Background: Computerization and the automation of nursing practice have evolved discretely and concurrently in this local health authority. During the early years when computers were first introduced into the clinical areas, computer technology was deployed with lilLIe or no consideration of the relationship between nurses and their requirements for access to information. With limited education and training, computer adoption rates among nurses have varied and havc not yct achieved the desired level of uptake to optimize the use ofcomputer technology in nursing practice. Aim: The purposc of this grounded theory research study was to gain a theoretical understanding about how nurses' understand and manage computer integration in their clinical practice. Method: Grounded Theory methods were used to examine the data acquired through semistructured interviews of 12 RN participants, currently practicing in two acute care, tertiary hospitals. Using the constant-comparative method of analysis, all data wcre collected and analyzed concurrently. Memo-writing was used extensively throughout the data collection and analysis process to further analyze and engage with the data. Findings: The findings demonstrate that nurses experience the integration of computers in their practice with varying spccds and degrees of adoption. They all engaged in the social process identified in this thesis as "Developing a Relationship with the Computer in Nursing Practice". Conditions and contingencies such as Prior Experiences contribute 10 the nurses' ability to Synthesize Values in their practice. Synthesizing Values is a process that requires nurses to identify and acknowledge their practice values in relation to the integration of computer technology in the context of patient care. The extent to which the nurse is able to synthesize values, detcnnincs herlhis ability to realize the benefits of integrating computer technology and subsequently manage the barriers. The extent to which nurses realize benefits and manage the barriers further defines whether they, "adopt", "adapt" or "ignore" the computer technology. This process is continuous and dynamic. As the nurses engage in new experiences associated with computerization, their acknowledgment of and ability to synthesize values and thus to realize benefits and/or manage the barriers becomes that much more infonned. Ln the end, the nurse may transition from a stale of"ignoring" to a stale of ,'adopting" depending on the outcome of her or his ability 10 realize benefits and manage the barriers. Conclusions: The participants in this study illuminated the importance of the organization attending to a diverse nursing community whcn introducing computer technology in their respective practice environments. Consideration of nurses' prior experiences particularly in the areas of computer experiences, bio-medical technology experiences, leaming, organizational discourses and professional discourses, will better inform future computerization initiatives requiring computer adoption and the inclusion of related clinical information systems. The participants in this study reveal the basic social process of DEVELOPING A RELATIONSHJP WITH THE COMPUTER IN NURSING PRACTICE when confronted with computerization in their practice. / Graduate

As suicide is a leading cause of death for young people, child and youth care professionals are likely to encounter adolescents who are contemplating ending their lives. Recognizing and responding to the needs of a suicidal adolescent is challenging for the professional as they attempt to balance their relationship with the young person while simultaneously following customary rules of engaging in situations involving suicide. The need for theory to deepen understanding of child and youth care professionals’ mental health literacy practices with suicidal adolescents led to this grounded theory study. Derived from interviews with 19 participants including child and youth care professionals, supervisors at youth-serving agencies, educators in schools of child and youth care, and textual analysis of policies, assessment tools, and curricula, the Balancing Perimeter and Proximity process was identified as the core category in the analysis. The Balancing process suggests professionals’ mental health literacy practices fluctuate between circling care and circling defensively. Circling defensively refers to the professional taking up literacy practices that establish a perimeter of protection; whereas literacy practices within circling care position the professional in relational proximity where they connect and attend to the adolescent holistically. The theory extends current conceptualizations of mental health literacy, and contextualizes professionals’ practice in identifying the conditions influencing the Balancing process, thereby providing an understanding for how existing structures (e.g., suicide education, agency policies) influence child and youth care professionals’ mental health literacy practices with suicidal adolescents. / Graduate

This study used an interpretive and critical case study methodology to explore the delivery of environmental education (EE) to an elementary school during a residential outdoor education centre (OEC) experience in Haliburton, ON. The Ontario Ministry of Education has chosen to infuse EE into all aspects of the education system. An important aspect of EE is experiential learning in natural settings. Many students attend OECs, which are often situated in natural settings. A mixed methods design used focus group interviews, peripheral membership observation and grounded theory to collect and analyse the data. The study found that while EE is being delivered to some degree, its success is potentially limited at the OEC staff level, teacher level and school system level. These limitations are mostly derived from the OEC staffs' and teachers' limited knowledge of EE, and the lack of integration of EE delivered at the OEC into the school context.

