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Abstract

The thesis defends a long-term empirical research programme as a helpful way of studying the district nursing service.

The long-term programme consists of four separately published studies undertaken between 1964 and 1971. The studies were planned as a cohesive progression, the findings of one generating the next. The studies are summarised in the thesis, but emphasis is given to those aspects which provided the link and the progression between them.

Progression in research design is demonstrated by the sequence of the studies, from a limited descriptive exploratory approach to a study designed to test specific hypotheses, followed by a quasi-experimental study; the programme was concluded by a major national survey which showed progression in terms of its complex sampling method, with resulting national applicability of the findings. Further analyses of the national data after completion of the programme are included and can be regarded as another stage in the progression.

Over the period of the programme a variety of data collecting instruments were designed; they include interviewing schedules, postal questionnaires, diaries and several versions of instruments for the recording of district nurses' activities. The development of the most advanced and sophisticated of these instruments is described in detail, showing its use and potential.

It is contended that a long-term programmatic approach is necessary if empirical research findings are to be helpful for the formulation and implementation of policy. A conceptual model demonstrating this contention is offered.

A research approach, which is not formatted within a specific academic discipline and not guided by a specific academic theory is defended. It is submitted that it is legitimate and helpful to use established theory, or a principle within a theory, to explain empirical findings. Criteria for such a use are provided. Through the conceptualisation of factors known to be related to the type of care provided by district nurses, suggestions for further research are made. A long-term cohesive and preferably multi-disciplinary approach is advocated.

A review of the literature covering a 25-year period is included, as well as a chronologically ordered bibliography which adds a historical dimension to the research programme.

Publication Type:	Thesis (Doctoral)
Subjects:	H Social Sciences R Medicine > RA Public aspects of medicine R Medicine > RT Nursing
Departments:	Doctoral Theses Doctoral Theses > School of Arts and Social Sciences Doctoral Theses

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