Dissertations / Theses on the topic 'Communication in medicine Australia'
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Loh, Poh Kooi. "Innovations in health for older people in Western Australia." University of Western Australia. School of Medicine and Pharmacology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0051.
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Australia and many other developed communities are ageing rapidly, placing a strain on the delivery of health services. This thesis examines the use of innovative health services management coupled with information and communication technology (ICT) to more efficiently deliver services to disabled older people in the hospital, community and residential care. The hypothesis explored is that ICT can provide clinical services to older people in poorly serviced communities and groups, thus extending the influence and capabilities of specialist health care professionals. The relevance of these studies is predominantly for those people who live outside the metropolitan regions, particularly in remote and rural communities, and also for those frail older people, who because of disability, are unable to travel to specialist health services. There are a series of studies presented in this thesis which have all been published. They have demonstrated that in a community and rural setting, ICT use in the assessment and management of geriatric syndromes such as dementia is valid and practical. This included the validation of commonly used assessment tools via Telehealth. A Telehealth protocol for assessment of Alzheimer's Dementia (AD) was developed and published. The use of ICT to link health services clinical and administrative data for determining stroke outcomes and disability has been evaluated and a resource utilization prediction model developed. Finally, in residential care a survey and a qualitative study of poor uptake of ICT services in hostels and nursing homes revealed insights into ICT perception by the older people in care facilities and their professional staff. The implications and future development of these studies have been discussed, especially barriers to increased uptake of ICT, cost comparisons and the potential of future technologies such as video conferencing mobile phones.
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Mrowa, Colette. "Communication, discourse, interaction in language classes. /." Title page, contents and summary only, 1997. http://web4.library.adelaide.edu.au/theses/09PH/09phm939.pdf.
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Thesis (Ph. D.)--University of Adelaide, Dept. of Linguistics, 1997.Amendments and errata are in pocket on front end paper together with covering letter. Includes bibliographical references (leaves 168-185).
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Featherstone, Lisa. "Breeding and feeding: a social history of mothers and medicine in Australia, 1880-1925." Australia : Macquarie University, 2003. http://hdl.handle.net/1959.14/38533.
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Thesis (PhD)--Macquarie University, Division of Humanities, Department of Modern History, 2003.Bibliography: p. 417-478.
Introduction: breeding and feeding -- The medical man: sex, science and society -- Confined: women and obstetrics 1880-1899 -- The kindest cut? The caesarean section as turning point -- Reproduction in decline -- Resisting reproduction: women, doctors and abortion -- From obstetrics to paediatrics: the rise of the child -- The breast was best: medicine and maternal breastfeeding -- The deadly bottle and the dangers of the wet nurse: the "artificial" feeding of infants -- Surveillance and the mother -- Mothers and medicine: paradigms of continuity and change.
The late nineteenth and early twentieth centuries saw profound changes in Australian attitudes towards maternity. Imbibed with discourses of pronatalism and eugenics, the production of infants became increasingly important to society and the state. Discourses proliferated on "breeding", and while it appeared maternity was exulted, the child, not the mother, was of ultimate interest. -- This thesis will examine the ways wider discourses of population impacted on childbearing, and very specifically the ways discussions of the nation impacted on medicine. Despite its apparent objectivity, medical science both absorbed and created pronatalism. Within medical ideology, where once the mother had been the point of interest, the primary focus of medical care, increasingly medical science focussed on the life of the infant, who was now all the more precious in the role of new life for the nation. -- While all childbirth and child-rearing advice was formed and mediated by such rhetoric, this thesis will examine certain key issues, including the rise of the caesarean section, the development of paediatrics and the turn to antenatal care. These turning points can be read as signifiers of attitudes towards women and the maternal body, and provide critical material for a reading of the complexities of representations of mothers in medical discourse.
Mode of access: World Wide Web.
478 p
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Terrill, Gregston Charles. "Secrecy and openness, publicity and propaganda : the politics of Australian federal government communication." Thesis, Queensland University of Technology, 1996.
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Morse, Jeffrey V. "Toward cultural symbiosis between Australia and Japan : an exploratory study." Thesis, Queensland University of Technology, 1989. https://eprints.qut.edu.au/36379/1/36379_Morse_36379.pdf.
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Australia-Japan communication is at a crossroads. The
relationship between the two cultures is being strained not necessarily by language barriers or patterns of behavior, but by the disparate ends of stakeholders, who include all Australians, Japanese and citizens of other nations.
There exist obvious imbalances among:
1. Australian foreign policy elites and the public.
2. Specialists in government, business and academia who
cannot see past their own disciplines.
The situation which has emerged in the late 1980s, in which Australia-Japan relations are under serious strain, results from a failure to account for the complexity of the intercultural relationship and its stakeholders. The phenomenon is not new. Relations between Australia and Japan have been overshadowed by a disparity of ends from the time the two nations became conscious of each other in world affairs. Required is a theoretical approach which takes into account the complexity of the international and intercultural relationship. Theory needs to address the relationship in its totality,
rather than focus on particular specialist areas, as happens at present. Systems thinking provides the underpinning for a holistic approach required to facilitate communication between cultures
and stakeholders toward a mutually beneficial relationship. Using processes and models to arrive at a common ground'', a systems approach would address the ends Australia and Japan need to reach to survive. An important part of achieving these ends is a constant process of interaction and feedback which may be planned for. Ways of keeping stakeholders in touch with
developments in the intercultural relationship and encouraging their active participation need to be part of the planner's brief. For the researcher, methodology must take into account not only cultural differences, but the many individual and environmental factors which are apt to affect the Australia-Japan relationship.
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Kreuiter, Allan. "An analysis of the science communication of co-operative centres." Thesis, Canberra, ACT : The Australian National University, 1994. http://hdl.handle.net/1885/139575.
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Jeyaretnam, Joseph S. "Occupational hazards and radiation safety in veterinary practice including zoo veterinary practice in Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2003. https://ro.ecu.edu.au/theses/1306.
