While smoking prevalence among the general Canadian population has declined to 17%, declining rates have not been achieved equitably across all sub-populations (Statistics Canada, 2011). Smoking prevalence is particularly high among blue-collar workers, and individuals employed in the construction industry have the highest smoking prevalence (34%, Conference Board of Canada, 2013). Though studies have attempted to understand these disparities and how to combat them, research is necessary to understand the social contexts in which construction workers smoke. This study sought to understand these contexts by exploring experiences and meaning of smoking. Semi-structured, in-depth interviews were conducted with 14 construction workers living and working in Southern Ontario. Qualitative inductive analysis was conducted in three phases: (1) simultaneous data gathering and generating nodes, (2) coding and subgroup analysis, and (3) limited theory development. Grounded theory approach to analysis identified six main categories encompassing various subthemes. These included: day-to-day workplace experiences, experience of smoking, reasons for smoking, sociability of smoking, mechanisms associated with continued smoking, and experiences with quitting or cutting back. Sub-group analyses identified differences between participants depending on age, skill level (unskilled worker versus skilled tradesperson), and job sector (residential versus commercial/industrial). Social theories and concepts identified in the literature review were referred to, including the Social Contextual model by Sorensen and colleagues (2004). A potential set of contextual factors and modifying mechanisms that may be impacting construction worker’s tobacco use on or off jobsites are presented. The findings indicate that smoking is a complex issue among construction workers. For many, smoking goes hand-in-hand with working. Smoking is a social experience, and common on worksites. Workers experience various smoking policies on different jobsites. Policies may or may not be followed or enforced. Smoking has different meanings for different workers. However, factors external to the workplace must also be considered (e.g. partner smoking status). Supports that could be offered in workplace contexts include incentives, coverage of quitting aids, and limiting smoking (e.g. smoke-free policy). These findings have implications for policy and practice. Further research, including collaborative intervention development, is necessary to address high and persistent rates of tobacco use among construction workers.

Friendship matters. Practical support, caring, moral guidance, enjoyment, improved health and greater life expectancy are but a few of its benefits. Despite living in a stigmatizing social environment where isolation is common among disabled youth, some disabled teens establish strong friendships. A nuanced understanding of these meaningful friendships from the perspective of disabled teens was constructed through this qualitative study. Teens aged 15 to 20 who self-identified as experiencing stigma due to disability were recruited from urban, suburban and rural areas of Nova Scotia, Canada. Each teen was involved in a friendship of at least six months’ duration and had a close friend (with or without a disability) who was also willing to participate. Seven boys and seven girls, all but one of whom were disabled teens, took part in the study. These seven sets of friends engaged in research interviews and participant observation sessions. Nine adults who witnessed the friendships develop over time were also interviewed. Preliminary coding was completed using Atlas.ti. This was followed by a deeper, critical approach to analysis which generated three inter-connected themes. The first theme outlines how stigma disrupts the friendships of disabled youth though a range of processes (labeling, stereotyping, status loss, separation) that arise from and contribute to ableism – discrimination against disabled people. The second theme, finding a balance between adult support and surveillance, emphasizes the crucial role adults play in facilitating the friendships of disabled youth. The final theme, disrupting oppression to create enduring friendship, highlights the strategies used by these disabled teens to make and keep friends in a stigmatizing society. Strategies most often used that appeared to be effective for participants were disrupting norms about friendship, coming out as disabled, connecting through stigma, and choosing self-exclusion. Two strategies – horizontal hostility and passing as nondisabled – were potentially harmful to disabled youth and in some ways limited friendship opportunities. Ideas to counter the harmful effects of ableism while creating lasting friendships are addressed to disabled teens, to their families, to allies in the education system, and to the broader community.

