Bachelor with Honours Dissertations - open access

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https://hdl.handle.net/10292/14987
The "Bachelor with Honours Dissertations - open access" collection contains digital copies of AUT University B(Hons) dissertations approved for open access. B(Hons) dissertations are required to be open access from April 2022. Past students may contact the Tuwhera team (tuwhera.opentheses@aut.ac.nz) if they wish to make their B(Hons) open access.

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Browsing Bachelor with Honours Dissertations - open access by Supervisor "Donkin, Liesje"

Now showing 1 - 3 of 3
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    Clinicians’ Lived Experience of Using the AIM3 Assessment Model to Assess Harmful Sexual Behaviour in Adolescents
    (Auckland University of Technology, 2023) Hume, Tom
    Harmful sexual behaviour (HSB) is a universal issue transcending class, race and economic status. The harm that HSB causes to individuals, families, and society cannot be overstated. However, the shame and secrecy around it make it a universal taboo, creating difficulties in discovering the true extent. As something which causes so much harm, it is vital that we have the tools to be able to intervene and to treat this behaviour to be able to create societies that are free from sexual abuse. The AIM3 is the tool that is used by specialist clinicians to assess the HSB exhibited by CYP, and to help establish goals for their clinical intervention. It does this by scoring the young person (YP) across five domains: sexual behaviour; general behaviour; developmental; environmental; self-regulation. This study explored the lived experience of clinicians who specialise in treating HSB, and their use of the AIM3 model of assessment in this work. Six clinicians agreed to participate in this study, exploring their experiences of using the AIM3 in their work. Semi-structured interviews were used to look at their perspectives on this assessment model. Thematic analysis was used to analyse the data that was collected from the interviews. Six key themes were identified which were then discussed in relation to current research on HSB and its occurrence in a New Zealand context. It was discovered that the clinicians had a very favourable view of the AIM3, although there were some areas of concern. Clinicians noted that cultural issues were sometimes invisible, and there was sometimes a risk of bias or subjectivity in scoring. Most of the clinicians felt as though those potential issues could be mitigated through their own experience, or through co-working.
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    The Experience of Caregivers Supporting Adults with Intellectual Disabilities During Hospitalisation: A Qualitative Study
    (Auckland University of Technology, 2022) Fuller, Emma
    This study aimed to explore the lived experiences of caregivers supporting adults with intellectual disabilities (ID) during hospitalisation within Aotearoa. Whilst there has been research that has examined the hospitalisation experiences of caregivers supporting adults with ID internationally, there has been little research undertaken in Aotearoa within this context. Identifying caregivers’ experiences of whether caregivers have been adequately supported during hospital stays supporting their adult with ID, and establishing what worked well and what did not work well, is a crucial element to understanding whether the caregivers were overwhelmed or had insufficient support at any point of the hospital stay with their adult with ID in Aotearoa. This study utilises a qualitative methodology as it enabled lived experiences to be shared, which will help to determine what services within the Aotearoa hospital system are necessary to better support this population in the future. Caregivers of six adults with intellectual disabilities were interviewed using semi-structured interviews. Transcripts from these interviews and thematic analysis have been used to identify key themes. The findings discovered the increasing reliance placed on caregivers of adults with ID whilst in hospital. These were highlighted through the interdependence within the themes developed in this research; advocacy, environment, lack of support, lack of awareness, interpersonal care, informed consent, communication, health experience and sense of abandonment. This study broadens the body of knowledge through understanding the challenges caregivers face. Caregivers involved in this study were predominately family caregivers, therefore non-qualified, supporting findings that they are involved in processes beyond their personal competencies. The findings highlight that caregivers experienced insufficient support whilst supporting their adult with ID when in hospital in Aotearoa. This study can be used to show awareness of the challenges that caregivers face in Aotearoa, with further research looking into how these challenges can be addressed. Future research needs to consider the use of artificial intelligence and technology advances that provide assistance with advocating, communication, and supporting ID adults, thus relieving their caregivers of some of these burdens. This is expected to provide positive outcomes.
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    The Experience of Hospitalisation for People with Intellectual Disabilities; A Qualitative Study of Tāngata Whaiora and Community Stakeholders in Aotearoa
    (Auckland University of Technology, 2022) McColl, Carrie
    Background: People with intellectual disabilities (ID) have complex health needs, worse health outcomes than the general population, and are at risk of receiving poor care in acute hospital settings. The experiences of hospitalisation for people with ID and the perspectives of ID service providers have been documented in qualitative research internationally, however, little is known about this topic in the context of Aotearoa/New Zealand. Therefore, this study seeks to better understand what the experience of hospitalisation of people with ID in Aotearoa is, what are the things that make the experience easier for people with ID, and what were the things that negatively impact the experience. Method: For this qualitative study interviews and written surveys were used. Semi-structured interviews were conducted with five adults with ID and nine community stakeholders who work in support of people with ID. Additionally, two anonymous survey responses were received from people with ID and five survey responses were received from community stakeholders. The total number of participants with ID was seven. The total number of community stakeholder participants was 14. The data generated were analysed using reflexive thematic analysis. Findings: The findings of the study revealed that while for some people with ID, hospitalisation is frightening, most of the participants with ID had positive feelings about hospitalisation. Positive experiences were associated with friendly and communicative doctors and nurses. In contrast, community stakeholder participants perceived the experience of hospitalisation as frightening, traumatic and overwhelming for people with ID. Additionally, participants with ID described challenges with feeling lonely and bored during admission. Community stakeholder participants described significant concerns about failures in the provision of basic care, such as a lack of assistance with eating, toileting, showering and sleeping positions. Instances of patient harm and deterioration of health were attributed to lapses in basic care by nursing staff. Community stakeholders viewed hospital staff as lacking knowledge about ID and how to adjust communication to suit people with ID’s needs. Perceived deficits in hospital staff education about ID were attributed as the basis in failures in the provision of individualised patient-centred care and contributed to feelings of mistrust in the hospital system. A lack of knowledge about ID was also attributed to failures in keeping patients safe, as well as disruptions to the continuity of care after discharge. Conclusion: For people with ID, the experience of hospitalisation may be made easier by making reasonable adjustments that consider individual needs. Participants with ID described preferring being around other people rather than being placed in rooms alone, having shorter wait times in the hospital, having access to activities, music or devices to alleviate boredom, having access to support people and advocates that can communicate their needs and explain things to them, and having compassionate hospital staff who take time with patients, and who are good at identifying and managing pain. Community stakeholders described wanting better discharge planning in order to support continuity of care and patient safety after hospitalisation, and clearer guidelines about the administration of pain medication. For both people with ID and community stakeholders, the development of a uniform system to ensure the effective transfer of information about a person's individual requirements and needs, and a specialist disability liaison nurse or advocacy role in all hospitals were identified as ways that the hospital system could improve to better support people with ID in future.
Dissertations are protected by the Copyright Act 1994 (New Zealand). The dissertation may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use:
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