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Current writing and research on addiction recovery is inconclusive about what is effective in promoting recovery from alcoholism and drug addiction. This thesis focuses on the narrative commentaries of people currently in recovery in an effort to determine what elements may be common among them that promote and sustain their recovery conditions. In depth interviews were conducted with eight individuals who offered personal details about their addictions and their recovery. Analysis of their narratives reveals a variety of thematic conditions related to the maintenance of sobriety and other personal goals.

Current writing and research on addiction recovery is inconclusive about what is effective in promoting recovery from alcoholism and drug addiction. This thesis focuses on the narrative commentaries of people currently in recovery in an effort to determine what elements may be common among them that promote and sustain their recovery conditions. In depth interviews were conducted with eight individuals who offered personal details about their addictions and their recovery. Analysis of their narratives reveals a variety of thematic conditions related to the maintenance of sobriety and other personal goals.

This thesis investigates four different aspects of information security management: challenges faced by security practitioners, interactive collaborations among security practitioners and other stakeholders, diagnostic work performed by security practitioners during the response to incidents, and factors that impact the adoption of an intrusion detection system in one organization. Our approach is based on qualitative analyzes of empirical data from semi-structured interviews and participatory observation. For each theme under study, the contributions of the qualitative analysis are twofold. First, we provide a richer understanding of the main factors that affect the security within organizations. Second, equipped with this richer understanding, we provide recommendations on how to improve security tools, along with opportunities for future research. Our findings contribute to the understanding of the human, organizational, and technological factors that affect security in organizations and the effectiveness of security tools. Our work also highlights the need for continued refinement of how factors interplay by obtaining more rich data (e.g., contextual inquiry), and the need to generalize and validate these findings through other sources of information to study how these factors interplay (e.g., surveys).

This study examined helping and hindering factors that influence the experiences of forensic psychiatric patients in the forensic system, and describes implications for practice. A qualitative approach was used to delineate which factors patients report are helpful and which ones are reported as hindering within a forensic inpatient hospital. Ten participants were interviewed using Critical Incident Technique to elicit their experiences since coming to a Forensic Psychiatric Inpatient Hospital. Results indicated that the factors that were helpful were: talking with staff, programming and services, and taking prescribed medications. Hindering factors included: exposure to illicit drugs, exposure to violence, programming and services, stigmatism, living on a maximum security ward, lack of respect from the staff, and concerns involving prescribed medication. The results of this research are discussed in light of how this present research supports the extant research and theories. Implications and recommendations at both a clinician and system level within forensic psychiatric services are offered.

Shoulder dystocia is an obstetric emergency which can result in significant maternal and neonatal morbidity, and in some cases perinatal death. It is an unpredictable event which causes stress and trauma for all concerned. Widely accepted and current management of shoulder dystocia involves performing a set of manoeuvres described in the HELPERR mnemonic, which are taught in emergency obstetric training sessions. This qualitative interpretive study presents a descriptive and hermeneutic analysis of the narratives of five clinicians who have significant experience in the management of shoulder dystocia. The qualitative descriptive approach is informed by the work of Sandelowski and it incorporates a hermeneutic ‘hue’ influenced by the work of Heidegger. This approach allowed themes to be identified from straight description. The data was then further analysed using the hermeneutic approach, to bring forth the richness and meaning of the participants’ experiences. This research approach facilitated a comprehensive analysis of the data. The findings of this research are that the management of shoulder dystocia has been influenced by HELPERR, so that practitioners most commonly follow the sequence of the mnemonic, despite the fact that some of the manoeuvres are difficult to perform or remember. Alongside this, the research shows that through their experiences, practitioners have discovered by ‘accident’ the manoeuvre of axillary traction. They find this manoeuvre not only more effective, but easier to perform in any circumstance. Another important finding of this research is that there are improved neonatal outcomes when axillary traction is the method of choice for resolving shoulder dystocia. In addition, the research highlights that practitioners who are involved with shoulder dystocia, particularly when the outcome is poor, are at risk of suffering post-traumatic stress and psychological damage, which can result in loss of the practitioner from the profession. In these ways, this research has contributed to the body of knowledge of shoulder dystocia, and more importantly, provides an alternative and effective strategy for managing shoulder dystocia.

