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An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era. / Colin Goble

Swansea University Author: Colin Goble

Abstract

The aim of is study was to conduct an exploration of the emergent discourse of health in learning disability nursing textbooks in the era after the publication of 'Continuing the Commitment' (Doh 1995). The method used is an adaptation of discourse analysis involving three distinct stages...

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Published: 2007
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42717
first_indexed 2018-08-02T18:55:22Z
last_indexed 2019-10-21T16:48:20Z
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spelling 2018-08-17T10:39:37.8270908 v2 42717 2018-08-02 An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era. 361deb72356d68cb612dcefff6fff8e1 NULL Colin Goble Colin Goble true true 2018-08-02 The aim of is study was to conduct an exploration of the emergent discourse of health in learning disability nursing textbooks in the era after the publication of 'Continuing the Commitment' (Doh 1995). The method used is an adaptation of discourse analysis involving three distinct stages - 'description'; 'interpretation'; and 'explanation'. The data analysed consists of five chapters focussing specifically on 'health', in four learning disability nursing textbooks published between 1997 and 2003. The first stage of 'description' involved description of the textbooks in which the texts are situated, and of the texts themselves, and the identification of common themes across the texts. Three main themes emerged:- 1) The identification of a holistic and humanistic model of health as the most appropriate in relation to people with learning disabilities. 2) The problematisation of health as an issue of the vulnerability of people with learning disabilities to the development of health problems. 3) The problematisation of the standard of generic healthcare services in understanding and meeting the health needs of people with learning disabilities. Stage two of analysis involved identifying 'interpretative repertoires' in the texts, exploring in particular how these are used to construct the 'facticity' of the themes identified in stage one. The third stage of analysis focused on exploring the relationship between the emergence of the discourse of health and ideological and policy developments in the UK welfare state. In conclusion the analysis is discussed in relation to critical theories of the caring professions. It is argued that the emergent discourse of health represents part of an attempt to reconstruct the role and identity of learning disability nursing in response to material and structural pressures, whilst struggling to maintain congruence with the ideals of the profession. The need to resist the 're-pathologisation' of learning disability by 'biologisation' of learning disability itself is highlighted, and the need to develop a dialogue with people with learning disabilities about their health and healthcare needs is advanced as one among the strategies needed to avoid this. E-Thesis Nursing.;Health education. 31 12 2007 2007-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-17T10:39:37.8270908 2018-08-02T16:24:30.2114013 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Colin Goble NULL 1 0042717-02082018162516.pdf 10807486.pdf 2018-08-02T16:25:16.4830000 Output 6282163 application/pdf E-Thesis true 2018-08-02T16:25:16.4830000 false
title An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
spellingShingle An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
Colin Goble
title_short An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
title_full An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
title_fullStr An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
title_full_unstemmed An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
title_sort An exploration of the discourse of health in learning disability nursing textbooks in the post 'continuing the commitment' era.
author_id_str_mv 361deb72356d68cb612dcefff6fff8e1
author_id_fullname_str_mv 361deb72356d68cb612dcefff6fff8e1_***_Colin Goble
author Colin Goble
author2 Colin Goble
format E-Thesis
publishDate 2007
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description The aim of is study was to conduct an exploration of the emergent discourse of health in learning disability nursing textbooks in the era after the publication of 'Continuing the Commitment' (Doh 1995). The method used is an adaptation of discourse analysis involving three distinct stages - 'description'; 'interpretation'; and 'explanation'. The data analysed consists of five chapters focussing specifically on 'health', in four learning disability nursing textbooks published between 1997 and 2003. The first stage of 'description' involved description of the textbooks in which the texts are situated, and of the texts themselves, and the identification of common themes across the texts. Three main themes emerged:- 1) The identification of a holistic and humanistic model of health as the most appropriate in relation to people with learning disabilities. 2) The problematisation of health as an issue of the vulnerability of people with learning disabilities to the development of health problems. 3) The problematisation of the standard of generic healthcare services in understanding and meeting the health needs of people with learning disabilities. Stage two of analysis involved identifying 'interpretative repertoires' in the texts, exploring in particular how these are used to construct the 'facticity' of the themes identified in stage one. The third stage of analysis focused on exploring the relationship between the emergence of the discourse of health and ideological and policy developments in the UK welfare state. In conclusion the analysis is discussed in relation to critical theories of the caring professions. It is argued that the emergent discourse of health represents part of an attempt to reconstruct the role and identity of learning disability nursing in response to material and structural pressures, whilst struggling to maintain congruence with the ideals of the profession. The need to resist the 're-pathologisation' of learning disability by 'biologisation' of learning disability itself is highlighted, and the need to develop a dialogue with people with learning disabilities about their health and healthcare needs is advanced as one among the strategies needed to avoid this.
published_date 2007-12-31T04:25:54Z
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score 11.096068

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