Estudo descritivo que teve como objetivo analisar os aspectos positivos e negativos relacionados à assistência prestada ao portador de tuberculose pulmonar, com base nos relatos dos trabalhadores de enfermagem de uma unidade de internação (isolamento), do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP. Categorizamos os elementos que compõem os incidentes críticos (situação, comportamento e conseqüência) identificados nos relatos dos trabalhadores de enfermagem, com referências positivas e negativas e analisamos as situações, os comportamentos e as conseqüências positivas e negativas, advindas das situações relatadas pelos sujeitos. Fizeram parte deste estudo 26 trabalhadores de enfermagem, sendo eles: enfermeiros, auxiliares, técnicos e atendentes de enfermagem. Selecionamos essa população por estar intimamente envolvida com a assistência de enfermagem prestada a portadores de tuberculose pulmonar. Obtivemos 24 relatos, dos quais extraímos um total de 94 (100,0%) incidentes críticos, e dentre estes 38 (40,5%) foram referidos pelos entrevistados como positivos e 56 (59,5%) considerados negativos. Ao categorizarmos os elementos que compõem o incidente crítico, obtivemos um total de 94 (100,0%) situações, das quais, 38 (40,5%) foram consideradas positivas pelos entrevistados e 56 (59,5%) negativas. Em relação aos comportamentos, obtivemos 70 (36,7%) com referências positivas e 121 (63,3%) com referências negativas, perfazendo um total de 191 (100,0%). Quanto às conseqüências, estas somaram 143 (100,0%), sendo 54 (37,8%) consideradas positivas e 89 (62,2%) negativas. Ao observarmos os componentes dos incidentes críticos, constatamos maior número de referências negativas.O comportamento extraído dos incidentes que recebeu maior número de referências positivas e negativas, predominando as negativas, foi aquele que o trabalhador de enfermagem é obrigado a oferecer orientações ao paciente e família quanto ao modo de transmissão, tratamento e prevenção da tuberculose pulmonar, muitas vezes não se sentindo protegidos e preparados para tal. Verificamos, através dos relatos, a necessidade de se promover melhoria do conhecimento sobre a doença, no que se refere ao tratamento e precauções, para que o trabalhador de enfermagem tenha mais segurança no desempenho de suas funções e preste uma assistência de enfermagem de melhor qualidade. / Descriptive study which was carried out in order to analyze the positive and negative features related to pulmonary tuberculosis’ patients nursing assistance. This analysis was based on the nursing workers’ reports. We categorized the elements that compose the critical incident (situation, behavior and consequence). We interviewed nursing workers of an infectious diseases’ unit at “Hospital das Clínicas" a general hospital in the Medicine School of Ribeirão Preto, São Paulo, Brazil. We analyzed the positive and negative situations, behaviors and consequences that came up from their reported situations. We selected 26 nursing workers, among them Nurses, Auxiliaries, Technicians and Nursing Attendants in order to be able to identify those items in the reports. This population was chosen by the fact of being deeply involved in taking care of patients with infectious diseases, mainly pulmonary tuberculosis. We obtained 24 (twenty-four) reports, from which we obtained 94 (100.0%) critical incidents and, among these, 38 (40.5%) were considered to be positive and 56 (59.5%) were negative, in their view. When categorizing the elements that compose the critical incident, we obtained an overall 94 (100.0%) situations, from which 38 (40.5%) were viewed as positive and 56 (59.5%) as negative. As to the behaviors, we obtained 70 (36.7%) behaviors with positive references and 121 (63.3%) with negative ones, totalizing 191 (100.0%). About the consequences, they summed up to 143 (100.0%), being 54 (37.8%) considered to be positive and 89 (62.2%) negative. By observing the components of critical incidents, we obtained a higher number of negative references. The behavior from incidents that had a greater number of positive and negative references, prevailing the negative ones, obliges the nursing professional to provide the patient and his/her family with pulmonary tuberculosis’ orientation on transmission, treatment and preventing, because pretty often they do not feel safe or prepared to do it. We observed, based on the reports, the necessity to improve the knowledge on the treatment and precautions related to this disease, so that nursing workers may give safer and better quality nursing assistance.

