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discourse analysis

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https://www.readbyqxmd.com/read/28102790/an-adaptable-instrument-and-method-for-exploring-care-and-compassion
#1
Roger Newham, Louise Terry
Background Narratives, particularly when visual and auditory elements are added to words, reveal more about cultures and behaviours, including those present in professional and service settings. Discourse analysis (DA) enables researchers to explicate meanings and understandings linking culture and behaviour. Aim To explain the development of a DA instrument and method for a research study of caring and compassion as expressed in different media. Discussion The DA instrument assisted in systematic and multi-modal data analysis by several researchers from different countries and backgrounds...
January 23, 2017: Nurse Researcher
https://www.readbyqxmd.com/read/28101328/perceived-health-status-in-a-comparative-perspective-methodological-limitations-and-policy-implications-for-israel
#2
Baruch Levi
BACKGROUND: The perceived health status indicator included in the OECD Health Statistics suffers from severe methodological limitations related to data collection. Furthermore, this indicator is also included in the OECD's Better Life Index, thus distorting the total health score of some OECD countries, among them Israel. The purpose of this paper is to explore the erroneous use of OECD health data in Israel and to warn of its implications. METHODS: Analysis of data from the OECD Health Database, Better Life Index and the Israeli Central Bureau of Statistics, review of media reports and governmental documents concerning health measures, conversations and correspondence held with officials in the relevant organizations...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28095762/a-moral-profession
#3
Roger Newham, Louise Terry, Siobhan Atherley, Sinead Hahessy, Yolanda Babenko-Mould, Marilyn Evans, Karen Ferguson, Graham Carr, S H Cedar
BACKGROUND: Lack of compassion is claimed to result in poor and sometimes harmful nursing care. Developing strategies to encourage compassionate caring behaviours are important because there is evidence to suggest a connection between having a moral orientation such as compassion and resulting caring behaviour in practice. OBJECTIVE: This study aimed to articulate a clearer understanding of compassionate caring via nurse educators' selection and use of published texts and film...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28092758/between-a-rock-and-a-hard-place-economic-expansion-and-social-responsibility-in-uk-media-discourses-on-the-global-alcohol-industry
#4
Mary Thornton, Benjamin Hawkins
CONTEXT: Transnational alcohol corporations (TACs) employ a range of strategies to achieve their business objectives, including attempts to frame perceptions of their activities in media debates. TACs aim to achieve a favourable regulatory environment by presenting themselves as socially responsible actors. However, the need to secure financial investment means they must also emphasise their potential for growth. This article investigates tensions between these objectives in coverage of the global alcohol industry in the UK print media...
January 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28076544/the-process-of-defining-the-hospital-care-profile-in-federal-hospitals-in-the-city-of-rio-de-janeiro-brazil
#5
Luciane Binsfeld, Francisco Javier Uribe Rivera, Elizabeth Artmann
This article analyzes the process of shaping the care profile of federal hospitals in the city of Rio de Janeiro. This is a qualitative, descriptive study that draws on semi-structured interviews with hospital administrators. Data analysis used the Collective Subject Discourse approach. Managers believe this process is the result of a set of emerging strategies, proposals and need for change, which result in adaptive reactions that hospitals develop with no coordination between them to resolve problems identified by professionals and managers...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28076206/processing-older-persons-as-clients-in-elderly-care-a-study-of-the-micro-processes-of-care-management-practice
#6
Anna Olaison
Elder care has undergone a marketization in recent years in which various models for care management have been introduced with the aim of making assessments efficient. This article investigates the effects the care management model has on resource allocation for home care when handling the requests of older persons in the needs assessment process. Sixteen tape-recorded assessment conversations with associated case-file texts were analyzed through discourse analysis. The results show that a managerialist thinking has had a partial impact on the assessment process where the documentation requirements have entailed bureaucratization in terms of the transfer that occurs from talk to text...
January 11, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28068851/counter-and-complicit-masculine-discourse-among-men-s-shed-members
#7
Corey S Mackenzie, Kerstin Roger, Steve Robertson, John L Oliffe, Mary Anne Nurmi, James Urquhart
Men's Sheds is a growing international movement aimed at providing men with places and activities that facilitate social connectedness. Despite Men's Sheds' focus on males, little attention has been paid to masculinities within the specific context of these settings. The current study used a gender relations framework to explore the ways in which attendees discussed Men's Sheds, with particular attention to discussions that were complicit and counter to traditional, hegemonic views of masculinity, and diverse positions in between these binaries...
