Nurses' experience of contesting discourses in HIV/AIDS activities in the primary health care setting
- Authors: Tutani, Lumka
- Date: 2001
- Subjects: Primary health care , AIDS (Disease) -- Nursing , AIDS (Disease) -- Patients -- Counseling of
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3074 , http://hdl.handle.net/10962/d1002583 , Primary health care , AIDS (Disease) -- Nursing , AIDS (Disease) -- Patients -- Counseling of
- Description: This paper explores the experience of nurses who work both as Primary Health Care Providers and counsellors trained in the narrative model of counselling in primary health care settings. Five focus groups were conducted in both Xhosa and English. Discourse analysis was used as a method of analysing the data. Training nurses in the narrative counselling model introduced an alternative discourse, which was experienced as contradicting their usual way of working. Two dominant discourses were the “not knowing” approach, assumed by the narrative model of counselling, and the “knowing” stance, assumed by health education. The institutionalised construction of counselling by doctors and matrons, and their power versus the power of the nurse counsellors was also cited as sources of conflict. Despite the tensions, narrative model of counselling seems to be offering new positions, which may benefit people living with HIV and improve HIV/AIDS activities in the Primary Health Care (PHC) context.
- Full Text:
- Date Issued: 2001
- Authors: Tutani, Lumka
- Date: 2001
- Subjects: Primary health care , AIDS (Disease) -- Nursing , AIDS (Disease) -- Patients -- Counseling of
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3074 , http://hdl.handle.net/10962/d1002583 , Primary health care , AIDS (Disease) -- Nursing , AIDS (Disease) -- Patients -- Counseling of
- Description: This paper explores the experience of nurses who work both as Primary Health Care Providers and counsellors trained in the narrative model of counselling in primary health care settings. Five focus groups were conducted in both Xhosa and English. Discourse analysis was used as a method of analysing the data. Training nurses in the narrative counselling model introduced an alternative discourse, which was experienced as contradicting their usual way of working. Two dominant discourses were the “not knowing” approach, assumed by the narrative model of counselling, and the “knowing” stance, assumed by health education. The institutionalised construction of counselling by doctors and matrons, and their power versus the power of the nurse counsellors was also cited as sources of conflict. Despite the tensions, narrative model of counselling seems to be offering new positions, which may benefit people living with HIV and improve HIV/AIDS activities in the Primary Health Care (PHC) context.
- Full Text:
- Date Issued: 2001
Teenage motherhood and the regulation of mothering in the scientific literature: the South African example
- Authors: Macleod, Catriona I
- Date: 2001
- Language: English
- Type: Article
- Identifier: vital:6256 , http://hdl.handle.net/10962/d1007874
- Description: The mainstream literature on teenage pregnancy highlights teenagers' inadequate mothering as an area of disquiet. `Revisionists', such as feminist critics, point out that a confluence of negative social factors is implicated in teenagers' mothering abilities. Whether arguing that teenagers make bad mothers or defending them against this, the literature relies on the `invention of "good" mothering'. In this article I highlight the taken-for-granted assumptions concerning mothering (mothering as an essentialized dyad; mothering as a skill; motherhood as a pathway to adulthood; fathering as the absent trace) appearing in the scientific literature on teenage pregnancy in South Africa. I indicate how these assumptions are implicated in the regulation of mothering through the positioning of the teenage mother as the pathologized other, the splitting of the public from the private, domestic space of mothering, and the legitimation of the professionalization of mothering. I explore the gendered implications of the representations of mothering in this literature.
- Full Text:
- Date Issued: 2001
- Authors: Macleod, Catriona I
- Date: 2001
- Language: English
- Type: Article
- Identifier: vital:6256 , http://hdl.handle.net/10962/d1007874
- Description: The mainstream literature on teenage pregnancy highlights teenagers' inadequate mothering as an area of disquiet. `Revisionists', such as feminist critics, point out that a confluence of negative social factors is implicated in teenagers' mothering abilities. Whether arguing that teenagers make bad mothers or defending them against this, the literature relies on the `invention of "good" mothering'. In this article I highlight the taken-for-granted assumptions concerning mothering (mothering as an essentialized dyad; mothering as a skill; motherhood as a pathway to adulthood; fathering as the absent trace) appearing in the scientific literature on teenage pregnancy in South Africa. I indicate how these assumptions are implicated in the regulation of mothering through the positioning of the teenage mother as the pathologized other, the splitting of the public from the private, domestic space of mothering, and the legitimation of the professionalization of mothering. I explore the gendered implications of the representations of mothering in this literature.
- Full Text:
- Date Issued: 2001
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