A parada cardiorrespiratória (PCR) é uma intercorrência inesperada em diversos momentos, constituindo grave ameaça à vida das pessoas, principalmente das que sofrem um colapso não-presenciado e dos pacientes/clientes hospitalizados em estado crítico. Neste estudo, sob a luz da pesquisa qualitativa, fazendo uso da técnica do incidente crítico (TIC), foram entrevistados 30 enfermeiros de unidades de internação clínicas de um hospital universitário do interior do Estado de São Paulo, a fim de se estabelecer as exigências críticas no atendimento à PCR em unidades de internação neste hospital, através da vivência de enfermeiros durante as manobras de ressuscitação cardiopulmonar (RCP), identificando os incidentes críticos positivos e/ou negativos durante esse atendimento, além das ocorrências iatrogênicas durante as manobras de RCP. Os dados coletados foram categorizados segundo as situações secundárias, uma vez que determinamos que a situação principal era a ocorrência da PCR, os comportamentos e as conseqüências decorrentes das diversas situações. Nas situações secundárias encontramos as seguintes categorias: estado e/ou condições clínicas do paciente/cliente; habilidades técnicas inerentes à profissão; conhecimento ou não acerca da PCR; identificação e reconhecimento (ou desconhecimento) do local de trabalho; condições dos materiais e equipamentos; capacitação e treinamento; e circunstâncias adversas. Relacionado aos comportamentos positivos, destacamos as seguintes categorias: vivendo a sistematização no atendimento à PCR; a questão dos materiais; e estabelecendo funções durante o atendimento à PCR. Já, quanto aos comportamentos negativos, podemos destacar as seguintes categorias: vivenciando a falta (ou ausência) da sistematização no atendimento à PCR; convivendo com as dificuldades técnicas; o ambiente situacional; materiais: é difícil conhecer a sua importância?; vivendo as ocorrências adversas; e estabelecer funções: lidando com prioridades. Uma vez selecionadas as situações secundárias, os comportamentos positivos e os comportamentos negativos, pudemos categorizar as conseqüências imediatas ao paciente/cliente; na categoria que traz as conseqüências positivas temos: restabelecimento das funções vitais; como categorias com conseqüências negativas ao paciente/cliente temos: até que ponto a RCP ajuda o paciente/cliente e sua família? e óbito. Avaliando as conseqüências positivas para a equipe de enfermagem temos a categoria: salvar vidas: o que isso proporciona ao profissional de enfermagem? E como categoria abrangendo as conseqüências negativas para esses profissionais temos: fazer parte da equipe de enfermagem é saber lidar com o sofrimento. A partir dos incidentes críticos identificados, pode-se estabelecer as exigências críticas no atendimento à PCR no local de estudo e, ressaltar que para um bom desempenho no atendimento à PCR é necessário rapidez, eficiência, conhecimento técnico-científico e habilidade técnica por parte de toda a equipe que realiza esse atendimento. Além disso, identifica-se a necessidade de infra-estrutura adequada, trabalho harmônico e sincronizado entre todos os profissionais, visando o restabelecimento da vida, a limitação do sofrimento, a recuperação do paciente/cliente e a ocorrência mínima de seqüelas. A partir do momento em que esses requisitos não são atendidos, os riscos tornam-se evidentes, as ocorrências iatrogênicas freqüentes e a segurança do paciente/cliente, seriamente comprometida. / The cardiac arrest is an unexpected alternative in several moments, comprising a serious threaten to people’s lives, mostly of those who suffer an unwitnessed collapse and those hospitalized patients in critical state. In this study, under the light of quality research, making use of critical incident technique, 30 nurses of medical admission units of a university hospital in the state of São Paulo were interviewed, in order to establish the critical requirements in taking care of cardiac arrest in admission units in this hospital, through the nurse experience during the maneuvers of cardiac pulmonary resuscitation, identifying the positive and/or negative critical incidents during such care, and also the iatrogenic occurrences during the maneuvers of cardiac pulmonary resuscitation. The recorded data were classified according to secondary situations, once we determinated that the main situation was the occurrence of cardiac arrest, the behaviors, and the alternative consequences of the several situations. On secondary situations, we found the following categories: the patient/client clinical state and conditions; ability