scholarly journals Meat in a Seat: A Grounded Theory Study Exploring Moral Injury in Canadian Public Safety Communicators, Firefighters, and Paramedics

2021 ◽  
Vol 18 (22) ◽  
pp. 12145
Author(s):  
Lorraine Smith-MacDonald ◽  
Liana Lentz ◽  
David Malloy ◽  
Suzette Brémault-Phillips ◽  
R. Nicholas Carleton
Keyword(s):  
Grounded Theory ◽  
Focus Groups ◽  
Public Safety ◽  
Moral Injury ◽  
Structured Interviews ◽  
Grounded Theory Method ◽  
Study Results ◽  
Psychological Harm ◽  
Societal Problems ◽  
The Impact

The work of public safety personnel (PSP) is inherently moral; however, the ability of PSP to do what is good and right can be impeded and frustrated, leading to moral suffering. Left unresolved, moral suffering may develop into moral injury (MI) and potential psychological harm. The current study was designed to examine if MI is relevant to frontline public safety communicators, firefighters, and paramedics. Semi-structured interviews (n = 3) and focus groups (n = 3) were conducted with 19 participants (public safety communicators (n = 2); paramedics (n = 7); and firefighters (n = 10)). Interviews and focus groups were audio-recorded, transcribed, coded, and constantly compared in accordance with the grounded theory method. A conceptual theory of “frustrating moral expectations” emerged, with participants identifying three interrelated properties as being potentially morally injurious: chronic societal problems, impaired systems, and organizational quagmires. Participants navigated their moral frustrations through both integrative and disintegrative pathways, resulting in either needing to escape their moral suffering or transforming ontologically. The current study results support MI as a relevant concept for frontline PSP. Given the seriousness of PSP leaving their profession or committing suicide to escape moral suffering, the importance of the impact of MI on PSP and public safety organizations cannot be ignored or underestimated. Understanding the similarities and differences of morally injurious exposures of frontline PSP may be critical for determining mental health and resilience strategies that effectively protect PSP.

scholarly journals ‘I’d rather you didn’t come’: The impact of stigma on exercising with epilepsy

2017 ◽  
Vol 24 (10) ◽  
pp. 1345-1355 ◽  
Author(s):  
Sarah S Collard ◽  
Caroline Ellis-Hill
Keyword(s):  
Grounded Theory ◽  
Focus Groups ◽  
Everyday Life ◽  
Team Sports ◽  
Structured Interviews ◽  
Sports And Exercise ◽  
The Impact

Epilepsy is a common but hidden disorder, leading to stigma in everyday life. Despite stigma being widely researched, little is known about the impact of stigma for people with epilepsy within a sports and exercise setting. Using constructionist grounded theory, we explored the barriers and adaptations to exercise for people with epilepsy. Three focus groups (2–3 participants per group) and three semi-structured interviews were conducted (11 participants in total). Stigma negatively impacted joining team sports, running groups, and disclosure to others. The effect of stigma was reduced by educating others about epilepsy, thus creating more awareness and understanding.

Use of 4.0 (I4.0) technology in HRM: a pathway toward SHRM 4.0 and HR performance

foresight ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rajasshrie Pillai ◽  
Shilpi Yadav ◽  
Brijesh Sivathanu ◽  
Neeraj Kaushik ◽  
Pooja Goel
Keyword(s):  
Grounded Theory ◽  
Industry 4.0 ◽  
Design Methodology ◽  
Extensive Literature ◽  
Theory Approach ◽  
Structured Interviews ◽  
Content Type ◽  
Hr Managers ◽  
The Impact ◽  
Grounded Theory Approach

