« Awareness » des gestionnaires est un facteur prédictif essentiel d'une coordination réussie. Il a été prouvé que la conscience joue un rôle crucial dans le processus de prise de décision et la performance, en particulier dans les systèmes complexes et dynamiques tels que les soins de santé. La personne avec une plus grande conscience de la situation sera susceptible de prendre des décisions raisonnables. En outre, la connaissance incomplète ou insuffisante peut entraîner une performance médiocre car les acteurs ne parviennent pas à approcher des solutions raisonnables. Le but principal de cette thèse est de développer une définition opérationnelle du concept de conscience dans la gestion des soins de santé. Nous souhaitons déterminer quels comportements, attitudes ou compétences doivent être considérées comme importants pour un responsable de la santé averti. Les résultats de l'étude contribueront à la gestion des soins de santé en identifiant les profils potentiels de ce qu'un responsable pourrait être. Dans notre recherche, nous supposons que le concept de prise de conscience est utile pour décrire les types de comportements de gestion pertinents dans le contexte de la gestion des soins de santé. Le premier chapitre de l'introduction résume les principaux points concernant le contexte et l'objectif de la recherche. Le chapitre deux de la revue de la littérature donne un aperçu du concept de conscience dans les soins de santé et dans certains autres domaines. Le chapitre trois est celui de la méthodologie qui justifie nos méthodes choisies. Nous avons adopté une combinaison de phénoménologie herméneutique et de recherche par sondage dans une approche séquentielle. Le chapitre quatre des résultats est consacré à la présentation de tous les résultats obtenus par des traitements qualitatifs et quantitatifs. Le chapitre cinq de discussion résume les principales conclusions et compare les éléments de notre définition avec ceux d’autres définitions proposées par des spécialistes dans d’autres domaines. / Managers’ awareness is a crucial predictor of successful coordination. Awareness is proven to play a crucial role in the decision‐making process and performance. The major purpose of this thesis Healthcare managers' awareness: an operational definition built on a combination of hermeneutic phenomenology and survey research is to develop an operational definition of the concept of awareness in healthcare management. The thesis consists of five chapters. Chapter one of introduction summarizes the main points about the background, the research objective and design. Chapter two of literature reviews provides an overview about the concept of awareness in healthcare and in some other domains. Chapter three of research approach and methods justifies our chosen methods. We adopt a combination of hermeneutic phenomenology and survey research in a sequential approach. There is no dominant phase and the role of each phase is clarified. For each phase, there are discussions of corresponding research traditions as well as the rationale for our specific choices. Chapter four of the results is devoted to presenting all the findings obtained by qualitative and quantitative treatments. Each of the two phases provides a specific type of knowledge with regard to the concept of awareness. Qualitative data analysis uncovers key proxies of the concept, including collecting the information, ensuring information verification, analyzing practices and integrative thinking and acting. The quantitative phase aims to facilitate the concept refinement applying exploratory factor analysis. We generate items, which clarify indicators of each proxy to design the survey questionnaire. The survey respondents are managers at some healthcare organizations in Vietnam. The results of exploratory factor analysis report a clear structure of four factors corresponding to the four identified proxies. The impacts of some sociodemographic characteristics on each proxy are also addressed. The results reveal that gender, healthcare management experience and organization type have no impact on the level of awareness. Meanwhile, the level of management might influence health care managers’ level of integrating. Senior managers are more likely to report a greater score in the component of integrating. The chapter five of discussion summarizes key findings and compare the elements of our definition with those of other definitions proposed by scholars in other fields. A discussion using qualitative data as a complement to quantitative findings is also provided. Other content of the chapter fiveis concerned with the strengths and limitations of the study. Finally, recommendations for future studies are also discussed.

The field of study abroad for language learning has drawn extensively on related fields such as applied linguistics and psychology to conceptualize learners' experiences, which then informs how practitioners go about designing programs for those learners. Research has encouraged practitioners to increase learners' access to the target language (e.g., through speaking partners, content courses), but it has also become clear that while access might be necessary, it does not guarantee learner engagement and growth. This dissertation explores two unique conceptual frameworks for understanding language learners and presents empirical research that demonstrates the kinds of findings that these frameworks can produce. The common subject of analysis involved the experiences of participants who struggled to engage in speaking during an Arabic study abroad program. The first framework emerged from a grounded theory analysis and characterizes participants' struggles as a clash of expectations that required negotiation. The findings fit well with a recent "ecological turn" in language learning, and a review of study abroad research from an ecological perspective suggested avenues of research that would further develop the field's understanding of access, engagement, and the learners themselves. The second framework built on interdisciplinary insights to present a hermeneutic moral realist account of the same participants who struggled to engage in speaking activities. This approach revealed a moral ecology of unstructured speaking with unique moral goods, reference points, and tensions that the participants had to navigate as they tried to find good speaking opportunities for themselves. This dissertation positions these findings within current second language study abroad experiences, offering an ecological perspective and recommendations for students and faculty alike.

