Dissertations / Theses on the topic 'Community consultation'
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1
Al-Nagar, Ahmed. "An exploration of consultation skills in community pharmacists." Thesis, University of East Anglia, 2014. https://ueaeprints.uea.ac.uk/53369/.
Abstract:
Background: The role of the community pharmacist has evolved from compounding and dispensing to providing patient focused services which require more patient interaction. Previous research has described pharmacist consultation skills as not optimal or patient centred. The aim of the thesis was to add an in depth understanding about the possible reasons behind this. Method: The thesis comprises three studies; the first study used focus groups to investigate community pharmacists’ experiences and perceptions of their consultations with patients. The second study was the first nationwide questionnaire based study to investigate consultation skills training received by community pharmacists. The final study was a feasibility study to investigate the use of an innovative interactional-analysis methodology known as the Roter Interactional Analysis to audio recorded community pharmacy consultations. Results: The results showed while community pharmacists enjoy speaking to patients, a number of factors limit the quality of these interactions. The nationwide questionnaire results indicates that a large number of community pharmacists have not had any formal consultation skills training and seek more advanced consultation skills training. Analysis showed consultation skills training could influence confidence and had a positive impact on the delivery of more patient facing services. The use of an interactional analysis system is a useful tool to develop future consultation skills training in community pharmacy. Conclusion: The thesis has provided a more in depth understanding of the consultation based challenges facing community pharmacists, community pharmacy as a profession and researchers investigating pharmacist-patient interaction. It has also identified many areas which require further development if community pharmacists are going to undertake high quality consultations. It will be important for these to be fully considered if any future proposed changes to community pharmacy roles are to be successful.
2
Armstrong, Todd. ""Celebrating community knowledge: Encouraging involvement, achieving ownership and building confidence through comprehensive community consultation"." School of Native Human Services, 2000. http://142.51.24.159/dspace/handle/10219/447.
Abstract:
Pauktuutit Inuit Women's Association of Canada has demonstrated a historical commitment to addressing health care issues among Inuit communities, and HIV/AIDS is no exception. Since the story of Leetia Geetah, the first Inuk woman diagnosed with HIV, hit the news in 1988, Pauktuutit has been increasingly involved in HIV/AIDS issues.
3
Campbell, Michael, Mobeen Moslem, Preston Spriggel, and Terri Warholak. "Identifying Drug Therapy Problems Through Patient Consultation at Community Pharmacies." The University of Arizona, 2013. http://hdl.handle.net/10150/614231.
Abstract:
Class of 2013 AbstractSpecific Aims: The objective of this quality improvement project is to evaluate if drug therapy problems in a community pharmacy setting can be identified via patient counseling at the time of prescription pick up. The central hypothesis of the project is that patient consultation will aid in identifying drug therapy problems and reduce the amount of negative effects posed by these problems. Methods: This project will assess data obtained through a medication therapy intervention report utilized in multiple community pharmacy environments in Arizona. Any consultation provided to a patient by a pharmacist or pharmacy intern regarding a new or transferred prescription will be eligible for data collection. The primary dependent variable is the number of drug therapy problems identified during consultation. Drug therapy problems will be assessed via expert opinion to identify the potential negative impact they may have posed to patients. Data analysis will involve the frequency and type of drug therapy problems identified during data collection. Main Results: A total of 1305 prescriptions were screened during the data collection period. A total of 29 drug therapy problems were identified upon patient consultation. This yielded a 2.2% drug therapy problem occurrence during data collection. The most commonly occurring drug therapy problem involved a patient drug allergy or sensitivity issue. Conclusion: Future research is warranted on the effects that drug therapy problems have on patients and the healthcare system. This project is descriptive in nature and may not be applicable to every community pharmacy in Arizona.
4
McCandless, Kaisa M. "Beyond the stakeholder paradox : to meaningful consultation with community stakeholders." Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=79788.
Abstract:
This thesis argues that the stakeholder paradox (Goodpaster, 1991) has hindered the achievement of meaningful consultation processes because it perpetuates a management-centered discourse of stakeholder engagement aimed at producing stakeholder consent and legitimating organizational action. In order to advance beyond the use of stakeholder consultation as a sophisticated public relations tool, and instrument of organizational power and persuasion, it must be treated as a series of activities (discussion, deliberation and decision making) linked together through the common modality of negotiative communication.An analysis of practice guidelines, protocols and key informant interviews using a critical organizational communication approach evaluates the extent to which contemporary instances of consultation practice account for the specificity of stakeholder context, address power and capacity gaps between consulting organizations, and enables all stakeholders to engage in a negotiative dialogue that has a direct influence upon the decision-making process of a project. This thesis argues that operationalizing tenets of a critical communication framework within consultation practice has the potential to produce the conditions for conducting a meaningful consultation with community stakeholders.
5
Holdsworth, Marion. "Consultation and training challenges at the Mamre Community Health Project." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13476.
Abstract:
Bibliography: leaves 58-65.South African mental health services are in a crisis. Rural areas are particularly neglected. While shortage of resources is readily acknowledged, there have been various suggestions mooted to address these inadequacies. These solutions include: decentralisation, promotion of primary mental health care, encouraging community participation and involvement of indigenous helpers. Psychological consultation and training is a valuable way of implementing most of these suggestions as it is estimated that many mental health disorders are not diagnosed or treated because front-line workers do not have the knowledge or skill to do so. Although consultation and training is accepted as a useful way of working, it is not without problems. Certain factors make it more or less possible to implement. These factors are discussed. Particular attention is paid to the topic of hierarchical relations inherent in intra-and interprofessional contexts. It is believed that these relations may interfere with the creation of equitable consultant-consultee partnerships, and therefore hinder the consultation and training process. The present research evaluates factors which facilitate or hinder the consultation and training programme at the Mamre Community Health Project. This project is a non-government organisation aiming to improve of the health of the community of Mamre, a small rural town on the west coast of the Western Cape. Target consultees, including nursing sisters, social workers and paraprofessionals, were interviewed using a semi-structured interview schedule. The aim was to elicit experiences and opinions of consultation and training. Psychological consultants who had worked at the Mamre Community Health Project were also interviewed using a semi-structured interview schedule to elicit their experiences of consultation. Athematic analysis highlights factors which facilitate and factors which inhibit the process. Results are discussed in the light of the literature review, and recommendations are made regarding the future practice of consultation and training.
6
Williams, Jessica K. "Consultee-centered consultation within community-based residences for individuals with disabilities." Thesis, Alfred University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3737729.
Abstract:
Managing the behavioral needs of individuals with developmental disabilities has been a long-standing concern for group home managers and direct care staff. Consultee-centered consultation has a history of documented benefits for children in schools and was theorized to be beneficial to adults with developmental disabilities residing in group homes. Adults with disabilities continue to experience behavioral difficulties while staff lack the training to maintain quality support services. Caplan’s consultee-centered consultation (1993) bridges the gap between client centered behavioral consultation and consultee effectiveness in addressing client behavioral concerns. The purpose of this study was to investigate the effects of consultee-centered consultation on client behavior and the group home environment. Three community-based group homes were chosen to participate in this study using matched assignment. Participants included ten clients with challenging behaviors, two consultees (managers of group-homes), three data collectors and direct-care staff working with clients. This study showed encouraging support of a decrease in the frequency of challenging behaviors exhibited by clients residing in two group homes that received consultee-centered consultation for twelve and six weeks. The level of job satisfaction for employees participating in this study did not demonstrate change over the course of the 15-week study. Despite a lack of support for a change in employee satisfaction, both consultees receiving consultee-centered consultation reported that consultation helped them to address staff concerns and improvements in their level of confidence and skills.
7
Fyfe, Nicholas R. "Community/police consultation in London and the political geography of policing." Thesis, University of Cambridge, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304033.
8
Collins, Kathryn L., of Western Sydney Hawkesbury University, and Faculty of Environmental Management and Agriculture. "Talking garbage: a study of local opposition, waste management and community consultation." THESIS_FEMA_xxx_Collins_K.xml, 1998. http://handle.uws.edu.au:8081/1959.7/38.
Abstract:
Every attempt by the NSW State Government to site waste treatment and disposal facilities has been met by opposition from local communities. Increasing interest is being shown in community consultation and public participation in the decision-making processes concerning the siting of waste management technologies. This thesis examines the rationale behind, and potential of, community consultation through an examination of two case studies. The thesis concludes that the reasons and remedies for local opposition typically given by experts and regulatory authorities are flawed. The engineering concerns which have dominated approaches to choosing and siting waste management technologies are of little consequence to the way in which communities judge whether the facilities pose an acceptable societal risk. The issues of concern to communities include the legitimacy of the decision-making process, the relative fairness of the decision to site, and whether the institutions responsible for managing and operating the technologies are trustworthy. If waste management technologies rely on local acceptability for their siting, the approach taken to resolve the waste problem must include societal as well as engineering concerns in the design of courses of action to manage the risk.Doctor of Philosophy (PhD)
9
Collins, Kathryn L. "Talking garbage: a study of local opposition, waste management and community consultation." Thesis, [Richmond, N.S.W.] : Faculty of Environmental Management and Agriculture, University of Western Sydney, 1998. http://handle.uws.edu.au:8081/1959.7/38.
Abstract:
Every attempt by the NSW State Government to site waste treatment and disposal facilities has been met by opposition from local communities. Increasing interest is being shown in community consultation and public participation in the decision-making processes concerning the siting of waste management technologies. This thesis examines the rationale behind, and potential of, community consultation through an examination of two case studies. The thesis concludes that the reasons and remedies for local opposition typically given by experts and regulatory authorities are flawed. The engineering concerns which have dominated approaches to choosing and siting waste management technologies are of little consequence to the way in which communities judge whether the facilities pose an acceptable societal risk. The issues of concern to communities include the legitimacy of the decision-making process, the relative fairness of the decision to site, and whether the institutions responsible for managing and operating the technologies are trustworthy. If waste management technologies rely on local acceptability for their siting, the approach taken to resolve the waste problem must include societal as well as engineering concerns in the design of courses of action to manage the risk.
10
Alshammari, Adel H. N. A. "Improving community pharmacy consultations for people with depression." Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/14480.