Purpose This paper aims to investigate the use of Industry 4.0 (I4.0) technology and its barriers in human resourcemanagement (HRM) for Smart HR 4.0 and its impact on HR performance. Design/methodology/approach The research has been conducted using the grounded theory approach. Semi-structured interviews were conducted with 122 senior HR officers of national and multi-national companies in India after the extensive literature review. NVivo 8.0 software was used for the analysis of the interview data. Findings I4.0 technology is used for HRM functions by HR professionals. It is revealed that Smart HR 4.0 that emerged from the I4.0 technology has leveraged the HR performance. It is also found that usage barriers, traditional barriers and risk barriers affect the use of I4.0 technology in HRM. Originality/value A model is developed using the grounded theory approach for HR managers to understand the impact of I4.0 on HRM. This study reveals the barriers affecting the use of I4.0 technology in HRM. It also provides the model for HR performance that emerged through the use of I4.0 technology in HR and Smart HR 4.0. The research delivered key insights for the HR professionals, marketers of HR technology and technology developers.

scholarly journals The Professional Identity Experiences of LIS Graduates in Non-Library Roles Can Be Described by the Theory of Personalizing Professionalism

2018 ◽  
Vol 13 (1) ◽  
pp. 21-23
Author(s):  
Melissa Goertzen
Keyword(s):  
Grounded Theory ◽  
Professional Identity ◽  
Information Science ◽  
The United States ◽  
Structured Interviews ◽  
Design Data ◽  
Grounded Theory Methodology ◽  
Study Results ◽  
Theoretical Sampling ◽  
Job Title

A Review of: Fraser-Arnott, M. (2017, May 17). Personalizing professionalism: The professional identity experiences of LIS graduates in non-library roles. Journal of Librarianship and Information Science. https://doi.org/10.1177/0961000617709062 Abstract Objective – To produce a theory that captures the professional identity experiences of library and information science (LIS) graduates employed in non-library roles. Design – Data collection and analysis were conducted using semi-structured interviews and grounded theory methodology. Setting – A variety of industry sectors located in the United States or Canada. Subjects – Twenty professionals with Master's degrees in LIS employed in non-library roles. Method – This study used the Glaserian Grounded Theory methodology, which requires constant theoretical sampling and comparison until no new data is found in any coding category. The researcher utilized two types of sampling in this study: snowball or chain referral sampling, and theoretical sampling. These techniques allowed the researcher to build a potential list of participants from a difficult to reach population. Study data was collected through semi-structured interviews divided into three sections: 1) participants were asked to describe their career experiences from their decision to attend library school to the present; 2) follow-up questions by the researcher in response to comments made by participants during the first phase; 3) questions listed in an interview guide that examined educational experiences, communities, and how participants identify themselves as professionals. Main Results – Study results produced the theory of Personalizing Professionalism, which suggests that each individual possess two identities that interact with one another throughout the course of one's career. The first is an internal appraisal of self that represents who one is as a professional. It is developed as a result of socialization in the profession and an understanding of personal motivations and interests. The second is an externally expressed identity that represents how an individual presents himself or herself to achieve professional goals. This can include self-imposed labels, such as "librarian", or strategies used to find a path within the profession. This process involves reflections and actions aimed at identifying what type of professional to be and steps required to achieve goals. The results also indicate that interactions with others impact an individual’s internal appraisal of self and externally expressed identity. Areas of conflict were identified when commonly held views of how a professional identity should be expressed did not match the identity that an individual developed or displayed to others. When conflicts arose, individuals used a variety of strategies to resolve the discrepancy between internal and external identities: assimilation, attempting to influence or change the perceptions of the group, or withdrawal. In terms of self-identifying as a librarian, the study found that participants who chose the term as a professional label believed that the work they do in non-library settings was still compatible with their definition of what it meant to be a librarian. Participants who identified as librarians some of the time and by their job title at other times did so based on an evaluation of which label would best advance their position with a given audience. Finally, participants who chose not to use the label of librarian had never internally associated with the role or job title; these individuals completed a LIS program to gain transferable skills or qualify for a wide variety of employment opportunities. Conclusion – The theory of Personalizing Professionalism provides insight into the development and expression of professional identity experiences when LIS graduates work in non-library roles. The results have value to practitioners and educators who market LIS programs or develop course content. For instance, in the future greater emphasis could be placed on transferable skill sets that are of value to roles outside of traditional library settings. Many participants described potential or actual conflicts when trying to place themselves within the LIS community because new ideas of what it means to be a “librarian” were rejected, leading to feelings of exclusion. Over time, this could lead to a detrimental loss of innovation and ideas.