Indiana University-Purdue University Indianapolis (IUPUI) / The increasingly complex nature of health care requires nursing graduates, upon completion of their formal education, to be fully capable of providing safe and competent patient care. Accrediting bodies for schools of nursing have challenged nursing education to develop and implement innovative, research-based pedagogies that engage students in learning. Narrative Pedagogy is an innovative approach to teaching and learning developed by Nancy Diekelmann after many years of researching nursing education using Heideggerian hermeneutic phenomenology. As a new paradigm for teachers and students gathering in learning, Narrative Pedagogy is understood to be both a strategy and a philosophy of teaching. Narrative Pedagogy as a strategy provides an approach using the interpretation of clinical stories to better understand the experience of the patient, the nurse, and the family. Narrative Pedagogy as a philosophy of teaching offers Diekelmann’s Concernful Practices as a way of comportment for teachers and students as they gather in learning and teachers as they incline toward teaching narratively. This hermeneutic phenomenological study examined the experience of Nurse Educators with Narrative Pedagogy. Findings include overarching Pattern: Narrative Pedagogy as Bridge. Two themes are: 1) Students and teachers gathering in learning, and 2) Inclining toward teaching with Narrative Pedagogy. Positive teaching experiences and positive learning experiences with Narrative Pedagogy will advance the science of nursing education by adding to the body of knowledge of alternative pedagogies.

Venture failure has been studied from the entrepreneur’s perspective through previous qualitative research. However, very few studies have considered the specific business environment in which entrepreneurs operate. This thesis addresses entrepreneurial failure and focuses on the EU healthcare sector. The paucity of academic research combining the lived experience of venture failure and the healthcare industry context, highlights the importance of this study. An interpretative phenomenological approach is used to provide situated insights, rich details and thick descriptions of participants’ experiences whilst allowing appreciation of the business context and development of common themes. Through in-depth interviews with seven entrepreneurs, this study develops a deeper understanding of what it is like to experience venture failure in the healthcare industry. Findings show that entrepreneurs were not only deeply affected by emotional hardship, but also suffered from detrimental social consequences as a result of stigmatisation and no longer being part of the healthcare industry. Findings suggest there is a relationship between entrepreneurial optimism, post-failure effects and longer-term outcomes, with a central role for healthcare entrepreneurs’ intrinsic motivation. This work adds empirical weight to the existing body of entrepreneurial failure theory. The exclusive focus on the healthcare industry adds a new perspective to academic theory and is also of value to entrepreneurship practice. Entrepreneurs’ genuine desire to make a difference in healthcare, despite the industry’s complexity and the challenges it entails, deserves more attention from policy makers, investors and other stakeholders in the healthcare ecosystem. Finally, the insights derived from the narratives of entrepreneurs who experienced failure, might help other entrepreneurs in their endeavours.

No description available.

No description available.

This work considers the theoretical, epistemological and methodological criteria for a hermeneutic phenomenological approach to the study of spiritual experience founded within a qualitative paradigm. Spirituality is noted to be of increasing significance in society and as a developing discipline within the academy and spiritual experience is offered as an opening to greater understanding and appreciation of an individual's understandings of their spirituality. The methodology provides an interpretative approach towards an opportunity for resonance, identification and empathy between individual and reader through richly descriptive narratives offering insights into such experiences and developing themes and threads of particular interest prior to seeking universal and semi universal traits between or amongst narratives. Practical methods for applying the methodology are considered, including ethical and researcher reflexive issues. The assessment of the methodology includes its application to a case study, located within contemporary Christianity in the Roman Catholic Archdiocese of St Andrews and Edinburgh, Scotland, which due to limitations of space focuses particularly on the notion of the Gift and assists in the determination of the efficacy and validity of hermeneutic phenomenology in the study of spiritual experience.

This thesis is a study of the experiences of nurses who have undertaken training in Solution Focused Brief Therapy (SFBT). While the clinical outcomes of using SFBT, and other psychological therapies, to treat clients have been the subject of much research, the outcomes of training therapists to use SFBT has been relatively unexplored. It is, therefore, my intention to address, in part, this uncharted area of practice. Utilising a mixed methodology, the study is divided into two Stages. In Stage I, an original Solution Focused (SF) methodology is developed and used to conduct individual interviews with twenty participants. Interviews are transcribed and treated as narrative texts, and are then subjected to multi-factored analysis enabling the synthesis of a ‘group narrative’ and the construction of a typology of experience. In Stage II, I conduct further in-depth interviews with three of the original participants and utilise a hermeneutic methodology, drawing on the work of Hans-Georg Gadamer, to engage with the texts generated from these interviews. The texts are explored thematically, and through the nursing metaparadigm of Jacqueline Fawcett, and are compared with a metaparadigm of SF practice. The research suggests that training is SFBT can have a profound effect on the clinical practice, and professional identity, of nurses, and that this is related to the paradigm of nursing which informs their practice. Where the nursing paradigm is of the dominant ‘assessment and delivery of care needs’ modality, SFBT training has little to offer the nurse; however, where the nursing paradigm reflects an ‘interpersonal, dynamic’ modality based on shared relationships, training in SFBT can be a transformative experience for the nurse. This research makes an original contribution to the field of SFBT and to our understanding of the relationship between SFBT and nursing. Building on the work of earlier scholars, it argues that SFBT is congruent with some nursing paradigms, and not all nursing paradigms as previously suggested. It also advances our understanding of how the scope and field of SF practice may be delineated.

