Challenging behaviour poses problems for teachers globally and yet very little research has been done with regard to the teacher-learner relationship and what challenging behaviour does to the teacher. The goal of this study was to explore teachers’ experiences of challenging behaviour within their relationships with learners that display challenging behaviour regarding teacher’s self-configuration. A qualitative approach was pursued in the form of an interpretive descriptive design in order to gain a better understanding of the teachers’ self-configuration experiences. For the purpose of this study the field theory was used as the theoretical framework, viewing teachers in their environment, specifically focusing on the teacher-learner relationship. A total of 12 teachers were purposefully selected from a school in Observatory, Johannesburg. The data were collected through in-depth interviews. Additionally, incomplete sentences were used to enrich data and to enhance trustworthiness. Triangulation was ensured by using two data collection methods to increase the credibility and validity of the results. The interviews and incomplete sentences were recorded via audio recording equipment. The recordings were then transcribed in order to identify emerging themes and subthemes. Thematic analysis was used once the data had been transcribed in order to gain meaningful information. This study revealed teachers’ self-configuration experiences in their relationships with learners with challenging behaviour and experienced their relationships with these children as a foundation for self-configuration. Teachers’ self-configuration is embedded in their different selves at school and their love and passion for teaching are reduced due to negative emotions. Experiences within the relationship escalate to the home environment and challenging behaviour causes stress for teachers. Teachers viewed challenging behaviour as behaviour that is an internal challenge for the learner, but also behaviour that is directed externally towards the teacher and other learners. Trust and respect, class size, individual attention and communication were identified elements contributing to self-configuration within the teacher-learner relationship. This study showed the importance of relationships in the school context and specifically focused on teachers’ self-configuration. / MA (Psychology), North-West University, Potchefstroom Campus, 2015

Challenging behaviour poses problems for teachers globally and yet very little research has been done with regard to the teacher-learner relationship and what challenging behaviour does to the teacher. The goal of this study was to explore teachers’ experiences of challenging behaviour within their relationships with learners that display challenging behaviour regarding teacher’s self-configuration. A qualitative approach was pursued in the form of an interpretive descriptive design in order to gain a better understanding of the teachers’ self-configuration experiences. For the purpose of this study the field theory was used as the theoretical framework, viewing teachers in their environment, specifically focusing on the teacher-learner relationship. A total of 12 teachers were purposefully selected from a school in Observatory, Johannesburg. The data were collected through in-depth interviews. Additionally, incomplete sentences were used to enrich data and to enhance trustworthiness. Triangulation was ensured by using two data collection methods to increase the credibility and validity of the results. The interviews and incomplete sentences were recorded via audio recording equipment. The recordings were then transcribed in order to identify emerging themes and subthemes. Thematic analysis was used once the data had been transcribed in order to gain meaningful information. This study revealed teachers’ self-configuration experiences in their relationships with learners with challenging behaviour and experienced their relationships with these children as a foundation for self-configuration. Teachers’ self-configuration is embedded in their different selves at school and their love and passion for teaching are reduced due to negative emotions. Experiences within the relationship escalate to the home environment and challenging behaviour causes stress for teachers. Teachers viewed challenging behaviour as behaviour that is an internal challenge for the learner, but also behaviour that is directed externally towards the teacher and other learners. Trust and respect, class size, individual attention and communication were identified elements contributing to self-configuration within the teacher-learner relationship. This study showed the importance of relationships in the school context and specifically focused on teachers’ self-configuration. / MA (Psychology), North-West University, Potchefstroom Campus, 2015

The purpose of this qualitative interpretive descriptive study was to better understand children’s perceptions of the use of motivational interviewing (MI) as a communication style for childhood obesity treatment. Childhood obesity in the United States has reached epidemic proportions and much research effort has been dedicated to reversing this trend. One approach that has demonstrated positive outcomes in the clinical setting is MI. Leading organizations in pediatric healthcare now recommend MI as a communication style to be used for childhood obesity-related behavior change. Although empiric studies have demonstrated improvement in outcomes when this communication style is used with patients and families, no study to date had looked at MI from the perspective of the child. Thorne’s (2008) framework for interpretive descriptive research was used for this study. Individual interviews with children ages 7 through 13 were conducted in an outpatient weight management clinic that utilizes MI as the primary communication style for facilitating behavior change. Qualitative data analysis was conducted utilizing Thorne’s recommendations for interpretive descriptive research. Five themes emerged from the data: 1) Empowerment, 2) Freedom to be Me, 3) Educating without “Educating”, 4) Unconditional Support, and 5) Blossoming. A conceptual model was developed from the research findings to help clinicians working with children in similar contexts glean a deeper understanding of the use of MI with children. Future research endeavors should focus on the implementation of this model in clinical practice to strengthen the conceptual links and determine applicability to practice.

