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Discourses & Power In Community Engagement [Amy Nimegeer]

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Discourses & Power In Community Engagement [Amy Nimegeer]

  1. 1. UHI Millennium Institute and The University of Aberdeen working in partnership “I don’t speak for everyone, but..” Discourses and Power in Community Engagement Amy Nimegeer – PhD Candidate
  2. 2. UHI Millennium Institute and The University of Aberdeen working in partnership • Context • Research Questions • Research Process • Answering the third research question
  3. 3. UHI Millennium Institute and The University of Aberdeen working in partnership Context • Rural areas face unique challenges • Changing disease/treatment profile • Rural services changing, often with retiral of a key health care professional • Rise of community engagement/co-planning as a policy priority • Previous engagement by NHS patchy, reactive, problem based • Guidance on engagement is not rural-specific
  4. 4. UHI Millennium Institute and The University of Aberdeen working in partnership Research Questions 1. What are the most appropriate methods for engaging with remote and rural Scottish communities for health care service design? 2. Does this ‘ideal’ methodology work in context? 3. What are power relations like within a particular stakeholder group and how does this affect engagement?
  5. 5. UHI Millennium Institute and The University of Aberdeen working in partnership Research Process Research Q1 Literature Review Research Q2 Action Research Project Research Q3 Participant Observation and Foucauldian Discourse Analysis
  6. 6. UHI Millennium Institute and The University of Aberdeen working in partnership Discourse and Power Literature states that community engagement is, at heart, about dialogue and power... • Community engagement literature/theory: Dichotomous power struggle whose ultimate aim is to transfer power from one homogenous group to another (rings false?) • Foucauldian theory: that ‘truth’ is not fixed but is a construction of interpretations that are believed to be true, therefore the discourses people use can illustrate the power relations at work in a particular context • Discourse: grouping of codified linguistic usages attached to a type of social practices or way of thinking. Allows you to ‘create’ your truth..i.e. “terrorists” or “freedom fighters”
  7. 7. UHI Millennium Institute and The University of Aberdeen working in partnership Research Question 3 What are power relations like within a particular stakeholder group and how does this affect engagement? Aim: to highlight the complexities of power relations within and between groups and consider how this could be complicating engagement activities.
  8. 8. UHI Millennium Institute and The University of Aberdeen working in partnership Ageing demographic (population and workforce) Services often fragile and linked to social capital Mistrust and confrontation between communities and NHS Structures not always in place to allow managers to co- plan services Discourse Analysis • Participant observation highlighted different power dynamics in community – discourse analysis one step further • Method of analysis based on linguistics, sociology, social psychology that can be applied to any text •A step by step process of identifying individual discourses in the text (i.e. Medical discourse, rational, familial, etc) looking at when and how they are used and comparing and contrasting between the different texts (e.g. Using medical discourse to ‘legitimise’ statements) • Next step is to apply this technique of analysis to selection of texts including interview transcripts and website text
  9. 9. UHI Millennium Institute and The University of Aberdeen working in partnership Questions? Supervisors: Dr. Mags Currie UHI, Centre for Rural Health Dr Rachel Tearse UHI, Lews Castle College Dr Elizabeth Thomson University of Aberdeen Amy Nimegeer amy.nimegeer@uhi.ac.uk
  10. 10. UHI Millennium Institute and The University of Aberdeen working in partnership Questions? Supervisors: Dr. Mags Currie UHI, Centre for Rural Health Dr Rachel Tearse UHI, Lews Castle College Dr Elizabeth Thomson University of Aberdeen Amy Nimegeer amy.nimegeer@uhi.ac.uk

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