Postmodern and Poststructural Approaches to Nursing Research
Offering pluralistic perspectives, this book examines the patient experience and patient care in the context of postmodern and poststructural approaches. It explores the ways in which these approaches can be used to inform us about health care; the practical aspects of proposing and carrying out research projects using these approaches; and the "intellectual journey" required to come to grips with their meaning and application.
- Front Matter
- Back Matter
- Subject Index
- Chapter 1: Setting the Parameters: What This Book is about and Why it is Important
- This Book as a Response to Research in Nursing/Health Care as an Evolving Process
- Towards an Understanding of Postmodern and Poststructural Approaches
- Can Postmodern and Poststructuralist Approaches Influence Practice or are They Merely Esoteric?
- What is to Follow
- Chapter 2: Situating Postmodern Thought
- What This Chapter is about
- What is Postmodern Thought?
- The Work of Michel Foucault
- Using a Postmodern Theoretical Frame in Research about Health and Health Care
- Chapter 3: Thinking and Researching Poststructurally
- Outline of This Chapter
- Poststructural Thought
- Discourse Analysis: One Method within a Poststructuralist Approach
- Deconstruction: Another Approach to Research within Poststructural Perspectives
- Chapter 4: Speaking Practically, Part I: “Proposing” Research Informed by Postmodern and Poststructural Approaches
- The Craft of Proposal Writing: Preliminary Considerations
- The Craft of Proposal Writing: Creating the Text
- Concluding Comments
- Chapter 5: Speaking Practically, Part II: “Doing” Research Informed by Postmodern and Poststructural Approaches
- Collecting and Analyzing the Material: Phase 1 of the Study
- Phase 2: Qualitative Thematic Analysis: Developing a Chronology of Topics
- Phase 3: Analyzing the Reporting about Toxic Shock Syndrome Discursively
- Report on the Findings of Phase 3 Analysis
- Concluding Comments
- Chapter 6: The Journey Forward
- Where Have We Been?
- Where are We?
- The Journey Forward
Copyright © 2000 by Sage Publications, Inc.
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Library of Congress Cataloging-in-Publication Data
Postmodern and poststructural approaches to nursing research / by Julianne Cheek.
Includes bibliographical references and index.
ISBN 0-7619-0674-6 (cloth: acid-free paper)
ISBN 0-7619-0675-4 (pbk.: acid-free paper)
1. Nursing—Research. 2. Postmodernism. 3. Poststructuralism. I. Title.
This book is printed on acid-free paper.
00 01 02 03 04 05 06 7 6 5 4 3 2 1
Acquisition Editor: Dan Ruth
Editorial Assistant: Anna Howland
Production Editor: Diana E. Axelsen
Editorial Assistant: Nevair Kabakian
We hear and read the terms postmodern and poststructural with increasing frequency in the nursing and health care arenas. Yet their increased usage has not necessarily meant that these terms are well understood, nor that their potential for contributing to research endeavors in the health field is recognized. This was one of the reasons I decided to embark on writing a book such as this. I wanted to show that postmodern and poststructural approaches to research do not have to be obscure, ambiguous or poorly understood. Rather, I believe that some of the criticism of these approaches in terms of their inaccessibility and unintelligibility stems from a lack of definition or even at times the poor scholarship with which they are used and discussed.
Secondly, I had experienced both rejection of papers I had prepared for journals, and difficulty in attracting funding for research using these approaches. This led me to question why this was so. What assumptions were being made about research and scholarship that seemed to preclude writing and researching within these frameworks? Was the rejection of a paper, for example, based on what it said, how it said it, what it didn't say and/or assumptions about what it should say? Much of the discussion to follow in this book shares with readers my exploration of such questions and where it has led me.
The book makes no claim to providing definitive answers about either these issues or postmodern and poststructural approaches. Rather, it provides a beginning point from which readers can embark on their own journey of exploration of the potential afforded nursing and health care by these approaches.
I have attempted to write the book in an accessible and user-friendly way. I hope that you, the reader, are able to engage with the material and that the further readings suggested assist you to develop your understandings of postmodern and poststructural research approaches. Use the book as a “critical friend” in your journey of exploration.
I would like to acknowledge, with thanks, the role that the following people have played in the production of this book:
- The Faculty of Nursing, University of South Australia, for supporting this project.
- Julie Henderson, who has provided research assistance throughout the entire creation of the book. She has been meticulous in assisting with referencing, gaining permissions, editing manuscripts, proofreading and obtaining seemingly unobtainable references!
