Syftet med studien är att undersöka vilka faktorer som inverkar på personalens relation till brukarna på ett korttidshem för flerfunktionshindrade ungdomar och unga vuxna, samt att granska hur dessa faktorer influerar varandra. Data har insamlats i huvudsak genom djupintervjuer men också utifrån ett självetnografiskt förhållningssätt. Analysmetoden som använts är Grounded Theory. Resultatet av studien visar att vårdpersonalens relation till brukarna kan kopplas till den nivå av relationell trygghet som upplevs gentemot brukarna på korttidshemmet. Den relationella tryggheten påverkas i sin tur av vårdgivarens personlighet, det upplevda relationella djupet mellan vårdgivaren och brukaren, samt graden av upplevd arbetsrelaterad stabilitet. Ju fler av dessa komponenter som uppnår tillfredställande nivåer, desto högre upplevs den relationella tryggheten, vilket påverkar den arbetsrelaterade motivationen samt graden av engagemang riktad mot brukaren positivt. De fynd som framkommer genom resultatanalysen sammanfattas i två modeller. Den ena tillhandahåller en allmängiltig förklaringsmodell för hur arbetsrelaterade relationer kan förstås utifrån deras givna kontexter – så kallad relationell motivation. Denna modell beskriver hur individers arbetssätt, anknytning och upplevda trygghet på arbetsplatsen påverkar den riktning som de arbetsrelaterade relationerna tar. Modellen utgör en grund för förståelsen av den andra, specifikt mot korttidshemmet, riktade modellen, vilken förklarar vårdpersonalens relation till brukarna. Studiens konklusion är att korttidshemmet bör sträva efter att maximera vårdpersonalens möjligheter till högkvalitativa kontakttillfällen med brukarna. För att detta ska vara möjligt, och för att höga nivåer av relationell trygghet ska kunna uppnås bland vårdgivarna, bör uppkomsten av störande yttre faktorer minimeras på arbetsplatsen.

Recreational shopping has long been of interest to business academics and practitioners, but research on it has been underdeveloped in the leisure field. Although the leisure literature and business literature represent distinct perspectives, there appears to be many significant parallels between recreational shopping and leisure. The purpose of this study was to examine the intrinsic meanings of shopping; to explore the experiential aspects of the recreational shopping experience (including the influences of the retail environment on individuals who regularly engage in recreational shopping). This study took place in Toronto, Ontario. The sample included five female self-proclaimed recreational shoppers. The researcher accompanied each participant on a shopping excursion which took place at a shopping mall selected by the participant. Data were collected through three qualitative methods. First, participant observation involved the researcher walking alongside the participant as she shopped. Following the shopping session, the researcher conducted an in-depth face-to-face interview with each participant; the interview was guided by a set of open-ended questions. In addition, this study utilized photo-elicitation in which the participants were asked to photograph ‘anything’ that made an impression during their visit to the mall. The photographs offered tangible illustrations of shopping experiences and were used as a catalyst for discussion during the interviews. The data was analyzed using Grounded Theory coding which lead to the identification of two main themes and six respective subthemes. The emergent themes are all connected to the key idea that shoppers are motivated by their expectations and desires when they partake in the recreational shopping activity. Shopping offers numerous opportunities that provide immediate hedonic pleasure as well as intrinsic rewards. Such opportunities often include, the ‘before and after’ phases of experiences of acquisition and unexpected discoveries, the positive interactions which occur both inside and outside a retail environment, and lastly, the individual’s use of shopping as a means of self-expression and a tool to manage their self image. Satisfaction, spontaneity, familiarity, mastery, accomplishment, and feelings of escape were all present in these shopping experiences. The findings also described the role of shopping malls as a leisure space and as facilitators of recreational shopping activities. Furthermore, this study demonstrated that shopping can offer a profound leisure experience for many people and the activity should not only be researched in terms of just ‘recreational shopping’ or ‘utilitarian shopping.’ Rather, the findings indicate several overlaps between the two types of shopping and further research is needed to more fully understand the complexities of the activity.

