Background: Segregation, within the context of this study, is the removal of a prisoner from the wider prison to an environment that is regimented and controlling, and functions through enforced solitude. There is very little research that explores this environment from the perspective of the prisoners who experience it. By using the voices of the prisoners this study provides rich description of the conceptual understanding of how they and resolved their segregation experiences. Research Aim: The aim of this research was to develop a grounded theory of how prisoners gave meaning to their segregated environment experience. Methodology: This study was guided by a constructivist epistemology and the principles and process of grounded theory (Constructivist Grounded Theory) as described by Glaser, Strauss, and Charmaz. Data was gathered from a participant group of prisoners who were experiencing, or had experienced within the previous two months, time in segregation, from one specific Category A prison, as well as comparable case studies. Data was collected through semi structured interviews, and case study documentary analysis, and analysed using the concurrent processes of constant comparative analysis, data collection, and theoretical sampling. Results: The participants expressed that the main concern of their time in segregation was a desire to survive this experience. They expressed this desire, and the actions and behaviours necessary to achieve it, through a process conceptualised as reframing contextual power. This has three 'subcategories‘ 'Power Posturing', 'Power Positioning', and 'Power Playing', each comprising of further subdivisions of the conceptualisation of the participants main concern. These consisted of 'Knowing Fixed Rules', 'Reading Emergent Rules', 'Relating', 'Resistance', 'Being Bad', 'Being Mad', and 'Being Cool'. Power was the major interlinking concept and this was fundamental to the strategies and actions necessary for the participants to achieve their main concern. While presented as three distinct 'subcategories‘ they are neither independent nor hierarchical, rather they are interconnected and interlinked. The participants were active in the utilisation and enactment of power actions and not passive recipients of power. A theoretical exploration of the power inherent in reframing contextual power demonstrated that no one theory or approach can sufficiently explain power within this context. It is proposed that, drawing from a number of theorists, an integrated approach to viewing and understanding such power is required to allow for a more sophisticated understanding of how the participants reframe contextual power. Conclusions: The findings of this study provide a method of understanding how the participants engaged with, and utilised complex strategies to survive the segregated environment experience. The findings also contribute to how we understand the processes of power within this current (and similar) context(s). I consider that the uniqueness of this thesis is important as it contributes to the extant body of knowledge in this field and thus offers a salient message relating to the (potential) future of segregation and the solitary confinement of prisoners.

This thesis presents a Constructivist Grounded Theory study that explores the impact that life science specific intermediaries have on knowledge exchange and commercialisation. Many of the life science intermediaries (LSIs) that operate to bridge the divide between industry and academia receive public funding, and many have come and gone. It is important for us to better understand the reasons behind this turnover and how we can develop LSIs that have staying power. The research explores what LSIs are and the different ways they can impact on knowledge exchange and commercialisation. The study engaged 22 different LSIs sites from the UK, Holland and France. These 22 different LSIs have been placed into five different Case intermediary models, moreover, 30 interviews were conducted, informal observations were collected and field notes also known as memos were taken throughout the research process. Through the use of Constructivist Grounded Theory five theoretical concepts emerged, these included the following: that a LSI needed to have commercialisation targets, those with KEC objectives embedded had more chance of gaining further funding, and they require sufficient time and that funding resources are adequate and they should employ staff from both academia and industry within the LSI. A theoretical framework model that can be used to help design and develop a high functioning LSI is presented. Discussions with policy decision makers and the expectations from a range of stakeholders feed into this framework model. The theory development adds to the knowledge on innovation intermediaries and in particular the sectoral systems of innovation (SSI) which allows for a more focused approach on innovation intermediaries from a single sector viewpoint. Furthermore, the study feeds into more recent research on the reason why intermediaries fail.