Boys in their middle childhood placed in clinic schools experience severe emotional and behavioural problems. Most of these boys have been sexually abused. The trauma of this sexual abuse may contribute to their problem behaviour. If the learners can be effectively supported in addressing the trauma of the male child sexual abuse during their time at the clinic school, some of their emotional and behavioural problems may also be addressed. Without these emotional and behavioural problems they may be able to develop without hindrance of the male child sexual abuse and may be integrated into the mainstream educational setting before they reach the age of twelve years. This study consisted of three phases. During the first phase the experiences of seven sexually abused boys placed in clinic schools in Gauteng Province in South Africa were explored in order to develop a better understanding of their support needs. It was achieved by means of three in-depth interviews with each participant. For the purpose of the first phase a qualitative design was used, which was of a phenomenological, descriptive and exploratory nature in order to explore and describe the phenomenon of male child sexual abuse. To obtain a clear picture of the unique view and subjective experiences of a participant in a clinic school, the phenomenon of male child sexual abuse was investigated. From the results it was clear that sexually abused boys placed in clinic schools exhibit intensified emotional reactions, as well as certain problems associated with male child sexual abuse. The intensified emotional reactions include a deep sense of sadness and helplessness, a sense of guilt and shame, a sense of dissociation and numbness, avoidance of situations associated with male child sexual abuse, fear of recurring incidents and the re-experiencing of the trauma. The problems associated with male child sexual abuse include concerns regarding their own sexuality, difficulties in interacting with other people, dealing with anger and aggression, displaying self-destructive behaviour and difficulties to cope with schoolwork. During the second phase of the study twenty-four psychologists, social workers, counsellors, teachers and child and youth care workers were included. Semi-structured individual interviews were conducted with each of them to identify critical aspects to support victims of male child sexual abuse. For the purpose of the second phase the interpretive descriptive design was used. The results suggest that the following critical aspects should be considered in the conceptualisation of a proposed support strategy: Relationships as basis for support; strengthening the male child sexual abuse victims to deal with behavioural and emotional challenges; facilitating the safety of the male child sexual abuse victims to avoid continued exposure to abuse; providing a structured environment and coordinated support efforts to ensure sustainability. The third phase of this study consisted of the conceptualisation of a support strategy for male child sexual abuse victims. Two focus groups were conducted with fourteen psychologists, social workers, counsellors, teachers and child and youth care workers to conceptualise the support strategy. The proposed support strategy suggests the incorporation of different role players in a collaborative team approach for a multilevel support approach. The proposed support strategy involves three main facets, namely strengthening of the male child sexual abuse victim as an individual, sustaining a deep/trusting relationship, as well as the facilitation of a supportive context for the male child sexual abuse victim. / PhD (Psychology), North-West University, Potchefstroom Campus, 2015

Boys in their middle childhood placed in clinic schools experience severe emotional and behavioural problems. Most of these boys have been sexually abused. The trauma of this sexual abuse may contribute to their problem behaviour. If the learners can be effectively supported in addressing the trauma of the male child sexual abuse during their time at the clinic school, some of their emotional and behavioural problems may also be addressed. Without these emotional and behavioural problems they may be able to develop without hindrance of the male child sexual abuse and may be integrated into the mainstream educational setting before they reach the age of twelve years. This study consisted of three phases. During the first phase the experiences of seven sexually abused boys placed in clinic schools in Gauteng Province in South Africa were explored in order to develop a better