te kenne gee. Die eerste beklemtoon rasse-integrasie, die tweede voorstedelike middelklas lewenswyse, die derde misdaadsbeveiliging, die vierde wantroue en wanorde. Die diskoerse is betekenisvol, nie slegs in hulle praktiese manifestering in die daaglikse omgang nie, maar ook aangesien hulle sommige van die wyses waarop koppelings en ontkoppelings met die verlede, en sy ou identiteite en ou affiliasies, in 'n nuwe, post-Apartheid, Suid-Afrika hanteer word, suggereer.
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Hammett, Daniel P. "Constructing ambiguous identities : negotiating race, respect and social change in 'coloured' schools in Cape Town, South Africa." Thesis, University of Edinburgh, 2007. http://hdl.handle.net/1842/2084.
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South African social relations in the second decade of democracy remain framed by race. Spatial and social lived realities, the continued importance of belonging – to feel part of a community, mean that identifying as ‘coloured’ in South Africa continues to be contested, fluid and often ambiguous. This thesis considers the changing social location of ‘coloured’ teachers through the narratives of former and current teachers and students. Education is used as a site through which to explore the wider social impacts of social and spatial engineering during and subsequent to apartheid. Two key themes are examined in the space of education, those of racial identity and of respect. These are brought together in an interwoven narrative to consider whether or not ‘coloured’ teachers in the post-apartheid period are respected and the historical trajectories leading to the contemporary situation. Two main concerns are addressed. The first considers the question of racial identification to constructions of self-identity. Working with post-colonial theory and notions of mimicry and ambivalence, the relationship between teachers and the identifier ‘coloured’ is shown to be problematic and contested. Second, and connected to teachers’ engagement with racialised identities, is the notion of respect. As with claims to identity and racial categorisation, the concept of respect is considered as mutable and dynamic and rendered with contextually subjective meanings that are often contested and ambivalent. Political and social changes affect the context within which relations to identities are constructed. In South Africa, this has shaped a shift away from the struggle ideology of non-racialism and the respect that could be accrued through this. This process also complicated the status recognition respect historically associated with teaching. As local, national and global contexts have shifted and processes of globalisations have impacted upon cultural and social capital, the prestige and respect of teaching have changed. Appraisal respect has become increasingly important, and is influencing contested concepts of respect and identity. As these teachers exert claims to identities which include assertions of belonging in relation to race and attempts to earn respect, these processes are shown to be elusive and ambiguous. As a trans-disciplinary thesis, this work is located at the intersection of, and between, geography, education, history, anthropology, politics and sociology. Utilising a wide range of materials, from documentary sources, archives, participant observation, interviews and life histories, a multilayered story is woven together. The work’s originality stems from this trans-disciplinary grounding and its engagement with wide ranging theoretical approaches. This thesis argues that the lived experience of educators reflects the ambiguous and contentious experience of ‘coloureds’ in Cape Town. Drawing upon wider literature and debate, the contested location of education – its commodification – in South Africa reflects broader concerns of educationalists in the North and South, and is imbued within concerns over development and sustainability.
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Hammett, Daniel Patrick. "Constructing ambiguous identities negotiating race, respect and social change in 'Coloured' schools in Cape Town, South Africa." Doctoral thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/10655.
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Includes bibliographical references.South African social relations in the second decade of democracy remain framed by race. Spatial and social lived realities, the continued importance of belonging - to feel part of a community, mean that identifying as 'coloured' in South Africa continues to be contested, fluid and often ambiguous. This thesis considers the changing social location of 'coloured' teachers through the narratives of former and current teachers and students. Education is used as a site through which to explore the wider social impacts of social and spatial engineering during and subsequent to apartheid. Two key themes are examined in the space of education, those of racial identity and of respect. These are brought together in an interwoven narrative to consider whether or not 'coloured' teachers in the post-apartheid period are respected and the historical trajectories leading to the contemporary situation. Two main concerns are addressed. The first considers the question of racial identification to constructions of self-identity. Working with post-colonial theory and notions of mimicry and ambivalence, the relationship between teachers and the identifier 'coloured' is shown to be problematic and contested. Second, and connected to teachers' engagement with racialised identities, is the notion of respect. As with claims to identity and racial categorisation, the concept of respect is considered as mutable and dynamic and rendered with contextually subjective meanings that are often contested and ambivalent. Political and social changes affect the context within which relations to identities are constructed. In South Africa, this has shaped a shift away from the struggle ideology of non-racialism and the respect that could be accrued through this. This process also complicated the status recognition respect historically associated with teaching. As local, national and global contexts have shifted and processes of globalisations have impacted upon cultural and social capital, the prestige and respect of teaching have changed. Appraisal respect has become increasingly important, and is influencing contested concepts of respect and identity. As these teachers exert claims to identities which include assertions of belonging in relation to race and attempts to earn respect, these processes are shown to be elusive and ambiguous. As a trans-disciplinary thesis, this work is located at the intersection of, and between, geography, education, history, anthropology, politics and sociology. Utilising a wide range of materials, from documentary sources, archives, participant observation, interviews and life histories, a multilayered story is woven together. The work's originality stems from this trans-disciplinary grounding and its engagement with wide ranging theoretical approaches. This thesis argues that the lived experience of educators reflects the ambiguous and contentious experience of 'coloureds' in Cape Town. Drawing upon wider literature and debate, the contested location of education - its commodification - in South Africa reflects broader concerns of educationalists in the North and South, and is imbued within concerns over development and sustainability.
