Personal transformation in chronic physical disease: Conceptual limitations of the posttraumatic growth construct

This quantitative-qualitative case study focuses on processes of personal transformation in chronic physical disease in order to further our understanding of the posttraumatic growth construct. Semistructured interviews were conducted with women suffering from Systemic Lupus Erythematosus. The validity of the posttraumatic growth construct is assessed comparing results obtained by a standardized measure (Posttraumatic Growth Inventory) to individual pictorial and verbal depictions of personal transformation processes. Detailed examinations of three cases evidenced the validity of subjective appraisals of posttraumatic growth. Also, the Posttraumatic Growth Inventory covered all facets of positive growth processes as portrayed by individual depictions. However, the concept of posttraumatic growth neglects negatively evaluated processes of personal transformation. The consequences of this conceptual bias are discussed with respect to clinical care as well as contradictory results seen in empirical research. Posttraumatic loss and destruction is suggested as a second dimension for the representation of personal transformation in chronic physical disease.

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Mothers’ Grief, Forgiveness, and Posttraumatic Growth After the Loss of a Child

OMEGA - Journal of Death and Dying ◽

10.1177/0030222816652803 ◽

2016 ◽

Vol 75 (3) ◽

pp. 248-265 ◽

Cited By ~ 4

Author(s):

Lucia Martinčeková ◽

John Klatt

Keyword(s):

Qualitative Research ◽

Posttraumatic Growth ◽

Positive Association ◽

Negative Association ◽

Consensual Qualitative Research ◽

Semistructured Interviews ◽

Strong Positive Association ◽

Posttraumatic Growth Inventory ◽

Loss Of A Child ◽

Enright Forgiveness Inventory

The aim of this study was to investigate maternal grief after losing a child in relation to forgiveness and posttraumatic growth. A sample of 60 grieving mothers from Slovakia completed the following battery: The Texas Revised Inventory of Grief, a modified version of the Enright Forgiveness Inventory, and the Posttraumatic Growth Inventory. The results showed a negative association between forgiveness and grief and a strong positive association between forgiveness and posttraumatic growth, which was not moderated by the time elapsed since the loss. Semistructured interviews were conducted with 12 mothers. The data were analyzed through Consensual Qualitative Research to gain deeper understanding of forgiveness and posttraumatic growth experiences after the loss of a child. Categories and subcategories are discussed.

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Suffering and Posttraumatic Growth in Women With Systemic Lupus Erythematosus (SLE): A Qualitative/Quantitative Case Study

Psychosomatics ◽

10.1176/appi.psy.50.4.362 ◽

2009 ◽

Vol 50 (4) ◽

pp. 362-374 ◽

Cited By ~ 16

Author(s):

Lutz Wittmann ◽

Tom Sensky ◽

Luzia Meder ◽

Beat Michel ◽

Thomas Stoll ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Posttraumatic Growth ◽

Lupus Erythematosus ◽

Systemic Lupus ◽

Quantitative Case Study

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Caregivers' Perceptions of Speech-Language Pathologist Talk About Child Language and Literacy Disorders

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-20-00049 ◽

2020 ◽

Vol 29 (4) ◽

pp. 2049-2067

Author(s):

Karmen L. Porter ◽

Janna B. Oetting ◽

Loretta Pecchioni

Keyword(s):

Language And Literacy ◽

Collective Case Study ◽

Study Approach ◽

School Aged Children ◽

Speech Language Pathologist ◽

Therapy Goals ◽

Semistructured Interviews ◽

Types Of Information

Purpose This study examined caregiver perceptions of their child's language and literacy disorder as influenced by communications with their speech-language pathologist. Method The participants were 12 caregivers of 10 school-aged children with language and literacy disorders. Employing qualitative methods, a collective case study approach was utilized in which the caregiver(s) of each child represented one case. The data came from semistructured interviews, codes emerged directly from the caregivers' responses during the interviews, and multiple coding passes using ATLAS.ti software were made until themes were evident. These themes were then further validated by conducting clinical file reviews and follow-up interviews with the caregivers. Results Caregivers' comments focused on the types of information received or not received, as well as the clarity of the information. This included information regarding their child's diagnosis, the long-term consequences of their child's disorder, and the connection between language and reading. Although caregivers were adept at describing their child's difficulties and therapy goals/objectives, their comments indicated that they struggled to understand their child's disorder in a way that was meaningful to them and their child. Conclusions The findings showed the value caregivers place on receiving clear and timely diagnostic information, as well as the complexity associated with caregivers' understanding of language and literacy disorders. The findings are discussed in terms of changes that could be made in clinical practice to better support children with language and literacy disorders and their families.

