Older people's experience of utilisation and administration of medicines in a health- and social care context

BACKGROUND: People living at home who lack ability to manage their medicine are entitled to assistance to improve adherence provided by a home care assistant employed by social care. AIM: The aim was to describe how older people with chronic diseases, living at home, experience the use and assistance of administration of medicines in the context of social care. DESIGN: A qualitative descriptive study. METHODS: Ten participants (age 65+) living at home were interviewed in the participants' own homes. Latent content analysis was used. FINDINGS: The assistance eases daily life with regard to practical matters and increases adherence to a medicine regimen. There were mixed feelings about being dependent on assistance; it interferes with self-sufficiency at a time of health transition. Participants were balancing empowerment and a dubious perception of the home care assistants' knowledge of medicine and safety. Physicians' and district nurses' professional knowledge was a safety guarantee for the medicine process. CONCLUSIONS: Assistance eases daily life and medicine regimen adherence. Dependence on assistance may affect self-sufficiency. Perceived safety varied relating to home care assistants' knowledge of medicine. RELEVANCE TO CLINICAL PRACTICE: A well-functioning medicine assistance is crucial to enable older people to remain at home. A person-centred approach to health- and social care delivery is efficient and improve outcome for the recipient of care.

Constructing the identities of `responsible mothers, invisible men` in child protection practice

Social constructionism offers valuable insights into the study of social problems for example, poverty, homelessness, crime and delinquency, including how social phenomena 'become' social problems, through social processes of interaction and interpretation. The social construction of child maltreatment has recently emerged as a site of scholarly inquiry and critique. This paper explores through three case studies how 'responsibility for child maltreatment' is constructed in child protection practice, with a specific focus on how 'responsibility' may also be gendered. In particular, how is gender associated with responsibility, such that the identity-pair, 'responsible mothers, invisible men', is a highly likely outcome as claimed in feminist literature? What other assumptions about 'identities of risk' or 'dangerousness' articulate with patriarchy and influence how responsibility is constructed? The case studies explore normally invisible processes by which social categories become 'fact', 'knowledge' and 'truth'. Furthermore, the social construction of 'responsibility for child maltreatment' is extended by a reflexive analysis of my own constructionist practices, as researcher/writer in claims making. The analysis offers an insight into the dynamic and dialectical relationship between professional and organisational knowledge and practice, allowing for a critique of knowledge itself, the basis for the claims made and possible alternative ways of knowing.

The social construction of child maltreatment: the role of medical practitioners

• Summary: This paper explores how medical knowledge in child protection practice operates, in conjunction with social work knowledge and legal knowledge, as a social process of constructing meaning as ‘maltreatment’ (or not) in which the physical body of the child and perceived abnormalities represent ‘evidence’. Through discourse analysis of two case studies, this paper makes explicit and problematizes the social processes by which meanings are given by medical practitioners, social workers, police and parents to material experiences, the preference given to some meanings over others, and the econsequences of particular meanings for children and families and social work practice.

• Findings: Medical, social and legal knowledge are not neutral but embedded in power relations. The case studies show, through a sociological analysis of professional practice in child protection, how preferred versions of knowledge and meaning may override or dismiss alternative meanings, with particular consequences for parents and children and for practice outcomes.

• Applications: The case studies offer opportunities by which critically to engage with child protection knowledge, policy and practice in keeping with contemporary approaches that advocate dialogue, critical reflection and reflexivity, so that professional knowledge and professional power may be deployed constructively rather than oppressively.

Chronicles of architectural internships : student experiences versus practitioner expectations

This paper presents preliminary analysis and data gathered for a master of architecture by research study which seeks to explore the value of student work experience in architecture. It describes the theoretical framework upon which internships provide certain technical and professional knowledge and are regarded as an integral element of professional education. Until the last decade, internship in the architecture profession has received surprisingly little attention from researchers. Structural constraints unique to the architectural profession present challenges to how student work experience/internships can be sustained and it is pertinent to examine its precise relevance for the future. Vignettes of student learning experiences are presented and discussed against vignettes of practitioner expectations. The data in this study have been collected using combined methods of semistructured and open interviews and a qualitative approach to analysis of data. The opportunity to test the results in the architectural practice experience unit currently offered as a one credit earning elective for the architecture degree program at Deakin University will be discussed. It expects to prompt exploration into the potentially potent and broader pedagogical outcomes of a form of work-integrated learning (WIL) framework for students of built environment professions in the future.

