scholarly journals The Interactionist Self and Grounded Research: Reflexivity in a Study of Emergency Department Clinicians

2022 ◽  
Vol 4 (1) ◽  
pp. 189-204
Author(s):  
Peter Nugus
Keyword(s):  
Emergency Department ◽  
Symbolic Interactionism ◽  
Research Process ◽  
Ethnographic Methods ◽  
The Impact ◽  
The Relationship

This paper shows how the theory of symbolic interactionism shaped a grounded investigation of the organizational labor of Australian Emergency Department (ED) clinicians. Further, it shows how symbolic interactionism supports reflexive criteria for validating grounded research. Using ethnographic methods across two metropolitan EDs, interactionism’s emphasis on roles applied equally to the relationship between researcher and participants as to the relationships among participants. Specifically, the researcher generated data by positioning interactionism as the mediator of the emergent relationship between researcher and participants. The results of this positioning were: a traceable path from understanding to interpretation and the search for consequentiality rather than truth. Interactionism facilitated the co-production by the researcher and participants of limits on the generalizability of the data. The paper is an argument for symbolic interactionism as a means not merely to generate sociological findings, but to conceptualize the impact of the researcher on the grounded research process.

scholarly journals Barns upplevelser när föräldrars missbruk upphört

2017 ◽  
Vol 34 (5) ◽  
pp. 400-414 ◽  
Author(s):  
Karin Alexanderson ◽  
Elisabet Näsman
Keyword(s):  
Symbolic Interactionism ◽  
Theoretical Framework ◽  
Interview Study ◽  
Organizational Boundaries ◽  
Long Period ◽  
Family Perspective ◽  
Parents And Children ◽  
Long Time ◽  
The Impact ◽  
The Relationship

This article is based on interviews with fifteen children, whose parents have addiction problems. Purpose: To contribute to in-depth understanding of children's situation when parents have ceased abusing drugs or alcohol. Method: An explorative interview study with childhood sociology and symbolic interactionism as theoretical framework. Outcome: The end of the abuse gives children space to feel how they feel, to reflect on the impact of the addiction on their health and personality, and to try changing themselves and their lives. Their need for processing may last for a long time. It can take time and be difficult to build up the relationship with the parent. Children can still feel care responsibility but also distrust and worry about relapses. However, teenagers can see opportunities to move on with their own life. If the abuse ends only for one of two parents with addiction problems, children are still affected by addiction. Conclusion: Children's need for processing in relation to the parents can both be time consuming and last for a long period of time, regardless of if the child lives with the parent or not. Children may need help for their own part but also in relation to the parent. Professionals should be encouraged to work with a family perspective, regardless of organizational divisions and if parents and children live together or not. This requires structures, procedures and resources for collaboration across organizational boundaries.

scholarly journals The Value of Local Heatwave Impact Assessment: A Case-Crossover Analysis of Hospital Emergency Department Presentations in Tasmania, Australia

2019 ◽  
Vol 16 (19) ◽  
pp. 3715 ◽  
Author(s):  
Sharon L. Campbell ◽  
Tomas A. Remenyi ◽  
Grant J. Williamson ◽  
Christopher J. White ◽  
Fay H. Johnston
Keyword(s):  
Emergency Department ◽  
Capacity Planning ◽  
Conditional Logistic Regression ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Case Crossover ◽  
Crossover Analysis ◽  
The Impact ◽  
The Relationship ◽  
Local Research