<p>Studien undersøker studenters sorgerfaringer som fenomen. Den fokuserer levd erfaring i handlingsperspektiv og meningsperspektiv. Innledningsvis redegjøres det for foreliggende forskning om sorgerfaring. Deretter introduseres teoretiske perspektiv som anvendes i studien. Ut fra respondentenes erfaring analyseres de rom for handling og meningsdannelse som finnes på studiestedene.</p><p>Studiens formål er å utvikle dypere forståelse for hva det innebærer i studenters daglige liv å erfare sorg. Studien anvender en hermeneutisk-fenomenologisk metode, inspirert av van Manen. Datainnsamlingen ble gjennomført ved semistrukturerte forskningsintervjuer med seks respondenter, to intervjusamtaler med hver med +/- fire måneders mellomrom. I intervjuingen er det lagt vekt på meningsfortetning og tolkning i samtalene. Respondentene er tre kvinner og tre menn mellom 22 og 30 år, alle studenter som har mistet foreldre eller søsken ved dødsfall. De avdøde var fra 25-60 år, relasjon til respondenter: Tre fedre, en mor og to brødre.</p><p>Databearbeidingen har foregått ved lytting og gjenlytting, skriving og analysering av lydfiler og transkriberte tekster fra forskningsintervjuene. I prosessen er det analysert fram betydningsbærende elementer fra studentenes fortellinger som så er forsøkt rekontekstualisert i møte med teoretiske perspektiv. Framstillingen sikter mot å formidle en kunnskap som er kongruent med sorgerfaringen som fenomen.</p><p>Resultatet presenteres først som seks fortellinger som formidler noe vesentlig ved sorgerfaringen og skaper resonans. Deretter presenteres åtte tema som har utkrystallisert seg gjennom analysen: Å være merket (1), Sårbarhet (2), Fravær (3), "Det som har skjedd, er en del av meg" (4), Å føre noe videre (5), Dødsfall kan komplisere nære relasjoner (6), Lengsel etter den reine sorgen (7), Å holde kontakt (8). For det tredje redegjøres det for studentenes opplevde rom for handling. Til sist utvikles meningstolkning i dialog mellom studenters sorgerfaring, slik den er analysert fram i studien, nyere sorgforskning og teoretiske perspektiv. Fortellingens rolle som grunnlag for mening og konstruktiv handling viser seg avgjørende.</p>

A partir da intersecção entre a psicologia e a fenomenologia hermenêutica de Martin Heidegger, pretendeu-se discutir a postura do profissional clínico que trabalha sob essa perspectiva, com fundamento no pensamento do autor, incluindo, principalmente, suas obras tardias e suas considerações sobre arte e linguagem. Construímos uma pesquisa qualitativa, interdisciplinar, que tangencia as áreas da psicologia, filosofia e arte. Por meio das considerações críticas fenomenológicas de Martin Heidegger, discutimos sobre a concepção de verdade que rege a psicologia enquanto ciência moderna e tange as práticas psicológicas na atualidade. Recorremos à fenomenologia hermenêutica como uma potência de superação de dicotomias. Para ilustrarmos o campo da práxis da psicologia fenomenológico-hermenêutica, entrevistamos profissionais que trabalham sob essa perspectiva. Por meio deste estudo, pretendemos levantar as problemáticas envolvendo a fenomenologia enquanto abordagem psicológica e apontar possíveis caminhos de superação dessas problemáticas, desvendando possibilidades de uma psicologia diferente a partir, como se afirmou, das contribuições da fenomenologia hermenêutica de Martin Heidegger e das suas considerações sobre a arte e a linguagem / From the intersection of psychology and the hermeneutic phenomenology of Martin Heidegger, the intention of this work was to discuss the attitude of the clinic professional that works under this perspective, based on the author\'s thought, including, particularly, his later works and his considerations on art and language. We have built a qualitative, interdisciplinary research, which touches the areas of psychology, philosophy and art. Through the critical phenomenological considerations of Martin Heidegger, we discussed the conception of truth that rules psychology as a modern science and that relates to present psychological practices. We resort to hermeneutic phenomenology as a power of overcoming dichotomies. To illustrate the field of práxis of phenomenological hermeneutic psychology, we interviewed professionals working from that perspective. Through this study, we intend to raise issues involving phenomenology as psychological approach and point out possible ways of overcoming these problems, revealing possibilities of a different psychology from, as stated, the contributions of Martin Heidegger\'s hermeneutic phenomenology and his considerations on art and language