Reconfiguring the spatial in the pre-service classroom

Teaching and researching through art opens multiple, distinct and/or overlapping understandings with positionings that shift according to the angle of repose of the percipient. The performance of teaching includes both technical skills and professional knowledge that pervade the literature of teacher education and teacher learning. These are strongly linked to the weight of attention teachers give to standards and assessment. Teaching, however, is more than this twodimensional technicist construction. Seventy years ago Dewey (1934) identified the distinction between an assessment based education with narrowly defined objectives, and active, open ended constructivist approaches best exemplified in the arts.

Conceptualising a voluntary certification system for highly accomplished teachers

In this paper I argue that a voluntary certification system for highly accomplished teachers must be part of a coherent system of professional accountability which is developed, implemented and managed by the profession. This would be a system that engages professional judgement of evidence provided by teachers in relation to their professional knowledge and practice, and professional standards for teaching would provide the organising framework for that judgment. It would be a system incorporating and aligning all forms of professional licensure, including entry into the profession and subsequent professional milestones. It would be a system that all partners in the profession across Australia—employers, professional associations, and registration authorities—endorse, participate in and align with.

The profession can take the lead in developing and implementing such a coherent and coordinated national approach by carefully developing a system to recognise and reward highly accomplished teaching. Such a system should aim to recognise and build teacher quality by defining what it is highly accomplished teachers know and are able to do. Moreover, such a system must fi nd ways of making teaching public and acknowledging teaching as intellectual work which involves professional judgment that draws on a recognised professional knowledge base and contextualised knowledge about students and their learning.

The paper is presented in two main sections. First, a proposed conceptual framework for the professional recognition and certification of highly accomplished teachers is outlined. Then, the argument for this proposed conceptual framework is presented drawing on learnings from relevant research and professional activity in both Australia and the USA.

Building surveying : a UK phenomenon or a profession with genuine global appeal? .

During the 1970s, a new profession emerged within UK Surveying; that of  Building Surveying. These surveyors, originally technically minded general practitioners, developed and adapted their professional skills and knowledge to fulfil client needs and to keep pace with the changing market (RICS, 1994). Within the UK, the knowledge and expertise of the building surveyor is widely known and used in the property and construction markets, however Building Surveying remains little known overseas. In the global market there is much more familiarity with the profession of the quantity surveyor than building surveyor, however undoubtedly the work of building surveying is undertaken in other countries. This research examines the professional knowledge and skills of the Building Surveyor in the UK context and illustrates the development and emergence of the profession. The knowledge and skills are evaluated in terms of adaptation to changing markets and demonstrate how Building Surveyors are able to adapt during changes in economic cycles. The potential future developments for Building Surveying are also investigated in this research project. Finally the question is posed as to whether the professional skills and knowledge of Building Surveyors are required in countries other than the UK.

Exploring tensions in organisational learning : international and postcolonial perspectives

For the past decade I have been engaged as a management consultant in the area of organisational change and development. This has been primarily within international development environments, and all the professional opportunities, challenges and learning they offer. This thesis therefore employs reflexivity to explore professional practices within this context. These practices are primarily considered within the context of an emerging economy dealing with the challenges of globalisation, against a backdrop of tradition and the old vestiges of colonialism and socialism. Of particular interest have been the tensions between humanist and corporate values that emerge when dealing with the people and learning side of organisations, and within a context of what can be broadly defined as 'where west meets east'. These tensions are explored within a values framework and through consideration of some the themes that feature in the area of postcolonial studies. The intention of the study has been to explore some of the meanings and representations that emerge from professional experience, how they are explained and represented, and what the meanings and representations derived might imply in considering the requirements of 'principled' professional practice. The study is built around the work place and the researcher's role within it and therefore draws heavily on personal reflection and reflexivity. The qualitative methodologies employed draw heavily from the literature dealing with critical social science, and in particular that relating to 'narrative inquiry'. Particular consideration is given to the location of self in the research context and the way in which professional knowledge is constructed.

