Lisa Fitzgerald
Biographic Data
| ID | 168005 |
|---|---|
| NAME | Lisa Fitzgerald |
| GIVEN NAMES | Lisa |
| FAMILY NAME | Fitzgerald |
| SIGNATURE | FITZGERALD L |
| AFFILIATIONS | The University of Queensland |
| ORCID | 0000-0002-0252-2246 |
| VERIFIED | Yes |
| TOTAL WORKS | 75 |
| TOTAL CITATIONS | 370 |
| AUTHOR COUNT | 73 |
| EDITOR COUNT | 2 |
| FIRST PUBLICATION YEAR | 1986 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 9 |
Introduction to special section on feminist political ecology
Barriers and facilitators to PrEP access, uptake and use in young people living in Queensland
In January 2021, the Australian Pharmaceutical Benefits Scheme expanded its eligibility for subsidised access to pre-exposure prophylaxis (PrEP) to people under 18-years. In Australia, there is a limited understanding of how intrapersonal, interpersonal, social and structural factors impact access and use of PrEP among young people. Twenty-five semi-structured interviews were conducted with young people (16-24 years) living in Queensland, Austral…
Float[ing] in the Middle” Nurse Navigators and the Interface of Access to Care
The Australian health care system continues to struggle to meet the needs of people experiencing multiple complex chronic conditions. Australians who report poorer health continue to report poorer access to health care. Inequities in access are attributed to a "mistmatch" between the health care system and individuals' clinical and social needs. To address this misalignment at the interface of access, innovative approaches that consider both indi…
The Unique Experience of Intersectional Stigma and Racism for Aboriginal and Torres Strait Islander People Who Inject Drugs, and Its Effect on Healthcare and Harm Reduction Service Access
Aboriginal and Torres Strait Islander people who inject drugs face persistent health inequities, highlighting the need for programs that meet the needs of these groups. This study explored how intersectional stigma and discrimination affect Aboriginal and Torres Strait Islander people's access to quality healthcare. Aboriginal and Torres Strait Islander participants aged ≥18 years who had injected drugs within the past 12 months were recruited fr…
Denis Murphy, Screen Workers and the Irish Film Industry
Change creates change’ – older female sex workers’ experiences through the early Covid-19 pandemic
COVID-19 and associated policy responses created unique social, economic and health risks for sex workers. Through semi-structured interviews we explored pre- and early COVID-19 experiences and work practices of ten cisgender female sex workers 50 years of age and older in Queensland, Australia, analysing the findings using a risk environment framework. Throughout early 2020, participants navigated a complex risk environment, managing economic ne…
Experience of syphilis in early Queensland as recorded through hospital records
The story of colonial expansion has often been entwined with the social and health impact of syphilis. The purpose of this study was to examine the effect of syphilis (in its primary, secondary and tertiary forms) on hospital admissions and individual patients in Queensland in the pre-antibiotic era. This article centres on available hospital patient records for the years 1880–1920, stored at the Queensland State Archives. From these records, 220…
“More human”
The enduring conceptual confusion within drug use literature and research regarding the definition of addiction arises from the lack of reconciliation between two key concepts: (1) addiction occurs when someone loses control over their behaviour, and (2) recovery can only proceed when that individual chooses to regain control. This paper uses ethnographic insights to illustrate an alternative framework based on posthumanism and extended health th…
Understanding access to healthcare for gender diverse young people
Gender diverse young people face well-documented physical, mental and sexual health disparities compared to the general population. Differential access to healthcare is a key driver of these inequities and literature highlights high unmet healthcare need among members of this group. Healthcare access has been described through a model that defines five dimensions of health services: approachability; acceptability; availability and accommodation; …
Mind-Wandering and Its Relationship With Psychological Wellbeing and Obsessive-Compulsive Symptomatology in the Context of Covid-19
Mind-wandering (MW) as a research topic has received considerable attention over the last several decades. The recent differentiation between spontaneous and deliberate MW has suggested a particular effect of the former on psychopathology; in that increased spontaneous MW may precede mental illness. The present study sought to explore MW as a potential contributing factor to poor mental health in the context of the Covid-19 pandemic. More specifi…
HIV Health literacy beyond the biomedical model
The HIV care continuum represents a linear clinical pathway from testing to viral suppression; however, it does not capture the psychosocial complexities of contemporary HIV care. We developed an innovative and appealing visual learning resource to extend the scope of HIV health literacy beyond biomedical constructs. Based on the lived experiences of recently diagnosed people living with HIV in Queensland, the "Journeys through the HIV Care Conti…
There’s No Sense to It”
