More than 770 000 employees in South Africa have been made redundant since the start of the economic crisis in the third quarter of 2008. Unfortunately, companies often do not anticipate, or prepare for, the lower morale and lower productivity experienced by the survivors. However, despite the fact that retrenchment survivors are the linchpin of a company‟s future profitability, limited research on their experiences is available in South Africa. Until recently, the survivors of retrenchment were considered fortunate and the general consensus is that survivors are grateful to have kept their jobs. But is it really that simple? The study explores the perceptions and experiences of survivors of retrenchment in the automotive industry. The study was conducted among retrenchment survivors operating at junior management, middle management and senior management roles in various functional areas in an Automotive Manufacturer in South Africa. Qualitative data was collected by means of conducting semi-structured interviews, which provided insight into the beliefs, attitudes, perceptions and experiences of the participants, as well as by the analysis of company documents. Following an in-depth analysis based on constructivist grounded theory guidelines, survivor denial in varied manifestations emerged as the core concept. This core concept was underpinned by the survivors‟ overall perception of the retrenchment experience, the affective and behavioural responses of survivors, as well some aggravating factors. The result of the analysis is a framework for understanding survivor experiences during retrenchments, as well as suggested interventions for organisations that are contemplating, or have already commenced with retrenchments to reduce the anticipated negative effects of the retrenchment process. This study demonstrates that retrenchment brings to the fore a multitude of inadequately understood emotional reactions and that, if retrenchment is not properly implemented and managed, can result in a significant amount of stress. Appropriate analysis of individual responses and the facilitation of constructive coping strategies is the starting point towards more effective intervention. Copyright / Dissertation (MCom)--University of Pretoria, 2012. / Human Resource Management / unrestricted

Background: The trajectory of recovery after sepsis varies. Survivors may have considerable ongoing limitations, requiring a caregiver for a prolonged period. Objectives: To learn about experiences, quality of life, coping, resilience, and social support of caregiver caring for survivors of sepsis. Methods: We conducted a convergent mixed-methods study, recruiting informal caregivers of patients who had survived sepsis in the past year and were readmitted to the intensive care unit with sepsis. Individual face-to-face, semistructured interviews and validated surveys on quality of life, coping, caregiver burden, resilience, and social support were administered to caregivers. Interview transcripts were analyzed using content analysis. Surveys were scored and summarized using descriptive statistics. Results: Caregivers were primarily middle-aged, White, and female. Half were spouses of their care recipient. Caregivers reported some deficits in mobility, pain, and anxiety/depression. Coping styles varied, with engaged coping being more prevalent. Most caregivers reported mild to moderate burden, all reported either normal or high resilience levels, and types of social support were similar. However, interviews and survey findings were not always consistent. Major themes that emerged from the analysis included (1) advocating for and protecting their loved one, (2) coping with caregiving, (3) uncertain future, (4) rewards of caregiving, and (5) need to optimize communication with family. Discussion: Caregivers of sepsis survivors are protective of their care recipient and use a variety of strategies to advocate for their loved one and to cope with the uncertainty involved in a new intensive care unit admission. More advocacy and support are needed for this population.

