Yes

Scholars have called for contextual based explorations of factors impacting implementation of integrated health care (IHC), yet IHC researchers agree that a paucity of research remains. (Kirschbaum, Rask, Brennan, Phelan, & Fortner, 2012; Miller, Kessler, Peek, & Kallenberg, 2011). Even less is known about the process of behavioral and physical health care integration in student health centers on university campuses (Alschuler et al., 2008). The purpose of this study was to address specific gaps in the literature of contextualized processes of integration (Kwan & Nease, 2013; Xyrichis & Lowton, 2008) by examining clinician, support staff, and administrator experiences with the process of integration at a student health center and to identify how values, principles, and attitudes impact this process. The results of a qualitative analysis of nine focus groups show the complexity associated with the process of integration as well as the factors impacting implementation at a university health center. Grounded theory methodology was used to analyze the data in three steps: (a) open-coding, (b) axial coding, and (c) selective coding (Corbin & Strauss, 2015). The analysis revealed three axial level categories comprised of 16 open-coding level categories and subcategories. A grounded theory model was developed and depicts how the various phenomena revealed at the axial level were interrelated in the early stages of the Student Health Center’s integration efforts.The conclusions of this study revealed that this organization’s integration was characterized by a collection of interacting Individual-Level, Organization-Level, and Communication variables, including barriers and facilitators of integration, which impact the process of integration. At the center of the theoretical structure was a co-constructed base of knowledge and attitudes from which staff approached and understood integrationa Shared Construct Representing Integration. However, since staff were at the beginning of the process of integration, the form of this construct had not yet come into focus. Therefore, the model is depicted as a “snapshot” in time. These conclusions have many implications for Administrators of student health centers who are considering integration. Prior to embarking on the integration process, interested parties are encouraged to seriously consider the many variables, processes, and strategies identified in this study.

Millennials are leaving the Catholic Church in great numbers, despite being raised in the faith. When asked for the reason of disaffiliation, young adults do not blame sexual abuse scandals in the Church nor do they cite specific Catholic beliefs and teachings. Instead, they say that they have begun to ask why stay Catholic and what meaning does the Catholic faith provide in their lives. This search for meaning has caused them to leave their faith and seek it elsewhere. However, prominent figures in Catholic media, Emily Wilson and Fr. Mike Schmitz, use YouTube as a platform to reach out to young adults in the Catholic faith. This thesis aims to understand how the two Catholic YouTube influencers use eudaimonic messages in their videos to provide the meaning that young adults have been missing from their faith. Eudaimonics has been linked to a sense of enjoyment beyond pleasure, focusing on a sense of well-being instead; this provides a deeper sense of meaning for those who view media containing eudaimonics. Using a directed content analysis, videos will be analyzed for the seven dimensions of eudaimonics – meaning in life/sense of purpose, self-acceptance, autonomy, competence, relatedness, personal growth, and living according to central personal values – and two transcendent elicitors – hopefulness and religiousness. Comments left by viewers under the videos will also be analyzed to see if viewers pick up on these meaningful messages. This analysis will evaluate how those messages by the YouTube influencers may impact young adult viewers and their Catholic faith. / Master of Arts / Millennials are leaving the Catholic Church in great numbers, despite being raised in the faith. When asked for the reason of disaffiliation, young adults do not blame sexual abuse scandals in the Church nor do they cite specific Catholic beliefs and teachings. Instead, they say that they have begun to ask why stay Catholic and what meaning does the Catholic faith provide in their lives. This search for meaning has caused them to leave their faith and seek it elsewhere. However, prominent figures in Catholic media, Emily Wilson and Fr. Mike Schmitz, use YouTube as a platform to reach out to young adults in the Catholic faith. This thesis aims to understand how the two Catholic YouTube influencers use eudaimonic messages in their videos to provide the meaning that young adults have been missing from their faith. Research has shown that eudaimonics provides a deeper sense of meaning for those who view media containing eudaimonic messages. This thesis will analyze the YouTube videos by the Catholic influencers for eudaimonic messages as well as analyze the comments left by viewers. This will help to evaluate how the influencers' messages may impact young adult viewers and their Catholic faith.

No

A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Collected through face-to-face interviews, the participants' stories were tape-recorded and transcribed verbatim using a process for analysis informed by van Manen, (1997b).Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through.This study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. With the help of team leaders, managers and educators, the organisation will need to consider ways to monitor the job satisfaction of their staff. Furthermore, reinforce existing comprehensive measures, such as mentorship and clinical supervision programmes to encourage the retention and well-being of all staff, at all stages of their career on the children's burn ward.

