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- PublicationThe perceived impact of interprofessional information sharing on young people about their sexual health care(Taylor & Francis, 2016)
; ; ; ; ; ; ; This paper presents the results from an analysis of data from service-providers and young adults who were formerly in state care about how information about the sexual health of young people in state care (YPISC) is managed. In particular, the analysis focuses on the perceived impact of information sharing between professionals on young people. Twenty two service-providers from a range of professions including social work, nursing and psychology, and 19 young people aged 18-22 years who were formerly in state care participated in the study. A qualitative approach was employed in which participants were interviewed in depth and data were analysed using modified analytical induction (Bogdan & Biklen 2007). Findings suggest that within the care system in which service provider participants worked, it was standard practice that sensitive information about a young person’s sexual health would be shared across team members, even where there appeared to be no child protection issues. However, the accounts of the young people indicated that they experienced the sharing of information in this way as an invasion of their privacy. An unintended outcome of a high level of information-sharing within teams is that the privacy of the young person in care is compromised in a way that is not likely to arise in the case of young people who are not in care. This may deter young people from availing themselves of the sexual health services.335 - PublicationSexual Health and Sexuality Education Needs Assessment of Young People in Care in Ireland (SENYPIC): A Survey of Service-provider Perspectives. Report No. 1(HSE Crisis Pregnancy Programme and Child & Family Agency (Tusla), 2016-03)
; ; ; ; ; This first report from the programme of research, ‘Report No. 1: A Survey of Service-provider Perspectives’ presents findings gathered by way of electronic survey (e-survey), which was circulated to those working with young people in care. The purpose of this approach was to gather information with as broad a range of service providers as possible to get a clear picture of needs from their particular perspective. The findings point to the broader psychosocial issues linked to the lives of many young people in care and how these are inextricably linked to sexual health and sex education needs. The results also identify a number of barriers faced by service providers in providing sexual health education and information and those working with young people in care.199 - PublicationSexual Health and Sexuality Education Needs Assessment of Young People in Care in Ireland (SENYPIC). A Descriptive Mapping of Services Promoting Sexual Health among Young People in Care. Report No. 2(HSE Crisis Pregnancy Programme and Child & Family Agency (Tusla), 2016-03)
; ; ; ; ; This second report from the programme of research 'Report No. 2: A Descriptive Mapping of Services Promoting Sexual Health among Young People in Care' presents information on current services and initiatives relating to relationships and sexual health information and services that are currently available to young people in residential care and foster care. The information on the services presented was based on reports from the e-survey report (Report no. 1) and follow up interviews with service providers and social workers. While a range of services is presented in this report, and every effort was made for the e-survey to be inclusive, it is possible that some services were not captured.200 - PublicationSafer heterosex: perspectives from young men in IrelandBackground: Existing research indicates that large numbers of people do not consistently use condoms when embarking on sexual relationships and instead use unreliable social cues to determine whether a potential partner is likely to have a sexually transmissible infection. This article reports on an aspect of the first major piece of qualitative research that explored young people's perspectives on sexuality in Ireland, and focuses Oil how young men made sense of risk when it came to sexual behaviour. Methods: Seventeen focus group interviews (collectively comprising 124 young men) were conducted with male secondary school pupils in Ireland, whose ages ranged from 14 to 19 years. Results: The data are structured around three themes that capture how study participants made sense of sexual safety. These themes are: (i) rumour, local hearsay and 'knowing' a potential partner; (ii) the social construction of the 'slut' category; and (iii) women as 'bearers of disease'. Young women in the young men's social group tended to acquire a specific sexual identity, not necessarily through any definitive evidence of their sexual history, but rather through their normative behaviours - dress, presentation, appearance and so forth. It was on this basis that the sexual status of a young woman was judged. Conclusions: Based on participants' accounts, we conclude that notions of safer sex are not merely established in individual discussions between a couple embarking on a sexual relationship, but rather are produced discursively in the wider social setting beyond the sexual encounter
Scopus© Citations 11 462 - PublicationHormone therapy and the medical encounter: a qualitative analysis of women's experiences(Lippincott Williams & Wilkins, 2010-03)
; ; ; ; Objective: The aim of this article was to explore women's experiences in biomedical consultations for menopause symptoms, with a particular focus on how hormone therapy (HT) featured during the encounter. Methods: Semistructured interviews were conducted with 39 women, and data were analyzed using a qualitative strategy referred to as Thematic Networks. Results: Several participants whose menopause started before the period of the HT "scares" described being "put on" HT as a matter of course, even when their symptoms were mild. By contrast, some of those presenting in the more recent time period with what they deemed to be severe symptoms were more likely to describe scenarios whereby they pressured their physicians for an HT prescription. Once on HT, participants were found to be far from passive recipients of a biomedical "treatment" but rather embarked on an active dialogue with themselves about how to manage the distressing aspects of menopause. Conclusions: Using HT did not tend to spell a transition to biomedical advocacy, despite its reported