The main research question of this study is: What discourses of learning and identity do students develop in relation to their individual learning histories, their experience of learning and of knowledge-acquisition in the HE environment, and how critically reflective are students of the positioning enacted through the dominant discourses of the HE environment with particular regard to institutional discourses of academic learning and knowledge? Rationale: The university is seen as a significant stage in the development of students' learning histories, of particular relevance for the students' perceptions of self, learning and knowledge. The role of discourses of knowledge acquisition and learning in talk - 'learning discourses' - is examined against the background of general study conditions for students poised between study and work. The case study: methodology and methods The dissertation, which is an example of computer-aided qualitative research, describes a small-scale ethnographic study of students at a German university. The researcher adopts a broadly ethnomethodological approach. The data was collected in a limited number of individual in-depth research interviews to construct a language corpus. Other data regarding the research site was collected via observation and from documentary sources. Data analysis: the interview transcripts were analysed using a mixture of conversation analysis; institutional discourse(s) analysis and narrative analysis. Results: the study provides evidence of the production of learning biographies in interview talk. Evidence is also produced in this study of the 'biographization' of students' talk. The coherence of students' discourse practices in relation to their experience of learning is underlined and the researcher argues that the student respondents negotiate the intrinsic difficulties of asymmetrical institutional talk by deploying a range of discourses, both institutionally-generated as well as individual discourses of resistance and opposition. The evidence of individual discourse practices provided by the data employed here is seen as a strong argument for a <b>low-inference</b> approach to data analysis. The results produced by analysis of the interview transcripts demonstrate the central importance of heteroglossic elements in talk, - here described as <b>'embedded speech'</b> and understood to function as a <b>’plausibility device'</b> - in the process of self-expression and the production of own discourse Relevance This research is seen as relevant for university learning strategies, for the appreciation of student self-perception, their discourses of knowledge and resistance to the prevailing 'human capital' discourses of learning, exam success and career orientation of HE study.

This qualitative grounded study explores the potential relationship between wildlife TV viewing and human-animal interactions for exotic pet owners. The method involved 13 in-depth interviews and a qualifying open-ended questionnaire with 37 individuals. The interviews gathered viewers' interpretations of two different human-wildlife interactions on TV and served as a launching point for discussion. Findings supported the literature in that wildlife TV was an important source of information, emotion, and contradictory messages. Themes also emerged regarding participants' characterizations of their relationships with their pets. Drawing from social cognitive theory, this thesis suggests the following potential motivators for participants to model animal interactions as seen on screen: 1) visual instruction that increases viewer efficacy; 2) identification with the spokesperson; and 3) emotional connection to the animal. The study concludes with preliminary recommendations for wildlife programming on TV.

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

The release of harmful chemicals into the Earth system is a threat to the survival of human societies and ecosystems. There are different types of harmful chemicals, some possess characteristics that are more harmful than others. Chemicals causing local effects have a short-term impact on the Earth system, whereas others are persistent in nature. The second becomes a global pollution issue because these substances accumulate, resulting in cascades through the Earth system. The chemical pollution issue is a scale challenge, meaning that the pollution issue occurs within and across levels and scales. Chemical pollution is not treated as a scale challenge in the decision-making process today. In the literature it is stated that chemical pollution is usually studied by focusing on single institutions, which hinders the possibility to investigate the linkages between the institutions affecting the scale dynamics. In this study the scale and cross-scale perspective was used to identify institutions that are affecting the work for a toxin free environment on a national and municipality level in Sweden. Governance Architecture was used as an analytical tool to investigate the key hindering and facilitating governance mechanisms to achieve sustainable chemical management in Sweden from a cross-scale perspective. The analytical tool was based on the Earth System Governance theory and scale dynamics. Sweden was used as a case to apply this tool. Two methods were used to gather empirics: literature analysis and in-depth interviews. The findings reveal an overrepresentation of the hindering factors being a result of a scale or a policy gap issue. These gaps are created by the lack of interdisciplinarity in the decision-making process, and the current legislation and politics which influences the implementation of the strategies on the different institutional levels. To overcome these hinders the current strategies and legislation needs to be in collaboration. This study contributes to empiric development within policy studies on how the chemical pollution issue needs to be conceptually formulated to achieve a toxin free environment within and cross-scales. It also contributes to method development by addressing the gap of including several institutions in cross-scale studies.

This report investigates possible health effects due to improper disposal of waste and the awareness within a community. The aim was also to investigate what is needed for a pro-environmental behavior in a rural area (Mutomo) within a developing country (Kenya). Waste management in developing countries has been and still remains a challenge, waste is left in nature and this has the potential for negative health effects on people and animals as well as degrading land and aquatic ecosystems. The used method was qualitative and for data collection in-depth interviews were conducted with help of an interpreter, interviewing guide, and a recording device. The interviews were transcribed and analyzed using NVivo and thematic analysis. The result shows that all participants were aware of the health risks connected to waste. Much concern was raised amongst the community members, especially for the children’s health. All participants had a positive attitude towards re-collecting, re-using and recycling of waste, for the community members this was if a gain of income was obtained. Also the lack of responsibility by the general public was brought up by many participants as a social norm. To conclude if pro-environmental behavior is to be reached in Mutomo there has to be; (i) available systems for the public, (ii) a collective thought of responsibility in every community member, (iii) education on the issue in three steps (knowledge, comprehension and prevention) but most importantly (iv) the living standards has to be raised for those people that are most frequently affected.