The orthodox construction of agency within addiction recovery discourse is built upon a fault line between two conflicting principles: that people who use drugs in harmful ways cannot control their behavior, but that they can also regain that control through intentional effort. The conceptual confusion inherent in this framework can harm people using drugs by producing inadequate accounts of commonly invoked aspects of recovery such as “triggers,…
We’re supposed to be a family here”
The perception of being abnormal, and a visceral desire to 'feel normal again', is a common feature of the literature on drug use and recovery. Normality is constructed, however, in response to context-dependent values and priorities, thereby legitimating certain behaviours as normative and therefore the assumed goal of people in recovery. In this paper we draw on an ethnographic study with twelve people attempting to reduce harmful methamphetami…
Views and preferences of people living with HIV about smoking, quitting and use of nicotine products
It Just Kind of Cascades”
Peer navigators' role in supporting people living with human immunodeficiency virus in Australia
The redefining of human immunodeficiency virus (HIV) from an acute disease to a manageable chronic illness has reshaped the focus of care, emphasising clinical outcomes and sidelining the complex social barriers many people living with HIV (PLHIV) still face. This parallels changes in the location of HIV care in Australia, with many PLHIV seeking care from private general practitioners whose ability to address complex social issues is constrained…
Border Country
The spatial turn in Ireland has emerged from a focus on postcolonial discourse, a historical model that critiques the inequalities inherent in Irish modernity. A focus on place as a means of establishing identity, particularly within the context of colonial and imperialist narratives, led to a dynamic discourse on literary representations of the environment in Irish studies depicting fraught relationships between land and scarcity. And yet, there…
Using Applied Theater in Primary, Secondary, and Tertiary Prevention of Intimate Partner Violence
There is an immediate need to advance knowledge around the effective prevention of intimate partner violence (IPV), which is responsible for significant negative health and well-being outcomes for women around the world. Creative approaches are being explored internationally—this systematic review provides a timely synthesis of applied theater interventions addressing primary, secondary, and tertiary IPV prevention. Six hundred and ten articles w…
Sexual and reproductive health of women living with HIV in Muslim-majority countries
Intimate partner violence prevention
Globally, young people experience physical, sexual and emotion abuse within their intimate relationships. There is a need to explore creative, participatory sexual and relationship education that provides spaces for critical reflection regarding gender norms and approaches within intimate relationships. This study explores an interactive theatre intervention aimed at uncovering and analysing social and cultural influences affecting experiences an…
Factors affecting the decision to initiate antiretroviral therapy in the era of treatment-as-prevention
The emergence of treatment-as-prevention has made early initiation of antiretroviral treatment (ART) a "universal" policy. This review synthesizes qualitative research findings on barriers and facilitators of ART initiation in Organization for Economic Co-operation and Development (OECD) countries published since 2010. Ten articles describing seven research studies were included in the review. Findings confirmed ART initiation as a complicated pr…
Knowledge and awareness of HIV self-testing among Australian gay and bisexual men
This paper explores the willingness to use and pay for HIV Self-testing (HIVST) among Australian gay and bisexual men (GBM). Bivariate and univariate multinominal logistic regression of data from an online survey was performed. Thirty-one (13%) had never HIV tested and 41.9% (88) were testing sub-optimally by Australian guidelines. Half (58.4%, 136) had never heard of HIVST, however, 56.2% (131) reported willingness to use HIVST, with sub-optimal…
In the Islands people don’t really talk about this stuff, so you go through life on your own’
This study explores conceptualisations and understandings of intimate relationships with young people in Samoa - an at-risk group experiencing high rates of intimate partner violence and alienation from sexual and relationship health promotion. Insights contribute to the immediate need to advance knowledge and practice around prevention with this group. An arts-based approach, which included a two-day interactive drama workshop coupled with follo…
Turning points, identity, and social capital
The Blind Men and the Elephant
In the 30 years since its introduction, meta-ethnography has become a critical tool for synthesizing qualitative health research and providing a holistic understanding of complex health and social phenomena. Meta-ethnography has also been adapted to integrate a wider range of research methodologies, expanded to include a detailed taxonomy of research methods, and has led to the development of multiple other methods of synthesis. In this article, …
Hybrid Manager–professionals' Identity Work
We examine the ‘identity work’ of manager–professional ‘hybrids’, specifically medical professionals in managerial roles in the British National Health Service, to maintain and hybridize their professional identity and wider professionalism in organizational and policy contexts affected by managerialist ideas. Empirically, we differentiate between ‘incidental hybrids’, who represent and protect traditional institutionalized professionalism while …
Public Policy Networks and ‘Wicked Problems’
