abstract: This study is an in-depth examination of thirty-one commercial marijuana growers in four states in the United States. Presently, federal law prohibits marijuana production, but twenty-five states and the District of Columbia allow some provision for marijuana production. Despite massive federal campaigns against marijuana growth, the growers themselves have received comparatively little attention. This study investigates three questions: 1) to what extent do commercial marijuana growers meet life-course criminology’s expectations of offenders; 2) how do growers learn the requisite norms, knowledge, and skills to be successful; and 3) to what extent do growers comply with state laws, and why? The results find little-support for life-course variables. While social learning theory is supported, the results also indicate that independent learning through trial and error and learning through various media are relevant to knowledge and skill acquisition. Respondents adopted a variety of strategies regarding state laws, with partial-compliance in order to minimize risk being the most common. Implications for both theory and policy are discussed. / Dissertation/Thesis / Doctoral Dissertation Criminology and Criminal Justice 2016

Magister Pharmaceuticae - MPharm / Diabetes mellitus is a complex chronic condition and has become a major public health concern worldwide. Many diabetic patients are accessing primary health care (PHC) clinics for diabetes care. Diabetic patients who are considered stable are referred to chronic diseases of lifestyle club at the PHC facility. Effective management of this chronic condition requires a multidisciplinary team approach to diabetes care. Pharmacists are not often included in a multidisciplinary team and would consist of doctors, nurses and dieticians. Teams may be expanded and require specialist healthcare members’ expertise who can assist in the management of this disease, for example, ophthalmologists and podiatrists. Adherence to standard treatment guidelines (STGs) for the management of diabetes by healthcare professionals at a primary care level can improve glycemic control, decrease health costs and reduce the development of long-term diabetic complications.

The purposes of this study were to explore the work of midwives and their experiences with the medical community, and to examine their goals and hopes for the profession of midwifery in Virginia. To facilitate this purpose, the guiding research questions included: What do midwives believe the role of a midwife is? What are their experiences with the medical community? What are their hopes and goals for the future of midwifery in Virginia? Through interviews, focus groups and participating as a researcher-observer, I found that both certified nurse-midwives and certified professional midwives believe the role of midwife is one of support. Furthermore, midwives' experiences with the medical community are both restrictive and supportive, and both groups are pursuing the advancement of midwifery acceptance and practice through building relationships and advocating for midwifery. The dominance of medical authoritative knowledge of childbirth in the United States creates struggles for midwives. Consequently networking and consumer advocacy are cited as vehicles for the growth of midwifery. / Master of Science

No / Within this chapter, we explore the use of participant photo-elicitation methods in studying how people manage their daily episodes or incidences of work-life balance. Participant photo-elicitation methods rely upon research participants taking their own photographs of a subject as guided by the researcher(s). In addressing this particular technique, we explore some important methodological issues for HRM researchers who seek to use these methods and explain how this type pop methodology has much to offer when studying HR issues such as work-life balance. We conclude that one of the major benefits of the method is the role of photographs as a "conversational technology" (Gammack & Stephens, 1994, p. 76) in encouraging participants to talk and reflect.

Yes / Heart failure is a major global health challenge incurring a high rate of mortality, morbidity and hospitalisation. Effective medicines management at the time of hospital discharge into the community could reduce poor outcomes for people with heart failure. Within the Improving the Safety and Continuity Of Medicines management at Transitions of care (ISCOMAT) programme, the Medicines at Transitions Intervention (MaTI) was co-designed to improve such transitions, with a cluster randomised controlled trial to test effectiveness. The MaTI includes a patient toolkit and transfer of discharge medicines information to community pharmacy. This paper aims to determine the degree to which the intervention was delivered and identify barriers and facilitators experienced by staff for the successful implementation of the intervention. Methods: The study was conducted in six purposively selected intervention sites. A mixed-methods design was employed using hospital staff interviews, structured and unstructured ward observations, and routine trial data about adherence to the MaTI. A parallel mixed analysis was applied. Qualitative data were analysed thematically using the Framework method. Data were synthesised, triangulated and mapped to the Consolidated Framework for Implementation Research (CFIR). Results: With limited routines of communication between ward staff and community pharmacy, hospital staff found implementing community pharmacy-related steps of the intervention challenging. Staff time was depleted by attempts to bridge system barriers, sometimes leading to steps not being delivered. Whilst the introduction of the patient toolkit was often completed and valued as important patient education and a helpful way to explain medicines, the medicines discharge log within it was not, as this was seen as a duplication of existing systems. Within the CFIR the most applicable constructs were identified as ‘intervention complexity’ and ‘cosmopolitanism’ based on how well hospitals were networked with community pharmacies, and the availability of hospital resources to facilitate this. Conclusion: The MaTI was generally successfully implemented, particularly the introduction of the toolkit. However, implementation involving community pharmacy was more challenging and more effective communication systems are needed to support wider implementation.