Mothers play a vital role in providing healthy food choices for their preschool children. This role has become more complex in the present obesity-producing environment that has contributed to the increasing prevalence of childhood overweight and obesity in Canada. Childhood overweight and obesity is a significant public health issue in Nova Scotia where the percentage is higher than the national average. The purpose of this study was to generate a theoretical understanding of the process in which 18 mothers living within the Cape Breton Regional Municipality engaged while making food choices for their preschool children. Constructivist grounded theory methodology informed by sensitising constructs from symbolic interaction and the socio-environmental health promotion perspective facilitated a multilevel exploration of the factors that affect mothers’ food choice practices for their preschoolers. Data collection took place over 16 months. Thirty-five interviews were completed. Grounded theory methods were used to analyze the data and a substantive theory of how mothers made food choices for their preschool children was co-constructed with the participants. The substantive theory, Persistent Optimizing, consists of three main integrated conceptual categories. In the first conceptual category, Acknowledging Contextual Constraints, mothers acknowledged various individual, interpersonal, and socio-environmental contextual factors that hindered their ability to make intended, healthier food choices for their children. In the second conceptual category, Stretching Boundaries, mothers developed and enacted moderating strategies to lessen the impact of contextual constraints, thereby increasing the number of food choices available to them. In the third conceptual category, Strategic Positioning, mothers developed and enacted a variety of optimizing strategies to get them closer to making the optimal food choice for their children in a given situation. Mothers in this study struggled continuously with varying degrees of success to provide the foods they believed their children needed. The findings suggest that in practice, policy, research, and education, community health nurses must work independently and collaboratively at all levels of influence to facilitate, mediate, and advocate for social, economic, and physical environments that improve mothers’ ability to make food choices that promote their children’s health and reduce their risk of becoming overweight and obese.

Despite nursing’s espoused professional values of caring and social justice, some patients are stigmatized and receive discriminatory nursing care. There is a gap in existing literature about how nurses deal with the tension they experience when personal and professional values collide. The purpose of this study was to generate a substantive theory of the process that nurses use when faced with values tension in clinical practice and how this affects their behaviour. Using constructivist grounded theory methodology informed by symbolic interactionism and critical social theory, the theory of Juggling a Way of Being was co-constructed with data obtained through interviews with registered nurses (n=8) who provide frontline care in an emergency department in Atlantic Canada. The study’s findings revealed a process fraught with tension as nurse participants assimilated internal and external stressors, adjusted the patient-centered/nurse-centered lens according to their interpretation of the situation, and achieved a point of action or inaction. Implications for nursing practice and administration, education and research are discussed.

Sport in Canada is struggling to demonstrate that it is accountable, value-based, and socially responsible. Simultaneously, there is a growing consciousness among elite athletes to use the power and appeal of sport to affect meaningful social change. Through in-depth interviews, I sought to understand which values and experiences motivated 15 elite Canadian athletes to become involved in social and political activities. I employed a grounded theory approach to analyze interview data and to develop the Athlete Social Responsibility (ASR) framework. My results show that ASR is grounded in identity and existential development. The research participants indicated that, early in their careers, sport provided discipline, direction, and purpose, but through the maturation process, they indicated that becoming socially and politically active was instrumental to their personal development, performance, and continued participation in elite sport. They voiced frustration that the current sport system does little to encourage such engagement and offered a number of innovative ways in which the current system could adopt an ASR perspective. These ideas included: developing a resource to help athletes find their cause and link with related organizations, companies, or charities; helping athletes find ways to connect to their local communities; and restructuring the Canadian Athlete Assistance Program to include both performance and ASR criteria.

This thesis examines the impact of governance process development on engagements between onshore and offshore subsidiaries of multinational IT services organisations. Offshoring is a significant global phenomenon. Over the last decade, there has been substantial growth in the number of organisations setting up ‘captive’ (wholly owned subsidiaries) centres in offshore locations. The desired benefits of greater coordination, leveraging and sharing of knowledge have, in many instances, failed to materialise for these IT services organisations. These failures arise from a variety of causes including a lack of intra-organisational processes to coordinate and manage work, weak alignment between the parent organisation’s strategic objectives and those of the subsidiary, and the inability to navigate cross-organisational and cultural barriers. This thesis comprises three interrelated projects. The first established that organisations develop offshore subsidiaries in order to obtain one or more of a number of complex and interrelated set of strategic objectives. The second project, through the use of grounded theory, demonstrates that within one IT services organisation, imposed governance processes do not facilitate communication and engagement between the onshore and offshore subsidiaries. Cross-cultural and organisational differences inhibited the engagement between the subsidiaries, thus contributing to the failure to achieve the desired benefits of offshoring. Organisations engaged in captive offshoring are faced with two apparently contradictory sets of issues: a set of highly desirable and interrelated strategic benefits and a variety of operational challenges that arise from the imposed nature of the governance processes. The third project, a case study of a similar IT services organisation, examines how these apparently contradictory issues were resolved. The results show that it is the co-development and implementation of governance processes based on the informal working practices of both the onshore and offshore teams that enable the operational challenges established in the second project to be resolved and thus provide reconciliation between these and the achievement of the strategic benefits that drive offshoring. This thesis concludes that co-developed and implemented governance processes are a key factor in the mitigation of the deleterious effects of cross-organizational and cultural working and adds the notion of co-development and implementation of governance processes to the academic literature on the governance of outsourcing.