Over the past three decades, the HIV epidemic has gained a stranglehold in sub-Saharan Africa, where 10% of the worlds population comprises more than 60% of all people living with the disease. Recent initiatives to boost prevention and treatment interventions are beginning to yield modest but promising results, as infection rates slowly start to stabilize. However, continued improvement will require aggressive and unrelenting efforts to prepare and equip a workforce for the tremendous challenges that remain. The purpose of this critical ethnography was to explore the impact of an intensive 6-month HIV/AIDS education program on the lives of 24 Ugandan registered nurses and nurse-midwives who worked at a large referral hospital. The study began following completion of the course and involved participant observation and semi-structured interviews for 18 weeks over a 2-year period. The findings are presented in this dissertation, which consists of four published or publishable manuscripts along with introductory and concluding chapters. The first paper describes the impact of education on the personal, professional, and social lives of the participants, and provides an account of their new ways of viewing themselves as nurses, leaders, and advocates. The second paper addresses ethical issues concerning the conduct of research in international settings. The third paper identifies the phenomenon of moral distress as it manifested in the participants, and the effects of education on their ability to transform practice and attitudes. The final paper examines the congruence between the critical qualitative methodology used in the study and the concept of cultural safety in the context of international nursing research. The dissertation concludes with a discussion of the crucial role of continuing professional education for the development of a strong and responsive nursing workforce that is prepared to contribute leadership and vision to addressing the obstacles presented by HIV and AIDS. Dealing effectively with the epidemic requires numerous interventions at various levels; the potential synergies offered by a small investment in education may have far-reaching effects. Finally, implications for nursing practice are presented along with suggestions for further research.

As trend toward liberalization, telecom industry in Taiwan is getting more and more saturated. It means that competition between telecoms firms is getting more and more sharp. As a result, all telecoms firms are striving to gain and keep their customers and trying so hard to understand comsumer behavior on choosing telecoms firms. In the past, researches on consumer behavior are usually base on quantitative methodology. Quantitative researches on consumer behavior focused on specific moment of customers. This research is base on qualitative methodology to extend consumer behavior on choosing telecoms firm from a specific moment to a dynamic model and establishing a thorough consumer behavior on choosing telecoms firm model. This research on consumer behavior on choosing telecoms firm is base on grounded theory. By the analysis and coding process of the interview data that collected from eighteen interviewers in a theorical sampling process, this research generalizes eighty three open coding and fifteen axial coding. In the selective coding process, this research generalize three major concepts of consumer behavior on choosing telecoms firm and establishes a model of consumer behavior on choosing telecoms firm.

No description available.

A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Collected through face-to-face interviews, the participants' stories were tape-recorded and transcribed verbatim using a process for analysis informed by van Manen, (1997b).Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through.This study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. With the help of team leaders, managers and educators, the organisation will need to consider ways to monitor the job satisfaction of their staff. Furthermore, reinforce existing comprehensive measures, such as mentorship and clinical supervision programmes to encourage the retention and well-being of all staff, at all stages of their career on the children's burn ward.

This dissertation interrogates the links between immigration, citizenship, and social inequality by exploring temporary migrants' lived experiences of social exclusion in Manitoba. Based within a provincial context that supports temporary migrants' transitions to permanent residency through the Provincial Nominee Program, I examine how the promise of permanent settlement and a two-step immigration process influences migration decisions and the lived experiences that follow. Also, this dissertation highlights the ways in which temporary migrants find ways to exercise agency as they negotiate a complex migration system that is designed to exclude them. Drawing on twenty-six in-depth qualitative interviews and informed by a narrative methodology, I analyze accounts of temporary migrants who work in the hog processing industry in two rural communities. Using a theoretical lens informed by segmented labour market theory and citizenship theories, the dissertation reveals how processes of social exclusion are the outcomes of both labour market positions and legal exclusion from full membership in a nation-state. As a result, temporary migrants are positioned in an uncertain state of partial legal and social belonging. Theorizing the social effects of temporary migrants' location both in the labour market and in the complex matrix of legal statuses demonstrates the nuanced ways that temporary migrants understand how they can and do fit in Canadian society and make decisions based on such understandings. A significant empirical finding from this research is that having options for permanent residency is not a panacea for temporary migrants' unequal and marginalized social locations. In fact, the promise of permanent residency can contribute to an imbalance of power where employers have control over the futures of temporary migrants and their families. Pervasive effects of non-permanent status persist long after transitions to permanent resident status and are compounded by social dimensions such as language, class, gender, and race to shape temporary migrants' ability to engage in Canadian society. My analysis reveals the ways in which government designations (legal status) lack the ability to entirely erase social markers, making it questionable whether such classifications can restructure the social interactions and experiences of temporary migrants. / February 2016