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All Journal Jurnal NERS FENOMENA: Journal of Social Science
Willis, Eileen
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Nursing Social Sciences

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The Cultural Relations of Water in Remote South Australian Towns Wadham, Ben; Willis, Eileen; Pearce, Meryl
Fenomena Vol 9 No 1 (2010): FENOMENA: Journal of the Social Sciences
Publisher : LP2M UIN KH.Achmad Siddiq Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35719/fenomena.v9i1.458

Abstract

Water is a natural resource that is becoming increasingly scarce, and declining rainfall forces communities to adapt to living in drought and significantly different environmental and social conditions. In remote residential areas of South Australia, water tends to be the only natural resource used daily, requiring them to pay attention to their relationship with water, access, and adequacy. These are the issues that need consideration. However, lifestyles, identity, sense of belonging, and community have been shaped by the presence of water in daily habits. Water also becomes a social issue, and its management arises in cultural relations. Air adalah sumber alam yang semakin jarang ditemukan, dan penurunan curah hujan menyebabkan masyarakat harus beradaptasi untuk hidup dalam kekeringan, serta kondisi lingkungan dan sosial yang sangat berbeda. Pada perumahan penduduk di Australia Selatan yang terpencil, air cenderung sebagai satu-satunya sumber alam yang dipergunakan sehari-hari sehingga mengharuskan mereka memperhatikan hubungan mereka terhadap air, akses, serta kecukupannya. Inilah hal-hal yang perlu diperhatikan. Akan tetapi, gaya hidup, identitas, rasa memiliki, dan komunitas telah sedemikian terbentuk dengan adanya air dalam kebiasaan setiap orang. Air juga menjadi masalah sosial, dan pengaturannya timbul dalam hubungan budaya.
Structural constraints and patient agency in diabetes self-management: a critical case study in a primary healthcare center in Indonesia Yulia, Yulia; Abigail, Wendy; Willis, Eileen; Shifaza, Fathimath
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.71301

Abstract

Introduction: Effective self-management is essential for individuals with Type 2 Diabetes Mellitus (T2DM), yet patients in Indonesia often encounter persistent barriers. This study explores patients’ perspectives on the challenges they face as well as the perceived supports available within the primary healthcare system. Methods: A qualitative case study approach, based on Yin’s methodology, was employed. Guided by Habermas’s theory of communicative action and Honneth’s theory of recognition, data were collected through in-depth interviews with 14 patients, 28 clinical observations of patient–provider encounters, and one focus group with five healthcare professionals. Participants were recruited from a suburban primary healthcare center in Indonesia using purposive sampling. Reflexivity and field notes were maintained throughout the data collection process. Data were analyzed using thematic qualitative analysis. Triangulation across data sources helped enhance credibility and trustworthiness. Results: Five key themes emerged: (1) Medical dominance in care provision, (2) Communication gaps, (3) Regulation-centered care, (4) Care quality, and (5) Patient self-empowerment. These themes reveal systemic, structural, and interpersonal barriers that constrain effective diabetes self-management in primary care. Conclusions: Understanding the lived experiences of patients with T2DM is critical to informing practice and policy. To overcome these barriers, a shift toward patient-centered care, improved communication, and more inclusive support systems is essential within Indonesia’s healthcare system.
Co-Authors Abigail, Wendy Pearce, Meryl Shifaza, Fathimath Wadham, Ben Yulia Yulia