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This thesis contains reviews and research on the occupational hazards of zoo veterinary practitioners in Australia. Although occupational hazards have long been recognised in the veterinary profession, little information is available on the number and magnitude of injuries to veterinarians in Australia, the United Kingdom or the United States. Apart from anecdotal accounts and some limited data, most of the available information is on occupational zoonoses, generally well recognized by veterinarians. Other occupational hazards to which veterinarians are exposed have received scant attention. The veterinary practitioner in a zoo environment has to treat a range of captive wild species which are much more unpredictable and dangerous than domesticated animals. A comprehensive study on occupational hazards sustained by veterinarians in zoological gardens has not been undertaken in Australia. Only one study had been undertaken in the US amongst zoo veterinarians, while comprehensive may not be able to be transposed to zoos in Australia as the species held in Australian zoos differ from those in the US. Personal communication with some senior veterinarians in the zoological gardens in Australia, have elicited further information on the prevalence of occupational hazards sustained by the zoo and wildlife park veterinarians. The prevalence of physical hazards including radiation, chemical and biological hazards reported by veterinary practitioners and the author's own experience as a veterinary practitioner, chairman of the safety committee, member of the animal ethics committee and manager, research In the zoological gardens in Perth, Western Australia have demonstrated a need for a comprehensive study on occupational hazards prevalent among zoo veterinarians. To investigate the occupational hazards including radiological hazards amongst zoo veterinarians in Australia, a self-administered 14-page comprehensive questionnaire comprising 58 questions was mailed to 27 practising zoo veterinarians in Australia. The questionnaire focused on physical injuries, chemical exposures, allergic and irritant reactions, biological exposures, radiological hazards including problems encountered with x-ray machines, use of protective gear and ancillary equipment for radiography, personnel involved in x-ray procedures and in restraining animals, compliance with the Australian National Health and Medical Research Council (NHMRC) Code of Practice (1982), Radiation Safety Regulations (1988) and National Standard for Limiting Occupational Exposure to Ionising Radiation (1995) The result of the study revealed that 60% of the participants sustained physical injuries such as crushes, bites and scratches inflicted by a range of species with some Injuries requiring medical treatment. Also, 50% of the participants suffered from back injuries while 15% reported fractures, kicks, bites necessitating hospitalization. Ninety percent of the participants sustained needlestick injuries ranging from one to 16+ times. Other significant findings include: necropsy injuries, animal allergies, formaldehyde exposure, musculoskeletal Injuries and zoonotic infections. The survey also identified that veterinary practitioners and their staff were exposed to radiation by not complying with the National Health and Medical Research Council (NHMRC) Australian Code of Practice for the Safe Use of Ionising Radiation (1982) which has been framed to minimize exposure to ionising radiation. The majority of the veterinarians in the study group indicated that radiation exposure Is a major occupational hazard to the veterinary profession. Subsequent to the review and research, discussions were held with few senior zoo veterinarians, the Registrar of the Veterinary Surgeons Board and a number of practising senior veterinarians In Australia to collect information on occupational hazards. Additional information was obtained on occupational injuries sustained by the zoo veterinarians through formal discussions with the Director and the two senior veterinarians In the zoological gardens in Sri Lanka. The discussions with the veterinary practitioners in government and private practice revealed that veterinarians experienced a range of occupational hazards including exposure to rabies. Discussions with the dean and the professor of the animal science department focused on the nature of injuries and preventive strategies. In order to obtain information on occupational hazards in the health care industry, the professor of anatomy of the faculty of medicine and a senior surgeon in Sri Lanka were interviewed. This study identified that the zoo veterinarians are routinely exposed to a wide range of occupational hazards. The literature review among veterinary practitioners In US, UK, Australia and Canada have also identified numerous occupational hazards sustained by the veterinarians. The discussions held in Sri Lanka with the professionals in veterinary and health care industry showed that occupational injuries have been common amongst them and they do not have appropriate preventive guidelines in place. This thesis has incorporated recommendations in the form of preventive strategies for minimizing occupational hazards among veterinary practitioners both in zoological gardens and veterinary practices In Australia and in the developed and developing countries.
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Carstens, Charl. "Major Incident Communication Cascade Evaluation." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/2858.
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Moorhead, Robert George. "Communication skills training for general practice." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MD/09mdm825.pdf.
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Bibliography: leaves 554-636. Examines aspects of teaching medical students communication skills at a time when they are entering their clinical years. Integrates reports of 12 data-gathering exercises centred on medical student communication skills with the international literature, and with the author's reflections as an experienced educator and G.P. Recommends that communication skills training in a general practice setting should be a crucial factor in all future training of medical students.
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Reinke, Leanne 1964. "Community, communication and contradiction : the political implications of changing modes of communication in indigenous communities of Australia and Mexico." Monash University, School of Political and Social Inquiry, 2001. http://arrow.monash.edu.au/hdl/1959.1/8812.
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Vuza, Xolisa. "Social and technical issues of IP-based multi-modal semi-synchronous communication: rural telehealth communication in South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Most rural areas of developing countries are faced with problems like shortage of doctors in hospitals, illiteracy and poor power supply. Because of these issues, Information and Communication Technology (ICT) is often sees as a useful solution for these areas. Unfortunately, the social environment is often ignored. This leads to inappropriate systems being developed for these areas. The aims of this thesis were firstly, to learn how a communication system can be built for a rural telehealth environment in a developing country, secondly to learn how users can be supported to use such a system.
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Gustafsson, Johanna. "Swedes in Australia - and their thoughts about business communication and culture." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2383.
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The purpose of the thesis is to study Swedes who live in Australia about their thoughts concerning differences between the cultures and their communication styles in the following four areas; Power Distance, Masculinity verses Femininity, Affective verses Neutral, and Time.
I have chosen a qualitative approach for this study. My research is based on 10 telephone interviews; conducted with Swedes who work for various companies in Australia.
My theoretical chapter includes theories in the field of communication science and culture. Four scientists’ theories are explained; William B. Gudykunst's Anxiety /Uncertainty Management theory, Edward Hall’s High-and Low-context theory, Geert Hofstede’s national culture theory, and Fons Trompenaars’ culture business theory.
My research concludes that there are some main differences between the Swedish and Australian culture and between Swedes’ and Australians’ communication style. My research shows that Sweden is a low-power distance, feminine and neutral culture. While Australia is a higher power-distance, masculine and more affective culture, compared to Sweden. My study also confirmed that the time aspect is not as flexible communicated in Sweden as it is in Australia. All these culture differences are reflected in the cultures’ communication style. For example, Swedes are characterized by a team-oriented, open and equal communication style, whereas Australians use a more hierarchical, assertive and unilateral communication style. While group discussions, personal responsibility, and a high flow of information are common in Sweden, Australia is more characterized by delegation and protectiveness of territories, authority, and information flow.
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Mafi, Salote Christine Laumanukilupe. "Assertive communication by first- and second-generation Tongan employees in Australia /." [St. Lucia, Qld.], 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17040.pdf.
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Koo, Fung Kuen. "Disharmony between Chinese and Western views about preventative health : a qualitative investigation of the health beliefs and behaviour of older Hong Kong Chinese people in Australia." University of Sydney, 2005. http://hdl.handle.net/2123/1610.
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Doctor of PhilosophyThis study explores the health beliefs and preventive health behaviours of older Hong Kong Chinese people resident in Australia. Participation in physical activity was used as the case study. There were two frameworks used to shape the research. Because of their perceived influence on the health beliefs and practices of Hong Kong Chinese people, the traditional Chinese philosophies of Confucianism, Taoism, and Buddhism provided the philosophical framework. The Theory of Planned Behaviour provided a theoretical framework for understanding the target group's preventive health behaviour. Data was collected by means of in-depth interviews, participant observation and case study. Twenty-two informants were interviewed, their transcripts analysed, summarised and typologised, identifying six states of physical activity participation. Findings demonstrated that this target group possessed a holistic view of health, with food taking a special role in preventive care and self-treatment at times of illness. The Cantonese terms used to denote “physical activity” caused confusion among the target group. Most interpreted it as meaning deliberate planned body movement, strength-enhancing activities or exercise, although some did see it as including mundane daily activities and chores. Lack of time, no interest and laziness were reported as the main reasons for low participation in deliberate planned physical activity. Cultural, social and environmental determinants were the intrinsic and extrinsic factors influencing attitudes toward physical activity, as well as perceived social supports and perceived control over physical activity participation barriers. To a large extent, these interactive determinants of health were rooted in the three traditional Chinese philosophies mentioned above. The thesis concludes by arguing that rather than simply advocating activities designed for other populations, health promotion strategies and education need to create links to the traditions of this target group and also clarify their conception of physical activity.
