Gray Brunton - Academia.edu (original) (raw)
Papers by Gray Brunton
This case study introduces the reader to Foucauldian discourse analysis (FDA) as applied to a cro... more This case study introduces the reader to Foucauldian discourse analysis (FDA) as applied to a cross-cultural project around young women’s constructions of the Human Papillomavirus (HPV) vaccine. We introduce common qualitative research approaches in psychology. We discuss two main types of Discourse Analysis in psychology and why a Foucauldian discourse analysis was adopted here. In this case we examine examples of our data according to Carla Willig’s (2008) approach to Foucauldian discourse analysis using six stages: discursive constructions, discourses, action orientation, positionings, practice and subjectivity. Finally, we consider the main limits and strengths with a Foucauldian discourse analysis
The European health psychologist, 2016
Background: Public vaccinations rely on individual acceptance and uptake. The Human Papilloma Vir... more Background: Public vaccinations rely on individual acceptance and uptake. The Human Papilloma Virus (HPV) vaccine was introduced internationally to protect against common strands of the HPV virus which can lead to cervical cancer, and other male cancers. Preadolescent females are primarily targeted by vaccine campaigns, although some countries have included males. Ethnicity, intellectual disability and gender remain unexplored in the HPV literature. Qualitative, critical discursive methodologies are underutilised in public health psychology and can provide rich socio-cultural understandings around vaccine ambivalence. This paper presents methodological insights around the contributions of a qualitative, critical discursive methodology for understandings around the HPV vaccine by marginalised groups. Method: Critical discursive psychology informed the design and analysis for a larger study which focused on young people’s (aged 16-26) constructions of the HPV vaccine in Scotland. Youn...
The European health psychologist, 2016
Background: The Human Papilloma Virus (HPV) Vaccine was introduced internationally in order to pr... more Background: The Human Papilloma Virus (HPV) Vaccine was introduced internationally in order to provide a vaccine against common strands of the HPV virus which is implicated in cervical and other cancers. Substantial literature explores attitudes and meanings of young people towards HPV vaccination. Young people with an intellectual disability, however, have been absent and are neglected within sexual health literature generally, despite being sexually active. Recent vaccine debates in the UK centre on decisions about expanding the HPV vaccine to include boys in the schedule and thus it is important to include young men’s perspectives. The aim of this study was to explore how young men with intellectual disabilities construct meanings around HPV and the HPV vaccine. Methods: Three qualitative focus group discussions utilising activity-oriented questions were conducted to explore meanings around the HPV virus and HPV vaccine amongst young men with intellectual disabilities aged 16-22 ...
European Journal of Public Health, 2016
European Journal of Public Health, 2016
Background: Parental decision-making for childhood and adolescent vaccination is complex and heal... more Background: Parental decision-making for childhood and adolescent vaccination is complex and health literacy is important. The aim of this study was to explore health literacy for vaccination in relation to previous vaccine scares and newly introduced vaccines. Methods: Qualitative interviews and focus group discussions elicited the views and experiences of health staff and service users for the delivery of one previously controversial vaccine, the Measles, Mumps and Rubella (MMR) vaccine and two newly introduced vaccines, the Human Papilloma Virus (HPV) and Influenzae A (H1N1) vaccines. Thematic analysis was used to analyse the data. Findings: Three key themes were identified: vaccine anxieties which were carefully negotiated for specific vaccines, limits with public engagement with vaccines and the undermining of trust. Discussion: Health literacy and empowerment was compromised for informed decision-making in vaccination. Public health psychological contributions for improving health literacy are suggested through improved consultation, consent and support of frontline staff.
