The Lived Experience of the Audiologist: Connections Between Past, Present, and Future

2021 ◽  
pp. 1-16
Author(s):  
Diana C. Emanuel

Purpose The purpose of the study was to use qualitative research methods to explore connections between audiologists' lived experiences and perceptions of the future and change. Method This research was based on a constructivist grounded theory approach. A semistructured interview guide inspired 30 audiologists to share their stories via virtual interview. A theoretical framework evolved from grounded theory analysis techniques. Results The majority of audiologists interviewed in this study entered audiology via the undergraduate-stumble pathway, usually after leaving speech-language pathology. This pathway was associated with poorer perceptions of the future compared with early-purposeful and later-purposeful pathways. Generation differences, value juxtaposition, professional identity, and student debt also influenced perspectives of the future. Participants described high value-of-self relative to patient care and joy stories associated with meaningful relationships with patients. Most participants reported responding actively to changes in the marketplace at the individual work setting level; however, change response was complex and difficult to quantify when broader issues impacting the profession were considered. Participants expressed concern about the future, including the need to address high student debt, perceived lack of unity across the profession, and value-by-others. Conclusion Grounded theory exploration of the lived experience of 30 audiologists supported a theoretical framework that connects perceptions of the future with origin story, generation perspectives, value juxtaposition, professional identity, and student debt.

Author(s):  
Otuo Serebour Agyemang

This chapter examines the link between personal values and investment decisions among individual shareholders in a developing economy. It contributes to the knowledge on behavioral finance and decision sciences that individual shareholders' personal values have influence on their investment decisions and the choice of companies they invest in. It employs a grounded theory approach. The chapter highlights that individual shareholders hold value priorities and that honesty, a comfortable life and family security play a significant role in their lives and their investment decisions and the kind of companies they make investment in. In addition, to the individual shareholders, there is a clear distinction between a comfortable life and a prosperous life in the sense that they are not incentivized more by the latter but the former in their investment decisions.


2020 ◽  
pp. bjsports-2020-102514
Author(s):  
Fiona Wilson ◽  
Leo Ng ◽  
Kieran O'Sullivan ◽  
J P Caneiro ◽  
Peter PB O'Sullivan ◽  
...  

ObjectivesLow back pain (LBP) is common in rowers and leads to considerable disability and even retirement. The athlete voice can help clinicians to better understand sport-related pain disorders. We aimed to capture the lived experience of LBP in rowers.MethodsCross-sectional qualitative study using a grounded theory approach. Adult competitive rowers with a rowing-related LBP history were recruited in Australia and Ireland. Data were collected through interviews that explored: context around the time of onset of their LBP and their subsequent journey, experiences of management/treatment, perspectives around present beliefs, fears, barriers and expectations for the future.ResultsThe 25 rowers (12 women/13 men) who participated were aged 18–50 years; they had a mean 12.1 years of rowing experience. They discussed a culture of concealment of pain from coaches and teammates, and fear of being judged as ‘weak’ because of the limitations caused by LBP. They reported fear and isolation as a result of their pain. They felt that the culture within rowing supported this. They reported inconsistent messages regarding management from medical staff. Some rowers reported being in a system where openness was encouraged—they regarded this a leading to better outcomes and influencing their LBP experience.ConclusionsRowers’ lived experience of LBP was influenced by a pervasive culture of secrecy around symptoms. Rowers and support staff should be educated regarding the benefits of early disclosure and rowers should be supported to do so without judgement.


2016 ◽  
Vol 29 (2) ◽  
pp. 263-292 ◽  
Author(s):  
Sjoerd van den Heuvel ◽  
René Schalk ◽  
Charissa Freese ◽  
Volken Timmerman