This dissertation presents two individual studies aimed at providing insight into the impacts and benefits of participation and involvement in an alternative sport. Thus, the purpose was to monitor and evaluate the authentic sport of quidditch, based on the Harry Potter franchise, and the governing body, the International Quidditch Association (IQA). In Study 1, through a grounded theory approach, I examined the impact and benefits on participants and determined similarities and differences to traditional sport activities. Findings suggest involvement with quidditch provided leadership skills, social gains, increased health and fitness, self-confidence and pride, along with a positive sporting experience, all of which have been recognized in more traditional sports. Further analysis revealed the grassroots component of the sport provided leadership opportunities that organized traditional sport often cannot provide. In Study 2, I furthered my exploration with the sport of quidditch through a grounded theory approach and examined the impact and benefits for volunteers who chose to work for the IQA. Findings suggested the unique atmosphere of quidditch was able to produce an environment that yielded positive impact on the volunteers. It was found that volunteering for the IQA resulted in two themes recognized as a precursor to social capital development: A positive experience within a sport setting and meeting new people and like-minded individuals. Two additional themes, satisfaction and pride, and enhanced job marketability and networking, were found to result in personal gain. As grounded theory methodology suggests, this study aimed to advance substantive theory in regards to alternative sport impact in an effort to assist in the development of formal theory. From a practical standpoint, this dissertation implies the importance of alternative sport endeavors in an effort to reach those whom normally might not be found on the field, court, or ice.

PURPOSE: To generate a theory of the psychosocial processes influencing weight management among persons newly prescribed atypical antipsychotic medications. RESEARCH QUESTIONS: 1. What influences weight management in persons with first-episode psychosis who are newly prescribed atypical antipsychotic medications? 2. How is weight management facilitated in persons with first-episode psychosis who are newly prescribed atypical antipsychotic medications? 3. What psychosocial processes impede weight management in persons with first-episode psychosis who are newly prescribed atypical antipsychotic medications? METHODS: A qualitative, grounded theory research design was used to guide the study. Semi-structured interviews were the method of data collection and analysis was performed using constant comparison. SAMPLE & SETTING: A sample of 10 participants with first-episode psychosis prescribed atypical antipsychotics for at least eight weeks and six participants with a diagnosis of chronic schizophrenia who have been taking atypical antipsychotic medication for at least three years were obtained from an Outpatient Psychiatric program using theoretical sampling. FINDINGS: Contextual factors influencing weight management were: accessibility to resources, unstructured lifestyle, and others’ perception of their weight. Conditions influencing weight management were: rapid weight gain, insatiable hunger, and a lack of motivation boosters. Participants’ early responses to actions influencing weight gain management included discontinuing medications, choosing lower calorie foods, using walking in daily activities as exercise, accepting weight gain, and trying to manage weight but giving up. The consequences revealed from data analysis were contemplating weight management and not trying, as the barriers to weight management substantially exceeded the facilitators and many procrastinated in taking on any weight management strategies. CONCLUSION: The theoretical framework developed in this study can assist with the understanding and management of weight gain among this unique population. / Thesis (Master, Nursing) -- Queen's University, 2010-09-06 00:12:11.781

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This thesis examines the impact of governance process development on engagements between onshore and offshore subsidiaries of multinational IT services organisations. Offshoring is a significant global phenomenon. Over the last decade, there has been substantial growth in the number of organisations setting up ‘captive’ (wholly owned subsidiaries) centres in offshore locations. The desired benefits of greater coordination, leveraging and sharing of knowledge have, in many instances, failed to materialise for these IT services organisations. These failures arise from a variety of causes including a lack of intra-organisational processes to coordinate and manage work, weak alignment between the parent organisation’s strategic objectives and those of the subsidiary, and the inability to navigate cross-organisational and cultural barriers. This thesis comprises three interrelated projects. The first established that organisations develop offshore subsidiaries in order to obtain one or more of a number of complex and interrelated set of strategic objectives. The second project, through the use of grounded theory, demonstrates that within one IT services organisation, imposed governance processes do not facilitate communication and engagement between the onshore and offshore subsidiaries. Cross-cultural and organisational differences inhibited the engagement between the subsidiaries, thus contributing to the failure to achieve the desired benefits of offshoring. Organisations engaged in captive offshoring are faced with two apparently contradictory sets of issues: a set of highly desirable and interrelated strategic benefits and a variety of operational challenges that arise from the imposed nature of the governance processes. The third project, a case study of a similar IT services organisation, examines how these apparently contradictory issues were resolved. The results show that it is the co-development and implementation of governance processes based on the informal working practices of both the onshore and offshore teams that enable the operational challenges established in the second project to be resolved and thus provide reconciliation between these and the achievement of the strategic benefits that drive offshoring. This thesis concludes that co-developed and implemented governance processes are a key factor in the mitigation of the deleterious effects of cross-organizational and cultural working and adds the notion of co-development and implementation of governance processes to the academic literature on the governance of outsourcing.