No / The effects of drug errors and any consequent adverse events frequently impact on patients, their relatives and professional carers. Furthermore, the financial cost to the National Health Service is considerable (DoH, 2000; DoH, 2001; DoH, 2004). In a study of two London teaching hospitals, Vincent et al. (2001) found that 10% of patients are exposed to an adverse event, which adds a mean 8.5 days to their hospital stay. Drug errors are recurrently reported to account for between 10 and 20% of all adverse events (DoH, 2004). In response to Department of Health policy, NHS trusts are changing their approach to the management of error to encourage more reporting. The emphasis is on openness and support, and individual and organisational learning rather than blame. Research designed to increase a knowledge of the aetiology and context of drug errors should be carefully constructed and include qualitative methods which, if implemented according to established convention, can reflect the approaches described above. This paper will critique a recently published study that focused on nursing practice and was, in our view, inappropriately described as ethnographic. The study undoubtedly adds to the body of existing knowledge about drug errors and, crucially, if the study contributes to improved patient safety, it must, fundamentally, be valued. Nevertheless, some qualitative research conventions were broken and, as such, it is suggested, some opportunities for a broader understanding and for learning may have been lost. The critique will lead to a range of recommendations about future qualitative studies in this research domain which, it is argued, could produce a fuller picture of the context, culture and, perhaps, even the cause of error.

Despite their long trajectory in the social sciences, few systematic works analyze how often and for what purposes focus groups appear in published works. This study fills this gap by undertaking a meta-analysis of focus group use over the last 10 years. It makes several contributions to our understanding of when and why focus groups are used in the social sciences. First, the study explains that focus groups generate data at three units of analysis, namely, the individual, the group, and the interaction. Although most researchers rely upon the individual unit of analysis, the method’s comparative advantage lies in the group and interactive units. Second, it reveals strong affinities between each unit of analysis and the primary motivation for using focus groups as a data collection method. The individual unit of analysis is appropriate for triangulation; the group unit is appropriate as a pretest; and the interactive unit is appropriate for exploration. Finally, it offers a set of guidelines that researchers should adopt when presenting focus groups as part of their research design. Researchers should, first, state the main purpose of the focus group in a research design; second, identify the primary unit of analysis exploited; and finally, list the questions used to collect data in the focus group.

The overall aim of this study is to explore how health visiting and mothering practices have been shaped by the implementation of Health for All Children (Hall). ‘Hall’ denotes a programme of work around child health surveillance and promotion published in four reports between 1989 and 2003. The fourth Hall report (Hall 4) marked a shift towards a more targeted approach to service provision, predominantly through the work of health visitors, yet aimed to meet the needs of all families with young children. The study explores how health visitors’ work practices have been shaped by this new policy context, including how it has influenced their relationships with families as well as the profession as a whole. It also examines the experiences of mothers, their relationships with health visitors, and how they negotiate and manage their children’s health and well-being. A review of Scottish policy reveals an early years agenda focused on risk and early intervention; and that community nursing has been at the centre of, and shown resistance to, a number of policy directives over the last decade. A review of the existing literature explores the relationship between evidence and Hall and identifies health visitors as the profession charged with its implementation. Literature on mothering and fathering exposes a focus on parenting in policy which belies the gendered nature of caring for children. The empirical study reported in this thesis is located theoretically in relation to the shifting emphasis in disciplinary practices shaping child health from normality to risk. The study uses a qualitative approach and took place within the Lothian region of Scotland. Initially, discussions with policy-makers and practitioners working in the early years, nationally and locally, were carried out to scope the context for the study. Semi-structured interviews with 16 health visitors and 20 mothers were then undertaken and analysed thematically, with the findings chapters shaped through an iteration between theory and grounded analysis of the accounts of the health visitors and mothers. The health visitors’ accounts reveal the changing nature and form of their knowledge and expertise and the implications of this for their practice and profession. The discussions of health visiting practice identify the important roles of observation and relationships work with families, in homes and clinics over time, and how these activities enable health visitors to construct knowledge of families. The interviews with mothers suggest a blurring between lay and professional knowledge where normality is defined by mothers themselves and through their relationships with health visitors. While the mothers work to construct themselves as morally adequate, attention to the stories mothers tell, and, in particular, the emotion in them, suggests that vulnerability can be experienced by any mother. This phenomenon sits in contrast to increasing attention by professionals placed on the monitoring and policing of ‘vulnerable’ families while opportunities for observation and relationships work diminish. The study concludes by exploring key conceptual issues. It considers shifts between normality and risk and how these are shaping how vulnerability is constituted through health visiting practice. In conjunction, it explores the implications of changing health visiting practices, for health visitors, as a profession. Finally, the scope for the health visiting profession to shape policy and practice are considered.