of techniques of profession; knowledge or ignorance around the CRA; identification and recognition (or ignorance) of workplace; conditions of material and appliances; capability and training; and adverse circumstances. In relation to the positive behaviors, we highlight the following categories: experiencing the systemization in taking care of cardiac arrest; in relation to the materials; and determining the functions during the medical care to cardiac arrest. As for the negative behaviors, we can highlight the following categories: experiencing the lack (or absence) of systemization in medical care to cardiac arrest; living with adverse occurrences; and to establish functions: dealing with priorities. Once the secondary situation, the positive and negative behaviors were selected, we could classify the immediate consequences to the patient/client, and as category the gruping of positive consequences we have: recovery of vital functions; as categories of negative consequences to the patient/client we have: to what extent the does the cardiac pulmonary resuscitation help the patient/client and his/her family? and death. Evaluating the positive consequences for the nursing team we have the category: saving lives: what does it promote to the professional? And as category comprising the negative consequences for these professional we have: to be part of the team is to know how to deal with pain. From the identified critical incidents we can accentuate that for a good performance in taking care of CRA it is necessary rapidity, efficiency, scientific-technical knowledge and the ability of all the team who perform the medical care. Besides that we identify the need of the adequate infra-structure, harmonious work between all of the professionals, aiming the recovery of life, the limitations of pain, the recovery of the patient/client and the minimal ocurrence of sequelae. From the moment those requirements are fulfilled risks become evident, the iatrogenic occurrences frequent and the patient/client safety seriously committed.

A parada cardiorrespiratória (PCR) é a ocorrência de maior emergência atendida nos serviços pré e intra-hospitalares. Para os profissionais de saúde a PCR e a realização da Ressuscitação Cardiopulmonar (RCP) são eventos de extrema importância dentro da assistência, na qual exigem-se conhecimento, execução de técnicas adequadas e agilidade para prestar um atendimento de qualidade. A única chance de sobrevivência do paciente está vinculada à identificação precoce desse evento e à intervenção rápida e eficaz através das manobras de RCP dentro da sistematização do atendimento à PCR/RCP determinadas pelas Corrente de Sobrevivência do Adulto, seguida do Suporte Básico (SBV) e Suporte Avançado de Vida (SAVC). Trata-se de um estudo exploratório, descritivo, com abordagem quali- quantitativa que visa estabelecer as exigências críticas no atendimento à PCR/RCP em unidade de emergência no Hospital Escola do interior do estado de São Paulo, através da vivência de 27 profissionais da equipe de enfermagem na realização das manobras de RCP, identificando os incidentes críticos positivos e/ou negativos durante esse atendimento, além das facilidades e dificuldades vivenciadas pela equipe de enfermagem na execução dessas manobras através da Técnica do Incidente Crítico (TIC). Os dados coletados foram categorizados segundo as situações críticas semelhantes (situações secundárias), uma vez que a situação principal era a PCR e a situação secundária era a realização da RCP, seguida dos comportamentos e das consequências positivas e negativas decorrentes das diversas situações. Desta análise emergiram cinco categorias de incidentes críticos: Competências do atendimento à PCR/RCP, sentimentos e emoções da equipe frente à PCR/RCP, estrutura e ambiente na RCP, Eventos adversos à PCR/RCP e Capacitação da equipe de enfermagem. Relacionado aos comportamentos positivos, destacou-se três categorias: Aplicando a sistematização no atendimento à PCR/RCP, estabelecendo gestão durante á RCP e utilizando tecnologias na RCP. Dentre os comportamentos negativos, observaram-se seis categorias: convivendo com a falta de habilidades técnicas; vivenciando a falta da sistematização no atendimento à PCR/RCP; convivendo com recursos materiais e humanos insuficientes; o ambiente; percebendo os sentimentos e emoções da equipe frente a RCP e observando a falta de capacitação permanente da equipe na RCP. Uma vez selecionadas as situações críticas, os comportamentos positivos e os comportamentos negativos, pudemos categorizar o óbito como uma conseqüência imediata negativa e o