understanding of their support needs. It was achieved by means of three in-depth interviews with each participant. For the purpose of the first phase a qualitative design was used, which was of a phenomenological, descriptive and exploratory nature in order to explore and describe the phenomenon of male child sexual abuse. To obtain a clear picture of the unique view and subjective experiences of a participant in a clinic school, the phenomenon of male child sexual abuse was investigated. From the results it was clear that sexually abused boys placed in clinic schools exhibit intensified emotional reactions, as well as certain problems associated with male child sexual abuse. The intensified emotional reactions include a deep sense of sadness and helplessness, a sense of guilt and shame, a sense of dissociation and numbness, avoidance of situations associated with male child sexual abuse, fear of recurring incidents and the re-experiencing of the trauma. The problems associated with male child sexual abuse include concerns regarding their own sexuality, difficulties in interacting with other people, dealing with anger and aggression, displaying self-destructive behaviour and difficulties to cope with schoolwork. During the second phase of the study twenty-four psychologists, social workers, counsellors, teachers and child and youth care workers were included. Semi-structured individual interviews were conducted with each of them to identify critical aspects to support victims of male child sexual abuse. For the purpose of the second phase the interpretive descriptive design was used. The results suggest that the following critical aspects should be considered in the conceptualisation of a proposed support strategy: Relationships as basis for support; strengthening the male child sexual abuse victims to deal with behavioural and emotional challenges; facilitating the safety of the male child sexual abuse victims to avoid continued exposure to abuse; providing a structured environment and coordinated support efforts to ensure sustainability. The third phase of this study consisted of the conceptualisation of a support strategy for male child sexual abuse victims. Two focus groups were conducted with fourteen psychologists, social workers, counsellors, teachers and child and youth care workers to conceptualise the support strategy. The proposed support strategy suggests the incorporation of different role players in a collaborative team approach for a multilevel support approach. The proposed support strategy involves three main facets, namely strengthening of the male child sexual abuse victim as an individual, sustaining a deep/trusting relationship, as well as the facilitation of a supportive context for the male child sexual abuse victim. / PhD (Psychology), North-West University, Potchefstroom Campus, 2015

In Ontario, 1% of women who give birth have their newborn infant apprehended by child protection agencies (~200/year). Hospital-based perinatal nurses are in a unique position to support mothers. However, there is a lack of research examining mothers’ experiences of newborn infant apprehension. The purpose of this study was to explore mothers’ experiences with nurses and other providers when newborn infant apprehension occurs. Doka’s Disenfranchised Grief Framework was used as a lens to help guide the research questions, methods and analysis. Thorne’s Interpretive Descriptive approach was employed. Mothers who had experienced newborn infant apprehension in the last 10 years were recruited from an agency in Ontario. Nine individual, semi-structured interviews were conducted. When analyzing the data, the researchers identified patterns and themes from among the mothers’ varied experiences. The analysis resulted in four themes: Not good enough, I am a mother, I have rights, I live everyday like I’m grieving, and Hope in the face of adversity. The findings illuminated the imbalance of power that mothers face when experiencing newborn infant apprehension, where power and authority rest with health and social service providers. This research study will focus on the findings describing what mothers want - for nurses to be open-minded, non-judgmental, to teach mothers regarding cycles of violence, and to advocate for mothers’ rights. Ultimately, the mothers posited that nurses are well positioned to empower mothers, thereby giving them the opportunity to begin recovery. The findings indicate a need for nurses to provide safe, compassionate, competent, ethical care and inform how perinatal nurses can better support mothers experiencing newborn infant apprehension.

