A parada cardiorrespiratória (PCR) é uma intercorrência inesperada em diversos momentos, constituindo grave ameaça à vida das pessoas, principalmente das que sofrem um colapso não-presenciado e dos pacientes/clientes hospitalizados em estado crítico. Neste estudo, sob a luz da pesquisa qualitativa, fazendo uso da técnica do incidente crítico (TIC), foram entrevistados 30 enfermeiros de unidades de internação clínicas de um hospital universitário do interior do Estado de São Paulo, a fim de se estabelecer as exigências críticas no atendimento à PCR em unidades de internação neste hospital, através da vivência de enfermeiros durante as manobras de ressuscitação cardiopulmonar (RCP), identificando os incidentes críticos positivos e/ou negativos durante esse atendimento, além das ocorrências iatrogênicas durante as manobras de RCP. Os dados coletados foram categorizados segundo as situações secundárias, uma vez que determinamos que a situação principal era a ocorrência da PCR, os comportamentos e as conseqüências decorrentes das diversas situações. Nas situações secundárias encontramos as seguintes categorias: estado e/ou condições clínicas do paciente/cliente; habilidades técnicas inerentes à profissão; conhecimento ou não acerca da PCR; identificação e reconhecimento (ou desconhecimento) do local de trabalho; condições dos materiais e equipamentos; capacitação e treinamento; e circunstâncias adversas. Relacionado aos comportamentos positivos, destacamos as seguintes categorias: vivendo a sistematização no atendimento à PCR; a questão dos materiais; e estabelecendo funções durante o atendimento à PCR. Já, quanto aos comportamentos negativos, podemos destacar as seguintes categorias: vivenciando a falta (ou ausência) da sistematização no atendimento à PCR; convivendo com as dificuldades técnicas; o ambiente situacional; materiais: é difícil conhecer a sua importância?; vivendo as ocorrências adversas; e estabelecer funções: lidando com prioridades. Uma vez selecionadas as situações secundárias, os comportamentos positivos e os comportamentos negativos, pudemos categorizar as conseqüências imediatas ao paciente/cliente; na categoria que traz as conseqüências positivas temos: restabelecimento das funções vitais; como categorias com conseqüências negativas ao paciente/cliente temos: até que ponto a RCP ajuda o paciente/cliente e sua família? e óbito. Avaliando as conseqüências positivas para a equipe de enfermagem temos a categoria: salvar vidas: o que isso proporciona ao profissional de enfermagem? E como categoria abrangendo as conseqüências negativas para esses profissionais temos: fazer parte da equipe de enfermagem é saber lidar com o sofrimento. A partir dos incidentes críticos identificados, pode-se estabelecer as exigências críticas no atendimento à PCR no local de estudo e, ressaltar que para um bom desempenho no atendimento à PCR é necessário rapidez, eficiência, conhecimento técnico-científico e habilidade técnica por parte de toda a equipe que realiza esse atendimento. Além disso, identifica-se a necessidade de infra-estrutura adequada, trabalho harmônico e sincronizado entre todos os profissionais, visando o restabelecimento da vida, a limitação do sofrimento, a recuperação do paciente/cliente e a ocorrência mínima de seqüelas. A partir do momento em que esses requisitos não são atendidos, os riscos tornam-se evidentes, as ocorrências iatrogênicas freqüentes e a segurança do paciente/cliente, seriamente comprometida. / The cardiac arrest is an unexpected alternative in several moments, comprising a serious threaten to people’s lives, mostly of those who suffer an unwitnessed collapse and those hospitalized patients in critical state. In this study, under the light of quality research, making use of critical incident technique, 30 nurses of medical admission units of a university hospital in the state of São Paulo were interviewed, in order to establish the critical requirements in taking care of cardiac arrest in admission units in this hospital, through the nurse experience during the maneuvers of cardiac pulmonary resuscitation, identifying the positive and/or negative critical incidents during such care, and also the iatrogenic occurrences during the maneuvers of cardiac pulmonary resuscitation. The recorded data were classified according to secondary situations, once we determinated that the main situation was the occurrence of cardiac arrest, the behaviors, and the alternative consequences of the several situations. On secondary situations, we found the following categories: the patient/client clinical state and conditions; ability of techniques of profession; knowledge or ignorance around the CRA; identification and recognition (or ignorance) of workplace; conditions of material and appliances; capability and training; and adverse circumstances. In relation to the positive behaviors, we highlight the following categories: experiencing the systemization in taking care of cardiac arrest; in relation to the materials; and determining the functions during the medical care to cardiac arrest. As for the negative behaviors, we can highlight the following categories: experiencing the lack (or absence) of systemization in medical care to cardiac arrest; living with adverse occurrences; and to establish functions: dealing with priorities. Once the secondary situation, the positive and negative behaviors were selected, we could classify the immediate consequences to the patient/client, and as category the gruping of positive consequences we have: recovery of vital functions; as categories of negative consequences to the patient/client we have: to what extent the does the cardiac pulmonary resuscitation help the patient/client and his/her family? and death. Evaluating the positive consequences for the nursing team we have the category: saving lives: what does it promote to the professional? And as category comprising the negative consequences for these professional we have: to be part of the team is to know how to deal with pain. From the identified critical incidents we can accentuate that for a good performance in taking care of CRA it is necessary rapidity, efficiency, scientific-technical knowledge and the ability of all the team who perform the medical care. Besides that we identify the need of the adequate infra-structure, harmonious work between all of the professionals, aiming the recovery of life, the limitations of pain, the recovery of the patient/client and the minimal ocurrence of sequelae. From the moment those requirements are fulfilled risks become evident, the iatrogenic occurrences frequent and the patient/client safety seriously committed.

