Parental experiences of the liminal period of a child’s fatal illness

Author(s):  
Bernadetta Janusz ◽  
Maciej Walkiewicz

The article offers a description of parents’ experiences of their child’s ultimately fatal illness as it unfolds over the successive stages of medical treatment, in the context of the liminality theory. The parents ( N = 23) were interviewed 1–4 years after their child’s death. The research method involved conducting narrative interviews with parents in order to obtain a spontaneous narration of the child’s illness as it unfolded. The grounded theory approach, including the narrative and performative aspects of such parental utterances, was applied as the main research strategy. The results provide insight into the main areas and processes of common parental experiences, such as the pervasive sense of becoming trapped in timelessness and ambiguity. Further states reported by parents included oscillating between a distancing stance and involvement, and a dualistic relationship with medical staff and the medical system: between alignment and disharmony. The study indicates the importance of treating delivery of such a diagnosis as a process rather than as a one-time event. The sense of ambiguity is treated as a kind of necessary parental coping mechanism, whilst the sense of timelessness gives parents a unique sense of time in which they do not have to think about the child’s potentially imminent death.

2014 ◽  
Vol 11 (1) ◽  
pp. 7
Author(s):  
Traci Rose Rider

This paper aims to investigate the current state and potential opportunity of strategic environmental discourses and rhetoric in architectural education. Because there is limited research completed on this specific focus, a grounded theory approach was used. In-depth interviews were held with twelve purposefully selected participants, each of whom are prevalently perceived as leaders in incorporating sustainability topics into architectural education. Through a cyclical coding process, larger themes about integrating environmental topics in formal architectural education emerged, with the importance of discourse and rhetoric as one of the primary sub-themes. Different discourses, emphasis on specific terminology, and the implications of each in the conceptual space of architectural educational are explored in the context of both program- and university-level structures. Breaking down the current environmental discourses in these specific contexts offers insight into opportunities to streamline the inclusion of sustainability themes in architectural education. This study concludes with possible avenues for further research regarding environmental discourse and rhetoric in architectural education, and suggestions for application in programs.


Author(s):  
Phaik Kin Cheah ◽  
N. Prabha Unnithan ◽  
Suresh Suppiah

PurposeThe purpose of this paper is to investigate the work roles of the Royal Malaysia Police Volunteer Reserve officers.Design/methodology/approachA grounded theory approach was utilized for the generation and analysis of the data. Data were collected through interviews, observations and follow-ups. Semi-structured interviews were conducted with 20 male and female volunteer reserve officers and 5 regular police officers aged between 24 and 58 years of mixed socioeconomic backgrounds, ethnicities and ranking in the Royal Malaysia Police force. Two civilian respondents (spouses of the Police Volunteer Reserve officers) were also interviewed for this study for the purpose of theory sampling.FindingsThe data were analyzed qualitatively resulting in a model of Royal Malaysia Police Volunteer Reserve officer roles consisting of four orientations.Research limitations/implicationsStudy outcomes are discussed theoretically and administratively. The four role orientations identified will assist researchers studying police reserve volunteerism.Practical implicationsStudy outcomes allow administrators to utilize and deploy police reservists in consonance with the four role orientations identified.Social implicationsThis study provides insight into how police reservists conceive of and execute their roles as they negotiate them in relation to the regular police officers they work with and the public from which they are drawn.Originality/valueThis is the first study of police volunteerism in Malaysia.


2011 ◽  
pp. 104-140 ◽  
Author(s):  
Cathy Urquhart

The purpose of this chapter is to explore the practical and philosophical issues of applying the grounded theory approach to qualitative research in Information Systems. Over the past decade, we have seen a substantial increase in qualitative research in general (Klein, Nissen and Hirschheim, 1991; Walsham, 1995; Markus, 1997; Myers, 1997; Myers and Walsham, 1998; Klein and Myers, 1999; Walsham and Sahay, 1999; Trauth and Jessup, 2000; Schultze, 2000) and also an increase in the use of grounded theory (Toraskar, 1991, Orlikowski, 1993, Urquhart, 1997, 1998, 1999a, 1999b; Adams and Sasse, 1999, Baskerville and Pries-Heje, 1999, Trauth, 2000). Over the past three years, the most frequent request I have had from postgraduates is for some insight into the ‘how-to’ of coding and grounded theory


2020 ◽  
Vol 75 (5) ◽  
pp. 235-240
Author(s):  
Tuweyire E Okagbare ◽  
Sudeshni Naidoo

South African adolescents consume relatively low fruit and vegetables in spite of the development of foodbased dietary guidelines for South Africa. The aims and objectives of the present study were to investigate parents’ perception of their role in the prevention of the health compromising behaviour of inadequate consumption of fruit and vegetables among adolescents in South Africa. The study design was qualitative and exploratory and the research strategy used was inductive, deductive and abductive. Using a guiding question schedule data were collected from five focus group interviews. A non-probability purposive theoretical sampling method was utilized and the sample size of 37 determined by theoretical saturation. Data analysis was performed using the grounded theory approach. The findings of the study suggest that children should be introduced to fruit and vegetables as early as possible. The study recommends that infants should be exposed to the taste of locally available fruit and vegetables followed by the gradual introduction of fruit and vegetables into their diet together with a variety of other nutrientdense foods when solid foods are being introduced.