The last two decades have seen a shift in public services organizations from hierarchies to networks. Network forms are seen as particularly suited to handling ‘wicked problems'. We make an assessment of the nature and impact of this shift. Using recent evidence from the United Kingdom (UK) National Health Service (NHS), we explore the nature and functioning of eight different public policy networks. We are also interested in whether there has be…
Achieving clinical behaviour change
Interlocking Interactions, the Diffusion of Innovations in Health Care
This article aims to provide a reassessment of the processes of diffusion of innovations into organizations, based on new empirical data. The focus of the article is the latter stages of the diffusion process. The article draws on the results of two studies, which examined the diffusion of innovations in health care in the UK. These projects were a matched pair of qualitative studies, using purposeful selections of comparative case studies. The r…
Nobody in charge
This article illustrates how distributed change agency can implement complex organizational changes in the absence of formal management plans, roles, and structures. Distributed change agency typically involves small teams and senior groups. In this qualitative study of service improvements in the treatment of prostate cancer at an acute hospital, Grange, change roles were distributed more widely, with responsibilities `migrating' among a large i…
Professionals
This article examines empirical evidence on the impact of the introduction of a quasi-market in healthcare in the UK on professionals, especially doctors. Data are drawn from two longitudinal studies occurring between 1990 and 1994, of aspects of the changes to the health system. Data collection involved a range of methods, including observation, interviews, questionnaires and archival material. The findings show that a unilateral analysis of the…
A new mode of organizing in health care? Governmentality and managed networks in cancer services in England
What's Gender Got to Do with It? Incivility in the Federal Courts
The current study examines experiences of interpersonal mistreatment in federal litigation among a random sample of 4,608 practicing attorneys. Using both quantitative and qualitative survey data, we documented the nature and interplay of general incivility, gender-related incivility, and unwanted sexual attention. Nearly 75% of female attorneys had experienced some form of this misconduct in the previous five years, compared to half of male atto…
Evidence-Based Medicine and the Implementation Gap
Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the…
The Political Economy of Management Knowledge
Have generic management texts and associated knowledges now extensively diffused into public services organizations? If so, why? Our empirical study of English healthcare organizations detects an extensive presence of such texts. We argue that their ready diffusion relates to two macro‐level forces: (i) the influence of the underlying political economy of public services reform and (ii) a strongly developed business school/management consulting k…
Renewing Policy to Support Evidence‐based Health Care
Health systems internationally have developed policies to support evidence‐based health care (EBHC) for over a decade. As this article shows, the time is ripe to review current policy frameworks in an evidence‐based manner. We summarize key themes deriving from qualitative research on the UK EBHC implementation and draw out implications for policy renewal. Our diagnosis is different from current UK NHS (National Health Service) policy since we st…
Translational networks in healthcare? Evidence on the design and initiation of organizational networks for knowledge mobilization
Voices from Vietnam
This study examines the experiences of young people with disabilities from ethnic minorities, and their families, in central Vietnam. The study is set in an area contaminated by Agent Orange during the Vietnam War. Data were gathered from interviews with youth with disabilities and interviews and focus groups with mothers who had children with disabilities. Respondents expressed confronting multiple barriers to inclusion, education, health and we…
The Impact of Decriminalisation on the Number of Sex Workers in New Zealand
In 2003, New Zealand decriminalised sex work through the enactment of the Prostitution Reform Act. Many opponents to this legislation predicted that there would be increasing numbers of people entering sex work, especially in the street-based sector. The debates within the New Zealand media following the legislation were predominantly moralistic and there were calls for the recriminalisation of the street-based sector. This study estimated the nu…
Corporate Governance and the Public Sector
The 1990s have been marked by a resurgence of interest in questions of corporate governance in both public and private sector settings. The 1990 reorganization of the NHS is taken as an example of a recent attempt to‘reform’arrangements for corporate governance in the public sector based on a board of directors’model. The policy background is reviewed and the salient features of the NHS reorganization outlined. Empirical case study evidence is ad…
Knowledge leadership
This article explores contrasting forms of ‘knowledge leadership’ in mobilizing management research into organizational practice. Drawing on a Foucauldian perspective on power–knowledge, we introduce three axes of power–knowledge relations, through which we analyse knowledge leadership practices. We present empirical case study data focused on ‘polar cases’ of managers engaged in mobilizing management research in six research-intensive organizati…