Abstract:
Aims The aims of this study were to increase community pharmacists’ willingness and confidence to provide consultations for people with depression, and to enhance patients’ awareness of the pharmacists’ developing role. Research Design To observe pharmacist-patient consultations, the researcher developed a patient scenario. Pharmacist knowledge and attitude questionnaires were adapted, and a skills observation checklist was developed. Assessments of patient satisfaction levels took place before and after pharmacist training, which included a simulated consultation and action planning. The consultations were both video recorded and observed. Participants undertook a short interview with the researcher and each pharmacist developed his/her own plan for continuing professional development (CPD). An exploration of the interview transcripts was undertaken qualitatively. A University Ethics Panel approved the project. Results There were twenty-two pharmacists who took part in the study, comprising eighteen males and four females. MPharm students comprised one female and two males, and community pharmacists made up three females and sixteen males. The quantitative results: It was found that pharmacists possessed appropriate knowledge (the mean score was 75%, which showed that the pharmacists were aware of the safety and action of anti-depressants). The mean score for attitude was 54%, which tends towards the positive. When observing the simulated consultations, the mean score for initiating a consultation session was recorded at 28%. This indicates that the pharmacists were not very interested in initiating rapport with patients. However, the highest mean score calculated was 61%, which corresponded with closing a consultation. For data collection and action, the mean scores were 42% and 35%, respectively, and this indicates the need for improvement in these areas. The qualitative findings: The pharmacists demonstrated good knowledge about anti-depressants and held positive attitudes towards people with depression. However, the pharmacists were not very willing to exercise the responsibilities of their extended role or provide additional services for patients. The pharmacists lacked certain skills and opportunities to be able to enhance the patients’ satisfaction. The pharmacists in this study needed to improve their soft skills in some areas and engage in mutual discussion with patients in order to enhance patients’ expectations with the service provided. Conclusion/discussion The knowledge and attitude of pharmacists were good, but their consultation skills could be improved. Although simulated consultation allowed pharmacists to review their skills and practice the apparent impact on patient care was limited. This study has enable greater understanding of pharmacist strategies when consulting people with depression, and the findings could be used by those developing training programmes for enhancing pharmacists skills.
11
Meakin, Richard Peter. "An investigation of an hermeneutic model of patient satisfaction with the consultation in general practice : the relationship between doctor-patient agreement and patient satisfaction with the consultation in general practice." Thesis, University College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367586.
12
Wood, Rosemary Jane. "Community-clinical psychological consultation with teachers in an "African" lower primary school : discourses and future directions." Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/14401.
Abstract:
Biliography: leaves 76-79.Following the action research tradition, a series of four workshops was conducted with 14 - 20 teachers at Songeze Lower Primary School in Guguletu. The workshops were in response to a preceding 'fact-finding' study as to the teachers' perceptions and attributions regarding common emotional and behavioural problems of pupils at their school. This pilot study arose from debate about the relevance of psychological practice in the South African context and in an attempt to identify feasible means of extending the services of the University of Cape Town's Child Guidance Clinic to "oppressed communities" in the Cape Peninsula. It was hypothesized that workshops would be a resource-efficient means of triadic, community - clinical consultation. This workshop series was negotiated with the teachers and comprised: 'Problem Identification and Assessment', 'Discipline', 'Listening Skills' and 'Referral Resources and Group Consultation'. During each workshop, didactic input was supported with hand-outs while large group discussion and problem solving was also stimulated. The last three workshops were quantitatively evaluated by the teachers and in a fifth meeting their qualitative feedback was elicited. An important variable in the above study involved its having been conducted by two researchers, one being "black" and the author being "white". Issues of language barriers, credibility, trust and differing perceptions and expectations between researchers and the participant teachers complicated the workshop process. The teachers' differential responses to the researchers, based on their 'colour', resulted in each experiencing and interpreting their role and relevance differently. It was found that the teachers' most pressing needs concern basic teaching skills and that clinical psychologists have a relatively minor contribution to make via simple, directive input along behaviour modification principles. Workshops were not found to be an optimal mode of intervention. It is suggested that inter-disciplinary team consultation, with clinical psychology interns playing a role in psychological and psychometric assessment and providing workshops on topics such as Discipline may be a more appropriate means of extending the Child Guidance Clinic's services to schools in the Guguletu community. A strong recommendation is made that the study of an "African" language be included in the Clinical Psychology training program. A further suggestion of exploring the need for, and feasibility of, interns conducting teacher support groups is also forwarded.
13
Tatari, Wisam. "Using Pharmacist-Led Tele-Consultation to Review Patients with Chronic Obstructive Pulmonary Disease." Thesis, University of Bradford, 2018. http://hdl.handle.net/10454/17311.
14
Sondaba, Nomakhaya Princess. "An assessment of community consultation and participation: a case study of the Umhlontlo Local Municipality." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/14389.
Abstract:
South African municipalities have often been labelled as failing in the provision of services to local communities. These allegations include poor governance, mal administration, corruption and poor delivery of services to where they are needed most. Certain municipalities, however, are unable to deliver sufficient services to the communities of their geographic areas due to mal administration, political interference and corruption. This study is about the analysis of Community Participation and Consultation in Local Government, using the Umhlontlo Local Municipality as a case study. The focus of the study was on the participation of communities in the decision making processes of their local municipalities. The issue of community participation in decision making has been receiving attention in South Africa, from both government and civil society sectors. Only 50% of the areas are receiving running water, enjoying electricity and living in RDP houses. Government in many parts of the world has begun to take a fresh look at the need for public participation in the decision making process. The main problem that will be addressed in this study, is the extent to which communities can be involved in the decision making process in the Umhlontlo Local Municipality. To address this research problem and to achieve the aim of this study, an in-depth review of the literature on decision making was conducted. The empirical research was done by distributing self-administered questionnaires to the participants in Umhlontlo Local Municipality. The research findings will reveal that there is poor community consultation. This report presents the findings of a study conducted to identify the strategies and consultation structures used in the participation of communities in the decision making processes. Measures of effectiveness of these strategies are also indicated in the report. A key indicator of the need for this study was triggered by the non-attendance of the communities in the IDP (Define IDP – Integrated Development Plan) road shows and also by the complaints of a serious lack in service delivery. It was also noted that there was little understanding of the IDP concept & documentation. The results of this study also show that the communities do not fully participate in the development planning processes. The researcher hopes that this study will sensitize the communities to participate in the affairs of their development so as to accelerate progress in communities, which will further improve the quality of their lives.
15
Grant, Sally Jane. "Computers in the consultation in general medical practice : some effects on the delivery of health care." Thesis, University of Nottingham, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335327.
16
LOMBAARD, DUPRÉ. "A critical assessment of the social and economic aspects of environmental impact of assessment in South Africa." University of the Western Cape, 2002. http://hdl.handle.net/11394/7507.
Abstract:
>Magister Scientiae - MScMAGISTER SCIENTlAE IN THE FACULTY OF NATURAL SCIENCES OF THE UNIVERSITY OF THE WESTERN CAPE. This thesis focuses on Environmental Impact Assessments (EIA's) as prepared in the Western Cape Province. The thesis attempts to summarise the legal requirements for EIA's and then to analyse two recent assessmentsin the light of the concern raised by Alex Weaver, at the South African chapter of the International Association for Impact Assessment National Conference in 1999, that EIA's~l§_cLI>listoricaily _gisadvantag~and do not give sufficient attention to social impacts. The thesis also attempts to analyse the EIA's and to critically assess whether they comply with the intention of the legal requirements. The applicable legislation and regulations are analysed to determine whether there are sufficient guidelines for practitioners to assessthe socio-economic impacts of development in an equitable manner to the assessmentof the biophysical impacts. It was found that the legislation and the regulations do not provide clear guidance for the consideration of the socia-economic aspects of the environment or impacts in the preparation of EIA's. The EIA's regarding the Relocation Of The Informal Settlement At Stanford and for the Koringberg-Platvlei-MiddelburgWater Supply Pipeline required to provide potable water to rural communities are analysed, as both have socio-economicgoals. In the Stanford case, an informal settlement located on the town's water source has to be relocated to the town, where there is a shortage of land available for development and site-specific impacts on a major employer, with the threat of a potential loss in employment opportunities. In the Koringberg-Platvlei-Middelburg case, the rural community has insufficient potable water and a supply scheme is proposed in a potentially sensitive environment. In order to analyse the two assessments,the ideal EIA and recent trends are first established from literature. Criteria for the assessment of the EIA's are determined and then used to ascertain whether the concern raised by Weaver is correct. In the analysis of the subject EIA's it was found that both address the social issues of concern, albeit without clear guidance from the applicable legislation and regulations. Following on the critical assessmentof the recent EIA's, the thesis provides proposals and stepby-step guidelines for the drafting of EIA's for use by students and inexperienced practitioners in the field of environmental management. Weaver's concern is found to be correct and recommendations are made to adjust the relevant regulations, to give clear guidance for the consideration of seclo-economic concerns in the preparation of EIA's.
17
Smith, Kali. "Primary school closures in the Marion corridor : an analysis of the community consultation process and the impact on families and communities /." Title page, table of contents and abstract only, 1998. http://web4.library.adelaide.edu.au/theses/09AR/09ars653.pdf.
18
Andersson, Melissa. "An Analysis of Elements of Communications for Development (C4D) incorporated into the Community Consultation Mechanism of the Myanmar Peace Support Initiative." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-22434.
Abstract:
The Myanmar Peace Support Initiative (MPSI) was a program launched in March 2012, following a request from the government of Myanmar to the government of Norway to lead international support to the Myanmar peace process. The initiative was implemented over a period of three years bringing together and facilitating collaboration amongst various stakeholders in the peace process. The focus of this research was a case study that analyzed to what extent the MPSI, and more specifically the community consultation mechanism of MPSI, was able to successfully incorporate the key aspects of communication for development. The method or approach used consisted of conducting a thorough document analysis, in depth focus interviews, and some limited observations. The study concluded that some limited elements of behavior change communication were incorporated into the MPSI but this was done more by the different partner organizations than by the MPSI mechanism itself. Communication for social change and communication for advocacy were central components of the MPSI initiative, including cross cutting issues. Factors to strengthen and enable communication however were conspicuously lacking which hindered the further expansion and success of the project. This research has assessed the impact / effectiveness of the community consultations implemented by the Myanmar Peace Support Initiative (MPSI) was proportional to the extent that the initiative was able to incorporate the specific communications for development elements as defined by the UN and used as a standard measurement tool to define the elements from a unified developmental perspective. These findings could also potentially be generalized in order to improve the implementation of similar projects in other future peace support contexts that involve international governmental and organizational support.