effectiveness in moderating bodily distresses. Rather, HT tended to retain a tentative status as a temporary relief and not a long-term panacea.334Scopus© Citations 9 - PublicationWhat characterizes 'the usual' preoperative education in clinical contexts?The literature on preoperative education is dominated by studies that employ experimental designs to measure the effects of structured programs on patient outcomes. These studies predominantly compare structured preoperative educational interventions with the usual care that patients receive. However, the notion of what the “usual” care comprises is largely elusive and unexplored. This study aimed to understand how the usual preoperative education is practiced in a number of surgical clinical units at one particular hospital in Ireland. Twelve experienced surgical nurses were interviewed in depth. A qualitative strategy resembling grounded theory was employed to analyze the data. The findings indicated that the content and quality of the preoperative education that patients received depended largely upon the individual nurse caring for the patient. Although there was a generic content of preoperative education that all participants identified as important, this related to physical and technical issues, and to the transmission of administrative or procedural information. Perspectives on the process of delivering preoperative education were diverse. The vast majority did not relate to the formal language of the discourses of teaching and learning; nonetheless, their descriptions of engaging in their work indicated the application of some elements of educational theory. The data suggested that the use of teaching tools was inconsistent, depending on their availability and the practices of individual nurses. On the whole, the usual care as described by participants in our study may be characterized as uneven, variable, and mutable. We conclude by raising some methodological issues relating to the use of the usual care in control groups in experimental studies on preoperative education.
836Scopus© Citations 10 - PublicationThe fragmented discourse of the 'knowledgeable doer': nursing academics' and nurse managers' perspectives on a master's education for nursesThere has been a proliferation of taught masters degrees for nurses in recent years, and like masters programmes in other disciplines, the aspirations of such educational endeavours are far from unanimous. This article reports on part of a wider study, and focuses on a qualitative analysis of the perspectives of two key sets of stakeholders, namely academic education providers, and senior clinical nursing personnel, on masters education for nurses. Fifteen participants were interviewed in depth, and data were subjected to a qualitative content analysis. Findings indicated that while both sets of participants invoked the discourse of the knowledgeable doer, that is, the notion of amalgamating a high level of theoretical knowledge with practical know how, there were also differences in how each group deployed this discourse. Academics tended to emphasise the knowing that or theoretical aspect of the discourse, whereas those in senior clinical roles adduced the practical component more strongly. We argue that the discourse of the knowledgeable doer is far from stable, unified and universally agreed, but rather comprises competing elements with some emphasised over others according to the subject position of the particular individual. We locate the diverse perspectives of the two sets of stakeholders within debates about the status of masters programmes in relation to vocational and liberal education.
566Scopus© Citations 8 - PublicationHIV-positive patients' experiences of stigma during hospitalisationThe aim of the research to be presented in this article was to explore, within an Irish context, HIV positive patients' experiences of hospitalisation, and particularly their experiences of nursing care. This paper reports on one of the dominant themes to emerge in the study - the experience of stigma among persons living with HIV during their hospitalisation. A volunteer sample of 10 former in-patients of hospitals in the Republic of Ireland’s capital, Dublin, were interviewed in depth, and data were analysed using a qualitative content analysis. Findings indicate that while some participants experienced stigma from nurses, such stigma was stratified according to the means by which the disease had been contracted, with drug users expressing the greatest feelings of stigma from nurses. Data also suggest that the location of nursing care favoured by many participants was segregated care in specialist units, because it enabled them to avoid being discredited by other patients who did not have the virus, as well as potentially offering social support from like-situated others. Finally, patients experienced breaches in confidentiality because of institutional policies that made their disease conspicuous, and from some nurses' nonchalance in handling information about their disease. The analysis draws on Goffman's conceptualisations of stigma to explain the social process underlying participants' accounts.
2305Scopus© Citations 45 - PublicationThe development of a shared e-learning resource across three distinct programmes based at universities in England, Ireland and ScotlandRecent discourses embedded in higher education policies advocate institutional collaboration and globalisation, while inter-professional learning and student-centred learning have each found favour as good practice in educational delivery. In this article, we detail the process of developing a novel innovation that operationalized components of these key discourses and learning strategies. The innovation itself, a case study based set of vignettes, was created and rolled out across higher education institutions in England, Ireland and Scotland. The purpose of the innovation was to enable students from health sciences programmes at the three institutions in question to share resources in developing culturally sensitive care, and to communicate remotely with one another through a shared discussion board. The aspiration was to position students to develop their thinking from a wider repertoire of discourses than those immediately culturally and professionally available to them. We conclude that collaborations of this kind, though not without their drawbacks, can serve to mitigate tribalism, facilitate openness and increase transparency in higher education teaching.
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