scholarly journals The Social Construction of Congenital Deafblindness in relation to Education: Analysis of focus groups in East and Central Africa

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ismael K. Byaruhanga ◽  
Anne V. Nafstad ◽  
Jacques Souriau

This study investigated the importance of social construction of congenital deafblindness (CDB) when planning special needs education services. The study was conducted in Uganda and the Democratic Republic of the Congo (DRC). The research was based on a literature review and a focus group study. In the focus groups a dialogical perspective was used for acquiring knowledge through communicative interactions. The focus was on two main topics: social construction of Congenital Deafblindness (CDB) and knowledge about education services for people with CDB. Fourteen participants were selected, with seven from each country. Participants were familiar with deafblind persons and/or with communities where they lived.  The grounded theory approach and thematic analysis method were used to determine the correct coding and themes and identify patterns of meaning of different opinions. The results of the data analyses showed that participants attributed the causes of CDB in Uganda and the DRC to cultural and religious beliefs.  The medical stance on CDB was less understood. In addition, culture and religion were identified as dominant factors in the social construction of the position of people with CDB in the community, leading to misunderstanding and inappropriate services for them. This community misunderstanding indicates that people at the local level are likely to stick to traditional and religious practices. Therefore, changing attitudes and educational opportunities for people with CDB requires more understanding of third-party voices and the underlying barriers in these communities.

1975 ◽  
Vol 5 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Robert K. Match ◽  
Arnold H. Goldstein ◽  
Harold L. Light

The history of union organizing efforts in the hospital field is discussed in this article, along with the factors judged necessary for successful union organizing. The role played by labor legislation in the unionization of hospital workers is shown, and the influences of the National Labor Relations Act, the Taft-Hartley amendments, and labor legislation at the local level are described. Management has largely resisted unionization because of the social nature of hospitals. Competitive market forces do not confront the not-for-profit hospitals, which are dependent upon third-party reimbursement. While strikes are an integral and essential part of collective bargaining in industry, they are, in fact, detrimental to hospitals because of these institutions' concern with human life. Despite laws and assurances from labor leaders that strikes will not occur, strikes have been used as a method for resolving disputes, though they are basically inconsistent with the economic characteristics and objectives of the hospital. The authors conclude that arbitration awards should be made by arbitrators appointed from outside of the local region of the hospital involved, and that, because of the catastrophic effect of strikes upon patients as well as employees, arbitration awards should be required, should be binding upon both parties, and should be federally enforced.


2001 ◽  
Vol 22 (5) ◽  
pp. 652-676 ◽  
Author(s):  
ROMA STOVALL HANKS

Business interest in grandparenting is growing as the baby boom generation becomes eligible for grandparenthood. Although only about 10% of grandparents have primary caregiving responsibilities for their grandchildren, academic research today focuses disproportionately on problems and policies of grandparent caregivers. This article examines the social construction of grandparenting by business and academe. Evidence for the construction of grandparent roles is provided from two sources: a case study of strategic business philanthropy targeting grandparents and a review of academic research on grandparenting. Data from three focus groups and a survey of 180 grandparents are provided. Four types of business involvement are discussed.


2021 ◽  
Vol 17 (2) ◽  
pp. 149-165
Author(s):  
Rosângela Maria de Nazaré Barbosa e Silva ◽  
Marcela Leal Reis Nader ◽  
Nayara Augusto Moratti

This study aims to analyze the understanding of the curriculum in a post-critical perspective by students of the Elementary School of the Municipality of Vitória-ES, emphasizing the challenge of the school, in its constitution process in relation to the social construction and valorization of culture, capable of guide pedagogical practices to recognize the differences present in the school context. It was intended, by means of an exploratory study with a qualitative approach, to discuss thematic content of the post-critical curriculum, using focus groups data collection and analysis of official school documents. We conclude that the reproduction of differences happens implicitly, distancing what is proposed in school documents and what is performed inside the classrooms by teachers.


NASPA Journal ◽  
2003 ◽  
Vol 40 (2) ◽  
Author(s):  
Timothy D Radloff ◽  
Nancy Evans

The purpose of this study was to determine if there is a distinctive difference between the prejudice of Black and White college students at a predominantly White Midwest university. Using focus groups, we explored the perceptions that Black and White undergraduate students have of each other and how they socially encounter each other on campus. We offer recommendations for practice based on the results of this study.