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Involving Events as Cocreators of Destination Brand: The Case of South Savo Region

Event Management ◽

10.3727/152599519x15506259856075 ◽

2020 ◽

Vol 24 (2) ◽

pp. 375-387

Author(s):

Jenni Mikkonen ◽

Ira Lahovuo

Keyword(s):

Empirical Data ◽

Stakeholder Involvement ◽

Destination Branding ◽

Mega Events ◽

Semistructured Interviews ◽

Research Gap ◽

Sport Events ◽

Destination Brand ◽

Eastern Finland

Prior studies have recognized the importance of events in destination branding, but the focus has been on the roles of mega-events or sport events, while smaller cultural and freetime events have received far less attention. The stakeholder involvement in destination branding has also been attracting interest lately by many researchers, but there is lack of knowledge on how to utilize events in the branding processes. This study aims to fill the research gap through a case study in the South Savo region, eastern Finland. The purpose of this study is to examine the roles events have in destination branding, and how events are involved in cocreating the destination brand. The empirical data were collected through 13 semistructured interviews of event organizers and local tourism developers. The study identified four different roles and several involvement methods. The findings revealed the importance and potential of organized events in the branding, but it also revealed that they are not yet effectively utilized at the destination. However, there is a consensus about the importance of stakeholder involvement and a common will towards involving events in the branding process. The findings of this study can be utilized by tourism developers and stakeholders to improve destination branding processes.

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Perceptions of the feedback process: a case study of veterinary residents and supervisors

Veterinary Record ◽

10.1136/vr.105792 ◽

2020 ◽

Vol 187 (11) ◽

pp. 449-449

Author(s):

Karen Lisette Perry ◽

Molly Frendo Londgren ◽

Claire Vinten

Keyword(s):

Clinical Performance ◽

Good News ◽

Study Cohort ◽

Feedback Process ◽

Semistructured Interviews ◽

Residency Programme ◽

Competency Based ◽

Culture Development ◽

Feedback Delivery

BackgroundAppraisal of resident clinical performance is critical during training. The most common method for this is feedback to residents based on impressions of supervising clinicians. How effective these practices are for veterinary residents remains unknown. This study focused on establishing perceptions of veterinary residents and supervisors regarding the feedback process.MethodsA qualitative case study format was chosen to investigate the perceptions and experiences within a well-developed residency programme. The study cohort consisted of veterinary residents and supervisors from the same specialties. Qualitative data were collected through individual semistructured interviews continuing iteratively until theoretical saturation was reached (14 in total).ResultsMismatches in resident and supervisor perceptions were evident regarding positive feedback delivery and the importance of dialogue. The nature of the resident/supervisor relationship and the efficacy of feedback were closely interlinked. The development of a feedback-friendly culture would be beneficial. Residents perceived that feedback on teaching was lacking. Milestones were perceived to be lacking.ConclusionThe results highlight a need for change away from the ‘no news is good news’ culture. Development of training workshops, formation of closer relationships between supervisors and residents, and a transition to competency-based education may be necessary.

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Parkinsonian syndrome revealing a Systemic Lupus Erythematosus disease one case study (displayed communication)

Journal of the Neurological Sciences ◽

10.1016/j.jns.2013.07.561 ◽

2013 ◽

Vol 333 ◽

pp. e82

Author(s):

M. Mati ◽

D. Hakem ◽

S. Hattab ◽

D. Mahmoudi

Keyword(s):

Systemic Lupus Erythematosus ◽

Lupus Erythematosus ◽

Parkinsonian Syndrome ◽

Systemic Lupus Erythematosus Disease ◽

Systemic Lupus

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Red for Ed Teacher Movements: Exploring Roles and Symbols in the Politics of the Superintendency

Educational Administration Quarterly ◽

10.1177/0013161x211034485 ◽

2021 ◽

pp. 0013161X2110344

Author(s):

Michael A. Szolowicz ◽

R. Aaron Wisman

Keyword(s):

Political Action ◽

The United States ◽

Instructional Leader ◽

Political Strategy ◽

New Wave ◽

Symbolic Politics ◽

Theoretical Frameworks ◽

Semistructured Interviews ◽

Embedded Case Study

Purpose: In recent years, a new wave of teacher-led political action has erupted resulting in work stoppages in several states across the United States. This study examines how superintendents navigated this Red for Ed movement in two representative states. Methods: Framed as a multisite, embedded case study, we drew from public documents and semistructured interviews with superintendents. We took a deductive approach to data analysis, seeking analytic generalization to the theoretical frameworks adopted herein. Findings: Red for Ed-motivated teacher job actions did create a political dilemma for superintendents. Superintendents addressed the dilemma by utilizing the roles of business manager, instructional leader, and politician as expressed through symbolic politics including assigning responsibility and vaguely supporting the Red for Ed cause. Superintendent responses are consistent with isomorphic tenants of sociological institutionalism. Implications: Considering the modern superintendency’s political nature, superintendents might benefit from preparation in political strategy and tactics.

