title: Memory and History and William Morris’s Medievalism

authors: Ullal, Kathleen

subjects: subjectivity

abstract: Memory and history are at the core of the human condition. A deep concern for the human condition is at the heart of the work and ideas of the Victorian polymath William Morris. Morris abhorred the degraded state he believed to exist for so many in his own society and he worked long and hard for the greater part of his life to help create a more egalitarian world. This thesis explores the centrality of memory and history in three important works from the beginning, middle and end of Morris’s career. Its purpose is to show that in Morris’s persistent return to these themes he was seeking a new ontological awareness, one that might be generated from an exploration, through his literary art, of the social phenomena that shape memory and history, and thereby our lives. Such an awareness might lead to an identification of the changes that might make possible his egalitarian vision of all people living a life of enrichment rather than one shaped by the impoverishment he deemed existed for so many. I consider too the importance of his changing choice of literary genre in working towards that goal. Informing the thesis overall is Morris’s intense love of the Middle Ages, such that his medievalism is central to understanding how and why his works still resonate and engage with individuals and social structures in the twenty-first century.

text: Memory and History and William Morris’s Medievalism Memory and history are at the core of the human condition. A deep concern for the human condition is at the heart of the work and ideas of the Victorian polymath William Morris. Morris abhorred the degraded state he believed to exist for so many in his own society and he worked long and hard for the greater part of his life to help create a more egalitarian world. This thesis explores the centrality of memory and history in three important works from the beginning, middle and end of Morris’s career. Its purpose is to show that in Morris’s persistent return to these themes he was seeking a new ontological awareness, one that might be generated from an exploration, through his literary art, of the social phenomena that shape memory and history, and thereby our lives. Such an awareness might lead to an identification of the changes that might make possible his egalitarian vision of all people living a life of enrichment rather than one shaped by the impoverishment he deemed existed for so many. I consider too the importance of his changing choice of literary genre in working towards that goal. Informing the thesis overall is Morris’s intense love of the Middle Ages, such that his medievalism is central to understanding how and why his works still resonate and engage with individuals and social structures in the twenty-first century.

year: 2010

title: Evidence-based practice in Interventional Radiology: A mixed methods study exploring how evidence is incorporated into practice with a particular focus on blood glucose requirements for vascular patients with peripheral artery disease undergoing peripheral angioplasty.

authors: Linton, Delia Rose

abstract: Background: Evidence-based practice was established to align patient care with the best available evidence.  At Waikato Hospital, vascular patients undergoing peripheral angioplasty are required to have a pre-procedural blood glucose level of less than 11 mmol/L.  However, there is no guideline outlining this requirement or the underlying evidence supporting this criterion, the absence of which has led to confusion amongst staff.  This research project seeks to explore how evidence for pre-procedural blood glucose requirements for vascular patients undergoing peripheral angioplasty is incorporated into practice and how the evidence is disseminated to relevant services.
Participants: The quantitative phase reviewed the clinical records of vascular patients (n=93) who had undergone a peripheral angioplasty in the 2022 – 2023 calendar year.  Due to incomplete datasets, a total of 50 patient clinical records were included in analysis.  The qualitative phase involved interviews with health professionals (n=9) involved in the care of vascular patients undergoing peripheral angioplasty.  
Methods: This mixed-methods two-phase research project involved an initial retrospective clinical records audit of vascular patients diagnosed with diabetes mellitus who had undergone a peripheral angioplasty in the 2022 – 2023 calendar year.  A regression analysis was undertaken to determine the correlation between the change in creatinine levels and (i) patient diagnoses and (ii) pre-procedural blood glucose levels.  Qualitative data were gathered through semi-structured interviews with health professionals.  These interviews were analysed using a general inductive method of inquiry to identify key overarching themes. 
Findings: There was no observed statistically significant association using ANOVA between the change in creatinine levels and patient diagnoses (p=0.31) or pre-procedural blood glucose levels in vascular patients following a peripheral angioplasty (p=0.14).  Although a one-unit increase in pre-procedural blood glucose levels was observed to result in an associated increase of 3.5 mg/dL in creatinine levels, this was not statistically significant (p=0.25).  Analysis of the qualitative interview data from interviews with health professionals produced three themes relating to the implementation of evidence-based practice: (i) Dissemination of evidence; (ii) Balancing practicality with evidence in healthcare delivery; and (iii) Enhancing evidence-based practice in clinical contexts.        
Conclusion: Although the research reported a relationship between raised pre-procedure blood glucose and creatinine levels, it was not statistically significant.  More meaningful results arose, however, from the stakeholder interviews, which indicated a lack of communication and support around the rationale for the pre-procedural blood glucose cut-off value.  It appeared that such miscommunication would be absent through the investment into staff education and the development of a clinical guideline.

