http://nova.newcastle.edu.au/vital/access/services/Feed ${session.getAttribute("locale")} 5 Advanced nursing practice: a futures model derived from narrative analysis of nurses' stories http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:9484 Objective: To present a model of advanced nursing practice based on a narrative analysis of advanced practice stories provided by nurses. Design: Using narratives depicting their clinical practice, nurses were asked to provide illustrations of advanced practice. Analysis of fifty nine narratives enabled exploration of aspects of advanced practice. Setting: Stories depicted contexts of advanced nursing practice including mental health, child and family health, acute and aged care. Results: Findings revealed six themes: Knowticing; Getting a doctor; Trans-action; Taleoring care; Experiencing vulnerability and Transporting: facilitating comfort and control. Three narrative aspects representing advanced practice were described: Rescue; Recognition and Responsibility; and Respect. The stories were of complex care situations relating to diverse areas of work highlighting critical incidents. Some incidents gave nurses great satisfaction whilst others were challenging. Conclusions: The findings are presented as a model of advanced practice. Both the world of advanced practice a diagrammatic representation of the findings, and the futures model of advanced nursing practice incorporate the themes that emerged from the study. They highlight the central, often invisible place of the nurse in patient care. Advanced practice nurses assume responsibility for optimising care. They believe they make a difference and they call for recognition. The models reflect the multi-dimensional nature of advanced practice, its inherent complexity, dynamism and the potential for amplification of practice roles and functions. 2011-11-28T02:40:07.307Z ]]> Theme analysis of narratives produced by children with and without Specific Language Impairment http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:559 Theme is defined within the Systemic-Functional Linguistics framework as the point of the departure for the clause and therefore important for text organisation. Aspects of theme are examined in the elicited narratives and story retells from a group of 25 5-8 year-old children with Specific Language Impairment (SLI) and a group of 25 age-matched children with Typically Developing Language. The analysis indicated that subjects with SLI used less variety and complexity in themes with more than one element but this is suggested to reflect localised lexicogrammatical problems. Analysis of the aspects of theme which are more reliant on text-level resources, namely marked theme and theme progression patterns, yielded equivocal results. No significant inter-group difference was found in the subjects' representation of marked Theme and only one of the two progression patterns showed a significant difference. These findings are discussed in relation to the theoretical implications for the description of narrative abilities in SLI. 2010-07-08T03:05:33.467Z ]]>