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PDF (PhD Thesis) - UWE Research Repository - University of the ...

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combination, or purely a matter <strong>of</strong> fate? We tried to show this by placing<br />

<strong>the</strong> roulette wheel to indicate fate next to <strong>the</strong> otters while <strong>the</strong> woman<br />

remains predominately a lone figure. There is an assumption in much <strong>of</strong><br />

<strong>the</strong> reflective practice literature that an individual can challenge and<br />

influence a system (Ghaye et al 2000). However as Bradbury-Jones et al<br />

(2008) suggest empowerment takes on different forms in different<br />

contexts. Therefore <strong>the</strong> reality <strong>of</strong> challenging a system is difficult. Does <strong>the</strong><br />

woman in <strong>the</strong> picture need to watch her back? Is <strong>the</strong> most empowering act<br />

remaining silent and resistant?<br />

As in Maria‘s story perhaps <strong>the</strong>re is safety in numbers in a collective<br />

approach to voicing dissatisfaction and asking for change. But what I find<br />

interesting in both Maria‘s and Jon‘s stories was how <strong>the</strong> nurses were not<br />

clear about what <strong>the</strong>y were asking for and quickly retreated when <strong>the</strong>ir<br />

complaints were taken seriously. It feels to me that in seizing <strong>the</strong>ir own<br />

sense <strong>of</strong> agency and power <strong>the</strong>y quickly became insecure when faced with<br />

<strong>the</strong> response <strong>of</strong> <strong>the</strong> hierarchy. Perhaps <strong>the</strong> need for approval for <strong>the</strong>ir<br />

actions was so great that if <strong>the</strong>ir actions were challenged or disapproved <strong>of</strong><br />

186

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