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Koehle, Natalie. "Phlegm (Tan 痰): Toward a History of Humors in Early Chinese Medicine." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:26718766.
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This dissertation examines the Chinese conception of phlegm and related body fluids phlegm from the first occurrence of phlegm in Zhang Zhongjing’s 張仲景 (fl. 150-219) Jingui yaolue金匱要略 through the first extended discussion Wang Gui’s 王桂 (1264-1354) Taiding yangsheng zhulun 泰定養生主論 (1338). Following the conceptual development of phlegm and fluids, the study illustrates one of the most important shifts in postclassical Chinese medicine. That is the transformation of the experience of phlegm from an insignificant water pathology that causes indigestion, to a major pathogen in Chinese medicine that is associated with an astonishing range of symptoms, and external and internal etiologies. The history of phlegm also intersects with another major shift in the history of Chinese medicine that is rise of fire, and the link of fire and emotions that was forged during the early Song dynasty.
In contrast to the current over-emphasis on pneumatic or energetic aspects of the Chinese imagination of the body, this dissertation focuses on the humoral aspects of Chinese medicine. This focus brings into view distinct parallels in the conception, experience, and treatment of fluids in the Chinese, Greek and Indian medical traditions, such as the concern with maintaining flow, and the fear of blockage, stagnation, and misguided flows. For instance, all of these traditions view phlegm as the result of a disturbance in the flow. These parallels in the Chinese, Greek, and Indian conception of humors, therefore, help us to better understand the history of phlegm not only in the history of Chinese medicine, but also in the Indo-European traditions.
The dissertation further sheds light on the history of Sino-Indian and Sino-Persian knowledge transfer, and the influence of Indic and Greek conceptions into Chinese medicine, as it puts forward evidence, which suggests that the similarities between Chinese and Indo-European conceptions of phlegm were due, in part, to historical influences from the Indic and Islamic medical traditions. Āyurvedic conceptions of phlegm reached China through the intermediary of Buddhist translations, where phlegm played an important role in physiology. Islamic medicine was present in the Yuan dynasty, and its concepts show clearly in Wang Gui’s Yuan period treatise.
The dissertation’s focus on fluids also brings into view differences in the conception of matter and the experience of fluid in the Chinese and the Greco-Roman medical traditions. In early Chinese medicine, phlegm and stagnant fluids were associated with lumps and tumorous growth, but not with decay. In the Greco-Roman tradition phlegm and stagnations were feared because of their immediate connection with putrefaction and decay. In early Chinese medicine, phlegm and fluids were diagnosed by signs from within the body, such as the sounds of water, but also the subjective feeling of fullness reported by the patients. In the Greco-Roman tradition, as in Wang Gui’s Yuan period treatise, phlegm was diagnosed through the examination of the patients’ outflows.East Asian Languages and Civilizations
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Cutts, Christopher. "Identification of influences on the quality use of medicines in general practice in rural Australia /." [St. Lucia, Qld.], 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16591.pdf.
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McClure, Bruce Davis. "Design of an adaptive computing architecture for managing interactions in heterogeneous defence networks /." [St. Lucia, Qld.], 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17146.pdf.
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Iida, Sumiko Modern Language Studies UNSW. "Overlapping in Japanese conversation: communication styles of Japanese long-term residents of Australia in terms of Japanese socio-cultural/gender norms." Awarded by:University of New South Wales. Modern Language Studies, 2005. http://handle.unsw.edu.au/1959.4/23975.
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This study analyses overlaps in naturally occurring multi-party conversations among Japanese long-term residents of Australia, to investigate how Australian culture influences their Japanese communication style. One of the study???s interests is how their gendered communication styles appear in Australian English culture. Japanese gendered communication styles have been discussed in the literature, for example that males interrupt females more than vice versa; active participation by males versus passive participation by females in mixed-gender conversations; self-oriented topic initiation by males versus other-oriented topic initiation by females etc. These styles were assumed to be rarely observed in their L1 communication styles in Australia, where English, in which gendered language is less distinctive than Japanese, is spoken, and gender-free society has been more emphasised and practiced than in Japan. Among conversations recorded by the two informants, three multi-party conversations per informant (i.e. six in total) were selected, in which over 2000 overlaps are observed. The study first established a framework of functional overlap classification in terms of the ownership of the conversational floor. Then, based on this frame, all overlaps were classified into a number of functional categories, and were analysed qualitatively as well as quantitatively. The results showed little differences in the Japanese communication styles of the long-term residents of Australia from the Japanese communication styles which have been discussed in the literature, such as frequent use of aizuchi and other cooperative overlaps at and other than at Transition Relevance Places. As for gendered communication style, at least socio-cultural norms between traditional Japanese husband and wife are observed in the informants??? communication style. Although a number of variables that surround the informants need to be considered, the results may suggest that Japanese socio-cultural norms are, at this stage, more stable and they maintain the communication style of the Japanese long-term residents of foreign culture in their first language communication more strongly than was expected. However, different trends may be observed in future.
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Keller, Alyse. "Performing Narrative Medicine: Understanding Familial Chronic Illness through Performance." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6876.
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This study presents the process of creating a performance ethnography of my family’s narratives about familial chronic illness and disability. I label this process performing narrative medicine. By documenting and granularly analyzing the process of my performance ethnography, the following chapters provide a step-by-step discussion of how families communicate about chronic illness/disability through storytelling and humor, and how/what performance does as a method, metaphor and object of study to further our current communicative practices and understandings of chronic illness and disability in families. I argue that performing narrative medicine is a heuristic for families living with chronic illness and disability, and a method that may be used and applied outside the context of my own family.
The chapters in my dissertation directly address the following questions: How does my performance work as embodied knowledge to gain greater understanding of the lived experience of familial disability/chronic illness? How does the use of humor as a communicative construct, and performance ethnography work as a practice of “performing narrative medicine?” What are our scholarly stakes in performing narrative? How too might binding narrative medicine to performance inform how we do qualitative research? How do the respective motions of narrative medicine and research practices/principles of performance ethnography converge and cross-fertilize each other? Does a work like narrative medicine endow storytelling and performance with a consequentiality?
This performance ethnography of familial disability and chronic illness contributes to understandings of families dealing with chronic illness/disability, extends narrative medicine as a theoretical construct, and speaks to a long tradition of the practice of performance ethnography. Overall, performing narrative medicine reveals the underlying communication competencies at work in families living with chronic illness and disability. Through the use of humor and performance as a communication practice, I reveal the power of empathy. The power in realizing our own human capacities to relate to one another across differences, and continue the work of “living well.” This dissertation emphasizes the power of performance to constitute alternative ways of performing and understanding familial chronic illness, by emphasizing the work of creating, implementing and studying performance.
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Towers, Stephen James. "Diffusing videoconferencing in government organisations : a structurational analysis." Thesis, Queensland University of Technology, 1997.
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Gaag, Anna van der. "Evaluating the communication skills of adults with learning disabilities." Thesis, University of Strathclyde, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.341636.
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Foxhall, Katherine. "Disease at sea : convicts, emigrants, ships and the ocean in the voyage to Australia, c. 1830-1860." Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/2711/.