19
Collins, Kathryn L. "Talking garbage : a study of local opposition, waste management and community consultation : thesis submitted for the degree of doctor of philosophy /." [Richmond, N.S.W.] : Faculty of Environmental Management and Agriculture, University of Western Sydney, 1998. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030530.132316/index.html.
20
Gobin, Corinne. "Consultation et concertation sociales à l'échelle de la Communauté économique européenne: étude des positions et stratégies de la Confédération européenne des syndicats, 1958-1991." Doctoral thesis, Universite Libre de Bruxelles, 1996. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/212339.
21
Engle, Eugene David. "Perceptions of patients and dietitians on the quality of nutrition care service delivery in primary health care facilities of the Western Cape Metro." University of the Western Cape, 2020. http://hdl.handle.net/11394/8010.
Abstract:
Magister Scientiae (Nutrition Management) - MSc(NM)The provision of quality nutrition care services is needed to address the national burden of diseases, and to reduce under- and overnutrition in South Africa. Globally, there is a lack of information and data about the perceptions, experience of, and satisfaction with the quality of nutrition care services, both from patients and dietitians. Patients and dietitians are in the best position to provide useful information pertaining to their perception and experience of nutrition care service delivery. The aim of this study was to determine the perceptions of patients and dietitians on the quality of nutrition care service delivery in the Klipfontein/Mitchells Plain Sub-Structure (KMPSS).
22
Bradley, Bethany Waterhouse. "Incorporating the needs of ethnic minority and migrant communities in the policy process in Northern Ireland through the consultation of voluntary and community organisations." Thesis, University of Ulster, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.558835.
Abstract:
There has been a shift from top-down decision-making in many European countries in recent decades and a movement towards inclusive policy development. This is a key issue with regards to ethnic minority and migrant groups, who often experience poverty, social exclusion, and lower rates of participation in the political process. Almond and Verba (1963) found that the voluntary and community sector (VeS) plays a crucial intermediary role in political engagement. This method of political incorporation has been adopted by many Western democracies, and in the United Kingdom, policy towards the ves recognises the role of the sector in policy development. This research uses an evidence base from Northern Ireland to assess the efficacy of consulting the ves on behalf of ethnic minorities and migrants in policy development. Findings from interviews and document analysis in Northern Ireland showed that there are significant efforts made to engage ethnic minority and migrant groups in the policy process, and that the majority of this is done through the VCS. There are positives in this process, and examples of best practice do exist. However there is little evidence that the consultation process has been successful in reflecting the 'voice' of ethnic minorities in policy-making, particularly in the stages of implementation and monitoring. Borne out of Hooghe (2005)'s application of the Amsterdam model of political opportunity structure to ethnic minority movements, this thesis identifies four key factors which impact on the efficacy of the consultation process in representing the interests of ethnic minority and migrant groups in decision-making: the process of consultation; the systems and structures in which consultation takes place; the capacity and resources of stakeholders; and relationships between stakeholders. It argues that for this method to be effective, potential obstacles in each of these elements must be addressed.
23
Darbas, Toni School of Science & Technology Studies UNSW. "Democracy, consultation and socio-environmental degradation : diagnostic insights from the Western Sydney/Hawkesbury-Nepean region." Awarded by:University of New South Wales. School of Science and Technology Studies, 2002. http://handle.unsw.edu.au/1959.4/19281.
Abstract:
The use of community consultation to address socio-environmental degradation is entwined with contested democratic principles polarising views of its role. I frame this problem by examining three democratic paradigms faced with two contemporary problems. The deliberative argument that preferences require enrichment with debate mediates between the liberal-aggregative view that preferences are individual, private and amenable to aggregation and the view that participation in public life is foundational. Viewing consultation as deliberative reconciles the liberal-aggregative view of consultation as the illegitimate elevation of unrepresentative minority groups with the participationist view that consultation constitutes a step towards participatory democracy. Theorists of social reflexivity, however, point to an elided politics of knowledge challenging technoscience's exemption from politically garnered consent. Also neglected by much democratic theory is how functional differentiation renders self-referential legal, political, technoscientific and administrative domains increasingly unaccountable. I employ Habermas' procedural theory that public spheres allow social irritations into the political domain where they can be encoded into laws capable of systemic interjection in response, along with a dialogic extension accommodating the politics of knowledge. I then use this procedural-dialogic deliberative understanding of democracy to elucidate the context and outcomes of the NSW State's consultative strategy. The NSW state, institutionally compelled to underwrite economic growth, implicating itself in that growth's socio-environmental side effects provoking widespread contestation. The resulting Environmental Planning and Assessment Act (1979) and its adjunctive consultative provisions helped highlight the socio-environmental degradation of the Hawkesbury Nepean River Catchment via Western Sydney's urban sprawl, politicising the region. The convenement of a consultative forum to oversee a contaminated site audit within the region facilitated incisive lay critique of the technoscientific underpinnings of administrative underwriting of socio-environmental degradation. The discomforted NSW State tightened environmental policy, gutted the EP&A Act's consultative provisions and removed regional dialogic forums and institutions. I conclude that the socio-economic accord equating economic growth with social progress is both entrenched and besieged, destabilising the political/administrative/technoscientific regime built upon it. This withdrawal of avenues for critique risks deeper estrangement between reflexive society and the NSW State generative of electoral volatility.
24
Burneo, María Luisa, and Ortiz de Zevallos Anahí Chaparro. "Power, peasant communities and mining industry: community government and access to resources in Michiquillay’s case." Pontificia Universidad Católica del Perú, 2012. http://repositorio.pucp.edu.pe/index/handle/123456789/78810.
Abstract:
Este artículo analiza los cambios en el gobierno comunal en contextosde negociación minera. Nos centramos en tres temas: el roldel gobierno comunal en la regulación de los recursos comunalesy del territorio; la diversidad de intereses que surgen ante la presenciaminera, y la comunidad como institución política frente a lapresión externa sobre la tierra. Para ello, partimos de un estudiode caso: el proceso de negociación entre la comunidad campesinade Michiquillay y la empresa Anglo American, en Cajamarca, querealizamos a partir de un trabajo de campo en la comunidad. Delanálisis se desprende que las transformaciones en la regulación delos recursos comunales, sus usos y su valoración, así como el cambioen el peso de los actores económicos y políticos, han complejizadolas relaciones al interior de la comunidad y han creado nuevosniveles de toma de decisión y espacios de disputa por el controlde recursos. Al mismo tiempo que surgen nuevos conflictos intracomunalesy aumenta la fragmentación territorial, la comunidad como institución está jugando un rol central en la negociación yasumiendo nuevas funciones: ahora, el gobierno comunal no regulasolo el acceso a recursos productivos, sino también la distribucióndel capital financiero.This paper analyzes changes in community governance in the contextof negotiations with a mining company. We focus on three issues:the role played by the community government on the regulation ofcommunity resources and territory, the diverse and complex intereststhat emerge in the presence of mining activity; and, the communityas a political institution confronting external pressures over its land.We develop a study case focusing on the negotiation process betweenthe Michiquillay peasant community and Anglo American MiningCompany in Cajamarca, Peru. This information was obtained doingfieldwork in the community in 2009. In our analysis we observe thatchanges on community resources regulation, its uses and valorization,as well as changes on the balance of power between economicand political actors, have created a greater level of complexity in thecommunity, creating new levels of community decision and spaces fordisputing resources’ control. At the same time, new inter communalconflicts emerge and fragmentation of community lands increases.In this context the community as an institution plays a central rolein the negotiation process over access productive resource and thedistribution of financial capital.
25
Kamols, Nicholas. "Institutional cultures and how they affect participatory planning: Challenges and strategic responses." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/208256/1/Nicholas_Kamols_Thesis.pdf.
Abstract:
This thesis provides an in-depth look at institutional barriers facing participatory planning in Queensland, Australia. It employs qualitative methods to explore institutional cultures hampering planning practitioners. Planning theory and scholarship in human geography and participatory design is used to analyse findings. The research identified institutional constraints that inhibit the public’s ability to participate in urban planning. The study specifically focussed on the common issue of engagement theatre, that is, creating the appearance of public influence rather than enabling meaningful pathways to participatory decision-making processes. The study provides recommendations for practitioners to navigate institutional constraints and improve planning practices.
26
Edwards, Christopher John. "Implementing a tele-classroom consultation approach in rural and remote settings to support a community of practice for teachers supporting young children on the autism spectrum and with complex needs in mainstream settings." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/135431/3/Chris_Edwards_Thesis.pdf.
Abstract:
Many mainstream educators need support to gain the necessary knowledge and skills to meet the needs of students on the autism spectrum within inclusive settings. This thesis explored a multiple-case research design utilising a tele-classroom consultation approach as a form of professional development, to support communities of practice for mainstream educators supporting young children on autism spectrum in two rural Queensland schools.
27
Lowther, Matthew P. "The effects of a fitness assessment and exercise consultation on physical activity intention and behaviour in a socially and economically deprived community : an application of the transtheoretical model of behaviour." Thesis, University of Glasgow, 2000. http://theses.gla.ac.uk/2768/.
Abstract:
Physical activity (PA) (30 minutes of accumulated moderate intensity PA on most days) can protect against and enhance physical and mental ill-health. Despite this, 60% to 75% of the Scottish population do not meet the current PA recommendations. Those living in socially and economically deprived communities are particularly susceptible to chronic diseases related to sedentary lifestyles. Three studies were conducted as part of this research. Study One - Aim: To develop a reliable, valid, self-assessing, British, 7-day recall measure of occupational and leisure PA. Study Two - Aim: To pilot the procedures necessary to conduct the main study. Study Three - Aim: To assess the effects of a fitness assessment compared to a control intervention and an exercise consultation compared to a control intervention on PA, SOC and POC over 1 year in a community population high in social and economic deprivation. Methodology Three thousand residents of 2 socially and economically deprived communities were invited to volunteer for a fitness assessment or exercise consultation. Fitness assessment volunteers were randomly assigned into an experimental or control group (receiving PA information only) as were exercise consultation volunteers. This produced 4 groups; fitness assessment experimental (FAE, N=112) and control (FAC, N=113) and exercise consultation experimental (ECE, N=73) and control (ECC, N=72). Results For those not regularly active (contemplators and preparers), leisure PA initially increased and was maintained to 6 months before falling at 1 year post test. There were few group differences. Only the ECE group reported significantly higher levels of leisure PA at 1 year compared to baseline. SOC mirrored PA, with baseline contemplators and preparers mostly progressing into action, maintaining this to 6 months before regressing back to baseline SOC at 1 year for those not regularly active at baseline. Exercise consultations offered the best chance of study adherence and long-term SOC maintenance.