Shoulder dystocia is an obstetric emergency which can result in significant maternal and neonatal morbidity, and in some cases perinatal death. It is an unpredictable event which causes stress and trauma for all concerned. Widely accepted and current management of shoulder dystocia involves performing a set of manoeuvres described in the HELPERR mnemonic, which are taught in emergency obstetric training sessions. This qualitative interpretive study presents a descriptive and hermeneutic analysis of the narratives of five clinicians who have significant experience in the management of shoulder dystocia. The qualitative descriptive approach is informed by the work of Sandelowski and it incorporates a hermeneutic ‘hue’ influenced by the work of Heidegger. This approach allowed themes to be identified from straight description. The data was then further analysed using the hermeneutic approach, to bring forth the richness and meaning of the participants’ experiences. This research approach facilitated a comprehensive analysis of the data. The findings of this research are that the management of shoulder dystocia has been influenced by HELPERR, so that practitioners most commonly follow the sequence of the mnemonic, despite the fact that some of the manoeuvres are difficult to perform or remember. Alongside this, the research shows that through their experiences, practitioners have discovered by ‘accident’ the manoeuvre of axillary traction. They find this manoeuvre not only more effective, but easier to perform in any circumstance. Another important finding of this research is that there are improved neonatal outcomes when axillary traction is the method of choice for resolving shoulder dystocia. In addition, the research highlights that practitioners who are involved with shoulder dystocia, particularly when the outcome is poor, are at risk of suffering post-traumatic stress and psychological damage, which can result in loss of the practitioner from the profession. In these ways, this research has contributed to the body of knowledge of shoulder dystocia, and more importantly, provides an alternative and effective strategy for managing shoulder dystocia.

Shoulder dystocia is an obstetric emergency which can result in significant maternal and neonatal morbidity, and in some cases perinatal death. It is an unpredictable event which causes stress and trauma for all concerned. Widely accepted and current management of shoulder dystocia involves performing a set of manoeuvres described in the HELPERR mnemonic, which are taught in emergency obstetric training sessions. This qualitative interpretive study presents a descriptive and hermeneutic analysis of the narratives of five clinicians who have significant experience in the management of shoulder dystocia. The qualitative descriptive approach is informed by the work of Sandelowski and it incorporates a hermeneutic ‘hue’ influenced by the work of Heidegger. This approach allowed themes to be identified from straight description. The data was then further analysed using the hermeneutic approach, to bring forth the richness and meaning of the participants’ experiences. This research approach facilitated a comprehensive analysis of the data. The findings of this research are that the management of shoulder dystocia has been influenced by HELPERR, so that practitioners most commonly follow the sequence of the mnemonic, despite the fact that some of the manoeuvres are difficult to perform or remember. Alongside this, the research shows that through their experiences, practitioners have discovered by ‘accident’ the manoeuvre of axillary traction. They find this manoeuvre not only more effective, but easier to perform in any circumstance. Another important finding of this research is that there are improved neonatal outcomes when axillary traction is the method of choice for resolving shoulder dystocia. In addition, the research highlights that practitioners who are involved with shoulder dystocia, particularly when the outcome is poor, are at risk of suffering post-traumatic stress and psychological damage, which can result in loss of the practitioner from the profession. In these ways, this research has contributed to the body of knowledge of shoulder dystocia, and more importantly, provides an alternative and effective strategy for managing shoulder dystocia.

Doctor of Philosophy(PhD) / Policy makers, service agencies and people with mental illness themselves view employment for people with mental illness as a major concern. This is due to the low rate of employment of people with mental illness, the difficulties many experience in finding and keeping satisfactory jobs, and the perception of paid employment as highly desirable for people with mental illness. The most extensive research on employment for people with mental illness has focused on establishing statistical relationships between various hypothesised predictors of employment success and vocational outcomes. While some attention has been paid to how individuals with mental illness view being employed, this has primarily focused on specific areas such as the benefits of employment, difficulties encountered and coping techniques used. My aim in this research was to develop a theoretical formulation which explains the processes that people with mental illness engage in with regard to employment. Data was gathered by way of in-depth interviews with users of psychiatric services. Some of these participants were employed, others were seeking employment, while others were not engaged in employment-related activities. At the centre of the theoretical formulation is a process I have called negotiating an appropriate vocational place. Using this process, people with mental illness make decisions about actions to take in relation to employment and these may or may not include trying to get and keep a job. Decisions are made by weighing up the benefits and drawbacks of employment and the advantages and risks of different vocational strategies. In doing so, people with mental illness are influenced by the Australian societal context, their individual social networks, their individual characteristics and circumstances (including their mental illness), and their employment options. This process of negotiating an appropriate vocational place is cyclical, ongoing and dynamic, as individuals' views and circumstances change. Knowing that people with mental illness strive toward an appropriate vocational place rather than taking for granted that they are working towards getting a job presents a challenge to policy and practice in which a successful outcome is defined as obtaining and maintaining a paid position in the workforce. Detailing and elaborating the process by which people with mental illness go about negotiating an appropriate vocational place provides a framework for practitioners, policy makers and researchers to understand the decisions made by people with mental illness and their actions in relation to employment. The understanding provided by the findings from this study will assist those working with people with mental illness and those responsible for employment policies to tailor their work more closely to individuals' desired goals. Immediate and longer term research opportunities are identified to apply the theoretical formulation derived from this study to vocational service practice with people with mental illness.