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This thesis explores the relationship between migration and disease in c.1830 – c.1860. Each chapter questions how convicts, emigrants and the surgeons who accompanied them thought about disease and in turn how disease changes how we understand migration historically. It is a study of the creation of medical knowledge across the geographical space of the voyage to Australia and emphasises an understanding of disease as a mental and physical interaction between humans and their environment. The thesis argues that this understanding allowed migrants and colonists to see disease at sea as a test of migrants’ and convicts’ fitness to colonise. The point of departure for this thesis is that the Australian sailing voyage provides a unique and prolonged tension between shipboard confinement and global movements through ever-changing, often extreme, oceanic climates. From this premise, six individual chapters follow the trajectory of the voyage from Britain to Australia. These chapters analyse individual disease such as cholera, fevers, scurvy and consumption, as well as deepening our understanding of the tropics and quarantine by rethinking these histories through a maritime dynamic. Throughout, the thesis analyses evidence in convict and emigrant ship surgeons’ journals, migrants’ diaries and published medical literature as its primary source material, supplemented by government reports and contemporary newspapers. Collectively, the chapters of the thesis connect conventionally separate histories of medicine, convict transportation, colonial emigration, and British welfare and prison reform. By exploiting a uniquely maritime tension between shipboard confinement and global migration, the thesis provides a new way to understand the persistence of ideas about the relationship between people, environment, migration and disease in the modern period.
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Simpson, J. Keith. "The influence of political medicine in the development of the chiropractic profession in Australia /." St. Lucia, Qld, 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16487.pdf.
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Shrensky, Ruth, and n/a. "The ontology of communication: a reconcepualisation of the nature of communication through a critique of mass media public communication campaigns." University of Canberra. Communication, 1997. http://erl.canberra.edu.au./public/adt-AUC20050601.163735.
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Conclusion. It is probably now appropriate to close a chapter in the history of
public communication campaigning. Weaknesses which have
usually been seen as instrumental can now be seen for what they
are: conceptual failures grounded in compromised ontologies and
false epistemologies. As I showed in the last chapter, even when
viewed within their own narrow empiricist frame, public
communication campaigns fail to satisfy a test of empirical efficacy.
But empirical failure reveals a deeper moral failure: the failure of
government to properly engage in a conversation with the citizens
to whom they are ultimately responsible. Whether public
communication campaigns are a symptom or a cause of this failure
lies beyond the scope of this thesis. But there can be little doubt that
the practice of these campaigns has encouraged the persistence of an
inappropriate relation between state and citizens.
The originators and managers of mass media public communication
campaigns conceive of and execute their creations as persuasive
devices aimed at the targets who have been selected to receive their
messages. But we do not see ourselves as targets (and there are
profound ethical reasons why we should not be treated as such),
neither do we engage with the mass media as message receivers. On
the contrary, as social beings, we become actively and creatively
involved with the communicative events which we attend to and
participate in; the mass media, like all other communication
opportunities, provide the means for generating new meanings,
new ways of understanding, new social realities. But people are
constrained from participating fully in public discussion about social
issues; the government's construal of individuals as targets and of
communication as transmitted messages does not provide the
discursive space for mutual interaction.
Governments should aim to encourage the active engagement of
citizens in public discussion by conceiving of and executing public
communication as part of a continuing conversation, not as
packaged commodities to be marketed and consumed, or as messages
to be received. It is time to encourage alternative practices-practices
which open up the possibility of productive conversations which
will help transform the relationship between citizens and state.
However, as I have argued in this thesis, changed practices must be
accompanied by profound changes in thinking, otherwise we
continue to reinvent the past. Communication practice is informed
by the ontology of communication which is itself embedded within
other ontologies and epistemologies. The dominant paradigm of
communication is at present in a state of crisis, caught between two
views of communication power. On the one hand it displays an
obsession with instrumental effectiveness on which it cannot
deliver. On the other hand-in an attempt to discard the
accumulated baggage of dualist philosophy and mechanistic models
of effective communication-it indulges in a humourless critique of
language which, as Robert Hughes astutely observes, is little more
than an enclave of abstract complaint (Hughes 1993:72). This thesis
has been an attempt to open up a space for a new ontology, within
which we might create new possibilities.
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Thacker, Alice Joanna. "The manifestation of schizophrenic formal communication disorder in sign language." Thesis, St George's, University of London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300411.
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Rausch, Kimberly B. "An exploration into complementary and alternative medicine at home and abroad." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1349767.
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The White House Commission on Complementary and Alternative Medicine Policy (WHCCAMP) suggests that CAM may be useful in contributing to the achievement of the nation's health objectives listed in Healthy People 2010 (Chapter 8: CAM and wellness in health promotion, 2002). The purpose of this study was to compare CAM practitioners and practices in Australia, where CAM has been embraced, to those in the United States. Overall there were many similarities and few differences between the two country's results. The themes that resulted from analyzing the transcripts of 5 in-depth interviews with practitioners included; collaboration and integration, community descriptions, general characteristics of practice, general characteristics of practitioner, growth and life purpose, holism, need for health culture change, personalized attention/tailored intervention, and technology use. The implications that resulted may inform users of CAM, students of medicine, and American citizens who desire safe alternative ways to improve their health.Fisher Institute for Wellness and Gerontology
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Olding, Paul H. "The diversity of advertisement call structure found in the Microhylidae of Australia." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299169.
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Chur-Hansen, Anna. "An investigation of the English language proficiency and academic and clinical performance of University of Adelaide Medical School undergraduates /." Title page, contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09PH/09phc5595.pdf.
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Thesis (Ph.D.) -- University of Adelaide, Dept. of Psychiatry, 1998.Author's revision to her thesis is in envelope on back page. Copies of author's previously published works inserted. Bibliography: leaves 472-502.
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McWhinnie, Louise J. I. Art History & Art Education College of Fine Arts UNSW. "An inquiry into the study of visual communication by international asian students within the context of an Australian university." Awarded by:University of New South Wales. Art History & Art Education, 2008. http://handle.unsw.edu.au/1959.4/43574.
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Extant bodies of research identify the dilemmas encountered by, and adaptive strategies of international Asian students (IAS) undertaking second language undergraduate study. However no substantive research has explored the existence of subject specific dilemmas that such students encounter in the study of design within a western setting. Doctoral work exploring design education is rare. This study addresses the gap in the research record by investigating the specifics of the study of visual communication by IAS attending an Australian university. Through the voices of the IAS and academics, the specific nature of the manifestation, understanding and misunderstanding of such dilemmas is explored. Together with the investigation of visual communication, the author discloses the nature of perception and misconception between a group of design academics and a cohort of IAS. The study uses complementary methodologies, synthesising quantitative and qualitative data. The study's statistical data was generated from 460 first and second year student surveys. This was undertaken over a three-year period, with resultant data sub-categorised to enable a representation of the IAS to emerge through identification of their particular motivations, expectations and actualisation of dilemmas within the context of the wider undergraduate cohort. The author develops and utilises an explanatory framework after Pierre Bourdieu, to analyse data emanating from interviews with multiple participants of an established population of academics and IAS. She explores the perceptions of their realities and the construction of their representations, as located through both their convergence and divergence. The study's paradigm is constructed by the field of design, as an objective world and site of the inquiry. Viewing the study's data through this conceptual framework, the author constructs a representation of the field and educational site using socio-cultural structures and the populations' multiple realities. The study reports on the layers and contradictions of communication, miscommunication, myth and fiction, constructed through the educational field. This is further interrogated to reveal the arbitrary structure of the field, its pedagogy and creation of its internal logic by which the field is perpetuated and student performances reproduced. The outcomes of the investigation include a detailed identification of lA design students' disclosures of the dilemmas of expectation versus experience, and the systematic misperception of paradoxes within the pedagogy of visual communication, presented as convergent and divergent expectations of the IAS and academics.