Heatwaves have been identified as a threat to human health, with this impact projected to rise in a warming climate. Gaps in local knowledge can potentially undermine appropriate policy and preparedness actions. Using a case-crossover methodology, we examined the impact of heatwave events on hospital emergency department (ED) presentations in the two most populous regions of Tasmania, Australia, from 2008–2016. Using conditional logistic regression, we analyzed the relationship between ED presentations and severe/extreme heatwaves for the whole population, specific demographics including age, gender and socio-economic advantage, and diagnostic conditions that are known to be impacted in high temperatures. ED presentations increased by 5% (OR 1.05, 95% CI 1.01–1.09) across the whole population, by 13% (OR 1.13, 95% CI 1.03–1.24) for children 15 years and under, and by 19% (OR 1.19, 95% CI 1.04–1.36) for children 5 years and under. A less precise association in the same direction was found for those over 65 years. For diagnostic subgroups, non-significant increases in ED presentations were observed for asthma, diabetes, hypertension, and atrial fibrillation. These findings may assist ED surge capacity planning and public health preparedness and response activities for heatwave events in Tasmania, highlighting the importance of using local research to inform local practice.

Choosing Home: The Impact of Choosing Where to Live on People With Intellectual and Developmental Disabilities' Emergency Department Utilization

Inclusion ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 92-103
Author(s):  
Carli Friedman
Keyword(s):  
Emergency Department ◽  
Developmental Disabilities ◽  
Social Determinants ◽  
Social Determinant ◽  
Emergency Department Visits ◽  
Emergency Department Utilization ◽  
Intellectual And Developmental Disabilities ◽  
Emergency Department Use ◽  
The Impact ◽  
The Relationship

Abstract Social determinants of health are conditions, factors, and environments that impact people's health. One such metric of people's health is emergency department utilization, but there is less research exploring how social determinants impact the emergency department use of people with intellectual and developmental disabilities (IDD). This exploratory study examined the relationship between people with IDD choosing where and with whom to live—a social determinant of health—and emergency department utilization. We analyzed secondary Personal Outcome Measures data, and emergency department data from 251 people with IDD. Our findings revealed people with IDD who chose where and with whom to live had a 74% decrease in emergency department visits, regardless of their impairment severity. Choice in housing may improve people with IDD's health outcomes.

scholarly journals Employee loyalty to the organization in the context of the form of employment

2018 ◽  
Vol 9 (3) ◽  
pp. 511-527 ◽  
Author(s):  
Magdalena Kot-Radojewska ◽  
Iryna V. Timenko
Keyword(s):  
Value Added ◽  
Research Process ◽  
Employee Loyalty ◽  
Current Form ◽  
Employment Contract ◽  
The People ◽  
Level Of Significance ◽  
The Impact ◽  
The Relationship ◽  
Competitive Economy

Research background: Organizations that function in the contemporary, competitive economy attribute the increased importance to employee loyalty, which translates, to a large extent, into commitment to work. A loyal employee, strongly associated with the organization, is its valuable asset. On the other hand, in the dynamically changing reality, organizations more often use the alternative, flexible forms of employment, which are not only a response to the needs of the organization, but also employees themselves. Purpose of the article: The purpose of the paper is to examine the relationship between employee loyalty to the employer and the form of employment. Methods: The paper presents the results of research conducted by means of a diagnostic survey with the use of a questionnaire among 569 employees of manufacturing and service enterprises operating on the Polish market. Empirical data were collected from December 2015 to January 2016. The research process was based on the grounded theory and statistical analyses were conducted by means of the SPSS, assuming the level of significance at 0.05. In order to compare people with the different forms of employment, the Kruskal-Wallis test was used. Findings & Value added: The research results indicated that there are certain relationships between the form of employment and loyalty to the employer. A majority of the respondents believed that the form of employment influences the loyalty to the employer. A majority also rated the degree of their own loyalty to the employer high. Employees working under an indefinite duration employment contract rated the impact of the current form of employment on loyalty to the employer higher than people that have a fixed-term employment contract. The people who have an indefinite duration employment contract rated the degree of their own loyalty to the employer higher than people that have a fixed-term employment contract.

scholarly journals Legal Research in a Changing Information Environment

2017 ◽  
Vol 10 (1) ◽  
pp. 23
Author(s):  
T Du Plessis
Keyword(s):  
South Africa ◽  
Information Technology ◽  
Constitutional Law ◽  
Research Process ◽  
Information Environment ◽  
Digital Information ◽  
Legal Research ◽  
Technology Applications ◽  
The Impact ◽  
The Relationship