There is a need to explore how Indigenous knowledge(s) relates to Anishinaabe ongoing resilience. I do this by telling the story of my home and privileging Anishinaabe Gikeedaasiwin, which means Anishinaabe knowledge. This study investigates socio-cultural knowledge(s) of the Lake Nipigon and Lake Superior region in Northern Ontario by using storytelling as a culturally specific research method. A multi-layered reflexivity approach combined with grounded theory act as the basis for a discussion of Anishinaabe ontology and epistemology. The sociology of knowledge provides the framework for critiques of modernist hegemonic knowledge. This study offers a nuanced view of Anishinaabe ways of knowing by considering Anishinaabe writers Patrick McGuire Sr. and Norval Morriseau. Arising from these stories are conceptual thematic understandings which included: The land and relationships to the land are foundational. Eshkakimikwe Giikeedaasiwin – Relational understandings and this is land based knowledge; The relationship between land, spirit and the Anishinaabe - Kiimiingona manda Giikeedaasiwin are part of the original instructions given to the Anishinaabe: There are multiple realities which are accessible by physical and spiritual means. Manidoo Waabiwin – seeing in a spirit way and Kiimiingona manda Giikeedaasiwin are part of the original instructions given to the Anishinaabe are evident; There are cycles of life and the land is sustaining to people. Muskiki Aki means medicine land which provides life; Anishinaabe values of responsibility and obligation are recognized. Gnawaaminjigewin is the responsibility to look, to see, to witness; There is a need to maintain and continue relationships in the world. Bzindamowin is learning by listening and the relational practice of a good life, Mino Bimaadiziwin; and Anishinaabe values relating to transformation, renewal, reciprocity and sharing to maintain life. Manitou Minjimendamowin means spirit memory, teachings on how to live life and Bzindamowin, that is learning by listening, is reflected. This study argued that exploring the survival and resurgence of Anishinaabe knowledge(s) can set different directions for the social renewal and transformation of Anishinaabe societies. This is an important understanding in any future development and social change, and especially resource development directly involving the land.

There is a growing evidence-base in the epidemiological literature that demonstrates significant associations between people’s living circumstances – including their place of residence – and their health-related practices and outcomes (Leslie, 2005; Karpati, Bassett, & McCord, 2006; Monden, Van Lenthe, & Mackenbach, 2006; Parkes & Kearns, 2006; Cummins, Curtis, Diez-Roux, & Macintyre, 2007; Turrell, Kavanagh, Draper, & Subramanian, 2007). However, these findings raise questions about the ways in which living places, such as households and neighbourhoods, figure in the pathways connecting people and health (Frolich, Potvin, Chabot, & Corin, 2002; Giles-Corti, 2006; Brown et al, 2006; Diez Roux, 2007). This thesis addressed these questions via a mixed methods investigation of the patterns and processes connecting people, place, and their propensity to be physically active. Specifically, the research in this thesis examines a group of lower-socioeconomic residents who had recently relocated from poorer suburbs to a new urban village with a range of health-related resources. Importantly, the study contrasts their historical relationship with physical activity with their reactions to, and everyday practices in, a new urban setting designed to encourage pedestrian mobility and autonomy. The study applies a phenomenological approach to understanding living contexts based on Berger and Luckman’s (1966) conceptual framework in The Social Construction of Reality. This framework enables a questioning of the concept of context itself, and a treatment of it beyond environmental factors to the processes via which experiences and interactions are made meaningful. This approach makes reference to people’s histories, habituations, and dispositions in an exploration between social contexts and human behaviour. This framework for thinking about context is used to generate an empirical focus on the ways in which this residential group interacts with various living contexts over time to create a particular construction of physical activity in their lives. A methodological approach suited to this thinking was found in Charmaz’s (1996; 2001; 2006) adoption of a social constructionist approach to grounded theory. This approach enabled a focus on people’s own constructions and versions of their experiences through a rigorous inductive method, which provided a systematic strategy for identifying patterns in the data. The findings of the study point to factors such as ‘childhood abuse and neglect’, ‘early homelessness’, ‘fear and mistrust’, ‘staying indoors and keeping to yourself’, ‘conflict and violence’, and ‘feeling fat and ugly’ as contributors to an ongoing core category of ‘identity management’, which mediates the relationship between participants’ living contexts and their physical activity levels. It identifies barriers at the individual, neighbourhood, and broader ecological levels that prevent this residential group from being more physically active, and which contribute to the ways in which they think about, or conceptualise, this health-related behaviour in relationship to their identity and sense of place – both geographic and societal. The challenges of living well and staying active in poorer neighbourhoods and in places where poverty is concentrated were highlighted in detail by participants. Participants’ reactions to the new urban neighbourhood, and the depth of their engagement with the resources present, are revealed in the context of their previous life-experiences with both living places and physical activity. Moreover, an understanding of context as participants’ psychological constructions of various social and living situations based on prior experience, attitudes, and beliefs was formulated with implications for how the relationship between socioeconomic contextual effects on health are studied in the future. More detailed findings are presented in three published papers with implications for health promotion, urban design, and health inequalities research. This thesis makes a substantive, conceptual, and methodological contribution to future research efforts interested in how physical activity is conceptualised and constructed within lower socioeconomic living contexts, and why this is. The data that was collected and analysed for this PhD generates knowledge about the psychosocial processes and mechanisms behind the patterns observed in epidemiological research regarding socioeconomic health inequalities. Further, it highlights the ways in which lower socioeconomic living contexts tend to shape dispositions, attitudes, and lifestyles, ultimately resulting in worse health and life chances for those who occupy them.