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Norrie, Philip Anthony, University of Western Sydney, College of Health and Science, and School of Medicine. "Wine and health through the ages with special reference to Australia." THESIS_CHS_MED_Norrie_P.xml, 2005. http://handle.uws.edu.au:8081/1959.7/709.
Full textAbstract:
The use of wine as a medicine is not a new idea, but one that has been rediscovered and given credibility due to current research findings. This research examines the use of wine as a medicine in the past and currently. The whole question of wine and health is put into a more balanced and proper perspective, instead of the ill-informed, negative anti-alcohol view. The aim of the thesis is to document the history of the uses of wine as a medicine, particularly in Australia. The author uses a social ecology framework,which is concerned with the interrelationships between the domains of the personal, social and environmental, with a critical, holistic transdisciplinary understanding approach. One aim of the research is to change the perception of wine from one of a drink for special occasions to one of a daily health drink taken in moderation with a mealDoctor of Philosophy (PhD)
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Riordan, Geraldine M. "Triage in Health Department of Western Australia accident and emergency departments." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1182.
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A survey of triage systems used in Health Department of Western Australia accident and emergency departments was undertaken to examine differences in practices between departments with and without designated triage nurses (TNs). One questionnaire surveyed 93 nurses in seven departments with TNs, a similar second questionnaire surveyed 89 nurses in 16 departments without TNs, and a third questionnaire was used in a structured telephone interview of receptionists in hospitals without TNs. Data were analysed using frequencies, percentages, means, standard deviations and ranges with common themes identified for open ended questions. The study was guided by Donabedian's systems evaluation model. The structures and processes of triage within each department were examined in relation to the outcome standards recommended by the Australian Council on Healthcare Standards. The study results revealed that triage nurses were employed in all departments where patient attendances exceeded 300 per week and nursing staff coverage in the department was higher than five per day. Three departments had introduced triage on weekends only, and these departments had the lowest nurse-patient ratio of one nurse per day to 74 patients per week. The highest nurse-patient ratio was in departments with TNs (1-35). Conclusions drawn from the findings suggest that when receptionists are the first person to see patients, they triage patients using an unsatisfactory two category priority system. The average waiting time to see nursing staff is too long in departments without TNs, 7.6 minutes, as compared to 3. 7 minutes in department with TNs. Nursing staff perceived that triage systems could be improved by having only experienced staff as the triageur. The surveillance of patients entering the department is unsatisfactory as 81% of departments without TNs and 43% of departments with TNs are unable to provide nurse surveillance. The surveillance of the waiting room is similarly unsatisfactory in many departments. All triage areas are inadequate, as facilities for private conversation, hand washing and physical assessment are not always available. The majority of departments without TNs do not have a satisfactory triage priority category system in place. The average time taken by nursing staff to triage patients is an acceptable 3.2 minutes in departments with TNs, and 5.3 minutes in departments without TNs. The practice of redirecting patients away from the department could compromise patient safety as patients are redirected away from most departments by any level of staff employed in the department, without any written documentation kept or any written criteria for the redirection of these non-urgent patients. The practice of ordering investigations and treating minor problems without referring to a doctor could also compromise patient safety, as most departments do not have written policies and guidelines to cover this practice. Most departments offer an inadequate triage training program of preceptoring only. Recommendations are focused on the reviewing of existing triage practices to comply with the standards identified.
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Nickell, Debra Faith. "SCREEN DOOR MEDICINE: THE INFORMAL MEDICAL CONSULTATION." UKnowledge, 2010. http://uknowledge.uky.edu/gradschool_diss/6.
Full textAbstract:
This study explores the phenomenon of the informal medical consultation, a communication event in which an individual asks for medical information, advice, or care from an off-duty health professional with whom the individual has no formal patient-provider relationship. Using surveys and interviews, the study describes these consultations from the perspective of the health care professional and the informal patient. The study explores foundational theories that offer explanations for the phenomenon. The theories considered include social support, decision-making, social exchange, perceived partner responsiveness to needs, and uncertainty management.
This study suggests health care providers perceive informal medical consultations to be more problematic than do the informal patients who consult them. The problematic nature of informal consultations increases as the type of request moves from purely informational to a request for treatment. Informal patients do not perceive this distinction. The informal patient’s motivation to pursue an informal consultation instead of a formal consult is affected by the relationship with, trust in, and access to the informal consultant. The willingness of the informal consultant to engage in an informal consultation is affected by the relationship with the informal patient, the type of request made, and perception of risk/benefit for both the provider and the patient.
The study supports the idea that informal medical consultations are potentially problematic within the current medico-legal-ethical environment. Alternately, these consultations may be viewed as offering positive contributions to the health and well-being of informal patients. The study suggests translational research is needed to guide health professionals in considering requests for informal medical consultations.
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Mazzella, Annabel L. "Building reputation equity through stakeholder centred communication management : an exploratory study in the Australian oil & gas industry." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/293.
Full textAbstract:
This exploratory study examines industry reputation in the Australian oil and gas sector (AOG). It answers an urgent call by writers in relevant fields including marketing, communications, public relations and management to consider corporate reputation in broader terms and beyond organisational boundaries. The goal of this research is to develop an understanding of the building blocks and communications processes by which industry reputation/s forms.
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Safiabadi, Nazanin. "Visual communication elements in fresh milk labels: Investigating purchase decision-making processes in Australia." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/96102/1/Nazanin_Safiabadi_Thesis.pdf.
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This thesis is focused on the importance of packaging design for fresh milk in Australia. The purpose of this research is to investigate the relationship between visual communication elements in milk package labels, their related marketing strategies, and the perception of the consumer in relation to their purchase decision-making. This investigation is based on the semiotic analysis of visual design elements in existing milk labels as well as those created during a participatory design workshop with consumers. This study, therefore, examines the potential of visual design to define positioning strategies to attract specific consumer groups at the point of sale.
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Lavelle, Mary. "Nonverbal communication in schizophrenia : a 3-D analysis of patients' social interactions." Thesis, Queen Mary, University of London, 2012. http://qmro.qmul.ac.uk/xmlui/handle/123456789/2485.
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Background: Schizophrenia is a severe mental illness affecting approximately 0.4% of the population. A core feature of schizophrenia is social dysfunction, however, the precise nature of patients’ social deficits remain unknown. During face-to-face interaction we use nonverbal cues to coordinate, regulate and manage conversation. Patients have difficulty perceiving nonverbal cues in social cognitive tests, but it is unclear if this difficulty persists in their social encounters. The aim of this thesis is to determine if patients’ social deficits are manifest in the nonverbal behaviour of their social interactions, specifically investigating; (1) interpersonal coordination between the head movements of interacting partners and (2) the head and hand movements of patients and their partners in the context of conversation role. The relationship between nonverbal behaviour and patients’ symptoms, social cognition, rapport and social outcomes will also be assessed. Methods: The experimental study involved twenty patient (1 patient, 2 healthy participants) and twenty control (3 healthy participants) three-way groups. Groups were motion captured while discussing a moral dilemma. Healthy participants were unaware a patient was present. Results: (1) interpersonal coordination was reduced in patients’ three-way interactions (2) patients displayed less head and hand movement, while their healthy participant partners displayed more. Increased patients’ negative symptoms intensified this pattern and were associated with reduced patient rapport. Patients spending more time actively involved in their three-way interactions had poorer social outcomes. Patients’ performance on social cognitive assessments showed no association with their nonverbal behaviour. Interpretation: Patients’ three-way interactions display atypical patterns of nonverbal behaviour. The presence of a patient changes the behaviour of the healthy participants they are interacting with; even when they are unaware a patient is present. Patients’ symptoms mediate the behaviour of patients and their partners, and influence patients’ rapport.