scholarly journals The Infant Cuddler Study: Evaluating the effectiveness of volunteer cuddling in infants with neonatal abstinence syndrome

2019 ◽  
Vol 25 (7) ◽  
pp. 414-418
Author(s):  
Amanda Hignell ◽  
Karen Carlyle ◽  
Catherine Bishop ◽  
Mary Murphy ◽  
Teresa Valenzano ◽  
...  
Keyword(s):  
Pilot Study ◽  
Length Of Stay ◽  
Focus Groups ◽  
Positive Impact ◽  
Surrogate Marker ◽  
Neonatal Abstinence Syndrome ◽  
Control Group ◽  
Abstinence Syndrome ◽  
Study Results ◽  
The Impact

Abstract Objectives St. Michael’s Hospital launched a volunteer cuddling program for all infants admitted into the neonatal intensive care unit in October 2015. The program utilizes trained volunteers to cuddle infants when caregivers are not available. This was a pilot study to assess the impact of a volunteer cuddle program on length of stay (LOS) and feasibility of implementation of the program. Methods A mixed methods approach was utilized to measure both quantitative and qualitative impact. A pilot cohort study with a retrospective control group assessed the feasibility of implementing a volunteer cuddling program for infants with neonatal abstinence syndrome (NAS). Length of stay was used as a surrogate marker to measure the impact of cuddling on infants being treated for Neonatal Abstinence Syndrome. Focus groups using semi-structured interviews were conducted with volunteers and nurses at the end of the pilot study. Results LOS was reduced by 6.36 days (U=34, P=0.072) for infants with NAS in the volunteer cuddling program. Focus groups with both bedside nurses and program volunteers described a positive impact of cuddling programs on infants, families, staff, and volunteers alike. Conclusions The study results suggest that the volunteer cuddling program may reduce LOS in infants with NAS and have potential economic savings on hospital resources. However, larger prospective cohort studies are needed to confirm these results.

scholarly journals A Grounded theory study of the intention of nurses to leave the profession

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Leyla Alilu ◽  
Vahid Zamanzadeh ◽  
Leila Valizadeh ◽  
Hosein Habibzadeh ◽  
Mark Gillespie
Keyword(s):  
Grounded Theory ◽  
Comparative Method ◽  
Intention To Leave ◽  
Self Control ◽  
Structured Interviews ◽  
Grounded Theory Method ◽  
Psychosocial Concerns ◽  
Constant Comparative Method ◽  
Bedside Nursing ◽  
Organizational Expectations

ABSTRACT Objective: this study explores the process of the development of an intention to leave bedside nursing. Method: the process was studied from the perspective of 21 nurses using the grounded theory method. Data were collected using semi-structured interviews and the constant comparative method of Corbin and Strauss was used for data analysis. Results: according to the participants, the two main categories, "social image of nursing", and "culture and structure of the bedside", were the contextual factors that influence why nurses are leaving bedside care provision. Disappointment with a perceived lack of progress or improvement in the clinical experience formed primary psychosocial concerns for the participants. Competence and a process of self-control were steps taken by the participants. These, associated with interventional conditions produced the outcomes of the loss of professional commitment and desire to leave bedside nursing. "Failure to integrate personal expectations with organizational expectations: in search of escape" was the central category of the study that linked the categories together. Conclusion: the findings of this study provide useful information about the needs of nurses for overcoming the intention to leave bedside care. The identification of this process can help in recognizing emerging problems and providing solutions for them.