Journal of Clinical Nursing, 2015
Aims and objectives. To evaluate the introduction of Advanced Nurse Practitioners in a specialist... more Aims and objectives. To evaluate the introduction of Advanced Nurse Practitioners in a specialist, multi-professional palliative care context. The objective is to explore the core domains and competencies of the advanced nurse practitioner role in a multi-professional palliative care context. Background. New models of health care and service delivery are emerging alongside expanded levels of autonomy, skills and decision-making for nurses and midwives. This has resulted in some confusion in the health service community internationally about the professional role and scope of the advanced nurse practitioner. Design. A qualitative evaluation study (n = 21). Methods. Three phases of data collection were conducted over 10 months. Twenty-one participants took part from a specialist palliative care unit in one health board in a UK region spanning ANPs (n = 2) multi-professional staff (n = 14) and patients/carers (n = 5). Data collection methods included individual and focus group interviews with key stakeholders and observation of the advanced nurse practitioners at work and their reflexive diaries. Results. The findings of this evaluation demonstrate that if the advanced nurse practitioner role can flourish it has the potential to shape 'new identities', reconstruct the boundaries of nursing roles and emphasise the relationship based elements of excellent nursing work. Conclusions. The advanced nurse practitioner has the potential to enhance specialist palliative care service delivery through fluid role boundaries. The context in which advanced nurse practitioner roles are developed is important as acceptance of the role is linked to the co-construction of a different nursing identity. Our findings support the need to define, defend and name the work of advanced nursing roles. Relevance to clinical practice. The advanced nurse practitioner roles were regarded as providing a unique contribution to service delivery and were characterised by fluid role boundaries which crossed the traditional disciplinary boundaries between nursing and medicine.
Current HIV Research, 2015
The Human Papilloma Virus (HPV) is the most common sexually transmitted infection (STI) and can c... more The Human Papilloma Virus (HPV) is the most common sexually transmitted infection (STI) and can cause cervical cancer. Two vaccines are available to protect against the most common strands of the virus. Vaccination programs differ across Europe but most neglect young adults, who are the group with the highest risk of contracting STIs. Our aim was to explore the views of young women about the HPV vaccine communication strategy from four European countriesScotland, Spain, Serbia, and Bulgaria. These countries are characterized by different cervical cancer prevalence and vaccine implementation policies. We conducted focus group discussions with young women (aged 18-26) with various vaccination histories in a purposive sample. We subjected the data to thematic analysis with the purpose of identifying themes related to communication about the HPV vaccine. We recorded the information sources mentioned by participants. Participants discussed numerous sources of vaccine-related information. They approached information critically rather than naively and questioned the sources' trustworthiness and motives. Participants desired transparent information about the risks of the virus and the risks and benefits of the vaccine. These risks and benefits were individualized in view of personal and external factors. Particular aspects of the vaccine and the way information was communicated resulted in feelings of uncertainty. There were notable cross-cultural differences in experiences with HPV vaccine communication. Our results suggest that transparent risk communication about the HPV vaccine is valued by young women. In addition, both individual and culturally-dependent factors influenced experiences with, and preference for, information.
BMJ supportive & palliative care, 2014
To ensure patients and families receive appropriate end-of-life care pathways and guidelines aim ... more To ensure patients and families receive appropriate end-of-life care pathways and guidelines aim to inform clinical decision making. Ensuring appropriate outcomes through the use of these decision aids is dependent on timely use. Diagnosing dying is a complex clinical decision, and most of the available practice checklists relate to cancer. There is a need to review evidence to establish diagnostic indicators that death is imminent on the basis of need rather than a cancer diagnosis. To examine the evidence as to how patients are judged by clinicians as being in the final hours or days of life. Integrative literature review. Five electronic databases (2001-2011): Cochrane Central Register of Controlled Trials (CENTRAL) on The Cochrane Library, MEDLINE, EMBASE, PsycINFO and CINAHL. The search yielded a total of 576 hits, 331 titles and abstracts were screened, 42 papers were retrieved and reviewed and 23 articles were included. Analysis reveals an overarching theme of uncertainty in ...
Psychology & …, 2012
Background: Cervical cancer remains one of the most prevalent cancers in the world. The HPV (Huma... more Background: Cervical cancer remains one of the most prevalent cancers in the world. The HPV (Human Papilloma Virus) Vaccine was introduced for prevention against infection against common strands of the HPV virus. The aim of this study was to explore young ...