Bakgrund: Intensivvårdsavdelningen är en högteknologisk miljö där kritiskt sjuka patienter vårdas. Intensivvårdssjuksköterskor möts ständigt av situationer där de utsetts för stress. Det kan vara situationer, anhöriga eller identifiering med patienten som ger emotionell stress. Stress som inte hanteras kan ge följdsjukdomar, kvarvarande emotionell påverkan och leda till utbrändhet. Syfte: Att beskriva intensivvårdssjuksköterskors upplevelser av emotionell stress och copingstrategier efter kritiska incidenter. Metod: Intervjustudie med åtta informanter genomfördes. En kvalitativ innehållsanalys genomfördes av de transkriberade intervjuerna. Resultat: Anhörigas reaktioner uppfattades som en stor del av den emotionella stressen, även brister i vård och rutiner lämnar minnen kvar efter kritiska incidenter. Kollegialt samtal var det som upplevdes ha bäst copingstrategi mot den emotionella stressen. Avkoppling, distraktion och sociala miljöer var också ett stöd mot emotionella upplevelsen. En önskan om mer utrymme för kollegiala samtal framkom under intervjuerna. Slutsats: Att kunna få och ta utrymmet för att genomföra samtal mellan kollegor skulle vara stöd mot emotionell stressen framkom i föreliggande intervjustudie. Ledningen bör skapa utrymme för att kollegiala samtal kan genomföras då det har uppvisat vara bästa copingstrategin hos intensivvårdssjuksköterskor. Det uppdagades att vissa brister fanns i att ledningen inte fick information under obekväm arbetstid och rutiner samt informationskällor behöver förtydligas. Fortsatt forskning: Coping av emotionell stress ger styrkor hos personal att kunna hantera svåra situationer, och gå vidare i arbetet utan kvarvarande påverkan av stressen. Intresse skulle finnas att ta reda på hur andra yrkesgrupper resonerar om coping av emotionell stress i samverkan med intensivvårdssjuksköterskor. / Background: The intensive care unit is a high technology environment were critical ill is treated. Intensive care nurses comes in contact of situation where they may encounter stress. It can be situation, relatives or own identifications that gives emotional stress. Stress that is not cooped with can lead to sickness, persistent emotional effects and lead to burnout. Aim: To describe intensive care nurses experiences of emotional stress and coping strategies after a critical incident. Method: Interview study with eight informants was done. A qualitative content analysis was performed of the transcribed interviews. Results: Relatives reaction is a large part of the emotional stress that was experienced, even flaws in care and routines left memories after critical incidents. Peer to peer talks was the support that had best coping strategies against emotional stress. Relaxation, distraction and social context were also support against the emotional distress. Space, time and place, for peer to peer conversation is a desire among informants. Conclusion: To have and to take the time to perform peer to peer talks is a relief against emotional stress. Management should make it a possibility to conclude these talks as it is the preferred coping strategy. Some indication of flaws in information to management during unsocial hours and a need for routines of information need to be looked over and clarified. Further research: Coping of emotional stress gives resilience with the staff to handle difficult situation and to move forward without any lasting effect of the stress. An interest could be in the future to find out how other professionals reasoning about coping of emotional stress in cooperation with intensive care nurses.