January 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/28064539/treating-the-binge-or-the-fat-body-representations-of-fatness-in-a-gold-standard-psychological-treatment-manual-for-binge-eating-disorder
#8
Amy Brown-Bowers, Ashley Ward, Nicole Cormier
This article reports the results of a Foucauldian-informed discourse analysis exploring representations of fatness embedded within an empirically based psychological treatment manual for binge eating disorder, a condition characterized by overvaluation of weight and shape. Analyses indicate that the manual prioritizes weight loss with relatively less emphasis placed on treating the diagnostic symptoms and underlying mechanisms of binge eating disorder. We raise critical concerns about these observations and link our findings to mainstream psychology's adoption of the medical framing of fatness as obesity within the "gold standard" approach to intervention...
January 2017: Health (London)
https://www.readbyqxmd.com/read/28063090/don-t-give-up-a-cyber-ethnography-and-discourse-analysis-of-an-online-infertility-patient-forum
#9
Mihan Lee
Infertility affects women across the socioeconomic spectrum; however, it is by no means egalitarian in its distribution, nor uniform in its lived experience. Evidence shows striking disparities by income, race, and education in infertility prevalence, access to infertility services, and success rates after receiving infertility treatments. However, few studies so far have investigated disparities in patients' access to psychological support during the infertility journey. This paper undertakes a cyber-ethnography of the online patient forum, "Finding a Resolution for Infertility," hosted by RESOLVE: The National Infertility Association...
January 6, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28054410/betwixt-and-between-health-and-illness-women-s-narratives-following-acute-coronary-syndrome
#10
Rita Smith, Kate Frazer, Patricia Hall, Abbey Hyde, Laserina O'Connor
BACKGROUND: Cardiovascular is the main cause of mortality in women. Treatment modalities have improved health outcomes and survival rates, however, quality of life and ongoing morbidity after discharge is not clearly understood from a gender specific perspective. This study investigated experiences of women with a diagnosis of ACS in the 6 to 8 week period following discharge from hospital. The aim was to report their experiences of the mediating impact of a newly-diagnosed disease. METHODS AND DESIGN: Thirty women participated in this case study; a within-case analysis followed by a cross-case analysis provided meticulous knowledge of each case...
January 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28050714/characterization-of-change-and-significance-for-clinical-findings-in-radiology-reports-through-natural-language-processing
#11
Saeed Hassanpour, Graham Bay, Curtis P Langlotz
We built a natural language processing (NLP) method to automatically extract clinical findings in radiology reports and characterize their level of change and significance according to a radiology-specific information model. We utilized a combination of machine learning and rule-based approaches for this purpose. Our method is unique in capturing different features and levels of abstractions at surface, entity, and discourse levels in text analysis. This combination has enabled us to recognize the underlying semantics of radiology report narratives for this task...
January 3, 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/28050654/misalignments-of-purpose-and-power-in-an-early-canadian-interprofessional-education-initiative
#12
Sarah Whyte, Elise Paradis, Carrie Cartmill, Ayelet Kuper, Heather Boon, Corinne Hart, Saleem Razack, Mandy Pipher, Cynthia R Whitehead
Interprofessional education (IPE) has been widely incorporated into health professional curricula and accreditation standards despite an arguably thin base of evidence regarding its clinical effects, theoretical underpinnings, and social implications. To better understand how and why IPE first took root, but failed to grow, this study examines one of the earliest documented IPE initiatives, which took place at the University of British Columbia between 1960 and 1975. We examined a subset of 110 texts (academic literature, grey literature, and unpublished records) from a larger study that uses Critical Discourse Analysis to trace the emergence of IPE in Canada...
January 3, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28044621/paradoxes-of-an-assimilation-politics-media-production-of-gay-male-belonging-in-the-canadian-vital-public-from-the-tainted-blood-scandal-to-the-present
#13
Rory Crath, Cristian Rangel
Canadian media discourses on gay men's sexuality and political inclusion serve as a rich site for understanding current tensions in debates on sexual citizenship under biopolitical regimes. This paper addresses how public health reporting in one health news media source, Canada's leading newspaper The Globe and Mail, discursively produced contiguous understandings of the moral, social and biological dimensions of gay male subjectivity and sexuality within the context of HIV risk discourses. Specifically, we critically examine the newspaper's coverage of what constitutes the public good when national blood supplies are at stake...
