Details of Thesis

Title Explicating Practice Knowledge: A hermeneutic inquiry into adolescent mental health nursing
Author Geanellos, Rene
Institution Australian Catholic University
Date 1997
Abstract Through this hermeneutic study I sought to explicate the practice knowledge of nursing on residential adolescent mental health units. I did this by seeking to understand what nurse's and adolescent's stories of nursing, or being nursed, revealed about the knowledge informing practice within that context. Seven nurses and seven young people shared their experiences. Taped and written stories, and survey material, provided texts for analysis and interpretation. As stories centred around specific nurse-adolescent interactions they pointed to the knowledge informing practice within those encounters. Thus, practice knowledge was explicated through interpretation of the actual experiences of nurses and adolescents. Study findings were conceptualised as sub-elements, elements and a meta-element of practice knowledge. Ninety one "sub-elements of practice knowledge" were identified and defined. These subelements illustrate how nurses work with adolescents. The subelements were grouped into four "elements of practice knowledge" and defined. The elements are: (I) engaging in therapeutic relationships, (2) providing a therapeutic milieu, (3) guiding the potential for change, and (4) facilitating positive outcomes. These elements point to the reasons behind nursing actions. Through examination of the sub-elements and elements the "meta-element of practice knowledge" was developed and defined. The meta -element "fostering a functional self' describes the aim and outcomes of adolescent mental health nursing practice by noting the way nurses foster the adolescent's reintegration and wellness. A paucity of adolescent mental health nursing research has resulted in the knowledge informing practice within the specialty remaining virtually unknown. The study findings are thus salient as they: (l) reveal the practice knowledge of adolescent mental health nursing, (2) identify theories used in practice, (3) provide a basis for theory testing research, (4) assist nurse education by noting the how, what and why of practice and the therapeutic outcomes from the use of practice knowledge, and (5) attest to the contribution adolescent mental health nurses make to adolescents, families and society.
Thesis 01front.pdf  415KB
02chapter1.pdf 996KB
03chapter2.pdf  1,872KB
04chapter3.pdf 940KB
05chapter4.pdf  912KB
06chapter5.pdf 1,325KB
07chapter6.pdf  2,766KB
08chapter7.pdf 1,883KB
09chapter8.pdf  2,272KB
10chapter9.pdf 1,566KB
11chapter10.pdf  1,690KB
12appendicesA-B.pdf 15,117KB
13appendixC.pdf  29,328KB
14appendixD.pdf 4,272KB
15appendicesE-F.pdf  12,526KB
16appendixG.pdf 19,484KB
17appendixH.pdf  30,114KB

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