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https://www.readbyqxmd.com/read/27914487/factors-affecting-job-satisfaction-of-aboriginal-mental-health-workers-working-in-community-mental-health-in-rural-and-remote-new-south-wales
#1
Catherine Cosgrave, Myfanwy Maple, Rafat Hussain
Objective The aim of the present study was to identify factors affecting the job satisfaction and subsequent retention of Aboriginal mental health workers (AMHWs).Methods Five AMHWs working in New South Wales (NSW) for NSW Health in rural and remote community mental health (CMH) services participated in in-depth, semi-structured interviews to understand how employment and rural living factors affected workers' decisions to stay or leave their CMH positions.Results Using a constructivist grounded theory analysis, three aspects negatively impacting the job satisfaction of AMHWs were identified: (1) difficulties being accepted into the team and organisation; (2) culturally specific work challenges; and (3) professional differences and inequality...
December 5, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27912850/oscillating-in-and-out-of-place-experiences-of-older-adults-residing-in-homeless-shelters-in-montreal-quebec
#2
Victoria F Burns
Aging in place is desirable from the perspective of older adults and policy makers alike. However, the meaning of 'place' for adults experiencing homelessness has been largely overlooked. Addressing this gap, this constructivist grounded theory study discusses the meaning of place for 15 older adults residing in emergency homeless shelters in Montreal, Quebec. Findings revealed that four interrelated dimensions of place-that is, control, comfort, privacy, and security were instrumental in supporting participants' ability to feel in place across housed-homeless trajectories...
December 2016: Journal of Aging Studies
https://www.readbyqxmd.com/read/27875013/-icu-survivorship-a-constructivist-grounded-theory-of-surviving-critical-illness
#3
Susanne Kean, Lisa G Salisbury, Janice Rattray, Timothy S Walsh, Guro Huby, Pamela Ramsay
AIMS & OBJECTIVE: To theorise ICU survivorship after a critical illness based on longitudinal qualitative data. BACKGROUND: Increasingly patients survive episodes of critical illness. However, the short and long term impact of critical illness include physical, psychological, social and economic challenges long after hospital discharge. An appreciation is emerging that care needs to extend beyond critical illness to enable patients to reclaim their lives post-discharge with the term 'Survivorship' being increasingly used in this context...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27874982/rethinking-presence-a-grounded-theory-of-nurses-and-teleconsultation
#4
David Barrett
AIMS AND OBJECTIVES: The study aimed to develop a theory that offered an evidence-based insight into the use of teleconsultation by nurses. BACKGROUND: Teleconsultation is the use of video to facilitate real-time, remote interaction between healthcare practitioners and patients. Though its popularity is growing, there is little understanding of how teleconsultation impacts on the role of nurses. METHOD: The study adopted a constructivist grounded theory method, supplemented by the use of Straussian analytical approaches...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27873402/cosmologies-of-selection-lessons-from-the-faculty-biscuit-tin
#5
Maggie Bartlett, Flora Bartlett
We conducted an ethnography of the faculty biscuit tin as we were interested in the lived experience of the biscuits contained within it. We used a constructivist epistemology, a social constructionist interpretive framework and a phenomenological methodology that included analysis from the perspectives of deixis and cosmology. The biscuits perceived that they were important to a selecting force and that the characteristics of one particular group had a specific value to the selector. Some enduring benefits may derive from the selection of this group, although its attractions were less immediately obvious than those of others...
December 2016: Medical Education
https://www.readbyqxmd.com/read/27862571/avoidant-conversations-about-death-by-clinicians-causes-delays-in-reporting-of-neutropenic-sepsis-grounded-theory-study
#6
Catherine Oakley, Cath Taylor, Emma Ream, Alison Metcalfe
BACKGROUND: Evidence suggests patients delay reporting symptoms of neutropenic sepsis (NS) despite the risk to their life. This study aimed to elicit factors that contribute to delayed patient reporting of NS symptoms. METHODS: A constructivist grounded theory study used observations of chemotherapy consultations (13 hours) and 31 in-depth interviews to explore beliefs, experiences and behaviors related to NS. Participants included women with breast cancer, their carers (partners, family or friends) and clinicians...
November 18, 2016: Psycho-oncology
https://www.readbyqxmd.com/read/27862175/epistemology-culture-justice-and-power-non-bioscientific-knowledge-for-medical-training
#7
Ayelet Kuper, Paula Veinot, Jennifer Leavitt, Sarah Levitt, Amanda Li, Jeannette Goguen, Martin Schreiber, Lisa Richardson, Cynthia R Whitehead
CONTEXT: While medical curricula were traditionally almost entirely comprised of bioscientific knowledge, widely accepted competency frameworks now make clear that physicians must be competent in far more than biomedical knowledge and technical skills. For example, of the influential CanMEDS roles, six are conceptually based in the social sciences and humanities (SSH). Educators frequently express uncertainty about what to teach in this area. This study concretely identifies the knowledge beyond bioscience needed to support the training of physicians competent in the six non-Medical Expert CanMEDS roles...