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Frean, Isobel. "Modelling communication requirements in aged care using HL7 V3 methods." Access electronically, 2006. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20070221.131236/index.html.
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Howell, Erin. "Volunteer Tourism: Fulfilling the Needs for God and Medicine in Latin America." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6865.
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This study seeks to understand how short-term medical missions fulfill health needs for their recipients in Honduras, and how in turn, mission participants experience need fulfillment as well. By using the theoretical concept of co-construction of health to see how health needs are or are not met, I conducted a thematic analysis of the Baptist Medical and Dental Mission International (BMDMI) resulting in the following themes: 1.) Mission workers receive fulfillment from their experiences in the mission field. 2.) Mission recipients receive partial fulfillment of needs from the mission. 3). Through a calling, missions are a means to an end. Through these themes, this projects examines ethical stances on missions, communication about health in mission contexts, and whose needs are met, privileged, and silenced.
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Bessell, Tracey Lee. "The influence of the internet on the quality use of medicines." Monash University, Dept. of Medicine, 2003. http://arrow.monash.edu.au/hdl/1959.1/9453.
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Frazer, Cathy. "Bridging the gap between the science of childhood immunisation and parents." Phd thesis, 2003. http://hdl.handle.net/1885/148529.
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McNair, Ruth Patricia. "Same-sex attracted women and their relationship with GPs: identity, risk and disclosure." 2009. http://repository.unimelb.edu.au/10187/8522.
Full textAbstract:
Patient-doctor relationships between same-sex attracted women and general practitioners (GPs) have been presented as problematic in the literature. The problems arise from women’s concerns about the potential for negative attitudes amongst GPs. They also relate to GPs’ concerns about offending patients if they ask about sexual orientation due to the stigmatised nature of minority sexual orientation. As a result, disclosure of sexual orientation can be difficult and the patient-doctor relationship can be compromised. The aim of this study was to explore the nature of patient-doctor relationships in this context and how optimal relationships can be achieved.Using a critical hermeneutic approach, I conducted in-depth interviews with 33 same-sex attracted women and 28 doctors. This included 24 pairs of people in a current patient-doctor relationship. I found that women commonly experienced silencing of their minority sexual orientation within general practice settings, but that this was occasionally desired and not problematic for some women and most GPs. For other women and for many GPs, the silence resulting from a lack of disclosure was a response to perceived risks to women’s personal identity and GPs’ professional identity. Few GPs asked directly about sexual orientation, placing the burden of responsibility for disclosure on same-sex attracted women. Building reciprocal trust could overcome the perceived risks inherent in revealing minority sexual orientation. I initially defined optimal patient-doctor relationships in terms of existing models of cultural competence and patient-centredness; however I found that such relationships were built on cultural sensitivity rather than cultural competence, and relationship-centredness rather than patient-centredness.
I developed a new model of sexual identity disclosure that demonstrated the key influences on disclosure of sexual orientation to GPs for same-sex attracted women. These influences were women’s sexual identity experience, risk perceptions, and the level of knowing within the patient-doctor relationship. The model depicts women’s range and fluidity of sexual identity experiences and challenges current assumptions that disclosure is essential for effective health care. The model has transformative potential for general practice education and research. It could assist GPs to understand that not all women desire disclosure, but that the majority of women are happy to disclose if asked. GPs would be encouraged to take note of the socio-political environment in which women live and its influence on women’s fears and actual experiences of discrimination. Finally, understanding the role of trust and reciprocal knowing in mitigating perceived risks would encourage GPs to focus more on relationship building. This could also assist GPs to overcome their own perceptions of risk and encourage them to broach the subject of sexual orientation, ultimately enhancing the patient-doctor relationship.
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Cohen, Natalie Jane. "'Killer bugs' :balancing health and hype in the media :a discourse analysis and comparison of Australian press reports on meningococcal disease and pneumococcal disease." Master's thesis, 2002. http://hdl.handle.net/1885/147907.
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Bishop, Lara Marguerite. "A comparison of the mental health literacy of Australian newspaper journalists with a sample of the Australian public and the public's recall of stories about depression from the media." Phd thesis, 2011. http://hdl.handle.net/1885/150054.
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Casey, Mavourneen. "The practice of Western Herbal Medicine in Australia." Thesis, 2009. http://hdl.handle.net/1959.13/39546.
Full textAbstract:
Research Doctorate - Doctor of Philosophy (PhD)In recent decades, complementary and alternative medicine (CAM) has gradually assumed a growing popularity and economic importance in the health care systems of Western nations including Australia. Personal expenditure on CAM now represents a significant investment by the Australian general population. During this period, various CAM professions have steadily emerged as popular, if unofficial, healthcare providers. Despite the growing popularity of CAM, little is known outside of special interest groups about most CAM practices or about the professionals who provide them. In Australia one of the most well known and popular forms of CAM is herbal medicine. The focus of this thesis is on the professional practice of herbal medicine in Australia, specifically Western Herbal Medicine (WHM). It is estimated that practitioners of WHM conduct almost two million consultations a year representing an investment of $AUS 85 million (excluding the cost of medicines)in the Australian health economy. Typically described as a complete system of medicine, WHM boasts a comprehensive philosophy and claims to offer a unique approach to treatment, diagnosis and prescription. WHM practitioners reputedly operate within a broad range of autonomy, including some acting as primary health care professionals. Nevertheless, little is known about the Australian WHM profession: their approach to clinical practice; their use of herbal medicines; the patients and problems seen in WHM practice; or the nature of the WHM profession’s relationship with the mainstream healthcare sector. This thesis presents a pragmatic health services inquiry that aims to provide empirical data for the purpose of stimulating reflective practice within the WHM profession and seeks to inform discussion about the role of WHM in the Australian healthcare system. The analysis employs the concept of 'mainstreaming' (the increasing popularity, acceptance and legitimacy of CAM within the dominant healthcare structures) to explore the response of WHM to the changing role of CAM within mainstream healthcare. Mainstreaming is interpreted as an active social process in which the boundaries between CAM and mainstream healthcare are shifting, and is a concept that implies the dominance of the mainstream medical paradigm. The investigation triangulates quantitative and qualitative methods to provide an in-depth account of WHM practice from the perspective of the WHM practitioner. The study population is the membership of the National Herbalists’ Association of Australia (NHAA), and the unit of analysis is the individual WHM practitioner. The research describes the clinical practice of WHM and explores the WHM profession’s developing relationship with the mainstream – including the Australian public and the mainstream healthcare professions, particularly medical practice. A social theoretical framework is employed to examine WHM practice within its social context. The conceptual framework directs the examination of the evolving relationship between WHM and mainstreaming towards three core areas of intersection: (1) the inter-professional; (2) the intra-professional; and (3) the professional/non-professional. The inquiry consists of a mixed methods design in which an initial survey study is followed by a qualitative in-depth interview study. The rationale of adopting a mixed methods approach was threefold: firstly, to increase the scope of inquiry by selecting methods most appropriate for each inquiry component; secondly, to better understand the research problem by converging both types of data; and finally, to increase