scholarly journals Critical Discourse Analysis Perspective on Norwegian Public Health Nursing Curriculum in a Time of Transition

Author(s):  
Berit Misund Dahl
2021 ◽  
Vol 11 (7) ◽  
pp. 32
Author(s):  
Ranjit Dhari ◽  
Maura MacPhee ◽  
Matthew Pixton

This paper describes the use of social pediatrics in one baccalaureate nursing curriculum. Social pediatrics is a conceptual model that considers health as physical health and the social determinants of health. Social pediatrics focuses on community-based primary healthcare services for at-risk children and their families. The social pediatrics model is used by community early childhood education StrongStart sites in one Canadian province; these sites are collaborations between early childhood educators and public health nursing teams for children from infancy through five years of age. Acute care clinical placements are becoming too complex and limited in number to accommodate large undergraduate nursing cohorts. Our undergraduate nursing program recently shifted acute care pediatric placements to StrongStart sites, combining community pediatric and public health nursing learning objectives and learning activities that foreground social pediatrics. The acute care component of pediatric nursing includes classroom theory, clinical laboratory and virtual simulations. This paper describes social pediatrics integration within our undergraduate curriculum between 2018-2019; and a qualitative evaluation of our social pediatrics approach in 2019-2020. We used content analysis to identify common themes from interviews with key actors, including students’ clinical instructors, StrongStart sites’ early childhood educators and managers, and public health nurse managers affiliated with StrongStart sites. Common themes were related to social pediatrics learning opportunities and drawbacks; social pediatrics knowledge, skills and attitudes; and recommendations for curriculum enhancement.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Daniel Weiss

Abstract Background As research increasingly investigates the impacts of technological innovations in health on social inequalities, political discourse often promotes development and adoption, limiting an understanding of unintended consequences. This study aimed to investigate national public health policy discourse focusing on innovative health technology and social inequalities, from a Norwegian context. Methods The analysis relies on a perspective inspired by critical discourse analysis using central State documents typically influential in the lawmaking procedure. Results The results and discussion focus on three major discourse strands: 1) ‘technologies discourse’ (types of technologies), 2) ‘responsibility discourse’ (who has responsibility for health and technology), 3) ‘legitimization discourse’ (how technologies are legitimized). Conclusions Results suggest that despite an overt political imperative for reducing social inequalities, the Norwegian national discourse gives little attention to the potential for these innovations to unintentionally (re) produce social inequalities. Instead, it is characterized by neoliberal undertones, individualizing and commercializing public health and promoting pro-innovation ideology.


2018 ◽  
Vol 45 (2) ◽  
pp. 107-126 ◽  
Author(s):  
Susan Calnan ◽  
Martin P. Davoren ◽  
Ivan J. Perry ◽  
Órla O’Donovan

The proposal to introduce a Public Health (Alcohol) Bill marks a significant development in Ireland’s alcohol policymaking landscape. While the Bill has generated support from public health advocates, it has also raised considerable opposition, particularly from industry. This analysis aims to examine the debate around this Bill using the theoretical framework of critical discourse analysis and applying Carol Bacchi’s What’s the Problem Represented To Be critical mode of analysis. A key objective is to analyze the current prevailing representations of alcohol and its regulation in Ireland but also to consider what they reveal about the underlying governing rationality in relation to alcohol regulation. In particular, it questions whether the Bill signals a shift in the official governing rationality regarding alcohol regulation. The analysis illustrates how alcohol is problematized in markedly different ways in the debates and how such debates are often underpinned by multifaceted elements. Despite such differences, it argues that there are still signs of a neoliberal rhetoric emerging within the public health discourses, raising a question over whether the Bill and its supporting discourses signal a paradigmatic shift or are more indicative of a policy embracing hybrid forms of rule.


2021 ◽  
pp. 104973232110275
Author(s):  
Gavin Brookes

In response to the heightened risk that coronavirus disease 2019 (COVID-19) poses to the health and lives of people with obesity, in 2020 the U.K. government launched a new package of policies intended to stimulate weight loss among the country’s population. In this article, I present a critical discourse analysis of the policy paper which announced these new measures. I identify the discourses that are used to represent things, people, and processes in this policy text. These discourses are interpreted in terms of broadly neoliberal ideologies of public health management. Taken together, the discourses identified contribute to a broadly neoliberal ideology of public health management. It is argued that the policy paper represents an instance of “lifestyle drift,” as it initially appears to engage with social and economic determinants of health but ultimately neglects these in favor of focusing on individual lifestyle factors, particularly in the shape of individuals’ “choices.”


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