"Running to stand still": Nurses' roles with children and families in the community in Scotland. Relationships between policy and practice.

Abstract

This manuscript has been reproduced from the microfilm master. UM! films the text directly from the original or copy submitted. Thus, som e thesis and dissertation copies are In typewriter face, while others may be from any type of computer printer.The quality of th is reproduction is dependent upon th e quaiity of the copy subm itted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction.in the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion.Oversize materials (e.g., maps, drawings, charts) are reproduced by sectioning the original, beginning at the upper left-hand com er and continuing from left to right in equal sections with small overlaps.Photographs included in the original manuscript have been reproduced xerographically in this copy.Higher quality 6" x 9" black and white photographic prints are available for any photographs or illustrations appearing in this copy for an additional charge. Contact UMI directly to order. The author has granted a non exclusive licence allowing the National Libraiy of Canada to reproduce, loan, distribute or sell copies of this thesis in microform, paper or electronic formats.The author retains ownership of foe copyright in this thesis. Neither foe thesis nor substantial extracts firom it may be printed or otherwise reproduced without foe author's permission.L'auteur a accordé une licence non exclusive permettant à la Bibliothèque nationale du Canada de reproduire, prêter, distribuer ou vendre des copies de cette thèse sous la forme de microfiche/fOm, de reproduction sur papier ou sur format électronique.L'auteur conserve la propriété du droit d'auteur qui protège cette thèse. Ni la thèse ni des extraits substantiels de celle-ci ne doivent être imprimés ou autremmit reproduits sans son autorisation. Two themes demonstrate changes to traditional community roles, and the erosion o f care as the holistic nature o f nursing work is fragmented among nurses, families, and other carers in Scotland. Family roles and respite care are reconceptualized in two final themes that illustrate how families take on tasks and work previously that o f nurses Issues of power, gender, and economics emerge as underlying and inter-related forces in policies that are leading to a reconceptualization, not only o f roles, but also of nursing itself. The researcher argues for a new paradigm for nursing that will assist nurses to understand and challenge the power relations that are changing the nature and meaning o f both roles and nursing in the community.