the validity of constructs and inquiry results by triangulation of data sources. The survey study consisted of a postal questionnaire that was distributed to the membership of the NHAA. The survey was specifically designed for this study in consultation with the NHAA. A preliminary pilot study of the draft questionnaire was conducted consisting of both a formal and informal stage of testing. The questionnaire was distributed with the association’s quarterly professional journal (The Australian Journal of Medical Herbalism) in December 2003 and again in March 2004. Achieving a response rate of 58% (n=378), the survey data described key aspects of the WHM profession; its approach to clinical practice, herbal prescribing and aspects of its professional relationships. The survey results demonstrated an increased influence of medical science on WHM principles and practices including the incorporation of medical concepts,clinical procedures, technologies and language into clinical practice. Although the survey provided strong evidence of a trend towards the rationalisation of WHM clinical practice, the results showed how the prescription of herbal medicines remains a predominantly traditional practice. In terms of the WHM profession, the survey results indicate that WHM practitioners are not assuming a primary healthcare role in Australia but are predominantly providing treatments for chronic conditions. The data indicated high levels of concurrent patient care, including concurrent use of pharmaceutical and herbal medicines;thus, suggesting that WHM clientele consider WHM a complementary rather than an alternative form of medicine. The survey also showed that WHM practitioners would welcome improved inter-professional and intra-professional relationships. The second phase of the mixed methods study consisted of a series of qualitative in-depth interviews with a sub-sample of survey respondents (n=18)resident in NSW, Australia. The objectives of the in-depth interview study were twofold: firstly, to add depth and meaning to survey data; and secondly, to understand the practice of WHM from the perspective of the WHM practitioner.To ensure flexibility and to uncover novel data from the participants the in-depth interviews were carried out on a semi-structured basis. Building upon the survey findings, the qualitative study explored the WHM practitioners' conceptualisations, explanations and rationalisations of their approach to WHM practice. The interview participants represented a broad range of WHM practitioners who commonly shared a holistic worldview, but who also offered a range of interpretations of the philosophical and theoretical basis of WHM. The investigation described how mainstream conceptualisations of healthcare have impacted upon the traditional model of WHM practice. The analysis identifies a number of competing sub-groups within WHM who each advocate particular approaches to WHM practice. In particular, the analysis highlights a significant degree of internal tension operating within WHM about the salience of medical science within WHM. The analysis also revealed how the perceived subordination to, and thus distinction from, mainstream medicine is a dominant issue within the WHM practitioner’s discourse. The explanation for this emerged from the perception amongst the in-depth interview participants of the widespread appropriation of herbal medicine by the mainstream, as well as systematic discrimination towards the WHM profession. Furthermore, there was evidence of not only poor intra-professional cohesion but significant intra-professional differences regarding the apposite location of WHM in relation to mainstream healthcare. This research provides new understandings about the clinical practice of WHM practice, but also about the role of the WHM practitioner in Australian healthcare. The thesis reveals a story of irony. Despite the increasing popularity of herbal medicines and significant concessions within WHM to the medicalparadigm, the WHM profession is struggling to achieve legitimate participation within the mainstream and continues to operate on the fringe of Australian healthcare. The thesis concludes that the process of mainstreaming is challenging the authenticity of WHM herbal tradition and challenging the future viability of the WHM profession, the implications of which suggest that the WHM practitioner will continue to experience financial insecurity unless the WHM profession can collectively move to demarcate its scope of practice and legitimate its professional role.
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Casey, Mavourneen. "The practice of Western Herbal Medicine in Australia." 2009. http://hdl.handle.net/1959.13/39546.
Full textAbstract:
Research Doctorate - Doctor of Philosophy (PhD)In recent decades, complementary and alternative medicine (CAM) has gradually assumed a growing popularity and economic importance in the health care systems of Western nations including Australia. Personal expenditure on CAM now represents a significant investment by the Australian general population. During this period, various CAM professions have steadily emerged as popular, if unofficial, healthcare providers. Despite the growing popularity of CAM, little is known outside of special interest groups about most CAM practices or about the professionals who provide them. In Australia one of the most well known and popular forms of CAM is herbal medicine. The focus of this thesis is on the professional practice of herbal medicine in Australia, specifically Western Herbal Medicine (WHM). It is estimated that practitioners of WHM conduct almost two million consultations a year representing an investment of $AUS 85 million (excluding the cost of medicines)in the Australian health economy. Typically described as a complete system of medicine, WHM boasts a comprehensive philosophy and claims to offer a unique approach to treatment, diagnosis and prescription. WHM practitioners reputedly operate within a broad range of autonomy, including some acting as primary health care professionals. Nevertheless, little is known about the Australian WHM profession: their approach to clinical practice; their use of herbal medicines; the patients and problems seen in WHM practice; or the nature of the WHM profession’s relationship with the mainstream healthcare sector. This thesis presents a pragmatic health services inquiry that aims to provide empirical data for the purpose of stimulating reflective practice within the WHM profession and seeks to inform discussion about the role of WHM in the Australian healthcare system. The analysis employs the concept of 'mainstreaming' (the increasing popularity, acceptance and legitimacy of CAM within the dominant healthcare structures) to explore the response of WHM to the changing role of CAM within mainstream healthcare. Mainstreaming is interpreted as an active social process in which the boundaries between CAM and mainstream healthcare are shifting, and is a concept that implies the dominance of the mainstream medical paradigm. The investigation triangulates quantitative and qualitative methods to provide an in-depth account of WHM practice from the perspective of the WHM practitioner. The study population is the membership of the National Herbalists’ Association of Australia (NHAA), and the unit of analysis is the individual WHM practitioner. The research describes the clinical practice of WHM and explores the WHM profession’s developing relationship with the mainstream – including the Australian public and the mainstream healthcare professions, particularly medical practice. A social theoretical framework is employed to examine WHM practice within its social context. The conceptual framework directs the examination of the evolving relationship between WHM and mainstreaming towards three core areas of intersection: (1) the inter-professional; (2) the intra-professional; and (3) the professional/non-professional. The inquiry consists of a mixed methods design in which an initial survey study is followed by a qualitative in-depth interview study. The rationale of adopting a mixed methods approach was threefold: firstly, to increase the scope of inquiry by selecting methods most appropriate for each inquiry component; secondly, to better understand the research problem by converging both types of data; and finally, to increase the validity of constructs and inquiry results by triangulation of data sources. The survey study consisted of a postal questionnaire that was distributed to the membership of the NHAA. The survey was specifically designed for this study in consultation with the NHAA. A preliminary pilot study of the draft questionnaire was conducted consisting of both a formal and informal stage of testing. The questionnaire was distributed with the association’s quarterly professional journal (The Australian Journal of Medical Herbalism) in December 2003 and again in March 2004. Achieving a response rate of 58% (n=378), the survey data described key aspects of the WHM profession; its approach to clinical practice, herbal prescribing and aspects of its professional relationships. The survey results demonstrated an increased influence of medical science on WHM principles and practices including the incorporation of medical concepts,clinical procedures, technologies and language into clinical practice. Although the survey provided strong