Cancer patients worldwide receive care from multidisciplinary teams, and patients sometimes have little or no knowledge about the different treatment options available, making communication with their care providers an important influence in how they perceive their care. Patient satisfaction with care is an important factor in determining survivorship. The increasing prevalence of cancer worldwide has become a huge public health issue. The World Health Organization has warned that the potential gains from combatting infectious diseases in Nigeria might be lost because of the increasing prevalence of cancer. The purpose of this grounded theory study was to obtain the perceptions of 30 cancer survivors in Nigeria about their care in federally funded hospitals to improve cancer care in the country. Through a constructivist grounded theory (CGT) approach, data from 30 in-depth interviews with the cancer survivors were analyzed. Data analysis included open coding, selective coding, theoretical coding, and memo writing. Three themes emerged from the data analysis: positive perception of care (P), service improvement (S), and good care experience (G), all of which were cyclically related to form the PSG substantive theory, which indicates that better health care to cancer patients will improve preventative and curative cancer care services in Nigeria. This theory was validated by relating it to 3 theories in the literature as recommended in CGT research. The implication for positive social change is that the results might provide information that can help health care professionals to improve how they communicate with, relate to, and care for cancer patients and their families in Nigeria and other countries.

This is a grounded theory study of school as a social system in an atypical context. It was the aim of this study to develope context-specific theoretical propositions to understand how a school as a social system looks like in an atypical context, which is characterized by ethnic group, migrated groups of low socio-economic status and low-level education. A public school that shows these characteristics was chosen for the study. The school is mostly populated by students coming from Roman community and migrated families from northern and eastern part of Turkey. Data for the study came from different sources, including unstructured observations, one-to-one interviews with school principal and nine teachers, a focus group interview with nine parents and analysis of different types of documents. Data collection and analysis went hand in hand for the study. The study produced five theoretical propositions that were found to connect to a major process, which was called &ldquo / breaking vicious cycle&rdquo / by the researcher. These propositions generally suggest that there is a kind of vicious cycle in the functioning of a school in atypical contex that needs to be broken through making some collective changes in the daily life of school. For these changes to create a transformation in the school, it was suggested that the concept of education and the concept of school, as well as, teachers and principals&rsquo / role definitions should be redefined in the light of radical and critical educational views.

Asperger’s was eliminated as a distinct diagnosis in the DSM-5. While controversy lingers over the assimilation of Asperger’s into autism spectrum disorder, my study explores the experience of stigma through interviews with four adults with Asperger’s and two with high functioning autism. I examine the phenomenology of autistic stigma, stigma management, and how stigma is impacted by diagnosis. The results provide an understanding of stigma as it is experienced by individuals who, in the words of one participant, suffer from a “relationship disability.” The term ASHFA evolves during the write-up to become more than an acronym for Asperger’s/high functioning autism; it comes to represent a way of being present in the world that transcends diagnosis. A relational methodology derived from Gadamer’s hermeneutics and Merleau-Ponty’s phenomenology provides a philosophical framework for the project and also guides ethical engagement during the study. Methods used in the data analysis are drawn from constructivist grounded theory. The report itself may contain clues into ASHFA because I, the organizing participant, am also diagnosed with Asperger’s. I attempt to make sense of the paradoxical conclusion that diagnosis can provide a therapeutic explanation for autistic difference even as medicalization disempowers us as a validating narrative / Graduate / 0452 / 0422 / canadagates@gmail.com

Despite our theoretical commitment to community development (CD) approaches in occupational therapy, current practice models focus on individual interventions, rather than identifying how occupational therapists (OTs) can contribute at a community level. Consequently, OTs attempting to work with communities may not have clear guidance on methods of community engagement or strategies for addressing community level issues. This research examined three cases of OTs working in CD in different regions of Canada in order to 1) generate in-depth interpretive case descriptions of CD practice; and 2) conceptualize CD from the perspective and practices of occupational therapy. Data collection in each case occurred over three weeks and included approximately 30 hours of observations, document reviews and 14 interviews with health professionals and program participants. Constructivist grounded theory informed data analysis. The conceptual framework generated from the cross-case analysis describes the context of CD in which the OTs bridged the health and community sectors. The OTs were in community-focused positions located within regional health authorities. The OTs strategically used both professional and personal self to enable more equitable power sharing between health services, community agencies and consumers, creating opportunities for meaningful engagement with and in communities. Four main CD strategies contributed to this power shift: 1) building consumer and community capacity, 2) nurturing community partnerships, 3) influencing the health care system, and 4) linking sectors and resources. These OTs focused on a set of core values while drawing on their professional experiences. Individual, organizational and community-level changes resulted from these CD initiatives. The conceptualizations developed in this study can inform the practice of OTs by identifying potential CD strategies for enabling occupations with communities and sensitizing OTs to historical contextual tensions and power inequities. From this, the applicability of current occupational therapy models to communities can be extended, enhancing reflexive CD practice. / Thesis (Ph.D, Rehabilitation Science) -- Queen's University, 2010-03-04 13:35:42.337