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Dietrich-Jones, Natalie. "The ma(r)king of complex border geographies and their negotiation by undocumented migrants : the case of Barbados." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/the-marking-of-complex-border-geographies-and-their-negotiation-by-undocumented-migrants-the-case-of-barbados(ca2236a6-0905-4512-ab27-a881362febda).html.
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The University of ManchesterNatalie Dietrich JonesPhD Development Policy and ManagementThe ma(r)king of complex border geographies and their negotiation by undocumented migrants: The case of Barbados2013ABSTRACTUsing Barbados as a case study, this thesis examines the relationship between agency, undocumentedness and borders. The relationship between these three concepts has been debated in a well-established European and North American literature; however, there is no similar body of work for the Caribbean, a space which since its genesis has been shaped by b/ordering practices. Through a stratified view of the border, it explored the discursive and non-discursive (material) factors which constrained migrants’ existence, and migrants’ agentic response to these constraints. The timing of fieldwork meant that the location’s geography, as well as migrants’ narratives, was marked by a recent amnesty exercise. In addition to ‘talk’ the research also relied on text, in the form of government and other legal documents relating to the management of migration. The research is therefore based on a combination of narrative and critical discourse analysis, espousing the methodological eclecticism that is encouraged in critical realist methodology. The study makes an important contribution to the field of border studies, based on its exploration of the relationship between a complex border ontology and migrant agency. The principal finding is that borders create complex geographies, which operate at varying spatial scales. The thesis thus provides an enhanced theorization of border(s), in particular as it relates to conceptualizations of space, suspect status, governmentality, and agency.
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Martin, Heidi. "Recollections and representations the negotiation of gendered identities and 'safe spaces' in the lives of LGBTI refugees in Cape Town, South Africa." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/3592.
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Salles, Nanci Nunes Sampaio. "CIB-BA: cenário de negociação, pactuação e decisão da Política Estadual da Atenção Básica." Instituto de Saúde Coletiva-ISC, 2014. http://repositorio.ufba.br/ri/handle/ri/18261.
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As Comissões Intergestores Bipartite (CIB) foram instituídas com a NOB 93 para contribuir com a operacionalização do SUS. Com a sanção da Lei nº 12.466 e o Decreto nº 7508 que legalizaram a existência destas instâncias foi ratificado dentre as atribuições destas comissões, pactuar os aspectos operacionais do SUS, sendo a formulação de políticas de saúde um mecanismo possível de operacionalização deste Sistema. Entendendo a CIB como instância capaz de democratizar o processo de formulação das políticas, analisar como se deu o processo de negociação, pactuação e decisão intergestores na formulação da Política Estadual da Atenção Básica, atinente à esfera municipal, no período 2007-2013, pode proporcionar o suprimento de uma lacuna de conhecimento sobre a sua participação nesse processo. Portanto, trata-se de um Estudo descritivo, qualitativo sobre a CIB – BA, no período de 2007-2013, o qual utilizou a Análise Documental de Atas e Resoluções aprovadas nas Reuniões da CIB e reuniões do COSEMS no período supracitado. Para tanto, foi feita a análise de conteúdo destas Atas, à luz das Portarias da Atenção Básica, nas suas duas versões nacionais e a versão estadual, dos Regimentos da CIB e dos instrumentos de Planejamento – Plano Estadual de Saúde dos dois períodos. Buscou-se observar com isso como se deu o processo de negociação, pactuação e decisão da CIB para a formulação da Política da Atenção Básica, tendo como pano de fundo a Teoria do Jogo Social de Carlos Matus, identificando as situações de conflito e cooperação em momentos do processo decisório. Este estudo permitiu observar que estes momentos do processo decisório foram marcados por situações significativas de cooperação entre os representantes dos entes federados, município e estado, valendo ressaltar que tal movimento pode ter sido fruto de momentos de negociação em grupos de trabalho Bipartite e nas reuniões do COSEMS, que antecederam as reuniões da CIB. Tendo em vista as limitações do método adotado, a importância do aprofundamento da reflexão sobre os resultados apontados e a ponderação sobre os avanços da Política da Atenção Básica no Estado da Bahia, sugerimos a realização de outros estudos para maior avaliação sobre a formulação e implantação desta Política no estado, bem como, apresentamos proposta de desenvolvimento de Grupo Focal para promoção deste processo.
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Thomson, Lisa. "Clerical workers, enterprise bargaining and preference theory : choice & constraint /." Access full text, 2004. http://www.lib.latrobe.edu.au/thesis/public/adt-LTU20050801.172053/index.html.
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Thesis (Ph.D.) -- La Trobe University, 2004. Submitted to the School of Social Sciences, Faculty of Humanities and Social Sciences.Includes bibliographical references (leaves 283-294). Also available via the World Wide Web.