<p>This phenomenological study explored the lived experiences of undergraduate community health nursing students at the University of the Western Cape&nbsp / who conducted a family health assessment learning task in communities during their clinical fieldwork placement.The population included the 2008&nbsp / semester two, third year undergraduate baccalaureus nursing students. These students completed their community health nursing modules at the end of the first semester. A total of nine (9) out of the eighty- nine (89) semester two students participated in this qualitative research study. The purposive and&nbsp / convenient sample consisted of those students who agreed to voluntarily participate in the research study. In-depth interviews were conducted with seven&nbsp / (7) female and two (2) male students to collect data. Field notes were taken and utilized to capture non-verbal communication of the participants. The focus&nbsp / f the researcher was to explore the lived experiences of students and not that of the family whom they interviewed. All interviews were audio recorded&nbsp / nd validated by participants after transcription, before any of the data was used for the data analysis process. The data collected was categorized into themes as guided by the systematic data analyses process according to Tesch&rsquo / s (1990) method, as cited in Creswell (2003). Saturation was tested&nbsp / after nine interviews and the researcher found that no new data emerged. The importance of the research study was to reflect on the exploration of the&nbsp / self-reported lived experiences of the third year community&nbsp / ealth nursing students while conducting the family health assessment learning task.&nbsp / </p>

The Local News Pool or “LNP” as it’s referred to concerns competing television news stations within a single market forming a cooperative partnership in order to share content such as video and interviews. This study used depth interviews with assignment editors, producers, and photographers in Austin, Texas, Tampa, Florida, and Denver, Colorado, and incorporated a quantitative content analysis of news stories assigned to the LNP in Austin to discover how this convergence model operates, its effects on workers, and the potential for homogenization. This study discovered that by incorporating this convergence model into a newsroom and categorizing certain stories as “shared” it altered the level of importance photographers and producers placed on the story. By these journalists having prior knowledge that the competition might use or have an interest in a certain story, it altered the value placed on it to one of something “extra” or “filler” and not highly desired for the news broadcast. In addition, this study provides an updated look at the multilayer gatekeeping process by incorporating competing organizations within this decision making process. This study found gatekeepers cooperate on stories each find would produce similar content if their station were to send their own crews. The aspect of competition becomes present when gatekeepers request stories not intended for the LNP such as breaking news. The level of cooperation is often based on ratings and perception of one’s willingness to reciprocate if needed. / text

<p>This phenomenological study explored the lived experiences of undergraduate community health nursing students at the University of the Western Cape&nbsp / who conducted a family health assessment learning task in communities during their clinical fieldwork placement.The population included the 2008&nbsp / semester two, third year undergraduate baccalaureus nursing students. These students completed their community health nursing modules at the end of the first semester. A total of nine (9) out of the eighty- nine (89) semester two students participated in this qualitative research study. The purposive and&nbsp / convenient sample consisted of those students who agreed to voluntarily participate in the research study. In-depth interviews were conducted with seven&nbsp / (7) female and two (2) male students to collect data. Field notes were taken and utilized to capture non-verbal communication of the participants. The focus&nbsp / f the researcher was to explore the lived experiences of students and not that of the family whom they interviewed. All interviews were audio recorded&nbsp / nd validated by participants after transcription, before any of the data was used for the data analysis process. The data collected was categorized into themes as guided by the systematic data analyses process according to Tesch&rsquo / s (1990) method, as cited in Creswell (2003). Saturation was tested&nbsp / after nine interviews and the researcher found that no new data emerged. The importance of the research study was to reflect on the exploration of the&nbsp / self-reported lived experiences of the third year community&nbsp / ealth nursing students while conducting the family health assessment learning task.&nbsp / </p>

Focusing on the potential use of telemedicine among other efforts for better treatment of stroke patients, this study explored the role of telemedicine in the management of stroke patients and knowledge sharing among health care providers in Afghanistan. To this end, fourteen semi-structured interviews were conducted with physicians, specialists, neurologists, and decision makers from the Afghan Ministry of Public Health (MoPH). Actor-network and diffusion of innovations theories provided a theoretical framework for this exploratory qualitative study. The study was intended: 1) to find out about the major challenges and problems associated with managing stroke patients in Afghanistan; 2) to explore the perceptions of Afghan health professionals about the application of telemedicine as a means of improving the delivery of health services for stroke patients in Afghanistan; and 3) to understand the perceived barriers to knowledge sharing and to ascertain the potential role of telemedicine in knowledge sharing among health care providers in Afghanistan. The findings of this study demonstrated that almost all of the participants were optimistic about the potential positive role telemedicine could play in the management of stroke patients and knowledge sharing among health care providers in Afghanistan. Some important existing organisational, socio-economic, geographical, security, and cultural barriers to the management of stroke patients and knowledge sharing among health care providers in Afghanistan were revealed. To the best knowledge of the researcher, there has been no study of this kind conducted in Afghanistan yet; thus, the findings of this study will likely contribute to the development of health communication in the context of Afghanistan, and could likely be used as a resource for future research about the applications of telemedicine in various medical specialities.