On a fast-track into adulthood
There have been many debates in the literature about the extended transition to adulthood many young people are experiencing in late modern times. However, not all young people make this prolonged transition and, for some, resources within their family and community networks are insufficient to enable an extended transition into stable, independent adult roles. The findings presented in this paper are drawn from a large participatory research pro…
Innovation in healthcare
The objectives of the present paper are to describe selected findings from a research project on the diffusion and adoption of innovations in primary-care settings. The project design was a comparative case study design exploring four innovations in different settings. The findings are used to explore the influence of evidence on clinical behaviour, particularly how clinical professionals judge credible evidence and take decisions. The article go…
There’s No Sense to It”
The orthodox construction of agency within addiction recovery discourse is built upon a fault line between two conflicting principles: that people who use drugs in harmful ways cannot control their behavior, but that they can also regain that control through intentional effort. The conceptual confusion inherent in this framework can harm people using drugs by producing inadequate accounts of commonly invoked aspects of recovery such as “triggers,…
The Blind Men and the Elephant
In the 30 years since its introduction, meta-ethnography has become a critical tool for synthesizing qualitative health research and providing a holistic understanding of complex health and social phenomena. Meta-ethnography has also been adapted to integrate a wider range of research methodologies, expanded to include a detailed taxonomy of research methods, and has led to the development of multiple other methods of synthesis. In this article, …
Developing Agreed and Accepted Understandings of Spirituality and Spiritual Care Concepts among Members of an Innovative Spirituality Interest Group in the Republic of Ireland
A Spirituality Interest Group (SIG) was set up in in the School of Nursing and Midwifery, Trinity College Dublin, Republic of Ireland (ROI), in March 2013. This paper reports on some of the journey and requirements involved in developing the group. It highlights the essential work of establishing agreed understandings in an objective way in order for the group to move forward with action. These agreed understandings have contributed to the group'…
Peer navigators' role in supporting people living with human immunodeficiency virus in Australia
The redefining of human immunodeficiency virus (HIV) from an acute disease to a manageable chronic illness has reshaped the focus of care, emphasising clinical outcomes and sidelining the complex social barriers many people living with HIV (PLHIV) still face. This parallels changes in the location of HIV care in Australia, with many PLHIV seeking care from private general practitioners whose ability to address complex social issues is constrained…
Suiga/Change
Intimate partner violence (IPV) is a significant global issue and there is an immediate need to strengthen knowledge and support innovative action, particularly with young people and people in diverse cultural settings. This ethnodrama provides insights into the way young people in Samoa, a Pacific Island nation reporting high rates of IPV, experience and perceive IPV and challenges within intimate relationships. Suiga/Change is an authentic, emo…
Suranho healing
This qualitative study investigated the use of folk medicine by families for people with intellectual disability in the Philippines. Workers from Negros Occidental who support people with intellectual disability participated in semi-structured interviews. Findings show families seek the intervention of a folk healer before seeking primary healthcare support and a prosperous cultural use of folk medicine exists across the Philippines. Intellectual…
Why Women Object to Male Circumcision to Prevent HIV in a Moderate-Prevalence Setting
Adult male circumcision has been shown to reduce the transmission of HIV. Women's acceptability of male circumcision is important in Papua New Guinea's preparedness to introduce male circumcision, and in ethical considerations of its use as a biomedical technology for HIV prevention. We conducted 21 focus group discussions and 18 in-depth interviews with women in all four regions of Papua New Guinea. The majority of women objected to the introduc…
An occupational analysis of counseling psychology
An occupational analysis of counseling psychology
Corporate Governance and the Public Sector
The 1990s have been marked by a resurgence of interest in questions of corporate governance in both public and private sector settings. The 1990 reorganization of the NHS is taken as an example of a recent attempt to‘reform’arrangements for corporate governance in the public sector based on a board of directors’model. The policy background is reviewed and the salient features of the NHS reorganization outlined. Empirical case study evidence is ad…
The New Public Management in Action
This book analyses changes which have occurred in the organization and management of the UK public services over the last 15 years, particularly drawing on rich primary data from restructured NHS settings. The book argues that real change has occurred at the top of these organizations and that novel organizational 'hybrids' may be emerging.