28
Elias, Mafalda Pereira. "Importância dos registos na visita domiciliária: um projeto de intervenção na comunidade." Master's thesis, Universidade de Évora, 2016. http://hdl.handle.net/10174/18619.
Abstract:
CONTEXTO: Na sociedade atual, a visita domiciliária é considerada promotora do acesso a cuidados de saúde de qualidade. Caracterizado pela sua vasta experiência na área dos cuidados domiciliários e pelo corpo de conhecimentos científicos, o enfermeiro tem um singular contributo neste contexto, em que os registos se revelam parte estruturante da prestação de cuidados. OBJETIVOS: Organizar e uniformizar os registos de enfermagem da visita domiciliária da Unidade de Saúde Familiar (USF) Eborae. METODOLOGIA: Recorreu-se à metodologia do planeamento em saúde e como instrumentos de recolha de dados foram aplicados questionários, construídos para o efeito, aos enfermeiros da USF Eborae. RESULTADOS: Após o diagnóstico da situação constatou-se a falta de instrumentos de registo facilitadores do planeamento, execução e continuidade dos cuidados prestados aos utentes da USF Eborae em ambiente domiciliário. CONCLUSÕES: Os instrumentos de registo elaborados possibilitam um funcionamento estruturado e protocolado que assegura a continuidade na prestação de cuidados; ABSTRACT: BACKGROUND: In today's society, home care is considered a prosecutor to access quality health care. Characterized by their vast experience in the field of home care and their body of scientific knowledge, nurses have a unique contribution in this context, in which the records are revealed a structuring part of care. AIM: Organize and standardize the nursing records of home visit of the Family Health Unit Eborae. METHODS: It was used the health planning methodology, as data collection tools they were applied questionnaires, purpose-built, to nurses of Family Health Unit Eborae. RESULTS: After the diagnosis of the situation is was found the lack of registration tools facilitators for planning, execution and continuity of care to users of Family Health Unit Eborae in home environment. CONCLUSION: The recording instruments elaborated enable a structured and documented operation that ensures continuity in care.
29
Gwakuba, Umile. "Police engagement with African communities in Western Australia." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2022. https://ro.ecu.edu.au/theses/2565.
Abstract:
Utilising a qualitative, grounded theory methodology, this research investigated police engagement with the African communities, especially youth in Western Australia. Voices of African youth, police officers and African leaders’ perspectives and experiences were captured through in-depth interviews and focus groups in relation to the nature of their relationship. Factors contributing to the relationship and considerations for effective engagement between the multiple parties were explored.
Overall, the study found that the relationship between African youth and police in Western Australia was tense and filled with mistrust. There was a gap between standard policing and the community policing models when addressing non-law-abiding African youth, particularly around the Perth commercial business district (CBD). Community policing was found to effectively engage African community leaders and their associations but unable to address ongoing tension between patrol officers and African youth in entertainment precincts around Perth CBD. African leaders were concerned with the harsh treatment of African youth by police and disappointed with non-law-abiding youths’ refusal to attend support events they organise for them. Youth accused police of being racist towards them. Many participants evidenced excessive monitoring and movement restrictions (through move-on notices), arrests and hefty charges in Perth CBD as being racially motivated. Police participants accused African youth of disorderly behaviour, including challenging police authority and involvement in violent crimes. Police, youth and African elders noted a lack of cultural sensitivity and training of patrol officers, as well as a lack of understanding of legal and policing matters by African youth. Considering community engagement models from both community development and community policing engagement perspectives, a community policing engagement model for culturally and linguistically (CaLD) communities has been proposed based on data obtained.
Participation of African communities, especially youth, on policing matters, recruitment of African people into WA Police, cultural training of police officers and providing education to African communities on policing and legal matters are key to resolving tensions and building trust between the two parties. The continued tension and reported racism towards African youth in Perth CBD has brought into question WA police’s legitimacy, commitment to procedural justice and protection of basic human rights in terms of freedom of movement and inclusion of all citizens. While youth were interviewed from various Perth suburbs, there was a suggestion that the major concerns they had related more to the Perth CBD. By not prioritising non-law-abiding African youth and relying on African leaders to report community policing issues, police are not effectively addressing ongoing crime issues. Therefore, community policing needs to prioritise members of community who engage most with police, driven by core business needs and achieved by aligning standard policing and community policing priorities to work together in addressing African youth challenges.
30
Gillis, Janice Elizabeth. "A study on a community policing initiative: Police-community consultative committees." Thesis, University of Ottawa (Canada), 1996. http://hdl.handle.net/10393/9515.
Abstract:
Police-community consultative committees illustrate the enhanced community responsibility and participation in policing efforts. The primary objectives of these groups are to increase communication between the police and the community, to improve police/community relations, and serve as a forum where the community and police can share information and mutually identify concerns. In this study, the emergence of police-community consultative committees in Ottawa-Carleton is examined within the context of police partnerships. This thesis focuses on five police community consultative committees in the Ottawa-Carleton region. The findings suggest that police representatives on the committees have made commendable efforts to establish partnerships between the police and the community, but obstacles appear to hinder the process. These obstacles include a perception among many of the police representatives that there is a lack of organizational support for community policing, that committee members may not be clear as to their roles and responsibilities on consultative committees, and that committees may not be representative of the community they represent. (Abstract shortened by UMI.)
31
Campion, Peter David. "On structures in medical interactions : a conversation analytic study of general practice consultations." Thesis, University of Liverpool, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387372.
Abstract:
This thesis addresses from within the research paradigm of Conversation Analysis (CA) the question "How are interactions between patients and general practitioners organised? ". CA is a relatively recent tradition within the "interpretative paradigm" of sociology, growing out of the ethnomethodology of Garfinkel. The thesis first reviews the relevant literature of CA and medical interactions, and critically discusses the methodology. The empirical analysis used naturally occurring consultations in British general practice, video-recorded in five practices, involving 14 doctors, and about 50 hours of recording, made between 1987 and 1992. Recordings were observed first in an unmotivated way, to note occurrences of interesting interactional phenomena. Objects for further study were copied onto secondary "collection" tapes, which were then examined in depth, and transcribed in detail using conventions developed within CA. The analyses described here are: the use of time in the consultation; the impact of medical records on the interaction; prescribing and associated talk; the phenomenon of "facilitation", how doctors appear to enable patients to talk; patient-initiated questions, and rejection of patients' ideas by doctors; and finally the use of the word "we". The aim was to describe and explore, but not necessarily to explain, although in describing the mechanism of interaction in these areas of activity, empirical evidence is advanced for particular explanations. The phenomenon of patients raising new topics at the end of consultations is described, with its interactional implications: the "by-the-way" phenomenon is explored and documented. Case-notes are seen to contribute to consultations in a complex way, and like talk, are both context-dependent and context-forming. Utterances such as "right", "uhuh", "mmhm" which appear on the face of it to be facilitatory, can be the reverse. The phenomenon of dispreference for disagreements by patients is re-examined, and contexts in which patients do disagree are explored. Doctors' rejections of patients' ideas are described, and implications for teaching about the consultation are drawn. Finally the various ways in which the word "we" is used by doctors are described and critically appraised, in the context of a philosophical understanding of "intersubjectivity". The study adds to the body of transcribed interactions drawn from general practice, and sheds some light on ways in which general practitioners and patients structure their consultations. It has implications for the way medical students learn how to consult, and for how research on the consultation can be conducted. Conversation analysis is shown to be a powerful qualitative analytic methodology, relevant to the study of medical interactions.
32
Butler, Nina Mary. "An exploration of doctor and patient agendas in general practice consultations : principal agendas and problem solving." Thesis, University of Liverpool, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335901.
33
Jacobs, Jane B. "The perceptions of self-help groups and health professionals on genetic screening: Implications for public health policy." Thesis, Queensland University of Technology, 2001. https://eprints.qut.edu.au/36760/1/36760_Digitised%20Thesis.pdf.
Abstract:
On the 26th June 2000, the US President, Bill Clinton and the United Kingdom (UK) Prime Minister Tony Blair, announced in a joint satellite broadcast that the first working draft map of the human genome had been completed ahead of the 2003 schedule of the Human Genome Project (HGP). Less than a year later on the 12th February 2001, the full sequence of the human genome was made public on the Internet by the Human Genome Project team. The primary goal of the HGP is to acquire the fundamental information needed to further our basic scientific understanding of human genetics and the role various genes play in health and disease. The potential use of genetic diagnostic technology for population screening could potentially improve the predictability of common and rare diseases that affect the community, and could signal the beginning of a new era in public health. However public health practitioners and policy makers must be cognisant of the complex social, ethical and legal implications of genetic medicine and consider the role of genetics in public health beyond the tradition of surveillance and medical intervention. Public health policy is yet to clearly articulate the benefits and disadvantages of gene technology in population health.
In this context, the aim of the study was to gain a critical insight into perceptions of self-help group members and to describe the attitudes and beliefs of genetic health service providers about genetic screening and testing and make recommendation for public health policy. The findings of this study are from eighty-three (83) people from thirteen genetic self-help groups in South-east Queensland who were interviewed or participated in focus groups, and a survey of eighty-six (86) genetic health service providers.
The study methodology was based on the principles of constructivism whereby the findings of the inquiry are presented as multiple, holistic and sometimes competing realities. A hermeneutic dialectic process was used to explore the perceptions and understanding from genetic self-help groups about genetic testing and screening in combination with a survey of health professionals from clinical genetic services from around Australia.
Genetic self-help group members are in a unique position to share their perceptions about genetic screening and testing. Much of their experiences and understandings closely relate to the disease or disorder that impact on their lives. They share the experience of genetic disease, but each experience is different. Being a parent, partner, sibling, carer or sufferer shapes these perceptions. Drawing from the sociological literature, two themes were revealed. These were 'Risk' and 'Civil Society'. The theme of 'Risk' revealed a number of sub-themes that included:
• Having a Choice
• Burden of Decision Making for Women
• Preparing Parents
The theme of 'Civil Society' revealed a number of sub-themes that included:
• The New Eugenics
• Valuing Diversity
• Seeking Perfection
The narratives demonstrated a high degree of awareness and understanding of the complexity of issues that surround gene technology and how there is no singular means of interpreting them. Risk and Civil Society were useful sociological lens through which to consider the implications of genetic screening and testing.
