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dc.contributor.advisorSmythe, Elizabeth
dc.contributor.advisorSpence, Deborah
dc.contributor.authorDewar, Janette
dc.date.accessioned2021-05-17T02:50:18Z
dc.date.available2021-05-17T02:50:18Z
dc.date.copyright2021
dc.identifier.urihttp://hdl.handle.net/10292/14183
dc.description.abstractThis research explores the nature of ‘good’ care in medical/surgical wards. A Heideggerian, hermeneutic phenomenological philosophical and methodological approach was used. Heidegger’s philosophy privileges ontological inquiry concerned with uncovering human being in the everyday. There were 17 study participants: three past patients, three whānau members and 11 staff members from a range of disciplines including professional and auxiliary staff. Participants were interviewed and encouraged to tell stories that demonstrated ‘good care’. The stories of ‘good care’ revealed a depth of meaning that lies beneath the surface. The notion of how staff went about being themselves in the everyday became important. The way one responds and relates to others matters in ‘good care’. The ‘feeling’ of ‘good care’ was remembered by ex-patients as being important. Reflection on the stories of staff revealed a deep love for humanity. This love was felt and valued by patients. While difficult to describe, it was noticeable when absent. The notion of manaakitanga was demonstrated in the caring, mana-enhancing way in which care was experienced by patients. Notions of attunement and phronesis were revealed in the ability to recognise, understand and respond to the needs of others. An ability to authentically be-with another enabled staff-participants to see the needs of others and to ‘leap-in’ where needed or ‘leap-ahead’ to smooth the way for an experience of ‘good care’. There was a sense of the sacred in many of the stories. When ‘time-on-the-clock’ became dominant, ‘good care’ tended to retreat to the shadows. This study revealed that one’s comportment or way-of-being is central to bringing the various threads of ‘good care’ together. Thus noticing, developing and rewarding such comportment has implications for the recruitment and education of health care providers.en_NZ
dc.language.isoenen_NZ
dc.publisherAuckland University of Technology
dc.subjectGood careen_NZ
dc.subjectHospitalen_NZ
dc.subjectComportmenten_NZ
dc.subjectManaakitangaen_NZ
dc.subjectLoveen_NZ
dc.subjectAttunementen_NZ
dc.subjectPhronesisen_NZ
dc.subjectPhenomenologyen_NZ
dc.titleWhat Is 'Good Care' in a Medical/Surgical Setting? A Hermeneutic Phenomenological Studyen_NZ
dc.typeThesisen_NZ
thesis.degree.grantorAuckland University of Technology
thesis.degree.levelDoctoral Theses
thesis.degree.nameDoctor of Health Scienceen_NZ
dc.rights.accessrightsOpenAccess
dc.date.updated2021-05-15T04:05:35Z


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