restabelecimento das funções vitais como uma conseqüência imediata positiva ao paciente/cliente. Na avaliação das categorias resultantes, verificou-se como conseqüência negativa, os saber lidar com o sofrimento da perda e como conseqüência positiva, a RCP bem sucedida além dos sentimentos dos profissionais de enfermagem. A partir dos incidentes críticos identificados, foram estabelecidas as exigências críticas no atendimento à RCP no local de estudo e ressaltou-se que para um bom desempenho na realização da RCP é necessário rapidez, eficiência, conhecimento técnico-científico e habilidade técnica por parte de toda a equipe que realiza esse atendimento, seguindo sistematização referida pelos protocolos do AHA. Além disso, identificou-se a necessidade de capacitação continuada dos profissionais de enfermagem e médica, trabalho harmônico e sincronizado multiprofissional e infra-estrutura adequada, visando o restabelecimento da vida, a limitação do sofrimento, a recuperação do paciente/cliente e a ocorrência mínima de sequelas. Portanto, a RCP imediata, sistematizada e de qualidade é requisito básico de segurança para esses pacientes, reduzindo as dificuldades identificadas pela equipe e favorecendo as chances de reanimação destes pacientes / The cardiopulmonary arrest (CPA) is the major emergency occurrence attended pre and intra hospital services. For the health professionals, the CPA and the performance of cardiopulmonary resuscitation (CPR) are events of utmost importance during the care, demanding knowledge, implementation of appropriate techniques and agility to provide a quality service. The unique opportunity of patient\'s survival is linked to the early identification of this event and to the fast and effective intervention through CPR manoeuvres within the treatment systematization CPA/CPR determined by Adult Survival Current followed by Basic Life Support (BLS) and Advanced Life Support (ACLS). It\'s an exploratory and descriptive study with a qualitative-quantitative approach that aims to establish critical requirements in the CPA/CPR treatment within an emergency room at a teaching hospital in São Paulo State, through the experience of twenty seven professionals of nursing staff during manoeuvres of CPR, identifying the positive/negative critical incidents during this treatment as well as facility and difficulties experienced by nursing staff during this procedures though the Critical Incident Technique (CIT). The collected data was categorized accordingly to similar critical situations (secondary situation), since the main situation was CPA and secondary one was CPR realization in addition to behaviors and positive/negative consequences resulting from various situations. From this analysis, it was arisen five categories of critical incidents: treatment competences to CPA/CPR, feelings and emotions of the nursing staff towards CPA/CPR, structure and environment during CPR, adverse events to CPA/CPR and nursing staff training. Related to positive behaviors, it was highlighted three categories: applying systematization in CPA/CPR treatment, establishing conduct during CPR and using technologies in CPR. It was observed six categories among negative behaviors: dealing with no technical skills, living through the lack of systematization to CPA/CPR treatment, cohabiting with insufficient human and material resources, the environment, realizing nursing staff\'s feelings and emotions towards CPR treatment and observing the lack of nursing staff\'s ongoing training. Once selected critical situations, positive and negative behaviors, we can classify Death as an immediate negative consequence and Restoring Vital Functions as a positive consequence to the patient/client. Assessing the emerging categories, it was verified, as a negative consequence, how to deal with the loss suffering and, as a positive consequence, the successful CPR in addition to the nursing professionals\' feelings. From the identified critical incidents, it was established critical requirements to CPR treatment at the study site and it was pointed out that, to a good performance in the CPR, is necessary quickness, efficacy, scientific and technical knowledge and technical ability of the whole staff that perform this treatment, following systematization referred by the AHA protocols. Furthermore it was also identified the necessity for an ongoing training of medical and nursing professionals, harmonious and synchronized multiprofessional work and appropriate infrastructure aiming at life restoring, suffering limitation, the patient and client\'s recovery and the least occurrence of sequelae. Therefore, an immediate systematized and quality CPR is basic requirement for these patients\' safety, reducing the difficulties identified by the staff and providing opportunities for resuscitation of these patients