text: Evidence-based practice in Interventional Radiology: A mixed methods study exploring how evidence is incorporated into practice with a particular focus on blood glucose requirements for vascular patients with peripheral artery disease undergoing peripheral angioplasty. Background: Evidence-based practice was established to align patient care with the best available evidence.  At Waikato Hospital, vascular patients undergoing peripheral angioplasty are required to have a pre-procedural blood glucose level of less than 11 mmol/L.  However, there is no guideline outlining this requirement or the underlying evidence supporting this criterion, the absence of which has led to confusion amongst staff.  This research project seeks to explore how evidence for pre-procedural blood glucose requirements for vascular patients undergoing peripheral angioplasty is incorporated into practice and how the evidence is disseminated to relevant services.
Participants: The quantitative phase reviewed the clinical records of vascular patients (n=93) who had undergone a peripheral angioplasty in the 2022 – 2023 calendar year.  Due to incomplete datasets, a total of 50 patient clinical records were included in analysis.  The qualitative phase involved interviews with health professionals (n=9) involved in the care of vascular patients undergoing peripheral angioplasty.  
Methods: This mixed-methods two-phase research project involved an initial retrospective clinical records audit of vascular patients diagnosed with diabetes mellitus who had undergone a peripheral angioplasty in the 2022 – 2023 calendar year.  A regression analysis was undertaken to determine the correlation between the change in creatinine levels and (i) patient diagnoses and (ii) pre-procedural blood glucose levels.  Qualitative data were gathered through semi-structured interviews with health professionals.  These interviews were analysed using a general inductive method of inquiry to identify key overarching themes. 
Findings: There was no observed statistically significant association using ANOVA between the change in creatinine levels and patient diagnoses (p=0.31) or pre-procedural blood glucose levels in vascular patients following a peripheral angioplasty (p=0.14).  Although a one-unit increase in pre-procedural blood glucose levels was observed to result in an associated increase of 3.5 mg/dL in creatinine levels, this was not statistically significant (p=0.25).  Analysis of the qualitative interview data from interviews with health professionals produced three themes relating to the implementation of evidence-based practice: (i) Dissemination of evidence; (ii) Balancing practicality with evidence in healthcare delivery; and (iii) Enhancing evidence-based practice in clinical contexts.        
Conclusion: Although the research reported a relationship between raised pre-procedure blood glucose and creatinine levels, it was not statistically significant.  More meaningful results arose, however, from the stakeholder interviews, which indicated a lack of communication and support around the rationale for the pre-procedural blood glucose cut-off value.  It appeared that such miscommunication would be absent through the investment into staff education and the development of a clinical guideline.

year: 2023

title: Supervision as cultural partnership: Contributions to dialogue

authors: Crocket, Kathie

abstract: The term cultural supervision has been coined as part of a strategy that implicates supervision in the support and development of culturally appropriate therapeutic practice. In Aotearoa New Zealand particular focus has been given to supervision where the client is Māori and the practitioner is a member of the dominant Pākehā culture particularly, or of other non-Māori cultures. However, while the phrase cultural supervision has entered common professional parlance, the practice has had little research attention in counselling/psychotherapy in New Zealand. Cultural supervision appears to encompass a range of understandings, and there is no clear agreement about practice implications. It is unclear what alignment there is between aspirations, regulations, and practice. This article reports on an exploratory qualitative study that investigated how supervision might work in supporting culturally appropriate counselling practice in Aotearoa New Zealand. The study’s findings are presented as a multi-voiced dialogue. This arts-based representational practice enacts the uncertainties of post-colonial experience. Its intention is to make assumptions, ideas, and practices available for discussion. Its contribution is to join current dialogue about supervision and culture, and to raise further questions about how supervision and culturally appropriate practice come together.

text: Supervision as cultural partnership: Contributions to dialogue The term cultural supervision has been coined as part of a strategy that implicates supervision in the support and development of culturally appropriate therapeutic practice. In Aotearoa New Zealand particular focus has been given to supervision where the client is Māori and the practitioner is a member of the dominant Pākehā culture particularly, or of other non-Māori cultures. However, while the phrase cultural supervision has entered common professional parlance, the practice has had little research attention in counselling/psychotherapy in New Zealand. Cultural supervision appears to encompass a range of understandings, and there is no clear agreement about practice implications. It is unclear what alignment there is between aspirations, regulations, and practice. This article reports on an exploratory qualitative study that investigated how supervision might work in supporting culturally appropriate counselling practice in Aotearoa New Zealand. The study’s findings are presented as a multi-voiced dialogue. This arts-based representational practice enacts the uncertainties of post-colonial experience. Its intention is to make assumptions, ideas, and practices available for discussion. Its contribution is to join current dialogue about supervision and culture, and to raise further questions about how supervision and culturally appropriate practice come together.

year: 2015