2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Travis W. Provance ◽  
Suresh Babu Ramisetty ◽  
Michael Joseph Urick ◽  
Kelly A. Wieczorkowski

Purpose The purpose of this paper is to conceptually explore building a culture of excellence from the ground up as well as evolving a current culture to one more focused on excellence. Design/methodology/approach This study reviewed extant research related to organizational cultures and cultures of excellence that have implications for building or evolving into these types of cultures. Findings The findings of this study suggest that the “people side” of organizations is crucial to forming a culture of excellence. Specific people-oriented considerations to forming such a culture include leveraging leaders and understanding other influences including diversity as well as external aspects. Changing culture must occur at the assumptions (and not just artifacts) level. Furthermore, there are many barriers to building a culture of excellence, many of which are also related to an organization’s people. Research limitations/implications A qualitative grounded theory approach whereby researchers asked organizational members to define “culture of excellence” could help build a clearer model for the formation of cultures of excellence. Quantitative approaches should also test how successful the influencers, noted in this study are in creating cultures of excellence. This study’s conceptual links between cultures of excellence and performance should also be tested empirically. Practical implications This paper provides practitioners insight into the importance of culture and considerations for how to change an organizational culture. Social implications This paper advocates for the importance of social considerations in the workplace regarding creating a culture of excellence. Originality/value To the best of the authors’ knowledge, this paper is the first that discusses creating a culture of excellence. Furthermore, it is one of only a handful of articles that links people to excellence.


2018 ◽  
Vol 5 ◽  
pp. 233339361878826
Author(s):  
Maiko Noguchi-Watanabe ◽  
Noriko Yamamoto-Mitani ◽  
Yukari Takai

This study aimed to elucidate the experiences of home care nurses who had continued working a single agency, to gain insight into the prevention of premature turnover. We adopted a grounded theory approach to qualitative exploration of the experiences of 26 Japanese nurses working in a home care agency, using semistructured interviews and participant observation. Nurses’ experience progressed through three phases: “encountering difficulty,” “enjoying the fruitfulness,” and “becoming dissatisfied.” Nurses’ cognitive rounding involving these phases was conceptualized as “cycle of sustaining meaningfulness.” To move from encountering difficulty to enjoying the fruitfulness, nurses needed to discover the meaningfulness of practice, and to move from becoming dissatisfied to encountering difficulty, they needed to requestion their practice. During their time at the agency, nurses progressed through the phases of the cycle of sustaining meaningfulness repeatedly. Knowing the point at which nurses are in the cycle and assisting their further progress could aid in their retention.


2020 ◽  
Vol 7 ◽  
pp. 233339362096005
Author(s):  
Hanako Numata ◽  
Maiko Noguchi-Watanabe ◽  
Akitake Mukasa ◽  
Shota Tanaka ◽  
Shunsaku Takayanagi ◽  
...  

Medical care-related decision-making among patients with malignant brain tumors has not been sufficiently discussed. This study aimed to develop a framework for understanding patients’ experiences in the decision-making process. Semi-structured interviews with 14 patients were analyzed using a grounded theory approach, focusing on their 48 decision-making points. Additionally, interviews with two family members and seven healthcare providers, and participant observations were used to gain contextual insight into patients’ experiences. Patients faced decisions while they struggled in vulnerability under shock, fear, and anxiety while hoping. Under this context, they showed four decision-making patterns: (1) led by the situation, (2) controlled by others, (3) entrusted someone with the decision, and (4) myself as a decision-making agent. Across these patterns, the patients were generally satisfied with their decisions even when they did not actively participate in the process. Healthcare providers need to understand patients’ contexts and their attitudes toward yielding decision-making to others.


2003 ◽  
Vol 31 (6) ◽  
pp. 763-788 ◽  
Author(s):  
Nadya A. Fouad ◽  
Kristin Ihle Helledy ◽  
A. J. Metz

Themes of Division 17 presidential addresses from 1984to 2002, published in The Counseling Psychologist , were examined using a grounded theory approach. Sorting and coding of the data yielded six major categories: distinctiveness of counseling psychology, disappointments/missed opportunities, successes, foundations of counseling psychology, outside influences, and future recommendations. Review of the coding provided identification of underlying dimensions. Specifically, the connections that emerged from the qualitative analysis are explained using a grid with “identity” on a temporal x-axis (from who we are to who we want to be) and “actions” on a functional y-axis (from internal to the division to externally focused). The combined messages or stories of the Division 17 presidents may provide insight into the forces that have influenced counseling psychology over the last 2 decades.


2017 ◽  
Vol 13 (2) ◽  
pp. 227-241
Author(s):  
Diana L. Awad Scrocco

This exploratory study examines conversations between faculty physician preceptors and resident physicians to identify communicative actions that encourage pedagogical dialogue. Using a modified grounded theory approach, this study considers resident-preceptor conversations at the levels of the conversational exchange and the clause. Four categories of exchanges emerged from the analysis: presenting the case, teaching clinical concepts, initiating clinical discussion, and offering/requesting direct instruction. Focusing on the latter two categories, this study identifies common communicative actions in the clauses of speakers’ conversational turns. I contend that clinical-discussion exchanges best support the academic goal of these conversations by engaging novices with open-ended, interpretation-focused questions, proposals, and assessments; in contrast, direct-instruction exchanges support the workplace objective of treating patients through imperative proposals and procedure-focused questions and assessments. This analysis offers communication scholars insight into how expert-novice conversations support professionalization and provides preceptors with an understanding of communicative actions that may facilitate pedagogical dialogue.


2019 ◽  
Vol 73 (4_Supplement_1) ◽  
pp. 7311505222p1
Author(s):  
Kyra Jo Gaerke ◽  
Emily Mokol ◽  
Sally Wasmuth ◽  
Trevor Manspeaker ◽  
Karolina Szymaszek

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