Alignment of information systems (IS) with business activities has been an important problem for practitioners for many years even though there has been considerable research in the area. A criticism of some past research into IS/business alignment is that it has ignored organisational complexity and context. This is partly due to the dominant paradigm in use within IS research. One result of this paradigm is that there are numerous prescriptions provided in the literature for improving alignment but little in the way of theory development that explains the behaviour of practitioners when confronted with the task of attaining alignment. To address these criticisms a grounded theory approach was adopted using a coding family that encouraged the discovery of systems of interaction between variables rather than assuming linear causality. Data was collected via three unstructured focus groups that limited the effect of prior reading of the literature, an important consideration when conducting a grounded theory study. These were followed by semi-structured individual interviews. The instruments for the latter were developed after the focus group interviews were analysed, so reducing the impact of a prior reading. Analysis of the focus group interviews found that the major concern of practitioners was aligning IS strategies to either business strategies documented in business plans or the business strategies in use. This is a similar result to earlier alignment research. As a result of analysis of the focus group interviews the research question stabilised. This research investigated how factors within an organisational setting impact the ability of senior IT managers to identify, then act upon, the business strategies in use. It confirmed many of the enablers and inhibitors to alignment identified in earlier research. However, it also identified two variables that are rarely given prominence in the literature: the mental models held by managers; and the motivation and measurement schemes applied to managers. It is believed that both these variables have a significant impact on the alignment of IS and business strategies. The theory developed here demonstrates that a system of variables will tend to encourage IT managers to either collaborate with their business peers, or retreat from the business and concentrate on providing a low cost reliable technical IT solution. In the former situation alignment of IT managers’ actions to those of their business peers is encouraged. In the latter situation there will be little alignment between business and IS strategies nor between the actions of business and IT managers. A feedback loop of actions by actors within the system tends to reinforce the situation making a change in response extremely problematic. This, then, helps explain the intractable nature of alignment that has been observed for many years.