Findings from the national survey of genetic health professionals revealed a greater number of women working in the area of genetic counselling and administration. Consumers were poorly represented in the development of policy and services however health professionals indicated strongly that there was a need for close collaboration and coordination of services between self-help groups and clinical services. The majority of respondents indicated that their organisation had either formal or informal networks with self-help groups. The stated attitude of the patient toward self-help, the severity of the disease and the patients' geographical accessibility of the group influenced the main reasons for referral to self-help groups.
On issues of privacy, 40 percent of the respondents felt that current legislation did not provide adequate protection of personal genetic information and that genetic information should only be provided to interested third parties with the consent of the individual. The need for community education at various levels was considered essential, particularly to address the issues of discrimination and stigmatisation.
Health professionals also had differing levels of acceptance of mild and severe mental and physical disability. Individuals with severe mental and physical disabilities were considered to contribute less to the richness and diversity in society.
A number of recommendations have been made as a result of this study and these relate to consumer participation in public health policy and clinical service development and shaping the future direction of genetic technology in public and population health.
34
Coelho, Jose Flavio Guerra Machado, and f. coelho@bigpond com. "SUSTAINABILITY PERFORMANCE EVALUATION MANAGEMENT SYSTEMS MODEL FOR INDIVIDUAL ORGANIZATIONS AND SUPPLY CHAINS." Central Queensland University, 2006. http://library-resources.cqu.edu.au./thesis/adt-QCQU/public/adt-QCQU20060720.094327.
Abstract:
The title of the research is Sustainability Performance Evaluation Management Systems Model for Individual Organizations and Supply Chains. This research has achieved its aim to develop and demonstrate the practical implementation of a simple and objective sustainability performance evaluation management system model for individual organizations and supply chains. It has resulted in the recognition that a new concept Network of Interested Partners underpins the achievement of sustainability. The term acknowledges the interdependence and reflects the essential cooperation that must be achieved between business organisations, their commercially related entities and the local community if progress towards sustainability is to be achieved. It therefore encompasses and extends the concept of a supply chain as currently used.
Sustainable Development is defined by the World Commission on Environment and Development as development, which meets the needs of the present without compromising the ability of future societies to meet their own needs. Organizations, as part of human activities, also have to be sustainable. The sustainability of organizations is directly linked to the continual improvement of business performance. Many organizations have found a way to improve performance through the establishment of management systems. International Organization for Standardization (ISO) standards are recognized worldwide as reliable and efficient tools for the implementation of management systems. However, they do not always result in the desired improvement in outcomes. Therefore, if the required improvement of business performance is to be achieved, improved methodologies for development and implementation of performance evaluation (PE) processes are necessary. These methodologies must take into consideration sustainability principles. They also have to be applicable to individual entities and supply chains, with or without management systems in place. Supply chains are important because it is being increasingly recognized that overall supply chain performance is a means of adding value and competitive advantage to all businesses.
In the first part of the research a performance evaluation model or PE (version 1 model) was developed. This was used as criteria to compare and evaluate existing performance evaluation processes and outcomes of individual organisations and their respective supply chain within the Gladstone region, Australia. Questionnaires have also been used to identify and evaluate the needs of the interested parties in relation to the organizations and supply chains business performance and processes of performance evaluation.
All the information provided in the first part of the research was used by the researcher to develop the Sustainability Performance Evaluation Management Systems model or SPEMS (version 2 model). This incorporates the concepts of Network of Interested Parties/Partners. In particular, one of the outcomes is recognition that organizations need to establish partnerships if effective supply chain performance improvement is to be achieved. Therefore the establishment of partnerships has become a key requirement for the implementation of SPEMS.
The establishment of partnership among participants of a supply chain of Gladstone and implementation of the eight first steps of the SPEMS (version 2 model) in this supply chain was commenced successfully through workshops. The supply chain was formed by commercial organizations, government entities and interested parties from the community. SPEMS requires that partners all have the same level of ownership and authority in the decisions of the supply chain.
Some new terms and their definitions have been created within the research to support the new SPEMS model. They include: Network of Interested Partners, sustainability for organizations, sustainability KPI and sustainability friendly organizations.
All of the above are encompassed within the final SPEMS (version 3 model).
35
Da, Costa Daniel Luc. "Development of a tool to support person-centred medicine-focused consultations between stroke survivors and community pharmacists." Thesis, University of Kent, 2017. https://kar.kent.ac.uk/66023/.
Abstract:
The need for medicines support to be person centred is well recognised. Studies have highlighted sub-optimal adherence to medicines by stroke survivors even though secondary prevention is critical to preventing a repeat event. Community pharmacists are currently not integrated into the stroke care pathway but have been directed to provide medicines support to vulnerable groups of patients, including stroke survivors. This three-phase mixed-methods study explored how person-centred care is delivered and can be optimally supported within a medicine-focused consultation between stroke survivors and community pharmacists. Guided by Interpretative Interactionism, the first phase involved semi-structured interviews with 15 stroke survivors and 16 community pharmacists. Data were thematically analysed (NVivo 10) and then mapped to the principles of person-centred care (de Silva 2014). Phase two involved the development, piloting and dissemination of a questionnaire to explore stroke survivors' experience of and perceived need for medicine support, their use of pharmacy services and their self-reported adherence. Data received from 208 completed questionnaires were evaluated (SPSSV24): online n=79 (38%)/postal n=129 (36% response rate). Phase three involved the development of a consultation tool from results from earlier phases and the literature, and preliminary evaluation of this tool from feedback received from community pharmacists who had participated in phase one interviews (n=11/69%). This study highlights that stroke survivors often have unmet medicine support needs that could be addressed by a pharmacist. However, only one quarter of stroke survivors had received the medicine consultation services currently offered by pharmacists and many were unaware of these services. Limited contact with their pharmacist was attributed to the sequelae of their stroke and difficulties accessing community pharmacies. The need to improve pharmacists' approach to consultations with stroke survivors, and specifically to identify their individual needs, was identified. Pharmacists provided positive feedback on the consultation tool developed. This thesis contributes to supporting community pharmacists' delivery of person-centred stroke consultations through the development of a consultation tool, although further evaluation of this is required. The availability of medicine support services offered by community pharmacists within the current NHS contract needs to be promoted. However, changes in current practice are necessary. These should include the integration of pharmacists into the multi-disciplinary care pathway for stroke, together with provision of more domiciliary-based pharmacy services.
36
Summerville, Jennifer A. "Governmentality, pedagogy and membership categorization : a case of enrolling the citizen in sustainable regional planning." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/20508/1/Jennifer_Summerville_Thesis.pdf.
Abstract:
Over the past twenty years, the idea that planning and development practices should be ‘sustainable’ has become a key tenet of discourses characterising the field of planning and development. As part of the agenda to balance and integrate economic, environmental and social interests, democratic participatory governance arrangements are frequently purported to be necessary to achieve ‘sustainable development’ at both local and global levels. Despite the theoretical disjuncture between ideas of democratic civic participation, on the one hand, and civic participation as a means to achieve pre-determined sustainability goals on the other, notions of civic participation for sustainability have become integral features of sustainable development discourses.
Underpinned by a conceptual and methodological intent to perform an epistemological ‘break’ with notions of civic participation for sustainability, this thesis explicates how citizens are enrolled in the sustainable development agenda in the discourse of policy. More specifically, it examines how assumptions about civic participation in sustainable development policy discourses operate, and unpacks some discursive strategies through which policy language ‘enrols’ citizens in the same set of assumptions around their normative requirement for participation in sustainable development. Focussing in on a case study sustainable development policy document – a draft regional plan representing a case of ‘enrolling the citizen in sustainability’ - it employs three sociological perspectives/methods that progressively highlight some of the ways that the policy language enjoins citizens as active participants in ‘sustainable’ regional planning. As a thesis-by-publication, the application of each perspective/method is reported in the form of an article prepared for publication in an academic journal.
In a departure from common-sense understandings of civic participation for sustainability, the first article examines the governmentality of sustainable development policy. Specifically, this article explores how civic community – particularly community rights and responsibilities – are deployed in the policy discourse as techniques of government that shape and regulate the conduct of subjects. In this respect, rather than seeing civic community as a specific ‘thing’ and participation as corresponding to particular types of ‘activities’, this paper demonstrates how notions of civic participation are constructed and mobilised in the language of sustainable development policy in ways that facilitate government ‘at a distance’.
The second article begs another kind of question of the policy – one concerned more specifically with how the everyday practices of subjects become aligned with the principles of sustainable development. This paper, therefore, investigates the role of pedagogy in establishing governance relations in which citizens are called to participate as part of the problematic of sustainability. The analysis suggests that viewing the case study policy in terms of relationships of informal pedagogy provided insights into the positioning of the citizen as an ‘acquirer’ of sustainability principles. In this instance, the pedagogic values of the text provide for low levels of discretion in how citizens could position themselves in the moral order of the discourse. This results in a strong injunction for citizens to subscribe to sustainability principles in a participatory spirit coupled with the requirement for citizens to delegate to the experts to carry out these principles.
The third article represents a further breakdown of the ways in which citizens become enrolled in ‘sustainable’ regional planning within the language of the case study policy. Applying an ethnomethodological perspective, specifically Membership Categorization Analysis, this article examines the way ‘the citizen’ and ‘civic values and obligations’ are produced in the interactional context of the text. This study shows how the generation of a substantive moral order that ties the citizen to sustainable values and obligations with respect to the region, is underpinned by a normative morality associated with the production of orderliness in ‘text-in-interaction’. As such, it demonstrates how the production and positioning of ‘the citizen’ in relation to the institutional authors of the policy, and the region more generally, are practical accomplishments that orient the reader to identify him/herself as a ‘citizen’ and embrace the ‘civic values and obligations’ to which he/she is bound.