La construction de l’identité professionnelle est primordiale dans la formation infirmière. Pourtant, selon la revue de la portée par Bélisle et al. (2020), une des dimensions de la professionnalisation, la construction de l’identité professionnelle, est peu documentée ou discutée de manière explicite dans les programmes de formation en santé. Selon les personnes étudiantes (PÉ), les personnes formatrices cliniques (PF) jouent un rôle précurseur au regard à la construction de leur identité professionnelle durant leurs stages cliniques. Néanmoins, ce rôle est complexe et son impact est majeur, particulièrement en début de formation. Toutefois, la perspective de la PF face à ce rôle demeure peu approfondie en recherche. C’est sous cet angle que cette étude descriptive interprétative (Thorne, 2016) avait pour but d’explorer les perceptions que des PF ont de leur rôle dans la construction identitaire de PÉ d’un programme de baccalauréat en sciences infirmières. Afin d’y parvenir, le cadre conceptuel utilisé pour cette étude était celui proposé par Bélisle et al. (2021) sur la professionnalisation des étudiants pour la formation des professionnels de la santé et la recherche. Huit PF d’un milieu clinique ont été recrutées pour participer à cette étude. Les PF participantes ont rempli un questionnaire sociodémographique, complété une fiche descriptive de leur conception de l’identité professionnelle et participé à une entrevue de groupe. Une analyse de contenu thématique (Thorne, 2016) a été réalisée. Les résultats de cette étude permettent de constater que la façon dont les PF perçoivent leur rôle est similaire et multidimensionnelle, mettant en évidence quatre grands constats : 1) il est essentiel pour la PF de reconnaître sa propre identité professionnelle, au sein de laquelle les postures d'infirmière et de formatrice coexistent, 2) la conception qu'ont les PF de leur rôle dans la construction de l'identité professionnelle de la PÉ dépend de comment ce rôle de formatrice se développe, 3) la PF met en oeuvre son rôle par le biais d’actions d’ordres pédagogique et relationnel et 4) la PF reconnaît l'influence qu'elle peut avoir sur la PÉ, mais estime nébuleux son impact dans le processus de construction identitaire. Cette description permet une meilleure compréhension de la perception du rôle des PF et met en lumière des stratégies afin de mieux les soutenir dans l’exercice du rôle central qu’elles jouent dans la formation de la relève infirmière, notamment dans la construction de l’identité professionnelle. De ce fait, plusieurs pistes de réflexion ont été soumises pour la pratique, la recherche et la formation. / The construction of professional identity is crucial in nursing education. However, according to the scoping review conducted by Bélisle et al. (2021), one of the dimensions of professionalization, the construction of professional identity, is poorly documented or explicitly discussed in health education programs. According to nursing undergraduates, clinical educators play a pioneering role in the construction of their professional identity during their clinical placements. Nevertheless, this role is complex, and its impact is significant, especially in the early stages of education. However, the perspective of the clinical educators regarding this role remains underexplored in research. It is from this perspective that this interpretive descriptive study (Thorne, 2016) aimed to explore the perceptions of clinical educators regarding their role in the identity construction of nursing undergraduates in a bachelor's program in nursing science. To achieve this, the conceptual framework of student professionalization for health professional education and research (Bélisle et al., 2021) was used. Eight clinical educators were recruited to participate in this study. The participants completed a sociodemographic questionnaire, filled out a descriptive sheet of their conception of professional identity, and took part in a group interview. A thematic content analysis (Thorne, 2016) was conducted. The results of this study reveal that the way clinical educators perceive their role is similar and multidimensional, highlighting four main findings: 1) clinical educators must be aware of their own professional identity, and through it, the roles of nurse and educator coexist, 2) clinical educators’ conception of their role in the construction of nursing undergraduates’ professional identity depends on how this teaching role develops, 3) clinical educators implement their role through pedagogical and relational actions, and 4) clinical educators acknowledge the influence they can have on nursing undergraduates but considers their impact in the identity construction process as nebulous. This description provides a better understanding of clinical educators’ role perception and sheds light on strategies to better support them in their central role in nursing education, especially in professional identity construction. Consequently, several avenues for practice, research, and education have been suggested.