The journey towards becoming a counselling psychologist, in South Africa, includes the completion a 12 month internship. The internship year holds many challenges and demands for novice professionals and aims to assist them in making the transition from student to professional. This study aims to explore the subjective experiences of intern counselling psychologists and the critical incidents which assist them in making this transition. In addition, it aims to identify experiences impacting on the interns’ professional development and professional identity. Three registered counselling psychologists, who completed their internship at a South African university counselling centre within the last year, were recruited and participated in individual interviews. These interviews were semi-structured and followed the Critical Incident Technique method. Each interview was voice recorded and transcribed. The data collected was analysed using thematic content analysis. As the research design is qualitative, using a phenomenological approach, the focus is on presenting information-rich and detailed descriptions of participants “lived” experiences of their internship year. It attempts to understand significant incidents or events which influenced the participants’ professional and personal development as they navigate through this ambiguous period to become independent and ethical practitioners. Four predominant themes emerged from the data collected, which include a discussion pertaining to professional boundaries and limitations, learning within the internship environment, the effects of professional and personal support and, lastly, the transition from dependent to independent professional functioning.

The experience of how youth get off the street is scarcely documented. The present study explored what helped and hindered youth in their experience as they tried to get off the street and addressed the following research question: “How have youth experienced trying to get off the street: what has helped and hindered?” Twenty youth, aged 19-24 years of age, living in Vancouver, British Columbia, Canada who have spent time living on the street were interviewed using Flanagan’s (1954) Critical Incident Technique. The qualitative analysis of the interviews identified 259 critical incidents, forming nine helping categories and six hindering categories when youth tried to leave the streets. The nine helping categories included: (1) Taking Responsibility, (2) Engaging in Constructive Activities, (3) Friends and Family Support, (4) Changing Drug and Alcohol Use, (5) Support from Professional Organizations, (6) Disillusionment of Street Life, (7) Dreams and Hope for a Different Future, (8) Income Assistance and (9) Leaving Negative Influences Behind. The six hindering categories were: (1) Drugs and Alcohol, (2) Emotional Struggles, (3) Lack of Support, (4) Enjoyment of Homelessness, (5) Limited Formal Education, Life Skills and Employment and (6) Income Assistance Difficulties. The results from this study are discussed in relation to implications for theory, practice and future research. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

The aim of this thesis was to examine the Czech-Taiwanese cultural standards in business and study environment from the perspective of Czech students and businessmen. The first chapter deals with theoretical bases of cultural standards including explanations of key concepts. The second part deals with the development of Taiwan focusing on the major historical milestones. There is also economy, demography, political and social system, religion, education system in Taiwan and Czech-Taiwanese relations mentioned. The research of cultural standards using method known as critical incidents realized on the basis of in-depth interviews as following. Finally there are recommendations for Czech students planning to study in Taiwan and Czech businessman starting to cooperate with Taiwanese.