# Edinburgh Napier University. Home. INSPIRING FUTURES. ...
Background: Changes within community nursing in the United Kingdom have been recently debated. A ... more Background: Changes within community nursing in the United Kingdom have been recently debated. A sociological understanding about 'boundary work'in professional disciplines is informative for understandings about proposed new roles in community nursing. Recently, ...
# Edinburgh Napier University. Home. INSPIRING FUTURES. ...
Following international trends, increasing adoption of Advanced Nurse Practitioners (ANPs) have o... more Following international trends, increasing adoption of Advanced Nurse Practitioners (ANPs) have occurred in the United Kingdom (UK) in the face of economic drives towards cost-effectiveness and changes to the regulation of workforce such as junior doctors. However, ...
Critical approaches to change management theories challenge assumptions that change in organisati... more Critical approaches to change management theories challenge assumptions that change in organisations is a linear and progressive process. Changes within community nursing in the UK have been subject to debate in recent years in the UK. Sociological insights about ' ...
Psychology and Health, 2010
Objective: The objective of the study was to explore how discourses of risk and responsibility we... more Objective: The objective of the study was to explore how discourses of risk and responsibility were represented in parental talk about childhood vaccinations from one health area in Scotland. Methods: Qualitative methods were adopted to explore the discursive ...
Psychology and Health, 2011
Background: The objective was to explore the challenges for health professionals in delivering co... more Background: The objective was to explore the challenges for health professionals in delivering controversial vaccines, the Measles, Mumps and Rubella (MMR) vaccine, and newly introduced vaccines, the Human Papillomavirus (HPV) and Influenzae H1N1 ...
Background: This paper reports findings from a qualitative study which explored the role of the h... more Background: This paper reports findings from a qualitative study which explored the role of the health professional in the delivery of childhood vaccinations, particularly previously controversial vaccines and newly introduced vaccines.'Emotional labour'in nursing¹ ...
Background: Childhood immunisation is an important public health issue which protects against inf... more Background: Childhood immunisation is an important public health issue which protects against infectious diseases. Uptake of vaccines is complex in the literature with various barriers and facilitating influences implicated. These influences have been variously ...
This case study introduces the reader to Foucauldian discourse analysis (FDA) as applied to a cro... more This case study introduces the reader to Foucauldian discourse analysis (FDA) as applied to a cross-cultural project around young women’s constructions of the Human Papillomavirus (HPV) vaccine. We introduce common qualitative research approaches in psychology. We discuss two main types of Discourse Analysis in psychology and why a Foucauldian discourse analysis was adopted here. In this case we examine examples of our data according to Carla Willig’s (2008) approach to Foucauldian discourse analysis using six stages: discursive constructions, discourses, action orientation, positionings, practice and subjectivity. Finally, we consider the main limits and strengths with a Foucauldian discourse analysis
The European health psychologist, 2016
Background: Public vaccinations rely on individual acceptance and uptake. The Human Papilloma Vir... more Background: Public vaccinations rely on individual acceptance and uptake. The Human Papilloma Virus (HPV) vaccine was introduced internationally to protect against common strands of the HPV virus which can lead to cervical cancer, and other male cancers. Preadolescent females are primarily targeted by vaccine campaigns, although some countries have included males. Ethnicity, intellectual disability and gender remain unexplored in the HPV literature. Qualitative, critical discursive methodologies are underutilised in public health psychology and can provide rich socio-cultural understandings around vaccine ambivalence. This paper presents methodological insights around the contributions of a qualitative, critical discursive methodology for understandings around the HPV vaccine by marginalised groups. Method: Critical discursive psychology informed the design and analysis for a larger study which focused on young people’s (aged 16-26) constructions of the HPV vaccine in Scotland. Youn...