Purpose: This thesis focuses on the development of occupational therapy competencies to enable executive occupational performance with school-aged children and youth. Methods: Three studies were structured according to the knowledge inquiry, synthesis, and product stages of the Knowledge To Action cycle (Graham et al., 2006). A scoping review in Phase One explored how executive functioning is described in the occupational therapy literature. In Phase Two, a qualitative study was conducted to determine how occupational therapists who have worked with children and youth perceive executive functioning to be understood and addressed. Phase Three used established competency development processes to produce an occupational therapy competency model and framework for enabling executive occupational performance. Results: Although there is little consensus on how executive functioning is understood, literature reviewed in Phase One demonstrated its pervasive effect on performance of complex, novel, and goal-directed occupations. Emerging themes suggest that assessment requires occupational, dynamic, and performance-based approaches, with interventions rooted in metacognitive frameworks. The Phase Two qualitative study suggested that, although there are challenges to being able to “see” executive functioning, it is necessary to explicitly and systematically consider executive functioning during clinical reasoning. Learning to “see” through the executive functioning lens is a complex process. The competency framework development process utilized in Phase Three yielded the Competencies in Context Model. Responding to series of contextual challenges related to system, client, and occupational therapist factors, professional assessment, intervention, iii knowledge acquisition, and knowledge translation competencies are used to organize 16 specific occupational therapy practice competencies. Conclusion: Points of tension within the literature and the field have implications for occupational therapy curricula, research, practice, and professional development. Executive functioning issues have wide reaching effects on occupational performance of children and youth that have not been adequately recognized or explored in the occupational therapy literature. The competency model and framework developed through this research make a substantive contribution to the field in beginning to redress the dearth of occupational therapy-specific models, resources, and tools designed to support occupational therapists’ acquisition or implementation of the executive functioning perspective. / Thesis (Ph.D, Rehabilitation Science) -- Queen's University, 2012-08-26 22:27:09.05

A qualitative phenomenological study using van Manen’s human science method was conducted to gain insight into the lived experience of patients and their family members transitioning through one hundred days post haematopoietic stem cell transplantation (HSCT). Three families between zero and five years post HSCT were recruited from a bone marrow transplant unit in central Canada. Multiple in-depth open-ended interviews and field notes were employed to arrive at a detailed description of the lived experience of patients and family members. Awakening from the cocoon emerged as the main essence of patient’s and family members’ experiences, supported by three themes: the disruptions, the chrysalis, and new beginnings. The results from this study provide evidence that the families viewed the HSCT in a positive perspective and highlight the importance of supporting families throughout the acute phase of transplantation.

This thesis presents original empirical research concerning a restorative justice practice currently operating within England. Specifically, it examines the expectations and experiences of victims participating in a restorative practice. It establishes the extent to which victims‘ expectations may impact upon their experiences of the restorative justice process. Throughout this research, original empirical data is presented which demonstrates that victims possess a limited understanding of restorative principles and practices, which persists despite preparatory meetings. This research suggests victims place almost exclusive reliance upon gatekeepers of the process, specifically the police or restorative facilitator, in both the formation of their expectations of the process and in their decisions to participate. This thesis argues that the existence of restorative practices as complex interactionary processes enables victims to experience aspects of the process negatively, whilst continuing to view the process as beneficial. It is submitted that negative experiences can arise from an expectation-reality gap, which the preparatory meetings fail to rectify. Throughout the restorative process, this research demonstrates that victims continue to possess a punitive perspective and continue to rely upon aspects of the traditional criminal justice system and courtroom imagery. Such reliance exists in contradiction to central themes of restorative justice theory, including victim rejection of an empowered decision making role during the process, and the irrelevance of offender remorse.

As an immigrant in Sweden, I connect this study to my embodied experiences in the labor market and reflect throughout this research as I discuss the experiences of other immigrants who struggle with labor market integration. This qualitative study focuses on the phenomenon of the integration of immigrants in the Swedish labor market from an intersectional perspective and from my position as an immigrant which enriches the discussions. I analyzed how immigrants are integrated into the Swedish labor market and how gender intersects with other human factors to influence labor market integration. The study was based on a reflexive ethnography methodology in which interviews and documentation studies were used in collecting the empirical data. A semi-structured interview guide was used during the interviews and the documentation study was focused on scrutinizing integration policy documents in Sweden. The findings provide a detailed account on the genesis of immigration policies and how they have evolved into integration policies in Sweden. It traces this from the 1950s when integration policies were intertwined with immigration policies. Also it provides an account of how the integration policies are implemented in Sweden focusing on the activities of two main organizations namely Arbetsförmedlingen and the Linköping’s municipality. Furthermore the findings highlights that, men and women experience labor market integration differently therefore there is the need for this subject to be studied from a heterogeneous perspective instead of a homogenous perspective. It also highlights that women’s gender intersects with other human endowments factors such as education, gender roles, marital status, language and skills that complicate their labor market integration. In addition the findings highlight the transnational lives of some of the participants who hold on to traditional ideologies from their countries of origin. Furthermore, immigrants conceptualized labor market integration according to their own understanding. The results shows that the conceptualization of some of the immigrants was similar to what is common in the literatures but there was one new conceptualization of the term labor market integration that can be added to the already existing conceptualizations.