Since the advent of the latest constitutional dispensation in South Africa, legal researchers have been presented with new opportunities for research into constitutional issues, development and the relationship between constitutional law and other fields. This article investigates how information technology applications can support the legal research process and what the benefits of technology are likely to be to legal research. Furthermore, it investigates the changes and the impact that electronic resources and the digital information environment might have on legal research. This entails a study of the unique characteristics of digital legal research and of the challenges that legal researchers face in a changing information environment.

scholarly journals Use of Photovoice to engage stakeholders in planning for patient-centered outcomes research

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Jill D. Nault Connors ◽  
Marshall J. Conley ◽  
Laura S. Lorenz
Keyword(s):  
Emergency Department ◽  
Health System ◽  
Lived Experience ◽  
Outcomes Research ◽  
Research Process ◽  
Patient Centered ◽  
Emergency Department Care ◽  
System Leaders ◽  
Multi Stakeholder ◽  
The Impact

Abstract Background Research is needed to inform patient and provider decisions about how to best care for patients who go to the emergency department with complaints of chest pain when their symptoms are due to anxiety rather than a heart problem. However, this research may not be a high priority due, in part, to a lack of awareness for the severity of anxiety symptoms and the impact of anxiety on peoples’ daily lives. In this commentary article, we highlight the use of Photovoice as a unique method to share patients’ lived experience of anxiety with providers, researchers, and health system leaders. Main text A brief background on Photovoice methods, the process of patient partner involvement in Photovoice, and the project’s Photovoice results (posters, photos and captions) is presented. Conclusion Photovoice achieved its intended effects of increasing awareness of all stakeholders about the burden of anxiety in patients’ lives and the imperative of improving emergency department care for anxiety. This resulted in increased participation in a multi-stakeholder research partnership, critical health system support that included costs to the health system associated with implementing interventions to be tested, and submission of a patient-centered outcomes research proposal that is currently under review. In addition, Photovoice had positive benefits for participants including a therapeutic effect, may have increased group cohesion, and empowerment of patients as partners in the research process.

scholarly journals A pomidory są te, co zawsze. Refleksje z baskijskiego terenu

2021 ◽  
Author(s):  
Katarzyna Mirgos
Keyword(s):  
Personal Experience ◽  
Basque Country ◽  
Research Process ◽  
Research Results ◽  
Research Participants ◽  
Ethnographic Fieldwork ◽  
Political Dimensions ◽  
The Impact ◽  
The Relationship

This article focuses on personal experience of fieldwork in the Basque Country. The author reflects on the linguistic and political dimensions of her research, on the relationship between the researcher and research participants, and on the emotional challengesof ethnographic fieldwork, with particular focus on the impact of motherhood on such research. Emphasizing the importance of autoethnography, the author also points out a variety of approaches to the research process and ways of presenting research results.

scholarly journals A Multivariable Model of Parent Satisfaction, Pain, and Opioid Administration in a Pediatric Emergency Department

2021 ◽  
Vol 22 (5) ◽  
pp. 1167-1175
Author(s):  
Candice Donaldson ◽  
Theodore Heyming ◽  
Louis Ehwerhemuepha ◽  
Brooke Jenkins ◽  
Michelle Fortier ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Patients ◽  
Opioid Analgesic ◽  
Parent Satisfaction ◽  
The United States ◽  
Pain Severity ◽  
Pediatric Care ◽  
Opioid Administration ◽  
The Impact ◽  
The Relationship