evidence of a trend towards the rationalisation of WHM clinical practice, the results showed how the prescription of herbal medicines remains a predominantly traditional practice. In terms of the WHM profession, the survey results indicate that WHM practitioners are not assuming a primary healthcare role in Australia but are predominantly providing treatments for chronic conditions. The data indicated high levels of concurrent patient care, including concurrent use of pharmaceutical and herbal medicines;thus, suggesting that WHM clientele consider WHM a complementary rather than an alternative form of medicine. The survey also showed that WHM practitioners would welcome improved inter-professional and intra-professional relationships. The second phase of the mixed methods study consisted of a series of qualitative in-depth interviews with a sub-sample of survey respondents (n=18)resident in NSW, Australia. The objectives of the in-depth interview study were twofold: firstly, to add depth and meaning to survey data; and secondly, to understand the practice of WHM from the perspective of the WHM practitioner.To ensure flexibility and to uncover novel data from the participants the in-depth interviews were carried out on a semi-structured basis. Building upon the survey findings, the qualitative study explored the WHM practitioners���� conceptualisations, explanations and rationalisations of their approach to WHM practice. The interview participants represented a broad range of WHM practitioners who commonly shared a holistic worldview, but who also offered a range of interpretations of the philosophical and theoretical basis of WHM. The investigation described how mainstream conceptualisations of healthcare have impacted upon the traditional model of WHM practice. The analysis identifies a number of competing sub-groups within WHM who each advocate particular approaches to WHM practice. In particular, the analysis highlights a significant degree of internal tension operating within WHM about the salience of medical science within WHM. The analysis also revealed how the perceived subordination to, and thus distinction from, mainstream medicine is a dominant issue within the WHM practitioner’s discourse. The explanation for this emerged from the perception amongst the in-depth interview participants of the widespread appropriation of herbal medicine by the mainstream, as well as systematic discrimination towards the WHM profession. Furthermore, there was evidence of not only poor intra-professional cohesion but significant intra-professional differences regarding the apposite location of WHM in relation to mainstream healthcare. This research provides new understandings about the clinical practice of WHM practice, but also about the role of the WHM practitioner in Australian healthcare. The thesis reveals a story of irony. Despite the increasing popularity of herbal medicines and significant concessions within WHM to the medicalparadigm, the WHM profession is struggling to achieve legitimate participation within the mainstream and continues to operate on the fringe of Australian healthcare. The thesis concludes that the process of mainstreaming is challenging the authenticity of WHM herbal tradition and challenging the future viability of the WHM profession, the implications of which suggest that the WHM practitioner will continue to experience financial insecurity unless the WHM profession can collectively move to demarcate its scope of practice and legitimate its professional role.
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Klugman, K. "Democracy and the new communication technologies." Phd thesis, 1996. http://hdl.handle.net/1885/145937.
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Donald, Tegan N. "What would a 'scientifically engaged Australia' look like?" Phd thesis, 2016. http://hdl.handle.net/1885/105511.
Full textAbstract:
In 2010 the Australian Federal Government released the landmark
report Inspiring Australia which described the first national
strategy for engagement with the sciences, and aimed to create a
‘scientifically engaged Australia’.
This study investigates what might be meant by a
‘scientifically engaged Australia’ by creating a snapshot
picture of the current Australian science communication
landscape: its priorities, its limitations and its key players’
envisioned recommendations for future activity. It draws on
several sources of data to create this picture: academic and
practitioner literature regarding the emerging concept of
‘public engagement’; literature and case studies that discuss
the appropriate place for deficit model and one-way approaches to
science communication; the Inspiring Australia report itself and
other government policy documents; and a series of interviews
with top level public figures in Australian science policy and
advocacy.
A central finding of this study is the absence of a universal and
unambiguous definition of public engagement. In addition, in
contrast to trends within much of the scholarly literature, the
study highlights the persistence of one-way methods and to a
lesser degree the deficit model in practice. The ongoing use and
relevance of one-way communication is evident; it remains a
popular, albeit often default, choice in practice and is seen as
ideal for the communication of fixed messages. Science
communication in Australia remains, for the foreseeable future,
dominated by one-way methods, in particular in the use of
traditional and social media. In this respect, a scientifically
engaged Australia would seem to be one in which a great deal of
one-way communication takes place, supplemented by small moves
towards dialogical or participatory communication.
Finally, this study highlights two dominant motivations behind
the call for a ‘scientifically engaged Australia’. Much high
level discourse on this topic is characterised by governments’
desire to safeguard future investment in science and to bolster a
dwindling economy, so in this sense economic pragmatism drives
much of the science communication agenda. To a lesser degree, a
desire to foster science appreciation within society is also a
driver. It is apparent that the nation’s science agenda is
influenced by the increasing politicising of science, and the
communication of it.
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Kennan, Mary Anne. "Academic authors, scholarly publishing and open access in Australia." 2007. http://hdl.handle.net/10150/105186.
Full textAbstract:
This paper briefly describes the rapidly changing research evaluation and funding landscape in Australian universities, specifically in relation to open access and institutional repositories. Recent announcements indicate that funding and evaluation bodies are becoming increasingly concerned that publicly funded research be made publicly available. The paper then reports a survey of all levels of academic staff plus research students at one Australian university conducted in May 2006, prior to the introduction of an institutional repository. The survey, in line with previously reported surveys, found that while there was a high level of engagement with scholarly publishing, there was a low level of awareness of, or concern with, either open access ("green" or "gold") or the roles repositories can play in increasing accessibility of research. Practically, this indicates that much work needs to be done within this university to increase knowledge of, and change behaviours with regard to, open access and repositories if the university and its academics are to make the most of new funding requirements and research evaluation processes.
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Tucker, Robyn Michelle. "Significant shadows : ethics and affect in Australian cross-cultural research / Robyn Tucker." 2003. http://hdl.handle.net/2440/22088.
Full textAbstract:
"December 2003"Bibliography: leaves 181-201.
201 leaves : ill. ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
"In current Australian cross-cultural scholarship, difference remains a problematic theme. Tensions between the recognition of universal features that all people share, and the acknowledgment of incommensurable differences between cultures, are unresolved. This thesis provides a snapshot of the various ways in which these tensions are being negotiated in ethical, affective work across the disciplines of history, anthropology, cultural studies, literary studies and performance. All of the work discussed enters into intersubjective scholarship, and offers various models that raise the ethical dimension of engaging with cultural difference. Rather than a genealogy of theoretical movements, this thesis is a partial exploration of the ethical and historiographical questions being raised." -- ABSTRACT
Thesis (Ph.D.)--University of Adelaide, School of Humanities, Discipline of English, 2004
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Hum, Jennifer. "Science/industry communication in Ausralian Commonwealth fisheries 1998-1999." Master's thesis, 2000. http://hdl.handle.net/1885/148047.
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Foster, Kylie Anne. "Science communication in Australian agriculture : a study of communication between scientists and farmers on the issue of salinity in Harden, New South Wales." Thesis, 2009. http://hdl.handle.net/1885/148221.
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