The purpose of this study was to explore what contributes to resilience in females diagnosed with Fragile X Syndrome. Fragile X Syndrome can be defined as an inherited (genetic) condition that causes mental impairment, attention deficit and hyperactivity, anxiety and unstable mood, autistic behaviours, hyper-extensible joints, and seizures. I became aware of Fragile X Syndrome during my time as a live-in caretaker to an adolescent female who was diagnosed with Fragile X Syndrome. Because she coped with her disability so resiliently, I was encouraged to explore what contributes to resilience in females diagnosed with Fragile X Syndrome. I followed a qualitative approach, anchored in the interpretivist paradigm. This means that I tried to understand the resilience of females diagnosed with Fragile X Syndrome through the meanings that the participants in my study assigned to them. Furthermore, I worked from a transformative paradigm, which meant that I was interested in changing the traditionally negative ways in which females diagnosed with Fragile X Syndrome are seen. I followed a multiple case study approach, which included four case studies. I conveniently selected the first participant, but realised that convenience sampling was not very credible for a qualitative case study. An Advisory Panel was then used to purposefully recruit three more participants. In order to explore what contributed to their resilience, I made use of interviews, observations, and visual data collection. I also interviewed adults (e.g. parents, teachers and consulting psychologists) who were significantly involved in the lives of my participants. My findings suggest that resilience in females with Fragile X Syndrome is rooted in protective processes within the individual as well as within her family and environment. Because my findings do not point to one specific resource, my study underscores newer understandings of resilience as an Eco systemic transaction. Most of the resilience-promoting resources noted by the participants in my study as contributing to their resilience have been identified as resilience-promoting in previous studies. Although the themes that emerged in my study have been reported in resilience previously, I make a contribution to theory because I link traditional resilience-promoting resources to resilience in females diagnosed with Fragile X Syndrome. Peer support was previously reported as a resilience-promoting resource, but in my study I noticed that the main source of peer support came from peers who were also disabled. Furthermore, my study transforms how we see females diagnosed with Fragile X Syndrome. This transformation encourages communities and families to work together towards resilience in females diagnosed with Fragile X Syndrome. / Ph.D, North-West University, Vaal Triangle Campus, 2011

A qualitative phenomenological study using van Manen’s human science method was conducted to gain insight into the lived experience of patients and their family members transitioning through one hundred days post haematopoietic stem cell transplantation (HSCT). Three families between zero and five years post HSCT were recruited from a bone marrow transplant unit in central Canada. Multiple in-depth open-ended interviews and field notes were employed to arrive at a detailed description of the lived experience of patients and family members. Awakening from the cocoon emerged as the main essence of patient’s and family members’ experiences, supported by three themes: the disruptions, the chrysalis, and new beginnings. The results from this study provide evidence that the families viewed the HSCT in a positive perspective and highlight the importance of supporting families throughout the acute phase of transplantation.

The application of personality assessment techniques for clinical and personnel decisions has always been a major activity for psychologists all over the world. In South Africa personality assessment tools are often used for purposes of selection, placement, determination of job satisfaction and development. Psychological testing in South Africa was originally initiated with white test-takers in mind, and currently none of the available personality questionnaires used in South Africa have been found to provide a reliable and valid picture of personality for all cultural (language) groups. Since 1994 South Africa has had a new constitution and there are stronger demands for the cultural appropriateness of psychological tests. In this study, the implicit perspectives of personality of Sesotho-speaking South Africans are being determined in order to develop a more culturally fair personality assessment tool for South Africans. A qualitative research design was used with an interview as data-gathering instrument. A Sesotho-speaking fieldworker was recruited to interview 120 Sesotho-speaking South Africans from the Free State Province. The study population was purposely drawn from different sections of the Sesotho-speaking population. A total of 4873 Sesotho-speaker personality descriptors were obtained from the participants and then translated into English. Content analysis was used to analyse, interpret and reduce these descriptors to a total of 94 personality characteristics, which highlights the most important perspectives of personality for Sesotho-speaking individuals. The personality characteristics were divided into seven categories, namely sociability, interpersonal relatedness, emotionality, meanness, conscientiousness, dominance and other. The majority of the characteristics are representative of communalism or the collective consciousness in African communities. Sesotho-speaking persons are socially active and are sympathetic, caring and tolerant towards others, they are willing to become involved in the feelings, problems and welfare of others. The findings of this study were compared to the Five Factor Model and evidence were found for the extraversion, conscientiousness, neuroticism and agreeableness factors, but not for the openness to experience factor. In comparison with the Chinese Personality Assessment Inventory support were found for 17 of the 22 personality scales. Characteristics such as admonitory, resourcefulness, religion, humour, fair, judgemental and discriminating can be seen as characteristics indigenous to the Sesotho culture. Limitations in the research are identified and recommendations for future research are made. / Thesis (M.A. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