The European health psychologist, 2016
Background: The Human Papilloma Virus (HPV) Vaccine was introduced internationally in order to pr... more Background: The Human Papilloma Virus (HPV) Vaccine was introduced internationally in order to provide a vaccine against common strands of the HPV virus which is implicated in cervical and other cancers. Substantial literature explores attitudes and meanings of young people towards HPV vaccination. Young people with an intellectual disability, however, have been absent and are neglected within sexual health literature generally, despite being sexually active. Recent vaccine debates in the UK centre on decisions about expanding the HPV vaccine to include boys in the schedule and thus it is important to include young men’s perspectives. The aim of this study was to explore how young men with intellectual disabilities construct meanings around HPV and the HPV vaccine. Methods: Three qualitative focus group discussions utilising activity-oriented questions were conducted to explore meanings around the HPV virus and HPV vaccine amongst young men with intellectual disabilities aged 16-22 ...
European Journal of Public Health, 2016
European Journal of Public Health, 2016
Background: Parental decision-making for childhood and adolescent vaccination is complex and heal... more Background: Parental decision-making for childhood and adolescent vaccination is complex and health literacy is important. The aim of this study was to explore health literacy for vaccination in relation to previous vaccine scares and newly introduced vaccines. Methods: Qualitative interviews and focus group discussions elicited the views and experiences of health staff and service users for the delivery of one previously controversial vaccine, the Measles, Mumps and Rubella (MMR) vaccine and two newly introduced vaccines, the Human Papilloma Virus (HPV) and Influenzae A (H1N1) vaccines. Thematic analysis was used to analyse the data. Findings: Three key themes were identified: vaccine anxieties which were carefully negotiated for specific vaccines, limits with public engagement with vaccines and the undermining of trust. Discussion: Health literacy and empowerment was compromised for informed decision-making in vaccination. Public health psychological contributions for improving health literacy are suggested through improved consultation, consent and support of frontline staff.
Journal of Clinical Nursing, 2015
Aims and objectives. To evaluate the introduction of Advanced Nurse Practitioners in a specialist... more Aims and objectives. To evaluate the introduction of Advanced Nurse Practitioners in a specialist, multi-professional palliative care context. The objective is to explore the core domains and competencies of the advanced nurse practitioner role in a multi-professional palliative care context. Background. New models of health care and service delivery are emerging alongside expanded levels of autonomy, skills and decision-making for nurses and midwives. This has resulted in some confusion in the health service community internationally about the professional role and scope of the advanced nurse practitioner. Design. A qualitative evaluation study (n = 21). Methods. Three phases of data collection were conducted over 10 months. Twenty-one participants took part from a specialist palliative care unit in one health board in a UK region spanning ANPs (n = 2) multi-professional staff (n = 14) and patients/carers (n = 5). Data collection methods included individual and focus group interviews with key stakeholders and observation of the advanced nurse practitioners at work and their reflexive diaries. Results. The findings of this evaluation demonstrate that if the advanced nurse practitioner role can flourish it has the potential to shape 'new identities', reconstruct the boundaries of nursing roles and emphasise the relationship based elements of excellent nursing work. Conclusions. The advanced nurse practitioner has the potential to enhance specialist palliative care service delivery through fluid role boundaries. The context in which advanced nurse practitioner roles are developed is important as acceptance of the role is linked to the co-construction of a different nursing identity. Our findings support the need to define, defend and name the work of advanced nursing roles. Relevance to clinical practice. The advanced nurse practitioner roles were regarded as providing a unique contribution to service delivery and were characterised by fluid role boundaries which crossed the traditional disciplinary boundaries between nursing and medicine.
Current HIV Research, 2015
The Human Papilloma Virus (HPV) is the most common sexually transmitted infection (STI) and can c... more The Human Papilloma Virus (HPV) is the most common sexually transmitted infection (STI) and can cause cervical cancer. Two vaccines are available to protect against the most common strands of the virus. Vaccination programs differ across Europe but most neglect young adults, who are the group with the highest risk of contracting STIs. Our aim was to explore the views of young women about the HPV vaccine communication strategy from four European countriesScotland, Spain, Serbia, and Bulgaria. These countries are characterized by different cervical cancer prevalence and vaccine implementation policies. We conducted focus group discussions with young women (aged 18-26) with various vaccination histories in a purposive sample. We subjected the data to thematic analysis with the purpose of identifying themes related to communication about the HPV vaccine. We recorded the information sources mentioned by participants. Participants discussed numerous sources of vaccine-related information. They approached information critically rather than naively and questioned the sources' trustworthiness and motives. Participants desired transparent information about the risks of the virus and the risks and benefits of the vaccine. These risks and benefits were individualized in view of personal and external factors. Particular aspects of the vaccine and the way information was communicated resulted in feelings of uncertainty. There were notable cross-cultural differences in experiences with HPV vaccine communication. Our results suggest that transparent risk communication about the HPV vaccine is valued by young women. In addition, both individual and culturally-dependent factors influenced experiences with, and preference for, information.