Together, the different conceptual and methodological approaches applied in the thesis provide a more holistic picture of the different ways in which citizens are discursively enrolled in the sustainability agenda. At the substantive level, each analysis reveals a different dimension of how the active citizen is mobilised as a responsible agent for sustainable development. In this respect, civic participation for sustainability is actualised and reproduced through the realms of language, not necessarily through applied occasions of civic participation in the ‘taken-for-granted’ sense. Furthermore, at the conceptual and methodological level, the thesis makes a significant contribution to sociological inquiry into relationships of governance. Rather than residing within the boundaries of a specific sociological perspective, it shows how different approaches that would traditionally be applied in a mutually exclusive manner, can complement each other to advance understanding of how governance discourses operate. In this respect, it provides a rigorous conceptual and methodological platform for further investigations into how citizens become enrolled in programmes of government.
37
Summerville, Jennifer A. "Governmentality, pedagogy and membership categorization : a case of enrolling the citizen in sustainable regional planning." Queensland University of Technology, 2007. http://eprints.qut.edu.au/20508/.
Abstract:
Over the past twenty years, the idea that planning and development practices should be ‘sustainable’ has become a key tenet of discourses characterising the field of planning and development. As part of the agenda to balance and integrate economic, environmental and social interests, democratic participatory governance arrangements are frequently purported to be necessary to achieve ‘sustainable development’ at both local and global levels. Despite the theoretical disjuncture between ideas of democratic civic participation, on the one hand, and civic participation as a means to achieve pre-determined sustainability goals on the other, notions of civic participation for sustainability have become integral features of sustainable development discourses.
Underpinned by a conceptual and methodological intent to perform an epistemological ‘break’ with notions of civic participation for sustainability, this thesis explicates how citizens are enrolled in the sustainable development agenda in the discourse of policy. More specifically, it examines how assumptions about civic participation in sustainable development policy discourses operate, and unpacks some discursive strategies through which policy language ‘enrols’ citizens in the same set of assumptions around their normative requirement for participation in sustainable development. Focussing in on a case study sustainable development policy document – a draft regional plan representing a case of ‘enrolling the citizen in sustainability’ - it employs three sociological perspectives/methods that progressively highlight some of the ways that the policy language enjoins citizens as active participants in ‘sustainable’ regional planning. As a thesis-by-publication, the application of each perspective/method is reported in the form of an article prepared for publication in an academic journal.
In a departure from common-sense understandings of civic participation for sustainability, the first article examines the governmentality of sustainable development policy. Specifically, this article explores how civic community – particularly community rights and responsibilities – are deployed in the policy discourse as techniques of government that shape and regulate the conduct of subjects. In this respect, rather than seeing civic community as a specific ‘thing’ and participation as corresponding to particular types of ‘activities’, this paper demonstrates how notions of civic participation are constructed and mobilised in the language of sustainable development policy in ways that facilitate government ‘at a distance’.
The second article begs another kind of question of the policy – one concerned more specifically with how the everyday practices of subjects become aligned with the principles of sustainable development. This paper, therefore, investigates the role of pedagogy in establishing governance relations in which citizens are called to participate as part of the problematic of sustainability. The analysis suggests that viewing the case study policy in terms of relationships of informal pedagogy provided insights into the positioning of the citizen as an ‘acquirer’ of sustainability principles. In this instance, the pedagogic values of the text provide for low levels of discretion in how citizens could position themselves in the moral order of the discourse. This results in a strong injunction for citizens to subscribe to sustainability principles in a participatory spirit coupled with the requirement for citizens to delegate to the experts to carry out these principles.
The third article represents a further breakdown of the ways in which citizens become enrolled in ‘sustainable’ regional planning within the language of the case study policy. Applying an ethnomethodological perspective, specifically Membership Categorization Analysis, this article examines the way ‘the citizen’ and ‘civic values and obligations’ are produced in the interactional context of the text. This study shows how the generation of a substantive moral order that ties the citizen to sustainable values and obligations with respect to the region, is underpinned by a normative morality associated with the production of orderliness in ‘text-in-interaction’. As such, it demonstrates how the production and positioning of ‘the citizen’ in relation to the institutional authors of the policy, and the region more generally, are practical accomplishments that orient the reader to identify him/herself as a ‘citizen’ and embrace the ‘civic values and obligations’ to which he/she is bound.
Together, the different conceptual and methodological approaches applied in the thesis provide a more holistic picture of the different ways in which citizens are discursively enrolled in the sustainability agenda. At the substantive level, each analysis reveals a different dimension of how the active citizen is mobilised as a responsible agent for sustainable development. In this respect, civic participation for sustainability is actualised and reproduced through the realms of language, not necessarily through applied occasions of civic participation in the ‘taken-for-granted’ sense. Furthermore, at the conceptual and methodological level, the thesis makes a significant contribution to sociological inquiry into relationships of governance. Rather than residing within the boundaries of a specific sociological perspective, it shows how different approaches that would traditionally be applied in a mutually exclusive manner, can complement each other to advance understanding of how governance discourses operate. In this respect, it provides a rigorous conceptual and methodological platform for further investigations into how citizens become enrolled in programmes of government.
38
Ross, Alexander John. "A glorious and salutiferous Œconomy ...? : an ecclesiological enquiry into metropolitical authority and provincial polity in the Anglican Communion." Thesis, University of Cambridge, 2018. https://www.repository.cam.ac.uk/handle/1810/284907.
Abstract:
For at least the past two decades, international Anglicanism has been gripped by a crisis of identity: what is to be the dynamic between autonomy and interdependence? Where is authority to be located? How might the local relate to the international? How are the variously diverse national churches to be held together 'in communion'? These questions have prompted an explosion of interest in Anglican ecclesiology within both the church and academy, with particular emphasis exploring the nature of episcopacy, synodical government, liturgy and belief, and common principles of canon law. However, one aspect of Anglican ecclesiology which has received little attention is the place of provincial polity and metropolitical authority across the Communion. Yet, this is a critical area of concern for Anglican ecclesiology as it directly addresses questions of authority, interdependence and catholicity. However, since at least the twentieth century, provincial polity has largely been eclipsed by, and confused with, the emergence of a dominant 'national church' polity. This confusion has become so prevalent that the word 'province' itself is used interchangeably and imprecisely to mean both an ecclesial province in its strict sense and one of the 39 'member- churches' which formally constitute the Anglican Communion, with a handful of 'extra-provincial' exceptions. The purpose of this research project is to untangle this confusion and to give a thorough account of the development of provincial polity and metropolitical authority within the Communion, tracing the historical origins of the contemporary status quo. The scope of this task is not in any way intended to be a comprehensive history of the emergence of international Anglicanism, but rather to narrowly chart the development of this particular unit of ecclesial polity, the province, through this broader narrative. The historical work of Part One in itself represents an important new contribution to Anglican Studies; however, the project aims to go further in Parts Two and Three to identify from this context key questions concerning the problems facing contemporary Anglican polity as the basis for further theological and ecclesiological reflection. Part Two examines how provincial polity has given way to an assumption of the 'national church' as the building block of the Communion. To what extent is it consonant with Anglican tradition? How is it problematic? What tensions exist with a more traditional understanding of the province? How might all this relate to wider political understandings and critiques of the 'nation- state' in an increasingly globalised world? Along with the emergence of a 'national church' ecclesiology, so too has the role of the 'Primates' been magnified. Part Three charts this development, culminating in a critique of the recent 2016 Primates' Meeting. What is the nature of primacy within Anglicanism and how does it relate to metropolitical authority? What is the right balance of honour and authority as it relates to primacy? How do Anglican understandings of primacy correspond to those of the Roman and Orthodox Communions? Finally, Part Four attempts to give some concrete focus to the preceding discussion through the illustrative example of the Anglican Church of Australia, which is frequently cited as being analogous to the Communion in having a loose federal system and resolutely autonomous dioceses. The prevalence of this 'diocesanism' has recently been criticised by the Royal Commission into Institutional Responses to Child Sexual Abuse. However, there has been a recent revival of provincial action within the Province of Victoria in response to these issues which will be evaluated to discern what the Australian example might offer toward a theologically robust and credible ecclesiology for Anglicanism into the twenty-first century.
39
Sow, Idrissa. "La protection de l’ordre juridique sous-régional par les Cours de justice : contribution à l’étude de la fonction judiciaire dans les organisations ouest-africaines d’intégration." Thesis, Bordeaux 4, 2013. http://www.theses.fr/2013BOR40029.
Abstract:
Aux lendemains des indépendances, les Etats de l’Afrique de l’Ouest ont constitués entre eux des organisations d’intégration économique dans le but de favoriser leur développement économique et social.Ces organisations conçues pour la plupart à partir du modèle Européen dispose d’une personnalité juridique autonome et d’un corps de règles propres ayant vocation à s’insérer de façon uniforme dans l’ordre juridique interne des différents Etats membres. Le fonctionnement harmonieux de ce système suppose l’existence d’un organe indépendant chargé, entre autres, de veiller à l’équilibre général du dispositif et d’assurer une interprétation uniforme des normes communautaires.Dans le cadre de l’UEMOA comme de La CEDEAO, cette fonction de protection est exercée par des organes juridictionnels intégrés dont la mission principale consiste à veiller au respect du droit dans l’interprétation et dans l’application des Traités constitutifs.L’objectif visé, à travers cette contribution, est de faire observer que le dispositif de protection mis en place fonctionne, d’une part, par les mécanismes de coopération institués entre les cours de justice et les autres composantes du système communautaire et d’autre part par le contrôle juridictionnel exercé sur les organes communautaires et les Etats membresAfter being freed from colonization, the West African States have set up commonly economic integration organizations to promote their economic and social development.The creation of the majority of those organizations is based on the European example and they have an independent legal personality and a body with specific rules in charge of integrating uniformly the internal legal environment of the different Member States.The harmonious functioning of the system requires, among others, the existence of an independent structure designed to take control of the general balance organization and achieve a uniform interpretation of the Community norms. Within the framework of the WAEMU as well as in the ECOWAS, this protective function is delegated to integrated judicial bodies whose main mission consists in making sure that a submission to the law related to the interpretation and compliance with Treaties is effective.The goal of such a contribution is to point out that the settled protection device is functioning, on the one hand, by the cooperation mechanisms introduced by justice courts and the other components of the Community system and, on the other hand, by the judicial control over the community structures and the Member States
40
Brites, Alice Dantas. "Monitoramento dos efeitos ecológicos e socioeconômicos da comercialização de produtos florestais não madereiros." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/90/90131/tde-24032011-215203/.