The purpose of this qualitative study was to explore the range of consequences of a professional development workshop for two- and four-year college astronomy faculty. Its focus was how faculty participants chose to incorporate ideas and teaching strategies from the workshop with their own teaching ideas and practices. Data included pre- and post-workshop open-ended survey responses on teaching strategies from 126 faculty, follow-up online survey responses on reported teaching practices from forty-one faculty, semi-structured interviews and classroom observations with five faculty "heavy adopters" of the workshop teaching techniques, and surveys from their students. Analytical techniques used were both traditional, such as clustering, counting, and iterative descriptive coding (Miles and Huberman, 1994); as well as non-traditional, such as circle graphs (Aumann et al., 1999), and analysis of linguistic metaphors (Martin and Lueckenhausen, 2005). The main consequence of this study is that faculty development workshops can help support faculty as they create their own teaching path, and support their students in doing the same. Faculty participants reported incorporating workshop teaching strategies to their teaching practice following their participation. Interviews with and classroom observations with the five "heavy adopters" characterized how each individual retrofitted the techniques to suit his or her own teaching approaches, as revealed by their dominant teaching metaphor, as well as the metaphors used by their students to describe their classes.

Magister Artium (Psychology) - MA(Psych) / Over time, the ‘normal’ experience of pregnancy transitioned to the hospital setting, leading to a discourse steeped in the notions of risks and complications. Risks and complications refer to health problems expectant women may experience, causing them to have a high-risk pregnancy. High-risk pregnancy refers to a pregnancy that negatively affects the health of the mother, the baby, or both, and evoking a range of emotional and psychological experiences. Research on high-risk pregnancy is predominantly found in the medical arena. Such research usually concerns the disease, while women’s emotional/psychological experiences are not sufficiently documented. For this reason, the objectives of this study was to explore the emotional and psychological experiences of women in the reviewed articles throughout their high-risk pregnancies, and identify the medical conditions and complications in the same reviewed articles. Ethics clearance was obtained from the senate research committee at UWC. The systematic review examined qualitative studies, including the qualitative components of mixed method studies published between January 2006 and June 2017. The databases that were searched are EbscoHost, JSTOR, Sage Journals Online, ScienceDirect, SpringerLink, Sabinet, Scopus, Emerald eJournals Premier, Pubmed, as well as Taylor and Francis Open Access eJournals. The study evaluated the literature found on these databases for methodological quality by using three stages of review (i.e. abstract reading, title reading, and full-text reading) and applying a meta-synthesis to the current evidence on the research topic. The findings provide empirical evidence based on sound research that medical conditions and complications (i.e. HELLP syndrome, thrombophilia, gestational diabetes, maternal near-miss syndrome, foetal abnormality, preterm birth, hypertension, and uterine rupture) are associated with women’s emotional and psychological experiences (i.e. fear, shock, feeling frightened, sadness, worry, alienation, frustration, grief, guilt, anger, ambivalence, despair, upset, loneliness and isolation, anxiety, depression, and PTSD) throughout their high-risk pregnancies. As a result of this, survivors of severe pregnancy complications have subsequent psychological and emotional challenges. It is therefore recommended that future researchers consider including quantitative studies in a systematic review on the same topic.