November 15, 2016: Medical Education
https://www.readbyqxmd.com/read/27853908/implementing-medical-teaching-policy-in-university-hospitals
#8
Rik Engbers, Cornelia R M G Fluit, Sanneke Bolhuis, Marieke de Visser, Roland F J M Laan
Within the unique and complex settings of university hospitals, it is difficult to implement policy initiatives aimed at developing careers in and improving the quality of academic medical teaching because of the competing domains of medical research and patient care. Factors that influence faculty in making use of teaching policy incentives have remained underexplored. Knowledge of these factors is needed to develop theory on the successful implementation of medical teaching policy in university hospitals...
November 16, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27836557/social-impact-assessment-sia-from-a-multidimensional-paradigmatic-perspective-challenges-and-opportunities
#9
Antonio Aledo-Tur, J Andrés Domínguez-Gómez
The literature specialized in Social Impact Assessment (SIA) concurs that there is still much work to do in the discussion and thorough grounding of its theories and conceptual bases. The authors of this paper consider that the understanding of SIA as a paradigm may prove useful as a foundation on which more robust and better grounded SIA knowledge production may be built. Further, we suggest that the application of the concept of the paradigm in the terms expressed here may offer a comprehensive guide to practice in SIA studies...
November 8, 2016: Journal of Environmental Management
https://www.readbyqxmd.com/read/27836139/on-the-threshold-of-safety-a-qualitative-exploration-of-nurses-perceptions-of-factors-involved-in-safe-staffing-levels-in-emergency-departments
#10
Lisa A Wolf, Cydne Perhats, Altair M Delao, Paul R Clark, Michael D Moon
: The emergency department is a unique practice environment in that the Emergency Medical Treatment and Active Labor Act (EMTALA), which mandates a medical screening examination for all presenting patients, effectively precludes any sort of patient volume control; staffing needs are therefore fluid and unpredictable. The purpose of this study is to explore emergency nurses' perceptions of factors involved in safe staffing levels and to identify factors that negatively and positively influence staffing levels and might lend themselves to more effective interventions and evaluations...
November 8, 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/27835787/pragmatic-development-explains-the-theory-of-mind-scale
#11
Evan Westra, Peter Carruthers
Henry Wellman and colleagues have provided evidence of a robust developmental progression in theory-of-mind (or as we will say, "mindreading") abilities, using verbal tasks. Understanding diverse desires is said to be easier than understanding diverse beliefs, which is easier than understanding that lack of perceptual access issues in ignorance, which is easier than understanding false belief, which is easier than understanding that people can hide their true emotions. These findings present a challenge to nativists about mindreading, and are said to support a social-constructivist account of mindreading development instead...
November 8, 2016: Cognition
https://www.readbyqxmd.com/read/27821294/development-of-constructivist-theory-of-mind-from-middle-childhood-to-early-adulthood-and-its-relation-to-social-cognition-and-behavior
#12
Amy A Weimer, Susan J Parault Dowds, William V Fabricius, Paula J Schwanenflugel, Go Woon Suh
Two studies examined the development of constructivist theory of mind (ToM) during late childhood and early adolescence. In Study 1, a new measure was developed to assess participants' understanding of the interpretive and constructive processes embedded in memory, comprehension, attention, comparison, planning, and inference. Using this measure, Study 2 tested a mediational model in which prosocial reasoning about conflict mediated the relation between constructivist ToM and behavior problems in high school...
November 4, 2016: Journal of Experimental Child Psychology
https://www.readbyqxmd.com/read/27809374/the-process-of-patient-enablement-in-general-practice-nurse-consultations-a-grounded-theory-study
#13
Jane Desborough, Michelle Banfield, Christine Phillips, Jane Mills
AIM: The aim of this study was to gain insight into the process of patient enablement in general practice nursing consultations. BACKGROUND: Enhanced roles for general practice nurses may benefit patients through a range of mechanisms, one of which may be increasing patient enablement. In studies with general practitioners enhanced patient enablement has been associated with increases in self-efficacy and skill development. DESIGN: This study used a constructivist grounded theory design...