Abstract:
A comercialização de produtos florestais não madeireiros (PFNMs) popularizou-se como atividade promotora do desenvolvimento socioeconômico de comunidades florestais com baixo impacto ambiental. Há evidências, contudo, de que a exploração possa produzir efeitos ecológicos e socioeconômicos negativos, sugerindo que é necessário monitorar tais iniciativas. A comercialização frequentemente ocorre em áreas remotas e em contextos de pobreza, como é o caso de muitas daquelas da Amazônia brasileira. Desta forma, é necessário que o monitoramento restrinja-se a avaliar os efeitos evidenciados como mais comuns em estudos anteriores. Este estudo revisa e sintetiza as evidências científicas dos efeitos da exploração de PFNMs sobre parâmetros ecológicos e socioeconômicos e, a partir daí, indica aqueles mais relevantes ao monitoramento. O estudo também levanta até que ponto o monitoramento é implementado no contexto da Amazônia brasileira e avalia quais os parâmetros importantes e viáveis de monitoramento neste caso específico. Para isso, foram realizadas revisões sistemáticas da literatura e a consulta a profissionais da área através do método Delphi. Os resultados indicam que efeitos ecológicos negativos são frequentes, principalmente quando se coletam folhas ou cascas. Alterações em órgãos ou processos fisiológicos e a taxa de sobrevivência dos espécimes explorados são parâmetros que devem ser monitorados, em particular quando se coletam frutos e partes vegetativas. Para todos os tipos de PFNMs, o tamanho e a estrutura populacional são parâmetros prioritários ao monitoramento. A riqueza de espécies da comunidade explorada merece atenção, principalmente quando se coletam frutos. Para os aspectos socioeconômicos, efeitos positivos foram mais frequentes que negativos. A contribuição da renda monetária obtida com o comércio na renda total, a regularidade de ingresso desta renda e o papel dos PFNMs como recursos de salvaguarda são parâmetros do capital financeiro prioritários ao monitoramento. Para o capital social, o empoderamento feminino, a coesão de grupo e o acesso aos benefícios gerados pela comercialização devem ser monitorados. Na Amazônia brasileira são poucas as iniciativas de implementação do monitoramento da comercialização de PFNMs. Embora este seja considerado importante, existem dificuldades que derivam principalmente da falta de apoio institucional, políticas de incentivo e de recursos financeiros. Os profissionais participantes do Delphi consideram que os parâmetros ecológicos mais importantes a monitorar neste contexto são o tamanho e a estrutura populacional do recurso explorado, o aumento da taxa de mortalidade, a quantidade total de recurso extraída e a técnica de coleta utilizada. Para os parâmetros econômicos, aspectos do mercado, como o preço pago ao coletor, a demanda e a qualidade do produto, bem como a renda monetária obtida pelos indivíduos são os parâmetros considerados mais importantes. Por fim, para os aspectos sociais, os efeitos na cultura, na qualidade de vida e na organização interna da comunidade foram priorizados. Os profissionais indicam que é viável estabelecer o monitoramento dos parâmetros levantados.Amazon, non-timber forest products, ecological effects, socioeconomic effects, monitoring.
41
Fipa, Nguepjo Jacques. "Le rôle des juridictions supranationales de la CEMAC et de l'OHADA dans l'intégration des droits communautaires par les Etats membres." Thesis, Paris 2, 2011. http://www.theses.fr/2011PA020030/document.
Abstract:
La Cour de Justice Communautaire (CJC), la Cour des Comptes Communautaire (CCC) et la Cour Commune de Justice et d’Arbitrage (CCJA) sont les trois juridictions supranationales créées respectivement par les traités de la CEMAC et de l’OHADA pour renforcer les nouveaux processus d’intégration économique et juridique des Etats membres. Dans la mesure où ces juridictions exercent un contrôle juridictionnel déterminant de la norme communautaire, le premier contrôle étant effectué par les juridictions nationales des Etats parties, la conception, l’organisation, le fonctionnement, les caractéristiques, les rôles ou compétences de ces juridictions nouvelles ainsi que la destinée des décisions qu’elles rendent dans leurs fonctions strictement judiciaires ou dans celles accessoires d’appui à la procédure arbitrale, présentent un intérêt digne d’une recherche doctorale. S’il est apparu que des jalons supplémentaires d’efficacité des nouveaux processus d’intégration ont été plantés par la création desdites juridictions, il a également été constaté que des pesanteurs d’ordre juridictionnel, structurel ou fonctionnel continuent d’en retarder la vitesse de croisière. Les solutions que nous avons proposées pour surmonter ces difficultés se regroupent en une réorganisation des juridictions communautaires, une répartition claire des compétences entre elles, un renforcement de la procédure de contrôle du droit communautaire, une vulgarisation permanente du droit de l’intégration, une revalorisation des titres exécutoires, une clarification des fonctions du juge d’exécution, une restriction du domaine de l’immunité d’exécution, un réaménagement des procédures de recouvrement, une formation continue des acteurs de la justice, une amélioration de leur condition de travail et de vie, une résurgence de l’éthique morale, une réelle indépendance de la justice… C’est dire que l’étude met un accent sur les obstacles qui entravent les nouveaux processus d’intégration et propose des solutions pour parfaire les textes législatifs et leurs interprétations jurisprudentielles, dans la perspective d’accélérer le développement économique des Etats concernés en particulier, pour une meilleure prospérité globale des économies mondialesThe Communautary Court of Justice (CCJ), the Communautary Court of Account (CCA) and the Common Court of Justice and Arbitration (CCJA) are the three supranational jurisdictions respectively created by EMCAC and OHBLA treaties to reinforce the new processes of economical and judicial integration for their member States. In the measure where these jurisdictions are competent to exercise a juridictional control, by determining the communautary norms, the first control being carried out by the national juridictions, the conception, the organisation, the functioning, the characteristics, the roles or competences of these new jurisdictions and also the destiny of the decisions they rend in their strictly judiciary functions or in their accessory functions of supporting the arbitral procedure, present an interest worthy of a doctorate research. If it appears that the supplementary Milestones of efficiency of the new processes of integration had been installed by the creation of the said jurisdictions, it had also been observed that the gravities of jurisdictional, structural or functional order continue to delay the speed of cruise. The solutions that we have proposed to overcome these difficulties involves the reorganization of communautary jurisdictions, the clearly distribution of competences between them, the reinforcement of the communautarian law control procedure, a permanent vulgarisation of integration law, a revalorisation of executary titles, a clarification of immunity of execution domain, a development of the recovery procedures, a continual training of judicial actors, and improvement of their working and living conditions, a resurgence of moral ethic, a real independence of the Justice… This means that the study put a stress on the obstacles which hold up the new processes of integration and propose solutions to perfect the legislative texts and their jurisprudential interpretations, in the perspective of accelerating the economic development of the concerned States, for the best global prosperity of the world’s economies
42
Dube, Nontobeko Sibusisile. "Patients' perceptions of their first homoeopathic consultation at Ukuba Nesibindi Homoeopathic Community Clinic." Thesis, 2015. http://hdl.handle.net/10321/1345.
Abstract:
Submitted in partial fulfilment of the requirements for the Degree of Master of Technology in Homeopathy, Department of Homeopathy, Durban University of Technology, Durban, South Africa, 2015.Brief background The Durban University of Technology (DUT) Department of Homoeopathy in collaboration with Lifeline established a clinic in 2004 located in Warwick Junction, Durban, an area classified as being disadvantaged. The Ukuba Nesibindi Homoeopathic Community Clinic (UNHCC) serves as a free primary health care service on the third floor of the Lifeline building in Acorn Road, Warwick Junction, less than one kilometer from the main DUT campus. Aim of the study The study aimed to determine the perceptions of patients after their first Homoeopathic consultation and their satisfaction with service delivery at UNHCC and to assess patients’ knowledge about Homoeopathy. Methodology A quantitative, descriptive, cross sectional study design was used to guide the study. The first 50 new consenting patients were selected using convenience sampling, and answered a self-administered survey questionnaire. The data was analyzed using Excel software and differences between groups were tested using the student t-test. Results The results of the study showed a very high degree of satisfaction with the health care and the service provided. The results also showed that the majority of respondents attended the clinic as a result of the blood pressure drives held by students during the clinic sessions (Monday mornings and afternoons and Thursday afternoons). It is recommended that future studies be of a qualitative nature and with a larger sample size. It is also recommended that the facility be operational on all weekdays which would result in an increase in the patient numbers and would enable further research studies.
43
Darbas, Toni. "Democracy, consultation and socio-environmental degradation : diagnostic insights from the Western Sydney /." 2002. http://www.library.unsw.edu.au/~thesis/adt-NUN/public/adt-NUN20040518.094834/index.html.
44
Wu, Chiu-Jen, and 吳求珍. "Study on the Support of Smoking Cessation Consultation Center at Community Pharmacies in Taipei City（Taiwan）." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/90753716424139297688.
Abstract:
碩士高雄醫學大學
藥學研究所碩士在職專班
96
There are approximately 5 million smokers in Taiwan. This tremendous amount of smokers have caused up to NT$ 50 billion of loss in the economy. In an attempt to improve the situation, the Taiwanese Government is actively promoting Smoking Cessation Consultation Centers (SCCC) in many local communities. Based in community Pharmacies, this program seeks to increase smoking cessation channels as well as enhancing the services of pharmacies. This specific study, which adopts qualitative in-depth method, interviews local pharmacists and smoke-quitters to collect and analyze, through content analysis, the research data. There are three dimensions in this research: The function of Smoking Cessation Consultation Centers in community Pharmacies, the service quality, and the recommendation for government policies and regulations. The first phase aims to understand the SCCC operation in the community Pharmacies. The second looks at the quality of the service of the pharmacists involved in the program. The third phase aims to provide recommendations for government policies and regulations, such as smoke-quitting medication pricing, necessary steps to be taken for further promotion of the program, and other smoking cessation policies. The key findings in this research are listed as follow: 1. External support, encouragement, and psychological factors are the key motivations for the participation of the SCCC program. 2. Local pharmacists involved in the SCCC program does not do well in executing consultation reports. 3. The service quality of SCCC pharmacists are recognized by smoke-quitters. 4. Government budget policies in the SCCC program will greatly affect the behaviors of smoke-quitters.