O presente trabalho tem o objetivo de identificar fatores intervenientes na adoção de energias limpas nos principais setores industriais do Estado de São Paulo. Para tanto, apresenta a fundamentação teórica sobre os diversos temas pertinentes a pesquisa, tais como: o atual cenário energético brasileiro e o desenvolvimento sustentável, bem como o estudo dos métodos aplicados. A análise dos dados realizada teve caráter qualitativo e quantitativo, por meio, respectivamente, da Técnica do Incidente Crítico e da Análise Conjunta. A aplicação da Técnica do Incidente Crítico forneceu os atributos que as empresas consideram importantes no processo de escolha. Já a Análise Conjunta, técnica estatística multivariada de análise de dados, foi utilizada para determinar a utilidade e importância relativa dos atributos relevantes na escolha das empresas. Com os resultados da pesquisa acredita-se que as empresas usuárias e não usuárias de energias limpas poderão ter conhecimentos sobre a opinião de seus pares com relação às vantagens e desvantagens do uso destes energéticos nos processos produtivos, assim como ao governo estabelecer estratégias adequadas para orientar e estimular a adoção de energias que promovem baixo impacto ao meio ambiente. / The scope of the present work is to identify intervening factors in the adoption of clean energy resources in the main industrial sectors of the São Paulo state. In order to perform such evaluation, a theoretical reasoning on the various relevant issues related to the research shall be displayed, such as: the current brazilian energy context and sustainable development, as well as the study of applied methods. The data analysis was realized guided on a qualitative and quantitative basis, by means, respectively, of the Critical Incident Technique and the Conjoint Analysis. The application of the Critical Incident Technique has imputed capabilities that companies regard as pivotal in the selection process. The Conjoint Analysis, on its hand, multivariate statistics technique on data analysis, was used in order to determine the utility and relative importance of the capabilities relevant to the companies\' selection. Based on the results inferred from the research it may be conjectured that companies that adopt and do not adopt clean energy resources may acquire acknowledge about the opinion of its couples in what it concerns the advantages and disadvantages of the use of these energetic in these productive processes, as well the government may set to establish adequate strategies in order to instruct and encourage the adoption of energy resources that promote a lesser impact to the environment.

African American, Latinx, and Native American students continue to be disciplined in U.S. schools at rates 2 to 3 times higher than White students. In response, schools are seeking out approaches to reduce racial disciplinary disparities. Yet, it is not clear what influences educators’ active commitment to address racial equity in school discipline practice. This study used the Critical Incident Technique to explore the phenomenon of commitment to racial equity. In-depth interviews were conducted with 15 educators who self-reported that they were initially non-committal or reluctant to address racial equity but became more committed over time. The interviews produced 210 critical incidents and the formation of 20 categories to describe what helped and hindered educators’ personal commitment and the observed commitment of others to racial equity in school discipline practice. Findings indicated Disaggregating School Data by Race and Ethnicity (self, other), Learning About Racial Discrimination in Society (self), and Sharing Equity-Focused Strategies (others) were categories reported to help educators’ commitment to racial equity. Avoiding Discussing Race (self) and Lowering Expectations and Stereotyping (others) were found to hinder educators’ commitment to racial equity. Participants’ responses also suggested active commitment to racial equity may require effort and exposure to multiple discriminatory or prejudicial events. Commitment formation was also found to be influenced by non-school experiences (i.e., events or incidents that occur outside of a school campus). Contributions of the study are discussed in relation to theory, school practices, and approaches to teacher professional development.