scholarly journals “The whole package deal”: experiences of overweight/obese women living with polycystic ovary syndrome

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Carolyn Ee ◽  
Caroline Smith ◽  
Lisa Moran ◽  
Freya MacMillan ◽  
Michael Costello ◽  
...  
Keyword(s):  
Social Media ◽  
Polycystic Ovary Syndrome ◽  
Focus Groups ◽  
Polycystic Ovary ◽  
Delayed Diagnosis ◽  
Significant Degree ◽  
Obese Women ◽  
Structured Interviews ◽  
Ovary Syndrome ◽  
The Impact

Abstract Background Polycystic Ovary Syndrome (PCOS) is a common female reproductive disorder with multiple manifestations. There are relatively few qualitative studies exploring the nature of living with PCOS despite its high prevalence. Qualitative research can enhance clinical practice via the provision of patient insights into the experience of living with their condition. Methods We conducted two focus groups and three semi-structured interviews of Australian overweight/obese women with PCOS aged 18–46 years between March and April 2017 who were recruited through social media advertising. Interviews and focus groups were audio recorded and transcribed verbatim. Thematic analysis was applied to the data, using the method of constant comparison. Results Ten women contributed data from two focus groups and two semi-structured interviews. Five themes emerged from the data: complexity of the condition with its multiple manifestations, difficulties with delayed diagnosis and lack of information provided after diagnosis, negative experiences on social media and online forums and the need for support, frustration over lack of a “cure”; and the impact of symptoms and concern about long-term sequelae. Conclusions Living with PCOS appears to generate a significant degree of anxiety about the future, dissatisfaction with current treatment models, and loss of feminine identity. Gaps in timely diagnosis, information and support provision need to be addressed. This includes supporting weight management as a fundamental concern for women with PCOS.

scholarly journals Older Users of a Befriending Service in Ireland and the Maintenance of Personal Autonomy during the COVID-19 Pandemic

2021 ◽  
Vol 18 (6) ◽  
pp. 2788
Author(s):  
Eimile Holton ◽  
Rachel Fitzpatrick ◽  
Rebecca Maguire ◽  
Seán Commins ◽  
Thomas Scharf ◽  
...  
Keyword(s):  
Public Health ◽  
Grounded Theory ◽  
Personal Autonomy ◽  
Constructivist Grounded Theory ◽  
Theory Approach ◽  
Structured Interviews ◽  
Social And Emotional ◽  
Older Users ◽  
The Republic ◽  
The Impact

In the Republic of Ireland (RoI), COVID-19 public health guidelines have been most restrictive for people aged 70 and over. Such individuals are most likely to avail of befriending services offered by a network of Irish organisations. The aim of this study was to explore the impact of COVID-19 guidelines on befriending service users, and to develop recommended adaptations to befriending services compatible with such guidelines. A qualitative constructivist grounded theory approach was taken to the study design and analysis, using semi-structured interviews to collect data from 11 participants by telephone between May 2020 and January 2021. Results show a grounded theory describing how older users of a befriending service maintained their personal autonomy in the face of strict government guidelines. Participants described living life as usual, often contravening guidelines, and how they chose to adapt to the situation, yielding both positive and negative outcomes. Some potential adaptations were discussed to the befriending service (including a preserved focus on the social and emotional functions of the befriending relationship, and the accommodation of collaborative decision making about communicative alternatives), but ultimately it was made clear that participants would tailor the services to their own preferences. Results have implications for befriending service design and delivery, and for public health officials who wish to support the health of older adults during the COVID-19 pandemic.

scholarly journals Pemanfaatan Terapi Tradisional dan Alternatif oleh Penderita Gangguan Jiwa