Introduction: Children and adolescents are not impervious to the unprecedented epidemic of opioid misuse in the United States. In 2016 more than 88,000 adolescents between the ages of 12–17 reported misusing opioid medication, and evidence suggests that there has been a rise in opioid-related mortality for pediatric patients. A major source of prescribed opioids for the treatment of pain is the emergency department (ED). The current study sought to assess the complex relationship between opioid administration, pain severity, and parent satisfaction with children’s care in a pediatric ED. Methods: We examined data from a tertiary pediatric care facility. A health survey questionnaire was administered after ED discharge to capture the outcome of parental likelihood of providing a positive facility rating. We abstracted patient demographic, clinical, and top diagnostic information using electronic health records. Data were merged and multivariable models were constructed. Results: We collected data from 15,895 pediatric patients between the ages of 0–17 years (mean = 6.69; standard deviation = 5.19) and their parents. Approximately 786 (4.94%) patients were administered an opioid; 8212 (51.70%) were administered a non-opioid analgesic; and 3966 (24.95%) expressed clinically significant pain (pain score >/= 4). Results of a multivariable regression analysis from these pediatric patients revealed a three-way interaction of age, pain severity, and opioid administration (odds ratio 1.022, 95% confidence interval, 1.006, 1.038, P = 0.007). Our findings suggest that opioid administration negatively impacted parent satisfaction of older adolescent patients in milder pain who were administered an opioid analgesic, but positively influenced the satisfaction scores of parents of younger children who were administered opioids. When pain levels were severe, the relationship between age and patient experience was not statistically significant. Conclusion: This investigation highlights the complexity of the relationship between opioid administration, pain severity, and satisfaction, and suggests that the impact of opioid administration on parent satisfaction is a function of the age of the child.

Accent Policy and Accent Modification Enterprises as Potential Indicators of Intercultural Power Relations: A Call for an Updated Research Agenda

2013 ◽  
Vol 3 (1) ◽  
pp. 22-33 ◽  
Author(s):  
Brynne D. Ovalle ◽  
Rahul Chakraborty
Keyword(s):  
International Relations ◽  
Identity Construction ◽  
Social Theory ◽  
Power Relations ◽  
Linguistic Diversity ◽  
Cultural Organization ◽  
Using Data ◽  
The Individual ◽  
The Impact ◽  
The Relationship

This article has two purposes: (a) to examine the relationship between intercultural power relations and the widespread practice of accent discrimination and (b) to underscore the ramifications of accent discrimination both for the individual and for global society as a whole. First, authors review social theory regarding language and group identity construction, and then go on to integrate more current studies linking accent bias to sociocultural variables. Authors discuss three examples of intercultural accent discrimination in order to illustrate how this link manifests itself in the broader context of international relations (i.e., how accent discrimination is generated in situations of unequal power) and, using a review of current research, assess the consequences of accent discrimination for the individual. Finally, the article highlights the impact that linguistic discrimination is having on linguistic diversity globally, partially using data from the United Nations Educational, Scientific and Cultural Organization (UNESCO) and partially by offering a potential context for interpreting the emergence of practices that seek to reduce or modify speaker accents.

Business: Making Cents of Coding Systems: Billing for Professional Services

2010 ◽  
Vol 20 (1) ◽  
pp. 3-8
Author(s):  
Dee Adams Nikjeh
Keyword(s):  
Professional Services ◽  
Speech Language Pathology ◽  
Coding Systems ◽  
Language Pathology ◽  
Program Funding ◽  
Fee Schedule ◽  
Procedure Codes ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship

Abstract Administrators and supervisors face daily challenges over issues such as program funding, service fees, correct coding procedures, and the ever-changing healthcare regulations. Receiving equitable reimbursement for speech-language pathology and audiology services necessitates an understanding of federal coding and reimbursement systems. This tutorial provides information pertaining to two major healthcare coding systems and explains the relationship of these systems to clinical documentation, the Medicare Physician Fee Schedule and equitable reimbursement. An explanation of coding edits and coding modifiers is provided for use in those occasional atypical situations when the standard use of procedural coding may not be appropriate. Also included in this tutorial is a brief discussion of the impact that the Medicare Improvements for Patients and Providers Act of 2008 (HR 6331 Medicare Improvements for Patients and Providers Act [MIPPA], 2008) has had on the valuation of speech-language pathology procedure codes.

Sign in / Sign up

Export Citation Format

Share Document