45
Devinney, Eileen. "Consultation, collaboration and community participation : the archaeological excavation of two prehistoric Inupiaq burials at Kotzebue, Alaska." Thesis, 1997. http://hdl.handle.net/2429/6395.
Abstract:
In recent years anthropologists have begun to reflect more upon their obligations to the
communities which they study and serve. Native communities have also become more aware of
their potential role in decisions affecting aspects of their cultural heritage. Increasingly these two
groups have striven to develop collaborative approaches to conducting research. Collaboration
among Native Americans, archaeologists, and anthropologists may provide benefits not only to
the scientific community, but also to the Native American community. Dialogs and exchanges of
information throughout the collaborative process greatly enhance mutual understanding and
respect between the many individuals involved. Focusing on a particular incident, this paper
explores a particularly sensitive area of archaeological collaboration - the identification and
excavation of prehistoric human burials. When a private land owner discovered indigenous
human remains on his property in Kotzebue, Alaska, during the summer of 1995, he immediately
consulted the local native community and an archaeologist for advice and recommendations in
handling the disinterment and relocation of the remains. Archaeological excavation of the
remains was recommended and supported, as many felt that it could provide both the community
and researchers with valuable data about prehistoric Inupiaq culture. Easily accessible to local
residents, the excavation site drew steady crowds of curious onlookers. The immediate sharing of
findings at the site created a dynamic atmosphere, fostering greater trust and interest between
community members and researchers while also stimulating local interest in Inupiaq history and
culture.
46
Edwards, Zoe, M. I. Bennett, and Alison Blenkinsopp. "A community pharmacist medicines optimisation service for patients with advanced cancer pain: a proof of concept study." 2019. http://hdl.handle.net/10454/17029.
Abstract:
YesBackground Patients with advanced cancer commonly experience pain and it is least controlled in community settings. Community pharmacists in the UK already offer medicines optimisation consultations although not for this patient group. Objective To determine whether medicines consultations for patients with advanced cancer pain are feasible and acceptable. Setting Community-dwelling patients with advanced cancer pain were recruited from primary, secondary and tertiary care using purposive sampling in one UK city. Methods One face-to-face or two telephone delivered medicines optimisation consultations by pharmacists were tested. These were based on services currently delivered in UK community pharmacies. Feedback was obtained from patients and healthcare professionals involved to assess feasibility and acceptability. Main outcome measure Recruitment, acceptability and drug related problems. Results Twenty-three patients, (range 33–88 years) were recruited, 19 completed consultation(s) of whom 17 were receiving palliative care services. Five received face-to-face consultations and 14 by telephone during which 47 drug related problems were identified from 33 consultations (mean 2.5). Advice was provided for 34 drug related problems in 17 patients and referral to other healthcare professionals for 13 in 8 patients, 2 patients had none. Eleven patients returned questionnaires of which 8 (73%) would recommend the consultations to others. Conclusion The consultations were feasible as patients were recruited, retained, consultations delivered, and data collected. Patients found the 20–30 min intervention acceptable, found a self-perceived increase in medicines knowledge and most would recommend it to others. Community pharmacists were willing to carry out these services however they had confidence issues in accessing working knowledge. Most drug related problems were resolved by the pharmacists and even among patients receiving palliative care services there were still issues concerning analgesic management. Pharmacist-conducted medicines consultations demonstrate potential which now needs to be evaluated within a larger study in the future.
Funded as part of the Improving the Management of Pain from Advanced Cancer in the CommuniTy (IMPACCT) study which was a National Institute of Health Research programme Grant of which this was part of the Medicines work stream (RP-PG-0610-10114).
47
Lucas, Graham. "When power networks collide: an actor-network theory analysis of state-led community consultation for the siting of a high voltage electricity powerline." Thesis, 2018. http://hdl.handle.net/1959.13/1355291.
Abstract:
Research Doctorate - Doctor of Philosophy (PhD)This thesis presents an Actor-Network Theory (ANT) analysis of a community consultation and participatory decision-making process undertaken by a state electricity supply authority to decide the route of a new high voltage electricity powerline, and is motivated by two key questions. First, how do relations between the state and the public in state-led consultative processes play out in the decision-making process? Second, how do community concerns influence or shape the outcomes of state-led participatory decision-making processes? In contrast to other research, which argues for new ways to conceive democratic forms of public participation, here the contention is that community consultation is a deliberative democracy in action. In making this argument, the thesis demarcates traditional institutional boundaries between the state, science, and the public, and locates community consultation and participatory decision-making as a central site of these relations in terms of heterogeneous engineering and discursive fact-making, and as places where assemblages gather around matters of concern. The ANT analysis presented in this thesis yields two significant findings. The first is that community consultation is not a rational, linear process tempered by public concerns and values, or by social forces. Instead, community consultation is a dynamic relationship between human and non-human actors who either associate or disassociate with many technological, scientific, economic, environmental, and social matters of concern. The outcomes of community consultation and participatory decision-making processes are thus network effects, reliant upon a strength of associations, and analogous to the power networks from where they emerge. Second, this study shows how the metamorphosis between matters of fact and matters of concern occurs as the assemblages of emerging, divergent actor-networks gather around competing problematisations about electricity powerlines, the environment or NIEMR/EMF and potential health issues.
48
Arthur, Jones Lewis. "Living with the Bui dam; implications for community livelihoods." Thesis, 2016. http://hdl.handle.net/1828/7726.
Abstract:
The objective of this study was to develop an understanding of the effects of the construction of hydro dams on nearby communities. The construction of the 400 megawatt Bui dam (8o16I 42II N, 2o143I 9 I I W) in Ghana has inundated seven communities and nearly a quarter of Bui National Park, including the destruction of community resources that provide for the livelihood needs of the people living near the dam. The dam led to the resettlement of seven communities, coordinated by the Bui Power Authority. Concerns expressed about the resettlement process indicate some weakness in stakeholder consultations relating to the resettlement, as well as weakness in the development of opportunities to address the anticipated effects of the Bui dam, including effects on community assets.
These issues were examined through a study of how the construction of Bui Dam was perceived by local communities representing several ethnic-linguistic groups, including the Ewe, Mo, and Nafana.
A mixed methods approach was used in the research, including document analysis, quantitative interviews of 329 households, key informant interviews with 22 households, and case studies of four families, including two families each from resettled and non-resettled communities. Data was obtained from 13 nearby communities, 7 of which had been relocated because of the dam.
The study considered examined how the Bui Dam was perceived to influence seven capital assets: cultural; natural; social; human; political; physical; and financial. Overall, people perceive these capital assets to be decreasing in most aspects as a result of the Bui Dam, with some variability among households. This variability was explored through analysis of a number of predictor variables: relocation, ethnicity, livelihood type, age, and gender. Villages not relocated tended to perceive effects less negatively, as did people of Nafana ethnicity, and those who rely mainly on a farming livelihood. Gender and age had little effect: gender mediated effects on some aspects of social and political capital, while age affected only some aspects of cultural capital.
Further analysis through the use of multiple regression analysis was undertaken to determine the relative influence of each of these predictor variables. Overall, each multiple regression analysis was significant, with high R squared values ranging from 0.761 to 0.260. The most powerful predictor was whether communities had been relocated or not (“relocate”), which was significantly related to each capital asset, with beta values ranging from 0.826 to 0.418. “Livelihood” was the next most important predictor variable, significantly related to all capital assets and with beta values varying from 0.520 to 0.231. “Ethnicity” was a significant predictor for four of seven capital assets, with beta values ranging from 0.133 to 0.055. “Gender” was a significant predictor variable for two of seven capital assets (social capital, with a beta value of 0.084, and political capital, with a beta value of 0.119). “Age” was a significant variable for just one capital asset (cultural), with a beta value of 0.038.
In summary, this study is consistent with other studies that have examined the effect of dams on the livelihoods of nearby communities in that for most households the consequences have been negative, although not as severe for those households that were not forced to relocate, people of Nafana ancestry, or people who rely mainly on farming. The presence of Bui National Park may have moderated these negative effects somewhat, through employment provided in the park; and through ecosystem services such as vegetative cover in the park supporting cloud formation and rain occurrenceGraduate
0366
0534
0628
jonesarthur2002@yahoo.co.uk
49
Appelbaum, Karen. "Community psychology as social science : towards an ecosystemic alternative." Diss., 1995. http://hdl.handle.net/10500/17889.
Abstract:
This study disaggregates and evaluates conventional community
psychology as reflected in both the Community Mental Health and Social
Action Models. In so doing, it provides evidence in support of its plea
for a radical paradigm shift towards ecosystemic theorising in the field
of community psycho logy. It further illustrates that an ecosystemic
point of departure would have significant implications for the
reformulation of conventional notions of community. It concludes by
teasing out some alternative praxis related community psychological
formulations.Psychology
M.A. (Clinical Psychology)
50
Protulipac, Sandra Wolf. "A Descriptive Analysis of the Relationship Between Years of Experience and the Frequency and Style of Consultation Employed by School Counselors with Teachers, Administrators, Parents, and Counselors in Community Agencies." 2003. http://digital.library.duq.edu/u?/etd,19720.
Abstract:
This study was a descriptive analysis of the relationship between the number of years of school counseling experience of a convenient sample of school counselors and their frequency of consultation, used style of consultation, and preferred style of consultation with teachers, administrators, parents, and counselors in community agencies as measured by the School Counselor Consultation Survey (SCCS). Results indicated that for the participants in this sample group, there is no significant relationship between years of experience and frequency of consultation or between years of experience and the style of consultation employed with any of the four named consultee groups. Although this study found no significant relationship between years of experience and the frequency, style, and any general preferred style of consultation employed by school counselors, the profile of consultation practice as described by this sample population revealed some important information which warrants further investigation. The majority of respondents reported consulting with all consultee groups, although least frequently with counselors in community agencies. Participating school counselors also reported a desire to increase the number of times they consult with all consultee populations studied, with the highest percentage of respondents indicating that they would like to increase their frequency of consultation with counselors in community agencies. More respondents reported using a collaborative style with teachers, administrators, and community counselors than with parents, although the collaborative style of consultation was the preference of most respondents. Additional consultation training and supervision of pre-service and in-service school counselors, collaborative consultation networking between school and community counselors, and further action research about consultation practices in schools is recommended.School of Education
Counselor Education and Supervision (ExCES)
EdD
Dissertation