Mentorship and previous leadership experiences have been found to serve as factors that contributed to counseling professionals becoming leaders. Historical influences, life philosophy, identity, and resilience also shaped leaders and guided leadership practices. Critical incidents (e.g., difficulties or successes in organizational management or addressing ethical issues); however, are also significant experiences that are considered “a powerful source of counselor development.” To date, researchers have explored critical incidents in counseling graduate students’ training. However, there were no studies that have focused exclusively on the role of critical incident experiences of nationally appointed or elected counselor leaders. Thus, it was not necessarily clear how such incidents contribute to or impede the development of counselor leaders. Therefore, the aim of this grounded theory study was to qualitatively explore critical incidents using the Critical Incident Technique (CIT). The researcher conducted semi-structured interviews to explore experiences that have influenced the counselor leaders’ development, practices, and effectiveness. Findings from this study represent the experiences of fourteen national leaders in the counseling profession. The present study contributes to the growing literature on counseling leadership and counseling leadership development. Specifically, the Model of Counselor Leaders’ Development and Meaning Making of Significant Experiences (MCLD) seeks to explain counselor leaders’ experiences in leadership. The overall premise of this model is that the following five components are interconnected and ultimately lead to outcomes within the organization and with the leaders’ own growth and development: Personal Factors, Professional Factors, Culture and Climate of Organization, Leader’s Knowledge and Skills, and Decision-Making and Problem-Solving.

Syftet med denna uppsats är att analysera hur tjänstekvalité inom B2B kan utvärderas samt att analysera om ViewsCapture, en frågeteknik med öppna frågor där respondenten själv kategoriserar sina egna kommentarer, kan tillföra något till befintliga metoder. Vidare avses att koppla samman utvärderingsmetoder med de olika syften företag har för att mäta kvalité. Uppsatsen byggs upp av en omfattande litteraturstudie om vad tjänster och tjänstekvalité är, samt varför det är viktigt att utvärdera tjänstekvalité inom B2B. De utvärderingsmetoder som beskrivs i uppsatsen är dels attributbaserade och dels händelsebaserade metoder. Empiridelen består av material från Unified Dialogs AB som har utvecklat frågetekniken ViewsCapture som sedan analyseras tillsammans med befintliga metoder. Undersökningen visar att tjänstekvalité handlar om att infria de förväntningar kunden har på en tjänst. Om kunderna skiljer sig signifikant ifrån varandra faller det sig naturligt att mer kvalitativa och mindre standardiserade metoder bör passa bättre. Det beror på att varje kund är unik och tillvägagångssättet många gånger inte är standardiserat, därför är det svårare att på förhand generalisera kring vad företagets kunder finner problematiskt. Genom användning av ViewsCaptures frågeteknik med öppna frågor skapas förutsättningar för att vidareutveckla de befintliga mätmetoderna i syfte att bättre tjäna företags och forskares syften för mätningen. Detta görs exempelvis genom att inhämtning av djupare information från attributbaserade mätmetoder möjliggörs samt att analys av de öppna svaren från en händelsebaserad metod underlättas.