Learning to speak a foreign language (L2) can be a challenging feat, made all the more challenging when done in only 50 minute, daily increments in class. Oral asynchronous computer-mediated communication (ACMC) provides learners with opportunities to practice spoken communication and evaluate their practice outside the classroom. In this dissertation, I explore methods for classroom integration of oral ACMC, linguistic traits developed in previous oral ACMC studies, methods for determining the effectiveness of oral ACMC, learner beliefs about the effectiveness of oral ACMC activities, and the effects of learners' deliberate practice in a series of oral ACMC activities on 3 measures of L2 fluency. In my first article, a literature review, I found that most studies on this topic focus on the linguistic traits of accuracy, fluency, and pronunciation, and determine L2 growth from oral ACMC activities through learner perceptions of L2 growth not relying on objective measures. In my second article, I analyzed the fluency change of learners who participated in a series of video recording and feedback activities. I found that, although there were few significant results, the activities may be of some benefit to learners in improving their spoken fluency. I also found that structural equational modelling may be of more value for researching classroom-based activities than t tests and regression models. In my third article, I investigated the experiences of several learners who participated in the video recording activities described in article two. Based on these learner experiences, I provided key considerations for designing asynchronous video recording assignments. The three articles included in this dissertation will be valuable in highlighting key factors related to the design, development, research, and effective use of oral ACMC activities in foreign language classrooms.

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This study was conducted in order to understand stressful situations and stress coping strategies among employees who were working from home during the covid-19 pandemic. In attempt to bridge this knowledge gap, a critical incident approach was employed. Twelve (12) participants who were working from home were obtained purposively to participate in this study. Semi-structured interviews were conducted through zoom to collect data. Critical Incident Technique was used during interviews and thematic analysis were used to analyse data. The study revealed stressors which are lack of enough resources, extra work, lack of autonomy, work future uncertainty, stress due to covid-19, lack of help when needed, difficulties to reach colleagues, job inefficient and presence of telework unsuitable jobs. Coping strategies revealed were positive mindset, seeking social support, physical exercises, self-efforts to find solution of telework challenges, working extra hours and not answering calls or emails on purpose. It was recommended that organizations should determine suitable jobs for telework, providing required resources, granting employees working autonomy, as well as establishing a channel which can be used as a means of communication among employees as well as to be used as an inspiration and encouragement channel through proving motivational adds to help employees to relive their stressful situations.

Emergency department nurses are faced with traumatic patient events while functioning as members of multidisciplinary teams. Critical incident debriefing has been shown to benefit health care professionals and patient clinical outcomes. The purpose of this quantitative correlational study was to examine the relationship between the use of formal post-resuscitation debriefings and perceptions of teamwork in emergency department nurses. The study also addressed the type and timing of debriefing to determine whether these factors impacted perceptions of teamwork. The nurse as wounded healer theory served as the theoretical framework. Data from the Nursing Teamwork Survey were collected from 68 emergency department nurses from across the United States. Data were analyzed using a statistical correlation coefficient. Results showed that when debriefings were done more frequently, were conducted using a formal debriefing method, and were held immediately after a situation, there was a positive correlation with higher levels of trust, team orientation, backup, shared mental model, and leadership. Findings may be used to increase utilization of debriefings and improve perceptions of teamwork among emergency department nurses, which may improve patient outcomes.

Level systems provide systematic support for teachers and students who need additional behavior support. The purpose of this study was to evaluate the perspectives of faculty members from a self-contained school, for special education students with severe behavior needs, which has sustained the use of a school-wide, behavior management level system for nearly 30 years. A total of 11 faculty members were interviewed using the critical incident technique, a qualitative methodology used as an exploratory tool in early stages of research. Interviews detailed the observable behaviors and specific events, critical incidents, that helped or hindered the sustainability of their school's level system. Faculty identified eight helping categories, six hindering categories, and six "wish list" categories, items participants wished had happened or could happen in the future. Helping categories included building rapport and teaming; collecting, recording and using data; communicating and collaborating; schoolwide consistency; relationships and student feedback; student engagement and buy-in; faculty buy-in and adaptability. Hindering categories included scoring and accountability inconsistencies; philosophical differences; insufficient staff training and experience; multifaceted system requiring nuanced decision making; staff mental health concerns; and community factors and external pressures. The findings of this study illustrate the importance of varied communication portals to support sustainability.