November 3, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27797697/evaluation-of-an-australian-alcohol-media-literacy-program
#14
Chloe S Gordon, Steven J Howard, Sandra C Jones, Lisa K Kervin
OBJECTIVE: A 10-lesson alcohol media literacy program was developed, underpinned by the message interpretation processing model, inoculation theory, and constructivist learning theory, and was tailored to be culturally relevant to the Australian context. This program aimed to increase students' media deconstruction skills and reduce intent to drink alcohol. The purpose of this study was to evaluate the effectiveness of the program in achieving these goals through a short-term quasi-experimental trial...
November 2016: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/27797650/positive-identity-experiences-of-young-bisexual-and-other-nonmonosexual-people-a-qualitative-inquiry
#15
Corey E Flanders, Lesley A Tarasoff, Melissa Marie Legge, Margaret Robinson, Giselle Gos
The majority of LGBTQ psychological research focuses on dysfunction. The exclusion of strengths-based perspectives in LGBTQ psychology limits the understanding of LGBTQ mental health. In this paper we report experiences that young bisexual and other nonmonosexual people perceive as affirming of their sexual identity. A 28-day, daily diary study was used to investigate whether bisexual-identified participants encountered positive experiences related to their sexual identity, and which type of experiences they perceived to be positive...
October 31, 2016: Journal of Homosexuality
https://www.readbyqxmd.com/read/27779512/the-discriminatory-patient-and-family-strategies-to-address-discrimination-towards-trainees
#16
Emily E Whitgob, Rebecca L Blankenburg, Alyssa L Bogetz
PURPOSE: Trainee mistreatment remains an important and serious medical education issue. Mistreatment toward trainees by the medical team has been described; mistreatment by patients and families has not. Motivated by discrimination towards a resident by a family in their emergency department, the authors sought to identify strategies for trainees and physicians to respond effectively to mistreatment by patients and families. METHOD: A purposeful sample of pediatric faculty educational leaders was recruited from April-June 2014 at Stanford University...
November 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27771538/successful-communication-does-not-drive-language-development-evidence-from-adult-homesign
#17
Emily M Carrigan, Marie Coppola
Constructivist accounts of language acquisition maintain that the language learner aims to match a target provided by mature users. Communicative problem solving in the context of social interaction and matching a linguistic target or model are presented as primary mechanisms driving the language development process. However, research on the development of homesign gesture systems by deaf individuals who have no access to a linguistic model suggests that aspects of language can develop even when typical input is unavailable...
October 20, 2016: Cognition
https://www.readbyqxmd.com/read/27747887/multi-family-therapy-with-a-reflecting-team-a-preliminary-study-on-efficacy-among-opiate-addicts-in-methadone-maintenance-treatment
#18
Miguel Garrido-Fernández, Juan A Marcos-Sierra, Ana López-Jiménez, Iñigo Ochoa de Alda
In this study, we evaluate the efficacy of multi-family therapy at reducing the addiction severity and at improving the psychological and family dynamics of opiate addicts receiving methadone treatment at a public treatment center. The study compares multi-family therapy with a reflecting team (MFT-RT) and a standard treatment following a methadone maintenance treatment program. The results show that multi-family therapy with a reflecting team effectively reduces the addiction severity in several of the areas evaluated and noted that this effect is superior to standard treatment...
October 17, 2016: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/27737996/coordination-of-cancer-care-between-family-physicians-and-cancer-specialists-importance-of-communication
#19
Julie Easley, Baukje Miedema, June C Carroll, Donna P Manca, Mary Ann O'Brien, Fiona Webster, Eva Grunfeld
OBJECTIVE: To explore health care provider (HCP) perspectives on the coordination of cancer care between FPs and cancer specialists. DESIGN: Qualitative study using semistructured telephone interviews. SETTING: Canada. PARTICIPANTS: A total of 58 HCPs, comprising 21 FPs, 15 surgeons, 12 medical oncologists, 6 radiation oncologists, and 4 GPs in oncology. METHODS: This qualitative study is nested within a larger mixed-methods program of research, CanIMPACT (Canadian Team to Improve Community-Based Cancer Care along the Continuum), focused on improving the coordination of cancer care between FPs and cancer specialists...
October 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27737982/patients-experiences-with-continuity-of-cancer-care-in-canada-results-from-the-canimpact-study
#20
Julie Easley, Baukje Miedema, June C Carroll, Mary Ann O'Brien, Donna P Manca, Eva Grunfeld
OBJECTIVE: To explore patient perspectives on and experiences with the coordination and continuity of cancer care. DESIGN: Qualitative study using semistructured telephone interviews. SETTING: Canada. PARTICIPANTS: Thirty-eight breast and colorectal cancer survivors 1 to 4 years after diagnosis. METHODS: Using a constructivist grounded theory approach, semistructured telephone interviews were conducted with the participants...
October 2016: Canadian Family Physician Médecin de Famille Canadien
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