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Saturday, 29 October 2011
Learning Objective 1: 1. Describe how persons, events, actions are situated within discourses of asthma management disparity.
Learning Objective 2: 2. Identify integrative strategies for equity in chronic disease management policies.
Background: Asthma management disparities (AMD) between African-American and White-American adolescents are an alarming and persistent threat to the health of the world's people. The way advantaged and disadvantaged groups write and talk about these disparities, their discourses, reveals important nursing knowledge for the critique of asthma policy nationally and globally. Purpose: A critical discourse analysis (CDA) of African-American AMD discourses within a State planning process for asthma. Aim 1: Describe the AMD discourses that are introduced, promoted, and/or minimized by State planners in the course of a planning meeting, Aim 2: Identify the AMD discourses used by African-American adolescents with asthma. Method/Research design: January - March 2011: 1) record and observe a State asthma planning meeting (n>17); 2) conduct, record and observe three after-school Photovoice-sessions for each of four African-American adolescent focus-groups (15-18yrs, n>20) from Seattle high schools. Photovoice-sessions use participant photography to elicit reflection and group dialogue on asthma management; and 3) facilitate and observe a photo-showing event between adolescents, parents, and State planners. Measures: audio-transcripts, meeting materials, and observations. Procedures: participant-observation and Photovoice. Analysis: This CDA will use linguistic and contextual analysis of texts and observations to identify how persons, events, actions, and arguments are introduced, promoted, or minimized between and amongst groups. Results: Will identify important discourses of asthma management disparities and illuminate which of these are introduced, promoted, or minimized. Implications: CDA utilizing recorded focus group sessions and participant photography are innovative and appropriate technologies for policy analysis in global nursing research.
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