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Title THE SOCIAL ORGANIZATION OF SCHOOL HEALTH SUPPORT SERVICES FOR CHILDREN WITH DIABETES IN ONTARIO SCHOOLS: AN INSTITUTIONAL ETHNOGRAPHY
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Publication Date
Date Available
Degree PhD
Degree Level doctoral
University/Publisher McMaster University
Abstract This thesis is an institutional ethnography (IE) examining the social organization of Community Care Access Centre School Health Support Services (CCAC SHSS) for children with diabetes in Ontario schools. More specifically, it explicates the social relations embedded in, and coordinating the work organization of mothering (parenting) and nursing in the school setting. The inquiry begins in my personal experience as a mother of a child with diabetes starting kindergarten, and the troubles I encountered in getting the care and attention needed to keep my child safe at school. Starting from experience, a place outside of theory and institutionalized categories and discourse, I set out on a journey to discover the social organization that coordinates my experience, and to seek answers to my query: how are school health supports put together in such a way that I, as a parent, am left feeling worried about my child’s safety when she is at school, have had to fight to secure the much needed ‘diabetes care’, and even then, am often called upon to provide voluntary supplementary healthcare work to ensure her safety at school? I have structured this thesis into two main parts. The first part provides the set-up for this thesis. First, I orient readers to this distinctive way of doing an IE, directing their attention to how I used the core IE concepts in this research and calling upon them to read the remainder of the thesis taking up this distinctive theoretical and conceptual lens. Indeed, what we know and how we know it has much to do with how knowledge is socially organized. Then, I go on to examine the different ways of knowing about ‘diabetes care’, how these distinctive ways of knowing create a disjuncture for me as a parent and how this disjuncture is used to establish the research standpoint to begin and direct the explication. The last chapter in this part situates health supports for children with diabetes within the services provided by public-funded home care. I sketch three decades of the history of reform and organizational restructuring of home care in Ontario, in particular, the introduction of privatizing relations into the local practices of community nursing and the creation of CCACs. These relations of privatization reorganized the home care sector, the workforce, and the relation between the ‘state’ and its citizens. What went on before sets the groundwork for what can happen next, and it is under this context and conditions in which my inquiry is set. The second part consists of four academic journal manuscripts. They are the descriptive analysis for this IE. These four chapters describe what I have learned and discovered in doing this research, and three of them in particular provide an empirical analysis showing how school health supports for children with diabetes are put together such that the troubles I experienced came into being. These four chapters are conventionally referred to as research ‘findings’ in traditional qualitative research methodology. Each of these chapters speaks to a particular…
Subjects/Keywords Institutional Ethnography; Children with diabetes; School health support services; Caregiving
Contributors Sinding, Christina; Social Work
Language en
Country of Publication ca
Record ID handle:11375/21071
Repository mcmaster
Date Indexed 2019-01-09

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…course work published, and comfort and a listening ear when I encountered challenges navigating the elementary education system for my daughter. xii My fellow comrades in the Ph.D program at McMaster University, Cathy Paton, Will Rowe, Carmen Plante…

…Intersectoral Policy/ Program Memorandum 81 RNAO Registered Nurses Association of Ontario SSHS School Health Support Services SSSP The Society for the Study of Social Problems xvii Ph.D. Thesis – L. Watt; McMaster University, School of Social Work…

…standpoint as a patient, it was more convenient to have the 2 Ph.D. Thesis – L. Watt; McMaster University, School of Social Work consultation with the doctor and the blood test done at the same location during the same clinic appointment. If it was…

…questions, with the time to go from place to place to find the answer, I’m not sure what would have happened to my child. Wouldn’t it be useful to 3 Ph.D. Thesis – L. Watt; McMaster University, School of Social Work have a map showing me and other parents…

…Ph.D. Thesis – L. Watt; McMaster University, School of Social Work The institutional complex I will be investigating in this thesis is the Community Care Access Centre School Health Support Services (CCAC SHSS) for children with diabetes in…

…L. Watt; McMaster University, School of Social Work To seek answers to my query, I first turned to existing literature on diabetes care in school settings. Existing literature has addressed the experiences and perspectives of students with diabetes…

…studies are not specifically focused on this topic in the Canadian context. This type of study that focuses on a specific work organization, in a Canadian context, has yet to be undertaken. 6 Ph.D. Thesis – L. Watt; McMaster University, School of Social…

…analysis of how the work of parents of children with diabetes at 7 Ph.D. Thesis – L. Watt; McMaster University, School of Social Work school are coordinated with the work of others, such as nurses and teachers, and are institutionally linked to the…

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