Are men sexually harassed? If so, by whom?
Research on sexual harassment has recently expanded to include examination of men's experiences. Such research, however, has ignored the power dynamics involved in sexual harassment and typically assumed exclusively heterosexual situations. We examine legal cases illustrating the many forms that male-male harassment may take and the complex array of situations in which such harassment occurs. We then report the frequencies of experiences of haras…
Lost in cyberspace
Achieving clinical behaviour change
Outcomes of self-labeling sexual harassment.
Research has consistently documented a discrepancy between experiencing offensive sex-related behaviors and labeling these situations as sexual harassment, leading to several attempts to understand this phenomenon. The authors propose that the issue of why it is that women who report such experiences generally do not indicate that they have been sexually harassed is an important psychological question, and may provide a path through the nested me…
Professionals
This article examines empirical evidence on the impact of the introduction of a quasi-market in healthcare in the UK on professionals, especially doctors. Data are drawn from two longitudinal studies occurring between 1990 and 1994, of aspects of the changes to the health system. Data collection involved a range of methods, including observation, interviews, questionnaires and archival material. The findings show that a unilateral analysis of the…
What's Gender Got to Do with It? Incivility in the Federal Courts
The current study examines experiences of interpersonal mistreatment in federal litigation among a random sample of 4,608 practicing attorneys. Using both quantitative and qualitative survey data, we documented the nature and interplay of general incivility, gender-related incivility, and unwanted sexual attention. Nearly 75% of female attorneys had experienced some form of this misconduct in the previous five years, compared to half of male atto…
Interlocking Interactions, the Diffusion of Innovations in Health Care
This article aims to provide a reassessment of the processes of diffusion of innovations into organizations, based on new empirical data. The focus of the article is the latter stages of the diffusion process. The article draws on the results of two studies, which examined the diffusion of innovations in health care in the UK. These projects were a matched pair of qualitative studies, using purposeful selections of comparative case studies. The r…
Innovation in healthcare
The objectives of the present paper are to describe selected findings from a research project on the diffusion and adoption of innovations in primary-care settings. The project design was a comparative case study design exploring four innovations in different settings. The findings are used to explore the influence of evidence on clinical behaviour, particularly how clinical professionals judge credible evidence and take decisions. The article go…
Evidence-Based Medicine and the Implementation Gap
Evidence-based medicine was one of the earliest manifestations of evidence-based policy and practice, and has exercised substantial influence on other policy areas. Based on data from seven empirical studies carried out between 1993 and 1999, this article examines the origins and impact of EBM, and the complexities of implementation which have emerged. Policy makers and EBM enthusiasts alike have frequently taken a somewhat simplistic view of the…
‘When you come to it you feel like a dork asking a guy to put a condom on’
Traditionally, school‐based sex education has provided information‐based programmes, with the assumption that young people make rational decisions with regard to the use of condoms. However, these programmes fail to take into account contextual issues and developing subjectivities. This paper presents the talk of 42 young people from a New Zealand secondary school who were questioned in‐depth about the sex education programme they had received. T…
Research into Practice’
English Traditional modes of researching health service practice and policy have been criticised in terms of timeliness and relevance by potential users, and of poor uptake by researchers themselves. Newer models, based on principles of collaboration and integration, are being used in some healthcare settings, and there is evidence that these approaches help to bridge the gap that exists between ‘research’ and ‘practice’. This article describes t…
Nobody in charge
This article illustrates how distributed change agency can implement complex organizational changes in the absence of formal management plans, roles, and structures. Distributed change agency typically involves small teams and senior groups. In this qualitative study of service improvements in the treatment of prostate cancer at an acute hospital, Grange, change roles were distributed more widely, with responsibilities `migrating' among a large i…
