Journal article
A discourse analysis of the representation of nursing in the National Disability Insurance Scheme pricing guide and eligibility criteria
Collegian, Vol.30(1), pp.127-133
02/2023
Appears in Recent Faculty of Health Publications
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Abstract
Background
The Australian National Disability Insurance Scheme (NDIS) is conceptually grounded in the social model of disability, which focuses on removing disabling structures of society to allow people with disabilities full participation and improved quality of life. The social model rests on a dichotomous relationship against a medical model and its focus on treating impairments, and incorrectly places nursing within this paradigm.
Aim
To undertake a discourse analysis of nursing as represented in the NDIS pricing guide and eligibility criteria, and to understand how the profession is conceptualised and valued within the scheme.
Methods
Informed by Lauclau and Mouffe's poststructuralist theory, a discourse analysis of the floating signifier of nursing against the dominant nodal point of the social model of disability was undertaken through a close reading of the NDIS pricing guide and eligibility criteria.
Findings
The nursing scope of practice is confined to physical/medicalised supports for people with disabilities. Nursing is excluded from offering therapeutic and behaviour supports and is structured and fiscally valued differently to other professions.
Discussion
Despite its base in holistic and person-centred care, due to its conceptualisation within the medical model, the full scope of nursing practice is restrictive within the NDIS. This misarticulation of nursing excludes key aspects of adaptive, therapeutic, and holistic practice which can improve health outcomes for people with disabilities.
Conclusion
The NDIS in its conceptual construction based on the social model of disability has upheld a vision of nursing inconsistent with practice relevant to caring for people with disabilities.
Details
- Title
- A discourse analysis of the representation of nursing in the National Disability Insurance Scheme pricing guide and eligibility criteria
- Creators
- Amy Pracilio - Southern Cross UniversityNathan J Wilson - Western Sydney UniversityMichelle Kersten - Southern Cross UniversityJulian N Trollor - University of New South WalesAndrew Cashin - Southern Cross University
- Publication Details
- Collegian, Vol.30(1), pp.127-133
- Publisher
- Elsevier BV
- Identifiers
- 991013055712502368
- Copyright
- © 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd.
- Academic Unit
- Faculty of Health; Nursing
- Language
- English
- Resource Type
- Journal article