Objective: A neglected issue in literature on nutrition and HIV/AIDS is how other health professionals view their role in that arm. The purpose of this study was to understand professional nurses' perception regarding their ability to render effective nutritional care to people living with HIV/AIDS (PLWHA). Design: A qualitative approach was used. Twenty-three, in-depth, semi-structured interviews were conducted with nurses (mean age 38) working in eight (five rural and three urban) Wellness clinics within public hospitals providing antiretroviral therapy (ART) in North West Province, South Africa. Brief structured demographic questionnaires were also administered. All interviews and focus group discussions were recorded for transcription and open-coding. NVivo was used for open coding, whilst descriptive statistics were done using SPSS for windows (version 14, SPSS Inc., Chicago. IL). A research team of professionals and researchers collaboratively analysed data for emerging themes. Results: All the hospitals that participated had at most three nurses, having at least one professional nurse working in the Wellness clinic for PLWHA. More than half of the participants interviewed were diploma holders, eight (35%) were degree holders and three (13%) had certificates in nursing. Five main themes (previously guided by the interview questions) emerged during the analysis of data and these portrayed participants' perceptions regarding their ability to render effective nutritional care to PLWHA. The themes were 1) challenges faced by nurses dealing with PLWHA on a daily basis, 2) concerns of PLWHA, 3) nurses’ perception on the importance of nutrition in HIV/AIDS care, 4) nurses’ perceived ability to deal with nutritional issues in HIV/AIDS, 5) the role of traditional healers, traditional medicine in HIV/AIDS. Thirty five percent of participants mentioned poor socio-economic status of PLWHA as a barrier to the participants to talk about good nutrition to people that are food insecure. Furthermore, 13% of participants indicated that they are constantly facing the dilemma of PLWHA mixing traditional medicines and ART. Participants perceived the following skills to be important in the area of nutrition and HIV/AIDS: communication, listening and knowledge. Although knowledge could be debated as it is not a skill per se, the participants believed that on needs to acquire nutrition knowledge first and then improve on the communication and listening skills with more exposure and training. Ten (41%) of the participants interviewed rated themselves as average, 11 (48%) participants as good whilst only 4%, representing one participant, felt they were very good at giving out nutrition education. Sixty one percent of participants said they would require more knowledge, whilst 39% said they would need to acquire communication and listening skills for them to be able to render effective nutritional cart to PLWHA. In this study, participants perceived nutritional care to PLWHA as their responsibility and that lack of knowledge was influencing their inability to offer this service effectively. All the participants indicated a need for collaboration with nutrition professionals, ill-service training us well as exposure to clear communication channels for nutrition and HIV/AIDS information. Participants were concerned with the lack of policy implementation regarding nutrition and policy documents. Of the 23 participants interviewed, only two (9%) confirmed having seen and rend the South African Guidelines on Nutritional Care for People Living with TB, HIV/AIDS and other Chronic Debilitating Conditions. Conclusion: All participants interviewed believed that nutrition knowledge in the area of HIV/AIDS can be improved if poor people who are infected and affected by HIV/AIDS are food secure. Concerning practice, it is recommended that nutrition and HIV/AIDS as a topic be introduced in both undergraduate mid postgraduate training for nurses. The lack of policy implementation, level of qualification and years spent in the nursing profession may have influenced participants' perception regarding their ability, as well as confidence, to render nutritional care to PLWHA. Possible interventions to improve policy implementation could be the development of user-friendly information, education and communication materials for health institutions as these may serve as constant reminders to health care service providers. It was found that participants' perceptions regarding their ability to render effective nutritional care to PLWHA was affected by a complex number of factors which emerged as themes that need to be addressed. Participants' experience suggests that more research and inquiries are needed into traditional medicines and traditional healing, as the issue of ARVs and traditional medicine is becoming a public health dilemma, riot only to the nurses, but to every stakeholder involved in the field of HIV/AIDS. Furthermore, a need exists for nurse-specific outreach, collaboratively done by nutrition professionals and other stakeholders. This work thus provides a foundation for further exploring ways to improve the ability of other health care workers such as nurses in the nutritional care of PLWHA which will ultimately improve the quality of life of PLWHA. / Thesis (M.Sc. (Nutrition))--North-West University, Potchefstroom Campus, 2007