The School Based Youth Health Nurse Program was established in 1999 by the Queensland Government to fund school nurse positions in Queensland state high schools. Schools were required to apply for a School Based Youth Health Nurse during a five-phase recruitment process, managed by the health districts, and rolled out over four years. The only mandatory selection criterion for the position of School Based Youth Health Nurse was registration as a General Nurse and most School Based Youth Health Nurses are allocated to two state high schools. Currently, there are approximately 115 Full Time Equivalent School Based Youth Health Nurse positions across all Queensland state high schools. The literature review revealed an abundance of information about school nursing. Most of the literature came from the United Kingdom and the United States, who have a different model of school nursing to school based youth health nursing. However, there is literature to suggest school nursing is gradually moving from a disease-focused approach to a social view of health. The noticeable number of articles about, for example, drug and alcohol, mental health, and contemporary sexual health issues, is evidence of this change. Additionally, there is a significant the volume of literature about partnerships and collaboration, much of which is about health education, team teaching and how school nurses and schools do health business together. The surfacing of this literature is a good indication that school nursing is aligning with the broader national health priority areas. More particularly, the literature exposed a small but relevant and current body of research, predominantly from Queensland, about school based youth health nursing. However, there remain significant gaps in the knowledge about school based youth health nursing. In particular, there is a deficit about how School Based Youth Heath Nurses understand the experience of school based youth health nursing. This research aimed to reveal the meaning of the experience of school based youth health nursing. The research question was How do School Based Youth Health Nurses’ understand the experience of school based youth health nursing? This enquiry was instigated because the researcher, who had a positive experience of school based youth health nursing, considered it important to validate other School Based Youth Health Nurses’ experiences. Consequently, a comprehensive use of qualitative research was considered the most appropriate manner to explore this research question. Within this qualitative paradigm, the research framework consists of the epistemology of social constructionism, the theoretical perspective of interpretivism and the approach of phenomenography. After ethical approval was gained, purposeful and snowball sampling was used to recruit a sample of 16 participants. In-depth interviews, which were voluntary, confidential and anonymous, were mostly conducted in public venues and lasted from 40-75 minutes. The researcher also kept a researchers journal as another form of data collection. Data analysis was guided by Dahlgren and Fallsbergs’ (1991, p. 152) seven phases of data analysis which includes familiarization, condensation, comparison, grouping, articulating, labelling and contrasting. The most important finding in this research is the outcome space, which represents the entirety of the experience of school based youth health nursing. The outcome space consists of two components: inside the school environment and outside the school environment. Metaphorically and considered as whole-in-themselves, these two components are not discreet but intertwined with each other. The outcome space consists of eight categories. Each category of description is comprised of several sub-categories of description but as a whole, is a conception of school based youth health nursing. The eight conceptions of school based youth health nursing are: 1. The conception of school based youth health nursing as out there all by yourself. 2. The conception of school based youth health nursing as no real backup. 3. The conception of school based youth health nursing as confronted by many barriers. 4. The conception of school based youth health nursing as hectic and full-on. 5. The conception of school based youth health nursing as working together. 6. The conception of school based youth health nursing as belonging to school. 7. The conception of school based youth health nursing as treated the same as others. 8. The conception of school based youth health nursing as the reason it’s all worthwhile. These eight conceptions of school based youth health nursing are logically related and form a staged hierarchical relationship because they are not equally dependent on each other. The conceptions of school based youth health nursing are grouped according to negative, negative and positive and positive conceptions of school based youth health nursing. The conceptions of school based youth health nursing build on each other, from the bottom upwards, to reach the authorized, or the most desired, conception of school based youth health nursing. This research adds to the knowledge about school nursing in general but especially about school based youth health nursing specifically. Furthermore, this research has operational and strategic implications, highlighted in the negative conceptions of school based youth health nursing, for the School Based Youth Health Nurse Program. The researcher suggests the School Based Youth Health Nurse Program, as a priority, address the operational issues The researcher recommends a range of actions to tackle issues and problems associated with accommodation and information, consultations and referral pathways, confidentiality, health promotion and education, professional development, line management and School Based Youth Health Nurse Program support and school management and community. Strategically, the researcher proposes a variety of actions to address strategic issues, such as the School Based Youth Health Nurse Program vision, model and policy and practice framework, recruitment and retention rates and evaluation. Additionally, the researcher believes the findings of this research have the capacity to spawn a myriad of future research projects. The researcher has identified the most important areas for future research as confidentiality, information, qualifications and health outcomes.