January 3, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28043018/dynamic-axes-of-informed-consent-in-japan
#14
Laura Specker Sullivan
Scholarship in cross-cultural bioethics routinely frames Japanese informed consent in contrast to informed consent in North America. This contrastive analysis foregrounds cancer diagnosis disclosure and physician paternalism as unique aspects of Japanese informed consent that deviate from American practices. Drawing on in-depth interviews with 15 Japanese medical professionals obtained during fieldwork in Japan from 2013 to 15, this article complicates the informed consent discourse beyond East-West comparisons premised on Anglo-American ethical frameworks...
December 23, 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/28032404/appreciating-the-work-of-nurses-caring-for-adults-with-intellectual-disability-and-mental-health-issues
#15
Chris Taua, Christine Neville
This paper presents findings from a study exploring the nurses' experience of caring for adults with intellectual disability and mental health issues in inpatient settings. Semi structured interviews were undertaken with 13 nurses from various regions of New Zealand. Methods suggested by an Appreciative Inquiry methodology were used to explore the nurses' positive experiences of their role. Interviews were transcribed and analysed using open coding and Leximancer (an online data mining tool) analysis to identify dominant themes in the discourse...
December 29, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28032301/from-disabled-students-to-disabled-brains-the-medicalizing-power-of-rhetorical-images-in-the-israeli-learning-disabilities-field
#16
Ofer Katchergin
The neurocentric worldview that identifies the essence of the human being with the material brain has become a central paradigm in current academic discourse. Israeli researchers also seek to understand educational principles and processes via neuroscientific models. On this background, the article uncovers the central role that visual brain images play in the learning-disabilities field in Israel. It examines the place brain images have in the professional imagination of didactic-diagnosticians as well as their influence on the diagnosticians' clinical attitudes...
December 29, 2016: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28027675/nurses-moral-experiences-of-assisted-death
#17
James Elmore, David Kenneth Wright, Maude Paradis
BACKGROUND: Legislative changes are resulting in assisted death as an option for people at the end of life. Although nurses' experiences and perspectives are underrepresented within broader ethical discourses about assisted death, there is a small but significant body of literature examining nurses' experiences of caring for people who request this option. AIM: To synthesize what has been learned about nurses' experiences of caring for patients who request assisted death and to highlight what is morally at stake for nurses who undertake this type of care...
January 1, 2016: Nursing Ethics
https://www.readbyqxmd.com/read/28005255/the-roles-of-implicit-understanding-of-engineering-ethics-in-student-teams-discussion
#18
Eun Ah Lee, Magdalena Grohman, Nicholas R Gans, Marco Tacca, Matthew J Brown
Following previous work that shows engineering students possess different levels of understanding of ethics-implicit and explicit-this study focuses on how students' implicit understanding of engineering ethics influences their team discussion process, in cases where there is significant divergence between their explicit and implicit understanding. We observed student teams during group discussions of the ethical issues involved in their engineering design projects. Through the micro-scale discourse analysis based on cognitive ethnography, we found two possible ways in which implicit understanding influenced the discussion...
December 22, 2016: Science and Engineering Ethics
https://www.readbyqxmd.com/read/27997957/lexical-ambiguity-resolution-using-discourse-contexts-in-persons-with-and-without-aphasia
#19
Amy Henderson, Heather Harris Wright
Purpose: The purpose of this study was to investigate the ability of persons with aphasia (PWA) to resolve different types of ambiguous words (homophones, metaphors, and metonyms) in discourse contexts. Method: Six PWA and 10 controls listened to short discourses that biased either the dominant (more frequent) or subordinate (less frequent) version of an ambiguous word as well as nonsense (filler) discourses. Participants then indicated whether or not the final sentence, which contained the ambiguity, made sense in the discourse...
December 1, 2016: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/27995445/promoting-virtue-or-punishing-fraud-mapping-contrasts-in-the-language-of-scientific-integrity
#20
S P J M Horbach, W Halffman
Even though integrity is widely considered to be an essential aspect of research, there is an ongoing debate on what actually constitutes research integrity. The understanding of integrity ranges from the minimal, only considering falsification, fabrication and plagiarism, to the maximum, blending into science ethics. Underneath these obvious contrasts, there are more subtle differences that are not as immediately evident. The debate about integrity is usually presented as a single, universal discussion, with shared concerns for researchers, policymakers and 'the public'...
December 19, 2016: Science and Engineering Ethics
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