This thesis constructs and verifies a methodological practice of conversation groups and grounded theory for examining and changing the dominant discourse that situates Indigenous Australian tertiary students in mainstream education. Within this research, not only was a rich shared discourse development on a conceptual level valuable and necessary in the telling of our stories but it offered us as co-researchers—Indigenous students and a non-Indigenous researcher—a means of revealing and working through understandings and mis-understandings. Using such a methodological approach also suggested future possibilities for effective Indigenous/non-Indigenous stakeholders’ working relationships in research, and possibly policy-making in Australian institutions generally. As a methodological and communicative tool for opening up a dialogic space, the use of conversation groups for developing effective communicative relationships held promise for highlighting the experiences of Indigenous students who themselves, then negotiated the position for theoretically and pragmatically directing individual and collective decisions and actions. Inviting Indigenous students into this space provided an environment for the development of an Indigenous standpoint, which is not merely an Indigenous opinion but requires an engagement with the questions and issues affecting Indigenous students as interdependent individuals. Such a standpoint does not happen automatically and needs opportunities to grow and mature. I found that conversation groups involving the Indigenous students and me working together as co-researchers provided this opportunity. With Indigenous students’ narratives of success chosen as the research topic, productively communicating views became a verification of the research methodology used and an enactment of their right to be heard, both highlighting voice and representation issues. The research methodology we used and the ensuing discourse development became an entwined interplay, where each served to reinforce the other. The Indigenous students and I were practising the research approach of conversation groups while developing a conceptualised discourse on being successful. This transdisciplinary approach in co-research, encompassing Indigenous and Western research approaches, allowed for experiential and theoretical engagement with questions of cultural authority, representation, power and agency by Indigenous students and me as a non-Indigenous researcher. Central to the Indigenous students’ stories were notions of “place” as created, negotiated and manipulated by successful Indigenous students as they move between and within fluid subjectivities or stances in relationships, time and space. A broader view was taken of how intersections, layers and parallels are negotiated by the Indigenous students within and between multitudes of places in the blurring of living in two worlds: Black and White.

This thesis constructs and verifies a methodological practice of conversation groups and grounded theory for examining and changing the dominant discourse that situates Indigenous Australian tertiary students in mainstream education. Within this research, not only was a rich shared discourse development on a conceptual level valuable and necessary in the telling of our stories but it offered us as co-researchers—Indigenous students and a non-Indigenous researcher—a means of revealing and working through understandings and mis-understandings. Using such a methodological approach also suggested future possibilities for effective Indigenous/non-Indigenous stakeholders’ working relationships in research, and possibly policy-making in Australian institutions generally. As a methodological and communicative tool for opening up a dialogic space, the use of conversation groups for developing effective communicative relationships held promise for highlighting the experiences of Indigenous students who themselves, then negotiated the position for theoretically and pragmatically directing individual and collective decisions and actions. Inviting Indigenous students into this space provided an environment for the development of an Indigenous standpoint, which is not merely an Indigenous opinion but requires an engagement with the questions and issues affecting Indigenous students as interdependent individuals. Such a standpoint does not happen automatically and needs opportunities to grow and mature. I found that conversation groups involving the Indigenous students and me working together as co-researchers provided this opportunity. With Indigenous students’ narratives of success chosen as the research topic, productively communicating views became a verification of the research methodology used and an enactment of their right to be heard, both highlighting voice and representation issues. The research methodology we used and the ensuing discourse development became an entwined interplay, where each served to reinforce the other. The Indigenous students and I were practising the research approach of conversation groups while developing a conceptualised discourse on being successful. This transdisciplinary approach in co-research, encompassing Indigenous and Western research approaches, allowed for experiential and theoretical engagement with questions of cultural authority, representation, power and agency by Indigenous students and me as a non-Indigenous researcher. Central to the Indigenous students’ stories were notions of “place” as created, negotiated and manipulated by successful Indigenous students as they move between and within fluid subjectivities or stances in relationships, time and space. A broader view was taken of how intersections, layers and parallels are negotiated by the Indigenous students within and between multitudes of places in the blurring of living in two worlds: Black and White.

