This community contains the ePrints and eTheses produced by the Faculty's staff and students. http://hdl.handle.net/1893/55 2026-10-07T15:05:49Z 2026-10-07T15:05:49Z Bartle, Caroline http://hdl.handle.net/1893/38382 2026-10-07T11:14:18Z 2026-07-17T00:00:00Z

Title: Organisational learning in dementia practice Author(s): Bartle, Caroline Abstract: This thesis presents a sociomaterial perspective on how dementia care practices and the digital systems through which care is increasingly situated shape one another. Conducted across two residential aged care providers in Aotearoa New Zealand, the study suggests that training delivered to individuals cannot meet the complex realities of dementia care, and connects local practices. Learning in dementia care is situated, collective, ongoing, and materially mediated. Building on foundational dementia theories, the study extends that tradition through practice-based theory within a post-qualitative frame, positioning dementia learning as assemblages of human and non-human relations, and relationship-based care as enacted through co-constitutive relationships with the digital infrastructures around it. Following eight months of fieldwork across four sites, the findings suggest learning is often oriented around emergent challenges. Sociomaterial arrangements influence how problems show up, who and what gets enrolled, and how new ideas are mobilised. Within these arrangements, data performed in different ways, and what mattered was the material arrangement and how leadership supported sensemaking. The relational and psychosocial dimensions of care were not always visible within the digital arrangements in ways useful for organisational learning. Methodologically, the thesis contributes a post-qualitative, practice-based approach to researching learning in dementia care, one that follows practices and materials rather than measuring individual competence. Conceptually, it introduces digitally informed practice leadership, a capacity that supports emergent learning, working from within rather than above a network. It also introduces epistemic architecture, making recommendations on the sociomaterial arrangement of digital systems, working practices, and practice leadership through which organisational learning could emerge.

2026-07-17T00:00:00Z Graham, Hannah http://hdl.handle.net/1893/38361 2026-10-07T00:03:04Z 2026-06-03T00:00:00Z

Title: Penal Supervision in Comparative Context: 5 Nations Research Author(s): Graham, Hannah

2026-06-03T00:00:00Z Sedgley, Tim Alexander, Joanne Macgregor, Aisha Forbat, Liz http://hdl.handle.net/1893/38358 2026-10-07T00:01:37Z 2026-09-01T00:00:00Z

Title: How do health, social care and legal professionals support visa-dependent migrants affected by a terminal illness in the UK: a qualitative interview study Author(s): Sedgley, Tim; Alexander, Joanne; Macgregor, Aisha; Forbat, Liz Abstract: Objectives To understand barriers faced by migrants with terminal illness in accessing healthcare services and to document the strategies adopted to mitigate problems they experienced. Design Inductive thematic qualitative interview study. Setting Community and hospice settings in the UK. Participants 22 people, comprising 14 working within health/palliative care settings, 4 in legal/policy settings and 4 in migrant support, all with experience of supporting people with a terminal illness. Results There are substantial and dire consequences for migrants with terminal illness. While patients and professionals struggle to understand migrants’ entitlements, the expense of treatment and/or the prospect of being charged for healthcare deter access. Healthcare charges and discretionary support were variable. Patients risk accruing heavy healthcare costs/debts, and some avoid accessing care altogether for fear of immigration services being alerted, with consequent fear of removal/ deportation. Conclusions Service commissioners and palliative care practitioners must be cognisant of the complex constellation of circumstances in which migrants live and die. Strategies are needed to enhance knowledge around entitlements in order to widen access and promote equitable access to healthcare for terminally ill migrants.

2026-09-01T00:00:00Z Gardiner, Amanda http://hdl.handle.net/1893/38352 2026-09-29T16:13:05Z 2026-02-01T00:00:00Z

Title: Transitional care for people living with dementia: perspectives of long-term care providers Author(s): Gardiner, Amanda Abstract: The purpose of this study is to examine transitional care of older adults living with dementia when transitioning from hospital or community settings into long-term care facilities. This study contributes to the current body of literature on transitional care by focusing on the experiences of long-term care providers and investigating how transitions occur, are negotiated, and stabilised through the service delivery system. This research not only provides a description of how transitional care occurs but also draws on interview data from long-term care providers and other professionals alongside documentary material, including policy documents, to understand the nature of transitional care. Using Situational Analysis (SA), supported by Actor-Network Theory (ANT) as a complementary theoretical lens, allows a dynamic view of transitional care as an interaction between humans and nonhumans. The participants in the study explained that transitional care is not a straightforward or logical process; instead, it is a complex and ongoing negotiation influenced by factors like time, paperwork, workplace culture, and scattered information. Formal systems were found to devalue the relational and experiential knowledge of long-term care providers while emphasising their accountability for high-quality care. Shortcomings were noted within the formal systems related to planning, assessment, and communication processes. Furthermore, the study found that meaningful improvements to transitional care for individuals living with dementia would require structural and cultural transformations that recognise relational labour and foster a more collaborative and cohesive approach to transitional care. Finally, the study demonstrated that emotional and relational labour played a significant role in stabilising transitions in the absence of systemic coherence.

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