Purpose – The purpose of this paper is to develop a model on how business managers perceive that an employee’s psychological contract influences his or her attitude toward an organizational change. More specifically, it aims to provide insight into the managerial views on: first, the affective, behavioral and cognitive responses of employees toward organizational change; second, the pre-change and change antecedents of these responses; and third, the role of the psychological contract as a pre-change antecedent. Design/methodology/approach – Data were collected from in-depth interviews with 39 human resource directors, change managers and management consultants in eight European countries. Based on detailed grounded theory-driven analyses of the qualitative data, a conceptual model was developed. Findings – Based on the grounded theory analysis, a model emerged that positions the individual change perception and individual answer to the “what’s in it for me?” question as central determinants of an employee’s attitude toward change. Moreover, the model distinguishes between “influencing” variables that shape the employees’ change perception, and “overruling” variables that can potentially reverse the change perceptions. Practical implications – A strong emphasis on managing the employment relationship by fulfilling mutual obligations and by creating trust will yield more constructive responses to organizational change than focussing on managing an organizational change as an independent event. Originality/value – As one of the first in its field, this study provides insight in the sense-making processes during organizational change, while adopting a managerial perspective. A grounded theory approach by means of interviewing, serves as a first step toward better understanding of the development of employees’ affective, behavioral and cognitive responses to organizational change.


2021 ◽  
Vol 17 (5) ◽  
pp. e645-e653 ◽  
Author(s):  
Carol Y. Ochoa ◽  
Gabriela Toledo ◽  
Aisa Iyawe-Parsons ◽  
Stephanie Navarro ◽  
Albert J. Farias

PURPOSE: Black patients with cancer report worse experiences with health care compared with White patients; however, little is known about what influences these ratings. The objective of this study is to explore the multilevel factors that influence global ratings of care for Black cancer survivors. METHODS: We conducted semistructured in-depth interviews with 18 Black cancer survivors. We assessed the global ratings of their personal doctor, specialist, health plan, prescription drug plan, and overall health care, and asked patients to elaborate on their rating. We analyzed the interviews with a deductive grounded theory approach using the socioecologic model to identify the individual, interpersonal, organizational, and environmental influences on Black cancer patient experiences with global ratings of care. We used an inductive constant comparison approach to identify additional themes that emerged. Two coauthors separately coded a set of transcripts and met to refine the codebook. RESULTS: On average, participants reported the highest mean rating for their specialist (9.39/10) and the lowest mean rating for their personal doctor (7.33/10). Emerging themes that influenced patient ratings were perceptions about their interaction with medical providers, physician communication, the doctor's expertise, and aspects of the physical facilities. Global ratings of care measures were widely influenced by patient interactions with their providers that were empathetic, nondiscriminatory, and where the doctors addressed all concerns. CONCLUSION: This grounded theory study identifies multiple aspects of health care that intervention researchers, health care administrators, and providers may target to improve Black cancer patient experiences with care.


2020 ◽  
pp. 209-222
Author(s):  
T. M. Tytarenko

The personal landscape transformations are defined as the territory of a person 's life, which has special dynamics, structural and functional characteristics, meaningful filling. In addition to specifying the landscape concept, the task was to determine the types of landscapes of combatants after returning from the war. The sample consisted of 91 combatants (higher education cadets and volunteers). We used the written narrative method of the proposed scheme, a conversation, and a focused one-on-one interview. As a result, post-traumatic combatants 'narratives consisted of war-related injuries (41.9%); family treason (24.7%); losses suffered in peace time (23.5%); other difficult life situations (9.9%). The following criteria for determining the type of landscape have been developed: meaningfulness of the past; assessment of the present; a vision of the future; value dominant. There is considered the value-semantic configuration of the individual 's life as an integral indicator of the landscape. The following types of landscapes have been identified: a) existential (differs in the unwillingness to rethink the traumatic past; the inability to assess the present adequately; the inability to construct the future; the dominant for survival); b) family (distinguished by a good understanding of the past; adequate assessment of the present; detailed construction of the future; dominant of meaningful relationships); c) service (differs from family one primarily by the criterion of dominant value – to be useful to the state, to the fight against the aggressor, and to the army); d) self-realization (differs in the main value of self-development); e) pragmatic (distinguished by the major value of career advancement). The most common landscapes are existential and family landscapes (25.0% each); in second place is landscapes of service and self-realization (17.3% each); on the third – pragmatic (13.6%). The hypothesis according to which the direct participation of military personnel in hostilities can act as a trigger for changing the personal landscape is confirmed.