Case study of electronic networking in an initial teacher education course

Electronic networking ('computer-mediated communication1), considered to be ‘unique domain for educational activity’ (Harasim, 1989:50) and ‘new educational paradigm’ (Mason & Kaye, 1989:23), has been widely used and researched in K-12 schooling, place-based undergraduate subjects and distance education courses. However, only a limited number of reports of usage with experienced teachers (professional development), beginning teachers (induction support) and trainee teachers (initial training) have been published. Hence, little is known about the ways in which this new medium might contribute to the acquisition and maintenance of professional knowledge in the field of teacher education. The purpose of this study was to document an application of electronic networking in an initial 'school-based1 teacher education course. Three factors which were considered to be important in the adoption of electronic networking were specifically addressed: (a) the potential of the medium to attract and maintain a representative and comprehensive audience', (b) the willingness of participants to use the medium for the notation of ideas about teaching; and, (c) the extent to which reflection on practice was evident in network messages. This study also identified and investigated other effects which emerged as participants attempted to negotiate personal relationships with new technology. A case study was selected to investigate audience, notation, reflection, and other effects, in a particular application. Data were collected using participant observation, software-generated statistics, printed documentation, university records, questionnaires, interviews and content analysis of messages. These data were used to describe and analyse network participation by trainee teachers, classroom teachers and university staff. The data revealed that an audience did exist on the electronic network but that this was not comprehensive. Teachers had difficulty accessing the network because of other school commitments, access to equipment and personal competence with microcomputers. These difficulties indicated that developing and maintaining the teacher audience may be a major problem with electronic networking in initial teacher education. This case study revealed that deeply held concerns about notation of ideas by trainee teachers and classroom teachers can be powerful reasons for limited network participation. For trainee teachers, recording ideas publicly presented special difficulties associated with written communication. They were concerned about writing for an audience; about what to write about and how to write it. The loss of visual and verbal cues which form part of face-to-face communication was also a problem leading to concerns about how messages would be received by others. However, the overwhelming concern of almost all trainee teachers about presenting their own ideas was Tear of criticism' from peers (in particular), and other participants on the network. Trainee teachers expressed concerns about the 'dangers' of putting their thoughts in writing, the scrutiny their messages might have received from others, and the public 'criticism' about what they wrote which might have appeared on the network. Knowing that messages were stored on the network, and could be retrieved at some later date, heightened anxiety about the vulnerability of written communication; what was written on one occasion may have to be defended at some later date when the views expressed initially were no longer held. Classroom teachers were also unsure about recording their own ideas in an electronic form. Like trainee teachers, they were concerned about the scrutiny their contributions might receive from other users, and the lack of visual and verbal cues which they had learnt to use in face-to-face communication. Notating ideas in text-based messages which were archived (by the software), and retrievable by others later, was also daunting to many teachers. Another major 'danger' for teachers was the possible repercussions of 'public comment' about curriculum policy and initiatives which they thought might get them into 'trouble' with their employer. Since very few messages were contributed to conferences, there was little evidence of reflection in network communication. In the main, the network was not used to share information and ideas about curriculum and teaching. Public examples of collaboration between participants were not evident, and the 'special knowledge' held by members in each distinct group of users was not elaborated and discussed. Messages were not used to request information or clarification about issues, to outline the processes by which decisions about teaching were reached, or to synthesis ideas from different sources. The potential of the medium to operationalise reflective practice was not realised. Among the effects observed, the use of an anonymous account to access the network, and the impact this had on participation (in one conference) was considered to be a particularly significant finding. While the opportunity to systematically investigate the effects of anonymity on network participation and message contributions was not realised (by the author) while the research was in progress, the effects observed and discussed are considered to be important and worthy of further investigation. In this case study, the anonymous account helped trainee teachers mask concerns about personal writing skills and fear of criticism from others, indicating that anonymity may alter communication patterns, particularly in the early stages of network use. Given the data collected in this case study, and the interpretations placed on it by the author, a pessimistic assessment of the place of electronic networking in initial teacher education courses was presented. For this situation to change - that is, for electronic discussions to become more fully integrated into course activities - four issues which need to be addressed were identified and discussed. These included clarification of the role of collaboration amongst participants in initial teacher education, the ways in which collaboration can be facilitated using electronic networking, the problems of notation - such as the difficulty of expressing ideas about teaching in written form, and the concerns about permanently archived messages - for teachers and trainee teachers, and the lack of skills which many trainee teachers bring to electronic discussions. In the context of initial teacher education, it was suggested that these four aspects require clarification and development before the potential advantages of electronic networking can be realised. Some specific suggestions about how these issues might be resolved were presented.

The teacher's role in the research-policy-praxis nexus

What kinds of relationships exist between educational policy, research and the professional knowledge of the teachers that implement these policies in practice? This article reports research that examined the role of teachers working in an environment formed by links between research, policy and practice. By adopting a contextual focus upon the Victorian Early Years Literacy Program, its research and teachers who implement the program, the study analysed how early years reading is being constructed. Critical issues are identified about the impact of policy and research upon the teaching profession and the links that are present in the research-policy-praxis nexus.

The classmate PC 1:1 eLearning project in Australia

Increasingly on the agendas of governments and educational leaders is an impetus to increase the number of computing devices in schools across Australia. There is much expected, promised and hoped for in developing 1:1 eLearning pedagogies, or ubiquitous approaches in ICTs. In 2008, the Intel Classmate PC 1:1 eLearning Project investigated the effects on classroom practices which arose from the provision of low-cost mobile learning devices for each student to use in a collaborative learning environment. The overall goal of the research was to provide evidence and understanding about the impact of 1:1 eLearning on student/teacher and student/student interactions, pedagogical and curriculum practices and student learning. This presentation draws from six primary school case studies, across three States of Australia. Significant successes and challenges were experienced across the diverse sites of these studies. Through these schools’ participation in this pilot study, five key factors have been identified as contributing to, or hindering the adoption and implementation of the devices. These included: ICT infrastructure, connectivity and hardware; Teacher attributes; Pedagogical and curriculum approaches; Teacher professional knowledge, and; School leadership.