1970 ◽  
Vol 3 (3) ◽  
Author(s):  
Muhammad Arsyad Subu
Keyword(s):  
Mental Illness ◽  
Grounded Theory ◽  
Mentally Ill ◽  
Alternative Therapy ◽  
Direct Interaction ◽  
Alternative Therapies ◽  
Structured Interviews ◽  
First Choice ◽  
Study Results ◽  
Document Review

Sampai saat ini masih sedikit informasi dari hasil-hasil penelitian tentang pemanfaatan terapi tradisional dan alternatif oleh para penderita gangguan jiwa di Indonesia. Penelitian ini bertujuan untuk melihat bagaimana pemanfaatan terapi tradisional dan alternatif di antara penderita gangguan jiwa di Indonesia. Metode penelitian ini menggunakan Charmaz Constructive Grounded Theory untuk mengeksplorasi pemanfaatan terapi tradisional dan alternatif di antara pasien yang menderita gangguan jiwa. Metode pengumpulan data termasuk interaksi langsung (wawancara semi-terstruktur), document review, catatan lapangan dan memo. Data analisis menggunakan pendekatan Paille data analisis. Penelitian menghasilkan lima kategori: 1) kerasukan oleh setan atau roh; 2) penyakit akibat berdosa; 3) Berobat ke tradisional dulu baru akhirnya ke rumah sakit jiwa; 4) kekerasan; 5) takut dengan pengobatan. Hasil penelitian menunjukkan bahwa terapi tradisional dan alternatif dan orang pintar (dukun, para pemimpin agama Islam, pendeta, paranormal dan pengobatan tradisional Cina) memiliki peran sentral dalam mendukung dan menawarkan solusi ketika seseorang memiliki gangguan jiwa di Indonesia. Para terapis atau ‘orang pintar’ biasanya merupakan pilihan pertama dari keluarga dan anggota ‘masyarakat lainnya jika berhubungan dengan terapi yang orang yang menderita gangguan jiwa. Penelitian lanjut diperlukan untuk melihat efektivitas terapi tradisional dan alternatif ini yang masih kurang diteliti dan didokumentasikan di Indonesia. Penelitian lebih lanjut juga perlu dilakukan untuk memahami sikap atau perspektif keluarga, masyarakat dan staf lembaga pemerintahan sebagai partisipan terkait dengan pengobatan tradisional dan alternatif ini. Penelitian ini menggunakan pendekatan kualitatif, penelitian kuantitatif diperlukan untuk meneliti faktor-faktor yang mempengaruhi pemanfaaatan terapi tradisional dan alternatif oleh penderita gangguan jiwa di Indonesia.Kata kunci: Gangguan jiwa, terapi, tradisional-alternatif. Traditional and Alternative Therapies Usage by Psychiatric Patients: A Grounded Theory.AbstractUntil recently, little information is known from studies regarding the use of traditional and alternative therapies by people with mental illness in Indonesia. This study explored the use of traditional or alternative therapies among mentally ill sufferers in Indonesia. A Charmaz’s Constructivist Grounded Theory method was used to explore the use of traditional or alternative therapies among patients as a result of suffering from mental illness. Data collection method involved direct interaction (semi-structured interviews), mute evidence (document review), field notes and memos. Paillé (1994) data analysis was employed to organize and manage data. Study has led to five categories: 1) possessed by Satan or spirit; 2) sinful illness; 3) treatment at traditional before going to the hospital; 4) violence; 5) fear of treatment. Study results indicated that complementary - alternative treatments and ‘smart people’ (shamans, Islamic leaders, chaplains, paranormal and traditional Chinese medicine) have a central role in supporting and offering solutions when someone has a mental illness in Indonesia. Visiting therapists or ‘smart people’, is usually the first choice of patients, families and other community members when dealing with the mentally ill treatments. Further research is needed to see the effectiveness of traditional or alternative therapy which is still poorly researched and documented in Indonesia. It is also needed to understand the attitude or perspective of the family, the community and government staff as participants regarding traditional or alternative therapies. This study used a qualitative approach, thus quantitative research is needed to examine the factors that affect the utilization of traditional or alternative therapies by mentally ill people in Indonesia..Key words: Alternative, mental illness, therapy, traditional.