The constructivist grounded theory, actualizing collaborative learning, conceptualizes how British Columbia primary grade teachers interacted with the professional learning endeavour Changing Results for Young Readers (CR4YR). CR4YR was a British Columbia Ministry of Education initiated and co-facilitated cross-school Network Learning Community that included educators from four levels of the school system. While Network Learning Communities, such as the CR4YR initiative, have been increasingly utilized as professional learning models for educators, a review of the literature indicated that questions remained as to how teachers, who were unaccustomed to collaborative learning endeavour, adapted to environments in which vulnerability was the primary learning tool. This study addressed this knowledge gap. The theory, actualizing collaborative learning, emerged from analysis of data gathered through semi-structured interviews with 22 CR4YR participants in five British Columbia school districts. The interviewees included school district administrators, Reading Advocates, and teachers. The resulting theory specifies that collaborative learning in CR4YR was built upon the interaction of the four sub-processes: establishing trust, identifying with collaborative learning, becoming vulnerable, and mobilizing collaboration to the school. The participants’ utilization of the four sub-processes was impacted by three contextual factors which were skilled leadership, interlinking points of contact, and the extended time period allocated for the CR4YR initiative. The theory extends current conceptualizations of professional learning in network learning communities by identifying the contextual factors and sub-processes that support teachers as they acclimatize to collaborative learning in cross-school environments with representation from multiple levels of the school system. / Graduate / wilmot94@telus.net

INTRODUCTION AND AIM: The current shortage of nurses is a concern shared by the healthcare industry globally. Whilst the reasons for these shortages are varied and complex, a key factor among them seem to involve an unhealthy work environment. The demanding nature of the critical care environment presents a challenge to many nursing professionals and it carries the risk of a high turn over rate due to the stress and intensity of the critical care environment. The critical care nurse is responsible for caring for the most ill patients in hospitals and the acute shortage of critical care nurses contributes to the intensity and pressures of this environment. Little evidence exists of research conducted to explore and describe the practice environment of the critical care nurse in South Africa. The main aim of this research study was to construct a theory for positive practice environments in critical care units in South Africa, grounded in the views and perceptions of critical care nurses working in the private hospital context. In recognition of the fact that a positive practice environment is considered to be the foundation for the successful recruitment and retention of nurses, it was clear that issues related to staff shortages will not be resolved unless the unhealthy work environment of nurses is adequately addressed. RESEARCH DESIGN AND METHOD: A constructivist grounded theory design was selected to address the inquiry at hand. The study was divided into two phases and pragmatic plurality allowed the use of both quantitative and qualitative data collection methods to explore, describe and contextualise the data in order to achieve the overall aim of the study. In phase one, a checklist developed by the researcher was used to describe the demographic profile of the critical care units (n=31) that participated in the study. The perceptions of critical care nurses (n=298) regarding their current practice environment was explored and decribed by using a valid and reliable instrument, the Practice Environment Scale of the Nursing Work Index (PES-NWI). In phase two, the elements of a positive practice environment were explored and described by means of intensive interviews with critical care nurses (n=6) working in the critical care environment. Concepts related to the phenomenon under investigation were identified by means of an inductive analysis of the data through a coding process and memo-writing. One core conceptual category and six related categories emerged out of the data. In the final phase of the theoretical sampling of the literature, a set of conclusions relevant to the phenomenon under study was constructed. The conclusions deduced from the empirical findings in both phases of the research process were integrated with those derived from the literature review to provide the foundation from which the theory was constructed. FINDINGS: The findings from the first phase of the research process provided information about the context in which the participants operate and assisted in discovering concepts considered relevant to the phenomenon under investigation. A grounded theory depicting the core conceptual category of "being in controi" and its relation to the other six categories was constructed from the data in order to explain a positive practice environment for critical care units in the private healthcare sector in South Africa. / Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2010.