2003 ◽  
Vol 20 (1) ◽  
pp. 9-32 ◽  
Author(s):  
Joseph G. Bock ◽  
Clark McCauley

AbstractThis article argues that local religious leaders and particularly missionaries have an important role to play in preventing ethnic violence and that this role constitutes a new form of mission. The article first describes some of the theories of violence and explains how researchers are increasingly focusing on the role of human interpretation. Second, it reviews the etiology of ethnic riots and emphasizes in this etiology the key role of moral consensus in support of violence. Third, it argues that missionaries and other local religious leaders can be influential in questioning and contradicting rumors that exaggerate the threat posed by an incident that may precipitate ethnic violence by exercising moral authority, being timely in responding by virtue of working at a grassroots level, and by being assertive in standing up to bigotry. Fourth, the article outlines five approaches that religious leaders can use in circumventing the social construction towards risk taking and moral vindication that precedes violence. These approaches are gatekeeping, gatekeeping and nudging, theological dueling, relaying and advocating, and safeguarding. Finally, it raises some questions for future consideration in building lateral mission-a role the authors hope will become central for missionaries in the future. As the authors conclude: "We believe that missionaries have a unique contribution to make in the prevention of deadly violence in divided societies. In particular, missionaries have theological/doctrinal and moral authority, work at a grassroots level, and are outsiders. These traits enable them to intervene during a lull at the local level at which the social construction toward violence is developing."


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alison James ◽  
Simon Cooper ◽  
Elizabeth Stenhouse ◽  
Ruth Endacott

Abstract Background In the United Kingdom, midwives will engage in discussions with the multidisciplinary team as to whether they can provide Obstetric High Dependency Care (OHDC) on the Delivery Suite or whether a woman’s care should be escalated to the critical care team. This study aimed to explore the question: What factors influence midwives to provide OHDC or request care be escalated away from the obstetric unit in hospitals remote from tertiary referral centres? Methods Focus groups were undertaken with midwives (n = 34) across three obstetric units in England, with annual birth rates ranging from 1500 to 5000 per annum, in District General Hospitals. Three scenarios in the form of video vignettes of handover were used as triggers for the focus groups. Scenario 1; severe pre-eclampsia, physiologically unstable 2; major postpartum haemorrhage requiring invasive monitoring 3; recent admission of woman with chest pain receiving facial oxygen and requiring continuous electrocardiogram (ECG) monitoring. Two focus groups were conducted in each of the obstetric units with experienced midwives. Data were analysed using a qualitative framework approach. Results Factors influencing midwives’ care escalation decisions included the care environment, a woman’s diagnosis and fetal or neonatal factors. The overall plan of care including the need for ECG and invasive monitoring were also influential factors. Midwives in the smallest obstetric unit did not have access to the facilities for OHDC provision. Midwives in the larger obstetric units provided OHDC but identified varying degrees of skill and sometimes used ‘workarounds’ to facilitate care provision. Midwifery staffing levels, skill mix and workload were also influential. Some differences of opinion were evident between midwives working in the same obstetric units as to whether OHDC could be provided and the support they would enlist to help them provide it. Reliance on clinical guidelines appeared variable. Conclusions Findings indicate that there may be inequitable OHDC provision at a local level. Organisationally robust systems are required to promote safe, equitable OHDC care including skills development for midwives and precise escalation guidelines to minimise workarounds. Training for midwives must include strategies that prevent skills fade.


2017 ◽  
Vol 43 (4) ◽  
pp. 367-377 ◽  
Author(s):  
H. Matthew Lehrer ◽  
Susan K. Dubois ◽  
Sharon A. Brown ◽  
Mary A. Steinhardt