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Evaluating prediction of continuous clinical values: a glucose case study (Preprint)

10.2196/preprints.27048 ◽

2021 ◽

Author(s):

George Hripcsak ◽

David J Albers

Keyword(s):

Predictive Models ◽

Clinical Utility ◽

Clinical Care ◽

Glucose Measurement ◽

Care Processes ◽

Low Glucose ◽

Potential Clinical Utility ◽

Rms Error ◽

Error Grid

BACKGROUND Background: It would be useful to be able to assess the utility of predictive models of continuous values before clinical trials are carried out. OBJECTIVE Objective: To compare metrics to assess the potential clinical utility of models that produce continuous value forecasts. METHODS Methods: We ran a set of data assimilation forecast algorithms on time series of glucose measurements from intensive care unit patients. We evaluated the forecasts using four sets of metrics: glucose root mean square error, a set of metrics on a transformed glucose value, the estimated effect on clinical care based on an insulin guideline, and a glucose measurement error grid (Parkes grid). We assessed correlation among the metrics and created a set of factor models. RESULTS Results: The metrics generally correlated with each other, but those that estimated the effect on clinical care correlated with the others the least and were generally associated with their own independent factors. The other metrics appeared to separate into those that emphasized errors in low glucose versus errors in high glucose. The Parkes grid was well correlated with the transformed glucose but not the estimation of clinical care. CONCLUSIONS Discussion: Our results indicate that we need to be careful before we assume that commonly used metrics like RMS error in raw glucose or even metrics like the Parkes grid that are designed to measure importance of differences will correlate well with actual effect on clinical care processes. A combination of metrics appeared to explain the most variance between cases. As prediction algorithms move into practice, it will be important to measure actual effects.

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Use of Consensus Methodology to Determine Candidate Items for Systemic Lupus Erythematosus Classification Criteria

The Journal of Rheumatology ◽

10.3899/jrheum.180478 ◽

2018 ◽

Vol 46 (7) ◽

pp. 721-726 ◽

Cited By ~ 21

Author(s):

Sindhu R. Johnson ◽

Dinesh Khanna ◽

David Daikh ◽

Ricard Cervera ◽

Nathalie Costedoat-Chalumeau ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Lupus Erythematosus ◽

Clinical Care ◽

Nominal Group Technique ◽

Steering Committee ◽

Classification Criteria ◽

Nominal Group ◽

Systemic Lupus ◽

High Performing ◽

American College Of Rheumatology

Objective.Given the complexity and heterogeneity of systemic lupus erythematosus (SLE), high-performing classification criteria are critical to advancing research and clinical care. A collaborative effort by the European League Against Rheumatism and the American College of Rheumatology was undertaken to generate candidate criteria, and then to reduce them to a smaller set. The objective of the current study was to select a set of criteria that maximizes the likelihood of accurate classification of SLE, particularly early disease.Methods.An independent panel of international SLE experts and the SLE classification criteria steering committee (conducting SLE research in Canada, Mexico, United States, Austria, Germany, Greece, France, Italy, and Spain) ranked 43 candidate criteria. A consensus meeting using nominal group technique (NGT) was conducted to reduce the list of criteria for consideration.Results.The expert panel NGT exercise reduced the candidate criteria for SLE classification from 43 to 21. The panel distinguished potential “entry criteria,” which would be required for classification, from potential “additive criteria.” Potential entry criteria were antinuclear antibody (ANA) ≥ 1:80 (HEp-2 immunofluorescence), and low C3 and/or low C4. The use of low complement as an entry criterion was considered potentially useful in cases with negative ANA. Potential additive criteria included lupus nephritis by renal biopsy, autoantibodies, cytopenias, acute and chronic cutaneous lupus, alopecia, arthritis, serositis, oral mucosal lesions, central nervous system manifestations, and fever.Conclusion.The NGT exercise resulted in 21 candidate SLE classification criteria. The next phases of SLE classification criteria development will require refinement of criteria definitions, evaluation of the ability to cluster criteria into domains, and evaluation of weighting of criteria.

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