[Abstract]: This study investigates the contribution of asynchronous, online discussion forums to student learning in an Australian, online postgraduate course. The study of online forums is an emerging field of research and therefore calls for a methodology suited to the context where knowledge and application is still at the exploration stage. Grounded theory – an open, qualitative methodology – was chosen as an appropriate method to explore the nature of the interaction in the online forums.The grounded theory analysis of the data revealed that participant interaction did generate instructional design knowledge across a range of conceptual levels. The study also showed that interaction was effectively facilitated through the use of asynchronous text-based forums, and that participants used the online interaction to build a learning community and to generate knowledge within the learning community. These findings, although from a small case study, help to justify the widespread use of discussion forums in higher education.The research findings revealed that participant interaction was a key component that enabled the teachers and learners to build and participate in an online learning community. The subcategories that emerged from participant interaction – teaching role, building a learning community and generating knowledge – were all contributing categories to the core category: interaction as a facilitator of learning. Research revealed that the teacher had an important role in managing and facilitating the interactive online learning environment, through both design and implementation of the course. The teaching role was complex and integral in the building of a learning community and facilitating knowledge generation.One outcome of particular interest for online researchers is that most of the categories that emerged from the data in this study strongly correlated to the categories in the Interaction Analysis Model (IAM); as well as categories identified by the Canadian Institute of Distance Education Research (CIDER), the research arm of the Centre for Distance Education at Athabasca University. The grounded theory approach in this study generated similar categories to CIDER and IAM, despite the research being conducted without any reference to categories existing in the literature. The correlation between the CIDER, IAM and my categories provides credibility to each set of research outcomes. Also, it can be argued that the correlation between findings of independently conducted research studies means that these categories can be more confidently generalised to other online contexts. While the CIDER categories are now being applied in a number of empirical studies, I suggest that further research in a range of contexts is required to confirm whether these are “the” important variables in online interaction.The grounded theory approach generated categories unique to this research and provided a framework for the design and implementation of interactive online learning. From these findings, the literature, and personal experience, recommendations are presented in regard to design principles, a design framework, and implementation strategies and tactics. The implications of online learning for institutional policy and practice are outlined, and a reflection on the online teaching role is presented – one that challenges some existing conceptions of a diminished role for online teachers. The debate surrounding the role of teaching in learning-centred pedagogy is an important discussion for higher education.

Research Doctorate - Doctor of Philosophy (PhD) / Registered nurses, while carrying out their professional roles, regularly encounter situations with ethical components. While there are research findings reporting the types of ethical challenges nurses face, their level of involvement in ethical decision-making, and reasoning processes used, how nurses actually deal with situations that challenge them personally has not been specifically explored. The purpose of this study was to investigate the psychosocial processes that can explain how registered nurses reason and make decisions when faced with ethical situations that challenge their personal values and belief systems. A grounded theory approach was used to conduct the study, allowing a substantive theory to be developed. Twenty-three nurses, currently working in metropolitan or regional areas in New South Wales, volunteered to participate in the study. Two methods of data collection were utilised, the first being semi-structured, in-depth interviews which were audio taped then transcribed. The second method used hypothetical vignettes with associated questions to which the participants were invited to anonymously return written responses. Data were managed by means of the computer program NVivo 2, while constant comparative analysis using open, axial and selective coding, as outlined by Strauss and Corbin (1998), was performed. The substantive theory which emerged from the data explains the processes used by nurses when they have to deal with ethical challenges to their personal values and beliefs. The basic psychosocial process (core category) of protecting client autonomy reveals a pattern of moral reasoning that gives priority to the client’s self-determined choices. This subsumes the key processes (subcategories) of: (1) being self-aware, (2) determining duties to other/s versus self, (3) engaging self as protector, and (4) restoring self from tension or anguish, which link to each other and to the core category to explain the various sub-processes used when protecting client autonomy is considered a priority. Findings in the study revealed that nurses who give primacy to client autonomy believe they should not impose their own preferred choices on to clients. Yet the emphasis on client autonomy is also paradoxical, since it may come at the cost of compromise and even denial of the nurses’ own autonomy and their deeply held values and beliefs. When they become aware that their personal values and beliefs are being challenged, they are at times prepared to compromise their own values or beliefs, yield to constraints, or put themselves at risk in order to protect the autonomy of clients. Such actions can leave nurses experiencing ethical tension or anguish for which they need to seek support. Opportunities to find appropriate support are not always available to them in the work environment. The findings in this study have important implications for both nurses and the nursing profession. The pattern of moral reasoning shows generosity and nurses’ commitment to their caring and advocacy roles. However, when nurses are regularly prepared to compromise their own values or beliefs because they give priority to protecting client autonomy, there is a risk they may be left with a sense of loss to their personal worth and in their ability to be moral agents. Further, in some situations it may occur out of complacency because they simply accept that it is the client’s choice, absolving the nurse of further moral responsibility. Appropriate support systems need to be available to nurses to help them deal with the consequences which may occur as a result of giving preference to clients’ choices, over their own.