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"That Look That Makes You Not Really Want to Be There": Health Care Experiences of People Who Use Illicit Opioids in Small Urban and Rural Communities - A Critical Social Theory Analysis

"That Look That Makes You Not Really Want to Be There": Health Care Experiences of People Who Use Illicit Opioids in Small Urban and Rural Communities - A Critical Social Theory Analysis

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Title: "That Look That Makes You Not Really Want to Be There": Health Care Experiences of People Who Use Illicit Opioids in Small Urban and Rural Communities - A Critical Social Theory Analysis
Author: Hardill, Kathryn Ann
Abstract: The phenomenon of interest is the health care experiences of people who use illicit opioids in small Ontario urban and rural communities. Using the qualitative constructivist paradigm the perspectives of participants who used opioids and of nurse participants were interpreted using Frieres critical social theory framework to explore sociopolitical, economic and ideological influences. Findings describe a divide between people who use illicit opioids and the nurses who care for them: Its Like A Switch Gets Flipped (describing an abrupt change in attitude by nurses once illicit substance use is identified), Reciprocal Mistrust, Caring for Women is Different and In a Small Town the Stigma Lasts Forever. Discussion places these findings in the context of health care systems as agents of social control, the influence of neoliberalism, and the impact of the global War on Drugs. Findings lead to recommendations for contextualized nursing practice, education and research and for policy change.
Subject: Nursing
Keywords: Illicit opioids
Rural
Critical social theory
Health care
Canada
Nursing care
Stigma
Discrimination
Substance use
Harm reduction
Illicit drug use
Ontario
Social control
Neoliberalism
Qualitative
Constructivist
Interpretive description
War on Drugs
Type: Electronic Thesis or Dissertation
Rights: Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
URI: http://hdl.handle.net/10315/33463
Supervisor: van Daalen-Smith, Cheryl L.
Degree: MScN - Master of Science in Nursing
Program: Nursing
Exam date: 2016-12-06
Publish on: 2017-07-27

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