Evidence indicates that regular physical activity (e.g., aerobic physical activity for 30 minutes most days of the week) reduces recurrent cardiac events and death rates in women with coronary heart disease (CHD). However, study findings consistently report higher rates of physical inactivity among rural versus urban women. In addition, rural women experience significant geographic disparities, health inequities, and limited access to health care services and providers, creating further self-care challenges such as engaging in recommended physical activity behaviors post-MI. To understand how rural Nova Scotia (NS) women engage in physical activity behaviors post MI, and factors that affect their physical activity in the post-MI period, constructivist grounded theory (CGT) and photovoice methodologies and methods were used in this research. Eighteen NS women from rural settings participated in two interviews and in the taking of personal photographs using provided disposable cameras. Findings from the narrative and visual data culminated in a substantive theory, “Seeking-Self Worth: A Theory of How Rural Women Engage in Physical Activity Behavior Post-MI.” What was most problematic for study participants was questioning self-worth as a rural woman post-MI. To manage this problem, study participants engaged in the process of seeking self-worth as a rural woman post-MI. The theory of seeking self-worth also involved the processes of assessing MI damage and physical activity, testing physical activity limits, and choosing physical activity priorities. All of these processes played out within a rural context where gender and contextual factors encouraged or hindered study participants’ seeking of self-worth post-MI and, subsequently, their engagement in physical activity behavior post-MI. This substantive theory has implications for nursing, particularly rural public health nurses and nurse practitioners, in the areas of practice, education, research, and policy development.

INTRODUCTION AND AIM: The current shortage of nurses is a concern shared by the healthcare industry globally. Whilst the reasons for these shortages are varied and complex, a key factor among them seem to involve an unhealthy work environment. The demanding nature of the critical care environment presents a challenge to many nursing professionals and it carries the risk of a high turn over rate due to the stress and intensity of the critical care environment. The critical care nurse is responsible for caring for the most ill patients in hospitals and the acute shortage of critical care nurses contributes to the intensity and pressures of this environment. Little evidence exists of research conducted to explore and describe the practice environment of the critical care nurse in South Africa. The main aim of this research study was to construct a theory for positive practice environments in critical care units in South Africa, grounded in the views and perceptions of critical care nurses working in the private hospital context. In recognition of the fact that a positive practice environment is considered to be the foundation for the successful recruitment and retention of nurses, it was clear that issues related to staff shortages will not be resolved unless the unhealthy work environment of nurses is adequately addressed. RESEARCH DESIGN AND METHOD: A constructivist grounded theory design was selected to address the inquiry at hand. The study was divided into two phases and pragmatic plurality allowed the use of both quantitative and qualitative data collection methods to explore, describe and contextualise the data in order to achieve the overall aim of the study. In phase one, a checklist developed by the researcher was used to describe the demographic profile of the critical care units (n=31) that participated in the study. The perceptions of critical care nurses (n=298) regarding their current practice environment was explored and decribed by using a valid and reliable instrument, the Practice Environment Scale of the Nursing Work Index (PES-NWI). In phase two, the elements of a positive practice environment were explored and described by means of intensive interviews with critical care nurses (n=6) working in the critical care environment. Concepts related to the phenomenon under investigation were identified by means of an inductive analysis of the data through a coding process and memo-writing. One core conceptual category and six related categories emerged out of the data. In the final phase of the theoretical sampling of the literature, a set of conclusions relevant to the phenomenon under study was constructed. The conclusions deduced from the empirical findings in both phases of the research process were integrated with those derived from the literature review to provide the foundation from which the theory was constructed. FINDINGS: The findings from the first phase of the research process provided information about the context in which the participants operate and assisted in discovering concepts considered relevant to the phenomenon under investigation. A grounded theory depicting the core conceptual category of "being in controi" and its relation to the other six categories was constructed from the data in order to explain a positive practice environment for critical care units in the private healthcare sector in South Africa. / Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2010.