The Critical Factors of Service Encounter satisfaction: Research on Restaurant Industry Author: Shao-Feng Chao Advisor: Dr. Yi-Heng Chou Abstract According to Directorate-general of Budget Accounting and Statistics Executive Yuan¡¦s survey of commerce and service industries in 1996, the statistics showed that the weight of Taiwan¡¦s restaurant industry became more and more influential in commerce. Its contribution to economic productivity cannot be ignored. However, the smaller business size and the easiness for entry enhance the competition and make it hard for operators to survive. To succeed in operation, the managers of restaurants have to emphasize not only the quality of physical goods but also the excellence of service quality, delivering what customers need and want. Many researchers have studied on service quality in recent years. They mainly use the closed questionnaire to measure how factors influence quality. It helps to understand service quality, but there are still some disadvantages. For example, its measure is closed and customers are no more than attitude accountants. Furthermore, the results can only show a part of service process, expressing no service encounters. To see more details about the service encounter between customers and service providers, this research adopts ¡§Critical Incident Technique¡¨(CIT). Customers¡¦ and service employees¡¦ opinions about the critical incidents which impacts on service encounters of fast-food restaurants and deluxe restaurants were collected, coded, and analyzed under the dramaturgical theory and Bitner¡¦s standard (BBM principle). It is to compare customers¡¦ view with service employees¡¦ and to identify the critical factors to service encounter satisfaction of fast-food restaurants and deluxe restaurants in Taiwan. The finding of the research is as followed. I. The critical factors to service encounter satisfaction of fast-food restaurants are: A. service employees¡¦ attitude and behavior, B. service employees¡¦ professional skills, C. the timely provision of service and the response to unreasonably delay, D. the performance of service processes and systems and the response to core service failure. II. The critical factors to service encounter satisfaction of deluxe restaurants are: A. the allocation of service environment, B. service employees¡¦ attitude and behavior, C. the quality of physical products, D. the timely provision of service and the response to unreasonably delay, E. the performance of service processes and systems and the response to core service failure. III. Service employees¡¦ attitude and behavior, the timely provision of service, and the performance of service processes and systems are all the critical factors to service encounter satisfaction no matter in fast-food restaurants of in deluxe restaurants. V. The factors, service employees¡¦ professional skills and the attention to customers, are only critical to service encounter satisfaction of fast-food restaurants. VI. The factors, the allocation of service environment, the quality of physical products, and the response to customers¡¦ preference, are only critical to service encounter satisfaction of deluxe restaurants. Key words: service quality, service encounter, dramaturgical theory, critical incident technique, restaurant industry

The experience of how youth get off the street is scarcely documented. The present study explored what helped and hindered youth in their experience as they tried to get off the street and addressed the following research question: “How have youth experienced trying to get off the street: what has helped and hindered?” Twenty youth, aged 19-24 years of age, living in Vancouver, British Columbia, Canada who have spent time living on the street were interviewed using Flanagan’s (1954) Critical Incident Technique. The qualitative analysis of the interviews identified 259 critical incidents, forming nine helping categories and six hindering categories when youth tried to leave the streets. The nine helping categories included: (1) Taking Responsibility, (2) Engaging in Constructive Activities, (3) Friends and Family Support, (4) Changing Drug and Alcohol Use, (5) Support from Professional Organizations, (6) Disillusionment of Street Life, (7) Dreams and Hope for a Different Future, (8) Income Assistance and (9) Leaving Negative Influences Behind. The six hindering categories were: (1) Drugs and Alcohol, (2) Emotional Struggles, (3) Lack of Support, (4) Enjoyment of Homelessness, (5) Limited Formal Education, Life Skills and Employment and (6) Income Assistance Difficulties. The results from this study are discussed in relation to implications for theory, practice and future research.

The experience of how youth get off the street is scarcely documented. The present study explored what helped and hindered youth in their experience as they tried to get off the street and addressed the following research question: “How have youth experienced trying to get off the street: what has helped and hindered?” Twenty youth, aged 19-24 years of age, living in Vancouver, British Columbia, Canada who have spent time living on the street were interviewed using Flanagan’s (1954) Critical Incident Technique. The qualitative analysis of the interviews identified 259 critical incidents, forming nine helping categories and six hindering categories when youth tried to leave the streets. The nine helping categories included: (1) Taking Responsibility, (2) Engaging in Constructive Activities, (3) Friends and Family Support, (4) Changing Drug and Alcohol Use, (5) Support from Professional Organizations, (6) Disillusionment of Street Life, (7) Dreams and Hope for a Different Future, (8) Income Assistance and (9) Leaving Negative Influences Behind. The six hindering categories were: (1) Drugs and Alcohol, (2) Emotional Struggles, (3) Lack of Support, (4) Enjoyment of Homelessness, (5) Limited Formal Education, Life Skills and Employment and (6) Income Assistance Difficulties. The results from this study are discussed in relation to implications for theory, practice and future research.