- Melanie Tucker, who has provided backup research assistance. Her proofreading skills have also been greatly appreciated, particularly at the final stages of the project.
- Irene Doskatsch, who has provided, and continues to provide, outstanding assistance in the library.
- Sage (London), Blackwell Science Asia, Allen & Unwin, The Advertiser and The University of South Australia for granting permission to use material in various sections of the book.
- The three anonymous reviewers who provided important and useful feedback on the first draft of the manuscript.
- Finally, sincere thanks to my family for their forebearance in the light of tight deadlines and broken wrists!
Appendix A: University of South Australia/Australian Research Council[Page 135]
Application for ARC Small Grant (Initial or Renewal) and University of South Australia Research Development Grant in 1996 When completing this form, please refer to the enclosed guidelines. Applications should not be handwritten. Original plus seven (7) copies must be lodged by the relevant closing date with the:
Research Administrative Officer
University of South Australia
- Please indicate ‘✓’ in the relevant box below:
- If your application is for an ARC Small Grant, please indicate in the box whether your application is: Initial — I or Renewal — R
- Please indicate in the box the panel number(s) of the most appropriate panel(s) by which your application will be assessed:
- Project title:
- Total funds requested:
- Chief Investigators (see Guidelines)
- Key Words — Give up to three Key Words to describe the subject area of this proposal:[Page 137]
- Summary of Project
Write a summary, in no more than eight lines, intelligible to a lay reader, of the aims of the research, the expected outcomes and the overall significance. Do not use quotation marks. (Each line allows 54 characters including spaces)
- Work Experiments[Page 138]
- Chief Investigator Information
If any Chief Investigator is associated with a Special Research Centre or Cooperative Research Centre, supporting documentation is required.
For each Chief Investigator, indicate the following:
- Source of salary and % from each source
- Other major research programs being undertaken or supervised by the Chief Investigator
- Budget Information[Page 140]Financial Summary
- Total support for this project or a closely related project[Page 141]
- Total support for all other projects[Page 142]
- Commencement/Completion day of project[Page 143]
- Certification - to be signed by all applicants
- Certification by Head of School
- Certification by Director of Centre (CRC, Key, Special) if appropriate for ARC Small Grants only.
- Aims, research plan, justification of budget, and publications
Appendix B: Results Phase 1-Quantitative Analysis of Data[Page 147]Table 1 Type of Print Media[Page 148]Table 2 Year of PublicationTable 3 Month of PublicationTable 4 Day of publication[Page 149]Table 5 Visual MaterialTable 6 Position in the Paper/MagazineTable 7 Page number by Media type[Page 150]Table 8 Position of Article on PageArticle ProminenceTable 10 Headline SizeTable 11 Style of Print used for Headline[Page 151]Table 12 Headline in Bold[Page 152]Table 13 Content of Headlines[Page 153]Table 14 Topic of Article[Page 154]Table 15 Content of Lead SentenceTable 16 Tone of the Article[Page 155]Table 17 Headline Tone[Page 156]Table 18 Sources Quoted in ArticleTable 19 Sources-Social PositionTable 20 Relationship to Other Printed Material[Page 157]Theoretical or Practical?Table 22 Theoretical or Practical Focus by Media TypeTable 23 Type of Audience pitched at[Page 158]Table 24 Responsibility for Toxic Shock Syndrome[Page 159]Table 25 Responsibility for Toxic Shock by Year[Page 160]Table 26 Subtextual themes by year
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About the Author[Page 175]
Professor Julianne Cheek is internationally recognised for her expertise in qualitative research in health related areas. She is currently Dean of the Research Division of Health Sciences, University of South Australia and Director of the Centre for Research into Nursing and Health Care, which is a university designated and funded performance-based research centre. She has experienced outstanding success in attracting funding for qualitative research projects, with some sixteen projects funded in the past four years. She has also attracted large sums of funding for projects related to teaching that have qualitative principles embedded within them.
Professor Cheek has published over 40 refereed book chapters and journal articles, many of which explore the application of postmodern and poststructural approaches to health care. One of the books she coauthored (Society and Health) won the prize for the Tertiary Single Book (wholly Australian) in the 1996 Australian Awards for Excellence in Educational Publishing. She has presented more than 40 papers at international and national conferences, including keynote addresses in Vancouver, Canada; Kuala Lumpur, Malaysia; and Queensland, Australia.