Service Quality in Regulated Network Industries
Economic regulators provide incentives for good quality of service as well as constraints on the prices or revenue which can be charged by firms with monopoly power. Economic theory suggests that regulators should choose standards according to consumers' valuation and the marginal cost of quality improvements, and that firms respond by equalizing the marginal costs from not making improvements (i.e. the regulatory penalty plus any loss in revenue…
On a fast-track into adulthood
There have been many debates in the literature about the extended transition to adulthood many young people are experiencing in late modern times. However, not all young people make this prolonged transition and, for some, resources within their family and community networks are insufficient to enable an extended transition into stable, independent adult roles. The findings presented in this paper are drawn from a large participatory research pro…
Renewing Policy to Support Evidence‐based Health Care
Health systems internationally have developed policies to support evidence‐based health care (EBHC) for over a decade. As this article shows, the time is ripe to review current policy frameworks in an evidence‐based manner. We summarize key themes deriving from qualitative research on the UK EBHC implementation and draw out implications for policy renewal. Our diagnosis is different from current UK NHS (National Health Service) policy since we st…
The Impact of Decriminalisation on the Number of Sex Workers in New Zealand
In 2003, New Zealand decriminalised sex work through the enactment of the Prostitution Reform Act. Many opponents to this legislation predicted that there would be increasing numbers of people entering sex work, especially in the street-based sector. The debates within the New Zealand media following the legislation were predominantly moralistic and there were calls for the recriminalisation of the street-based sector. This study estimated the nu…
Taking the crime out of sex work
New Zealand was the first country in the world to decriminalise all sectors of sex work. This book provides an in-depth look at New Zealand's experience of decriminalisation. It provides first-hand views and experiences of this policy from the point of view of those involved in the sex industry, as well as people involved in developing, implementing, researching and reviewing the policies. Presenting an example of radical legal reform in an area …
Taking the crime out of sex workNew Zealand sex workers' fight for decriminalisation
New Zealand was the first country in the world to decriminalise all sectors of sex work. This book provides an in-depth look at New Zealand’s experience of decriminalisation. It provides first-hand views and experiences of this policy from the point of view of those involved in the sex industry, as well as people involved in developing, implementing, researching and reviewing the policies. Presenting an example of radical legal reform in an area …
Taking the Crime out of Sex Work
This book examines the decriminalisation of all sectors of sex work in New Zealand. It provides first hand views and experience on this policy from the point of view of those involved in the sex industry, as well as people involved in developing, implementing, researching and reviewing the policies
Let’s play mummy’
This essay serves as a response to the ‘nightmarish’ discourse that emerged after the broadcast of Channel 4 ‘shock doc’ My Fake Baby. I will argue that the disproportionately excessive and intense response to My Fake Baby mirrors the programme’s extreme emphasis on the trope of motherhood. As such, this article considers how the construction and articulation of different forms of motherhood and femininity within the show functioned successfully …
Public Policy Networks and ‘Wicked Problems’
The last two decades have seen a shift in public services organizations from hierarchies to networks. Network forms are seen as particularly suited to handling ‘wicked problems'. We make an assessment of the nature and impact of this shift. Using recent evidence from the United Kingdom (UK) National Health Service (NHS), we explore the nature and functioning of eight different public policy networks. We are also interested in whether there has be…
Sociology (47 works) · Political science (43 works) · Psychology (41 works) · Medicine (38 works) · Social Psychology (23 works) · Public relations (22 works) · Health care (17 works) · Law (17 works) · Nursing (17 works) · Psychiatry (17 works)