Purpose The purpose of this qualitative, focus group study was to further refine the Resilience-based Diabetes Self-management Education (RB-DSME) recruitment process and intervention, build greater trust in the community, and identify strategies to enhance its sustainability as a community-based intervention in African American church settings. Methods Six 2-hour focus groups (N = 55; 10 men and 45 women) were led by a trained moderator with a written guide to facilitate discussion. Two sessions were conducted with individuals diagnosed with type 2 diabetes mellitus (T2DM) who participated in previous RB-DSME pilot interventions and their family members, two sessions with local church leaders, and two sessions with community healthcare providers who care for patients with T2DM. Two independent reviewers performed content analysis to identify major themes using a grounded theory approach. The validity of core themes was enhanced by external review and subsequent discussions with two qualitative methods consultants. Results There was expressed interest and acceptability of the RB-DSME program. Church connection and pastor support were noted as key factors in building trust and enhancing recruitment, retention, and sustainability of the program. Core themes across all groups included the value of incentives, the need for foundational knowledge shared with genuine concern, teaching with visuals, dealing with denial, balancing the reality of adverse consequences with hope, the importance of social support, and addressing healthcare delivery barriers. Conclusion Focus groups documented the feasibility and potential effectiveness of RB-DSME interventions to enhance diabetes care in the African American community. In clinical practice, inclusion of these core themes may enhance T2DM self-care and treatment outcomes.


2020 ◽  
Vol 13 (2) ◽  
pp. 125-142
Author(s):  
Annie Isabel Fukushima ◽  
Kwynn Gonzalez-Pons ◽  
Lindsay Gezinski ◽  
Lauren Clark

Purpose The purpose of this study is to contribute to the social understanding of stigma as a societal and cultural barrier in the life of a survivor of human trafficking. The findings illustrate several ways where stigma is internal, interpersonal and societal and impacts survivors’ lives, including the care they receive. Design/methodology/approach This study used qualitative methods. Data collection occurred during 2018 with efforts such as an online survey (n = 45), focus groups (two focus groups of seven participants each) and phone interviews (n = 6). This study used thematic analysis of qualitative data. Findings The research team found that a multiplicity of stigma occurred for the survivors of human trafficking, where stigma occurred across three levels from micro to meso to macro contexts. Using interpretive analysis, the researchers conceptualized how stigma is not singular; rather, it comprises the following: bias in access to care; barriers of shaming, shunning and othering; misidentification and mislabeling; multiple levels of furthering how survivors are deeply misunderstood and a culture of mistrust. Research limitations/implications While this study was conducted in a single US city, it provides an opportunity to create dialogue and appeal for more research that will contend with a lens of seeing a multiplicity of stigma regardless of the political climate of the context. It was a challenge to recruit survivors to participate in the study. However, survivor voices are present in this study and the impetus of the study’s focus was informed by survivors themselves. Finally, this study is informed by the perspectives of researchers who are not survivors; moreover, collaborating with survivor researchers at the local level was impossible because there were no known survivor researchers available to the team. Practical implications There are clinical responses to the narratives of stigma that impact survivors’ lives, but anti-trafficking response must move beyond individualized expectations to include macro responses that diminish multiple stigmas. The multiplicity in stigmas has meant that, in practice, survivors are invisible at all levels of response from micro, meso to macro contexts. Therefore, this study offers recommendations for how anti-trafficking responders may move beyond a culture of stigma towards a response that addresses how stigma occurs in micro, meso and macro contexts. Social implications The social implications of examining stigma as a multiplicity is central to addressing how stigma continues to be an unresolved issue in anti-trafficking response. Advancing the dynamic needs of survivors both in policy and practice necessitates responding to the multiple and overlapping forms of stigma they face in enduring and exiting exploitative conditions, accessing services and integrating back into the community. Originality/value This study offers original analysis of how stigma manifested for the survivors of human trafficking. Building on this dynamic genealogy of scholarship on stigma, this study offers a theory to conceptualize how survivors of human trafficking experience stigma: a multiplicity of stigma. A multiplicity of stigma extends existing research on stigma and human trafficking as occurring across three levels from micro, meso to macro contexts and creating a system of oppression. Stigma cannot be reduced to a singular form; therefore, this study argues that survivors cannot be understood as experiencing a singular form of stigma.


2019 ◽  
Vol 46 ◽  
pp. 263-298 ◽  
Author(s):  
Geert Castryck

Abstract:This article applies a translocal approach in order to make sense of the internal dynamics in the Muslim community of colonial Bujumbura. The establishment of the community and its religious evolutions – from a practical living of Islam to Qadiriyya Sufism to Islamic Reform – are interpreted in regard to, on the one hand, religious tendencies in East African Islam and, on the other hand, processes of integration, marginalization, and exclusion in an urban, colonial and Burundian context. An answer to the social needs and challenges on the local level was found in religious intensification and a widening of the geographical scope, drawing on age-old connections across East and Central Africa.


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