2015 ◽  
Vol 14 (3) ◽  
pp. 177-186 ◽  
Author(s):  
Denice Kopchak Sheehan ◽  
M. Murray Mayo ◽  
Grace H. Christ ◽  
Kim Heim ◽  
Stephanie Parish ◽  
...  

ABSTRACTObjective:This study aimed to generate an explanatory model of the coping strategies that adolescents employ to manage the stressors they experience in the final months of their ill parent's life and shortly after their death.Method:The sample included 26 families of adolescents with a parent receiving care in a large hospice program in northeastern Ohio. A semistructured interview was conducted with 14 ill parents, 17 well parents/guardians, and 30 of their adolescent children before the parent's death and, additionally, with 6 of these families after the death. The interviews were audiotaped, transcribed verbatim, and analyzed using a grounded-theory approach.Results:The participants described two worlds that constituted the lives of the adolescents: the well world of normal adolescence and the ill world of having a parent near the end of life. The adolescents experienced a common challenge of living in two worlds and responded to the challenge with a process we labeled “managing two worlds.” Five stages through which adolescents manage their worlds were identified: keeping the ill world and the well world separate; having the ill world intrude into the well world; moving between the ill world and the well world; being immersed in the ill world; and returning to the well world having been changed by the ill world.Significance of results:The explanatory model of “managing two worlds” outlines a complex and nuanced process that changes over time. The model can be used by health professionals who seek to help adolescents navigate this critical time when their parents are dying or have recently died. These results can also be used to inform the development of interventions that assist families with strategies tailored to an adolescent's specific needs. Future research should investigate associations among the process of “managing two worlds” and outcomes related to adolescent bereavement.


2016 ◽  
Vol 60 (5) ◽  
pp. 1244-1254
Author(s):  
Oh Myo Kim ◽  
Kevin C Hynes ◽  
Richard M Lee

This study is an exploratory qualitative examination of two separate non-profit family-style orphanages in Guatemala. The researchers used a grounded theory approach to study semi-structured interviews of caregivers ( N = 20). Caregivers mainly consisted of ‘ tias’ who lived with the children and teachers who taught the children at the schools associated with the orphanage. The following categories emerged from the data: sense of belonging, hope for the future, and the importance of structure (e.g. organization and schedule). There was also an emphasis on religion in both the sense of belonging and hope for the future categories. This study adds to the emerging research regarding family-style orphanage care and focuses on caregiver perspectives.


Author(s):  
Neeta Baporikar

An entrepreneur is a person who initiates and establishes an enterprise. Entrepreneurship refers to the decisions one takes in setting up and running a new enterprise. The individual constitutes the most important element in entrepreneurship. This individual who decides to be an entrepreneur can be a “HE” or “SHE.” So though the word “Entrepreneur” does not discriminate between genders, yet there is an underlying thread which is of interest to researchers and practitioners alike to study “women entrepreneurship.” Because of the economic restructuring and societal acceptance more women have started establishing enterprises. Being women for whom the social barriers are now breaking and acceptance coming, one should say that women entrepreneurship is in its infancy and transitionary period. Due to this fact, it has its own unique facets. Based on in depth literature review and grounded theory approach, this chapter intends to explore factors which influence women entrepreneurship and provide contemporary perspectives on women entrepreneurship in the Indian context.


2012 ◽  
Vol 12 (2) ◽  
pp. 218-238 ◽  
Author(s):  
Sion Williams ◽  
John Keady

A recent advance to the ‘classic’ grounded theory approach of Glaser and Strauss’ seminal work has been the development of constructivist grounded theory. While constructivist grounded theory has significant utility, centre stage diagrams were developed by the authors to help integrate ‘storied meaning’ and diagramming into a method of data collection, analysis and theory development/presentation. Centre stage diagrams are co-constructed by the researcher and participant and use the participant’s own life course, language and conceptual visualization of their subjective experience and are created over prolonged engagement. Centre stage diagrams are reached by the researcher and participant mutually engaged and interacting with two inter-related questions: i) what is the centre stage storyline in the lived representation of the phenomenon under study? and ii) who is centre stage in that lived experience? Our work in late-stage Parkinson’s disease is used to illustrate this approach to theory building and generating constructivist grounded theory. Centre stage diagrams have potential for development as a practice tool and/or as an independent research method.


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