Is this a meaningful learning experience? Interactive critical self-inquiry as investigation

What conditions enable educators to engage in meaningful learning experiences with peers and beginning practitioners? This article documents a self-study on our actions-in-practice in a peer mentoring project. The investigation involved an iterative process to improve our knowledge as teacher educators, reflective practitioners, and researchers. Data sets included: video-stimulated reflections; audiotaped reflexive dialogue; individual and shared reflective writings. Data analyzed through the iterative process revealed competing tensions that were not addressed by the triad, leading to a less than meaningful learning experience. We sought to name the dilemmas and document how they impeded meaningful learning; identifying tensions proved useful in data interpretation. The research led us to focus on the tension between collegiality and criticality. Managing this tension requires being authentic with and accepting of the other and working with cognitive dissonances. Collegiality and criticality together promote reflexivity and increase growth, leading to new professional knowledge.

Building effective school-university partnerships for a quality teacher workforce : a Victorian led initiative

‘Building effective school-university partnerships for a quality teacher workforce: A Victorian led initiative’ project, (‘BESUP’), funded by the Department of Education and Early Childhood Development from 2010 – 2011, was conducted by the research team from the School of Education, Deakin University in collaboration with key personnel in two ‘clusters’ of schools located in the Maroondah Education Coalition and in Keysborough/Noble Park.

The overall aim of this project was to examine a pilot model of effective school-university partnership that engages pre-service and in-service teachers and researchers in the co-production of professional knowledge and practice. The model of a university-school partnership that was investigated in the research project was developed as part of the Master of Teaching, a 16 credit pre-service postgraduate course in the School of Education that had the first intake of pre-service teachers in March, 2010. In the design and implementation of the Master of Teaching course, the School of Education set out to create a new relationship between key stakeholders in the preparation of the next generation of teachers. A commitment to doing the professional experience component differently was central to the conceptualization of the new course. To this end, three new professional experience curriculum units were designed with the placements ‘embedded’ into the units themselves.

The research questions that shaped the BESUP research project are:
• What are the design features of an effective school-university partnership model?
• What are the features of cross-generational (pre-service, in-service) models of quality supervision, mentoring and support in a school-university partnership model?
• What are the conditions for an effective professional development program for teachers and academic staff to support professional experience within school-university partnerships?

That the Department of Education and Early Childhood Development funded this research is evidence of the system’s awareness of and concern for investigating ways forward that will provide the next generation of teachers with strong links between the learning experiences undertaken in the university component of their pre-service teacher education and the professional experience component located in schools. The report suggests the significance of ongoing professional conversations and new ways of engaging in professional learning among all of the partners.

Telling stories: my work as a literacy intervention teacher

This text is a “narrative inquiry” (Clandinin and Connelly, 2000) in which the author presents an account of her experiences as an English teacher working in an Australian public secondary school. The author explores the ways in which her beliefs as an English teacher conflicted with her role as a Literacy Co-ordinator/teacher and how — even though she may have consciously questioned and resisted performing certain ideological work, such as administering standardised tests and sorting students into remedial groups — there was still a sense in which government policies mediated her professional practice, transforming it into something with which she remained deeply at odds. The author's aim was not just to provide an empirical account of how students and teachers experienced these literacy initiatives, but to capture the dominant ideology that is shaping education at the current moment. This is done by examining the Victorian government school publication, Education Times, specifically to demonstrate how the rhetoric of this official publication shaped the author's professional practices and knowledge as an English teacher. Through this narrative the author interrogates taken-for-granted understandings about what counts as “knowledge” in an age of increasing accountability.

Factors affecting commitment and satisfaction of project managers in the construction industry

Construction project managers normally need develop their professional knowledge and practical skills in construction technologies and management on the basis of long term work experience. Their organizational commitment and job satisfaction level significantly influence their performance attitudes and job achievements. Keeping construction project managers highly committed to and satisfied with the employed companies is extremely vital to employed construction companies but is really difficulty due to the non-attractive job circumstances. This research investigates the major demographic variables that affect the organizational commitment and job satisfaction of project managers in the construction industry. Based on an empirical study, the statistical results indicate that some demographical variables play a substantial role in construction project managers' organizational commitment and job satisfaction. With this knowledge, construction organizations can draw up operational strategies to retain their project managers.