A parent's death it is one of the most stressful and traumatic events in a child's life (Guldin et al., 2015; Worden, 1996, 2008). In particular, when bereavement is linked to a parent's suicide, children face unique challenges and are more vulnerable to potentially negative outcomes (Brent, Melhem, Donohoe, & Walker, 2009; Haine, Ayers, Sandler, & Wolchik, 2008; Pitman, Osborn, King, & Erlangsen, 2014; Young et al., 2012). Although many factors influence children's recovery following a parent's suicide, the surviving parent's emotional stability and emotional availability to support their children are of critical importance. Additionally, negative outcomes are often linked to unhealthy patterns of grief, such as avoidance and blame (Ratnarajah & Schofield, 2008), social isolation, closed communication (not talking about the suicide), and secrets kept within the family (Cerel, Jordan, & Duberstein, 2008). Furthermore, society's stigmatization of suicide impedes survivors' emotional healing (Mitchell et al., 2006). In recent years, researchers have consistently shown the success of bibliotherapy in helping increase children's and parents' understanding and communication about death. However, this efficacy has not been demonstrated specifically with grief related to suicide. No bibliotherapy-related research specifically addresses children's grief associated with a parent's suicide. Addressing this lack of research, a focus group study was conducted to obtain paraprofessional counselors' opinions about which type of story would be most effective in supporting this unique population of child survivors. We sought participants' (n=5) perceptions regarding which specific criteria should be considered when selecting child-appropriate reading materials (picture books) for bibliotherapy. We focused on the purpose of opening communication with young children (ages 4—8-years old) following their parent's suicide. The following summary and recommendations are based on participants' input. Following a parent's suicide, participants emphasized the critical need to individualize treatment to fit the unique needs of the child. Participants repeatedly stressed the need to know the child-the circumstances surrounding the suicide and the child's specific situation. They also recommended that counselors should strive to find books that fit the child's individual needs; books need to be forthright and honest in their portrayal of suicide; and stories need to show a way forward, provide hope, and assure the child that that they are not alone. Participants endorsed suicide-specific books, indicating that these books tended to be best for helping the child talk about the suicide and their grief. As a foundation for conversation with the child, participants noted the importance of children's books that helped identify and address specific emotions. Additionally, participants cautioned adults to avoid sharing stories that included ambiguous and unresolved issues, as children needed stories that offered closure and directly taught effective coping strategies. Future research is recommended to further explore the efficacy of children's picture books that were endorsed by this study's focus group. It is important to assess child survivors' and surviving parents' perceptions of these stories and the effectiveness of stories in opening communication about the deceased parent's suicide. Additionally, future research needs to investigate licensed counseling professionals' perceptions of children's picture books, specifically their perception of the story's capacity to open communication and provide adaptive grief support to child survivors. Additionally, longitudinal research should focus on the long term effectiveness of sharing carefully selected stories to facilitate healthy grieving patterns in child survivors.

The death of a parent by suicide is especially traumatic. Researchers estimate the number of children in the United States annually who experience their parent's suicide ranges from 7,000 to 30,000. These child survivors experience more complicated grief as compared to children bereaved by a parent's non-suicidal death. In particular, very young children have difficulty understanding that their parent completed suicide. Across time they struggle with confusion and intense emotions associated with their parent's suicide. Due to the stigma associated with suicide, feelings of guilt, and intense grief, surviving family members avoid talking about the suicide. Young children are often confused and suffer in silence with limited understanding about who the deceased parent was and why the parent completed suicide. Individual semi-structured interviews were conducted with seven adults, who as young children experienced the death of their father by suicide. All participants reported being five years old or younger at the time of the suicide. Participants explained how they found out about the suicide; how they developed an understanding of their deceased father across the years; and how they developed memories of their father, largely dependent on others' stories and reported details. At the conclusion of the interviews, participants were offered nine children's picture books. Participants self-selected books from these nine books and offered their impressions about how these books may or may not be helpful for young child survivors of parent suicide. Their reactions to the books are discussed in relationship to their personal stories and lived experiences. Their reactions have implications for how potential books must be carefully selected, making considerations in light of the child's unique experiences. Participants' responses highlighted the importance of attachment issues, the challenges of forming a connection to the deceased loved one with limited memories of their parent. Ultimately, survivors' perceptions and experiences are tied to the challenges of navigating Worden's (1996) tasks of grief. Implications for applied practice include considering how to use children's literature to open and encourage communication, allowing children to ask questions about the suicide; supporting young children in accepting the reality of their parent's death; facing the grief and pain with the support of loved ones; adapting to changes in their life's trajectory due to their father's suicide and adapting to altered family relationships; and building memories of the deceased loved one, and when possible, ensuring healthy attachment to the deceased parent.

The purpose of this study was to explore the types and patterns of occupational therapy services implemented with clients who are cancer survivors, which utilized a mixed methods approach, specifically an explanatory sequential design. The Occupational Therapy Practice Inventory (OTPI) was used to gather information regarding the type and patterns of occupational therapy services provided for clients receiving oncology care. The results of the OTPI were analyzed and used to further develop semi-structured questions for exploring the perspectives of occupational therapy practitioners who practice in the area of oncology in the United States. The data were analyzed to generate a portrayal of occupational therapy practice in oncology settings and examine factors that may be predictors for certain practice approaches. Frequency data indicated that interventions related to activities of daily living were performed most frequently. Phi coefficient indicated strong positive relationships with multiple components of the OTPI. Analysis of the qualitative results were completed by following the principles of grounded theory The data yielded one central phenomenon identified as wanting to provide the best care. Providing the best care was influenced by internal aspects and the external aspects of therapist. The integration of both qualitative and quantitative data supported the findings that interventions, most specifically activities of daily, were the most frequently indicated and discussed services provided by occupational therapy practitioners for cancer survivors in the Northeast, Midwest, and South. The practice of client-centered care and an occupation-based intervention strategy across the continuum of care for individuals who are cancer survivors was supported by the results.

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