BMJ supportive & palliative care, 2014
To ensure patients and families receive appropriate end-of-life care pathways and guidelines aim ... more To ensure patients and families receive appropriate end-of-life care pathways and guidelines aim to inform clinical decision making. Ensuring appropriate outcomes through the use of these decision aids is dependent on timely use. Diagnosing dying is a complex clinical decision, and most of the available practice checklists relate to cancer. There is a need to review evidence to establish diagnostic indicators that death is imminent on the basis of need rather than a cancer diagnosis. To examine the evidence as to how patients are judged by clinicians as being in the final hours or days of life. Integrative literature review. Five electronic databases (2001-2011): Cochrane Central Register of Controlled Trials (CENTRAL) on The Cochrane Library, MEDLINE, EMBASE, PsycINFO and CINAHL. The search yielded a total of 576 hits, 331 titles and abstracts were screened, 42 papers were retrieved and reviewed and 23 articles were included. Analysis reveals an overarching theme of uncertainty in ...
Psychology & …, 2012
Background: Cervical cancer remains one of the most prevalent cancers in the world. The HPV (Huma... more Background: Cervical cancer remains one of the most prevalent cancers in the world. The HPV (Human Papilloma Virus) Vaccine was introduced for prevention against infection against common strands of the HPV virus. The aim of this study was to explore young ...
# Edinburgh Napier University. Home. INSPIRING FUTURES. ...
Background: Changes within community nursing in the United Kingdom have been recently debated. A ... more Background: Changes within community nursing in the United Kingdom have been recently debated. A sociological understanding about 'boundary work'in professional disciplines is informative for understandings about proposed new roles in community nursing. Recently, ...
# Edinburgh Napier University. Home. INSPIRING FUTURES. ...
Following international trends, increasing adoption of Advanced Nurse Practitioners (ANPs) have o... more Following international trends, increasing adoption of Advanced Nurse Practitioners (ANPs) have occurred in the United Kingdom (UK) in the face of economic drives towards cost-effectiveness and changes to the regulation of workforce such as junior doctors. However, ...
Critical approaches to change management theories challenge assumptions that change in organisati... more Critical approaches to change management theories challenge assumptions that change in organisations is a linear and progressive process. Changes within community nursing in the UK have been subject to debate in recent years in the UK. Sociological insights about ' ...
Psychology and Health, 2010
Objective: The objective of the study was to explore how discourses of risk and responsibility we... more Objective: The objective of the study was to explore how discourses of risk and responsibility were represented in parental talk about childhood vaccinations from one health area in Scotland. Methods: Qualitative methods were adopted to explore the discursive ...
Psychology and Health, 2011
Background: The objective was to explore the challenges for health professionals in delivering co... more Background: The objective was to explore the challenges for health professionals in delivering controversial vaccines, the Measles, Mumps and Rubella (MMR) vaccine, and newly introduced vaccines, the Human Papillomavirus (HPV) and Influenzae H1N1 ...
Background: This paper reports findings from a qualitative study which explored the role of the h... more Background: This paper reports findings from a qualitative study which explored the role of the health professional in the delivery of childhood vaccinations, particularly previously controversial vaccines and newly introduced vaccines.'Emotional labour'in nursing¹ ...
Background: Childhood immunisation is an important public health issue which protects against inf... more Background: Childhood immunisation is an important public health issue which protects against infectious diseases. Uptake of vaccines is complex in the literature with various barriers and facilitating influences implicated. These influences have been variously ...