scholarly journals How Do Nurses Apply Personal Knowing to Patient Care? A Grounded Theory Study

2021 ◽  
Vol 7 (2) ◽  
pp. 87-96
Author(s):  
Forough Rafii ◽  
◽  
Fereshteh Javaheri Tehrani ◽  
Alireza Nikbakht Nasrabadi ◽  
Shabnam Shariatpanahi ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Patient Care ◽  
Positive Outcome ◽  
Comparison Method ◽  
Therapeutic Use ◽  
Use Of Self ◽  
Structured Interviews ◽  
Therapeutic Communication ◽  
Grounded Theory Method ◽  
Personal Knowing

Background: Personal Knowing (PK) is an expression of self-knowledge concerning others. Besides, PK is the most difficult as well as the most essential pattern of knowing in nursing. The current study aimed to explore how nurses apply personal knowledge in patient care. Methods: This qualitative study was performed based on the grounded theory method. The study was performed in different hospital wards of Tehran City, Iran. The required data were generated using semi-structured interviews and clinical observations. Finally, 15 interviews and 8 sessions of observation were included in the data analysis. Strauss and Corbin’s constant comparison method (2008) was used to analyze the collected data. Results: The obtained findings suggested that nurses use the PK pattern in 3 forms of the therapeutic use of self, self-centering, and elimination of therapeutic communication. The therapeutic use of self was accompanied by kindness and amiability; efforts to strengthen the patients’ spirit; giving comfort and hope; humor; talking in a friendly manner, and gaining the patient’s trust and cooperation. Self-centering was characterized by establishing silence in the ward, strict enforcement of the rules, setting more rules, and developing rules for the method of care provision. Eliminating the therapeutic communication was accompanied by the referral of patients to others, avoidance, reluctance, and mechanical care. Conclusion: The obtained findings added to the knowledge of the patterns of knowing in nursing. The therapeutic use of self leads to a positive outcome of care as well as the satisfaction of nurses and patients. However, a self-centering and eliminating therapeutic relationship will raise an inappropriate image of nursing.

The impact of a weight-centred treatment approach on women's health and health-seeking behaviours

2012 ◽  
Vol 1 (2) ◽  
pp. 3-12
Author(s):  
Lucy Aphramor
Keyword(s):  
Focus Groups ◽  
Interpersonal Relationships ◽  
Disease Risk ◽  
Good Health ◽  
Size Discrimination ◽  
Structured Interviews ◽  
Health Seeking ◽  
Attitudes And Practices ◽  
The Impact ◽  
Experiences Of Women

Background Dietetics relies on a conventional weight-centred paradigm that attributes disease risk to fatness and encourages weight loss. This research examines the impact that this weight-centred paradigm has on the health, health-seeking behaviours, and everyday experiences of women who self-identify as large. Methods This was a qualitative, community-based study using semi-structured interviews and focus groups. The participants were 18 women who self-identified as being large, either previously or currently, where large was understood among participants as an appropriate descriptor for fatness. Interviews and focus groups were recorded and transcribed verbatim and data were manually sorted. Coding categories were developed and participants' quotes were assigned to these using thematic analysis. The study had ethics approval. Results Participants described that health professionals’ assumptions and recommendations about their weight negatively affected psychosocial variables and behaviours known to impact on health, such as depression, self-esteem, eating/exercise habits and interpersonal relationships. The assumptions of a weight-centred paradigm underpinned experiences of size discrimination outside the clinic. Conclusions The conventional position towards weight results in attitudes and practices that negatively impact on health and health-seeking behaviour through a range of interlinked pathways. A professional commitment to reappraising the weight-centred paradigm is required to promote good health and avoid overt and inadvertent size discrimination.

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