Although it has been argued that indoor workers in fact make up the majority of the sex industry, most of the literature on the transition out of sex work has looked at street-based workers. This interview-based qualitative research project aims to fill that gap. As such, this thesis examines the trajectories, challenges and strategies of women who transitioned or are in the process of transitioning from criminalized indoor sex work (escorting, erotic massage and domination) to the mainstream labour market. Using Ebaugh’s role exit theory and Goffman’s conceptualization of stigma, intersectional feminist analysis and labour theory, I position the transition as a re-negotiation of self, involving conflicts in identity and class location. My findings suggest that the transition out of sex work is characterized by multiple, parallel work trajectories, wherein the women were successfully able to transfer skills they had acquired in sex work to the mainstream labour market.

Although it has been argued that indoor workers in fact make up the majority of the sex industry, most of the literature on the transition out of sex work has looked at street-based workers. This interview-based qualitative research project aims to fill that gap. As such, this thesis examines the trajectories, challenges and strategies of women who transitioned or are in the process of transitioning from criminalized indoor sex work (escorting, erotic massage and domination) to the mainstream labour market. Using Ebaugh’s role exit theory and Goffman’s conceptualization of stigma, intersectional feminist analysis and labour theory, I position the transition as a re-negotiation of self, involving conflicts in identity and class location. My findings suggest that the transition out of sex work is characterized by multiple, parallel work trajectories, wherein the women were successfully able to transfer skills they had acquired in sex work to the mainstream labour market.

Although it has been argued that indoor workers in fact make up the majority of the sex industry, most of the literature on the transition out of sex work has looked at street-based workers. This interview-based qualitative research project aims to fill that gap. As such, this thesis examines the trajectories, challenges and strategies of women who transitioned or are in the process of transitioning from criminalized indoor sex work (escorting, erotic massage and domination) to the mainstream labour market. Using Ebaugh’s role exit theory and Goffman’s conceptualization of stigma, intersectional feminist analysis and labour theory, I position the transition as a re-negotiation of self, involving conflicts in identity and class location. My findings suggest that the transition out of sex work is characterized by multiple, parallel work trajectories, wherein the women were successfully able to transfer skills they had acquired in sex work to the mainstream labour market.

Health care changes, including increased hospital admissions, an aging population and the chronicity of diseases and conditions have led to increased collaboration with unregulated professionals. Within the professions of occupational therapy and physiotherapy, there is a paucity of literature that addresses the perceptions of Occupational Therapist Assistants and Physiotherapist Assistants (OTAs and PTAs) with respect to their competence in clinical practice. This research study investigates the perceptions of clinical competence of OTA and PTA graduates from one Ontario community college. A phenomenological theoretical framework was used to explore the participants’ lived experiences. Eight individual in-depth interviews were used to gather data representing the graduate OTAs and PTAs’ perspectives. In addition, the viewpoints from a stakeholder focus group of eight participants comprised of occupational therapists, physiotherapists, and administration personnel from one Ontario hospital were used to triangulate the data.. Four themes emerged: 1) employing effective communication, 2) emerging knowledge, skills and competencies in clinical practice, 3) transitioning into clinical practice, and 4) developing confidence as an OTA and PTA. The Person Environment Occupation (PEO) model (Law et al., 1996) was used to organize the themes and to assist in determining the optimal fit between the themes. Confidence was articulated as a continuous concept that facilitated the graduates’ competence in their clinical skills. Proficiency in their roles, a supportive transition, and demonstrated competence were the presenting factors that empowered the graduate OTAs and PTAs to affirm their competence in clinical practice. This research study is foundational for future research related to OTAs and PTAs in the areas related to use of title, educational credentialing, and collaborative competency documentation. / Thesis / Master of Science (MSc) / Currently, there are changes in health care services that require modifications to the delivery of the treatment. Occupational Therapist Assistants and Physiotherapist Assistants (OTAs and PTAs) work within patient rehabilitation; however, their perceptions of competence have not been assessed. This study reviews the perceptions of the OTAs and PTAs when completing their role with patients by interviewing them and interviewing the staff that work with them. The data from this thesis will provide us with an enhanced understanding of the perceptions of OTAs and PTAs and the supports they believe enable them to be competent and confident health care professionals. This information will facilitate the identification of the next steps in research specific to OTAs and PTAs in the areas of competency and educational programs.

The aim of this study was to examine, understand and conceptualise the critical thinking and clinical reasoning adopted by new graduate occupational therapists as they enter the workforce to become newly autonomous practitioners. The study obtained the perspectives of new graduates, their supervisors and service managers on the means by which critical thinking and clinical reasoning develop to meet the expectations of employers. Factors which impeded the transition between new graduate and autonomous practitioner were identified and explored. Ethical approval was obtained to conduct the study. The study adopted a qualitative phenomenological research approach; Interpretative Phenomenological Analysis (IPA), which informed framing, data gathering and analysis. Semi-structured interviews were conducted with new graduates (n=6), supervisors (n=7) and managers (n=7) from multiple sites within one National Health Service Board. Interviews were transcribed verbatim from audio-recordings. The findings indicate that new graduates are expected to develop critical thinking and clinical reasoning in a manner that might challenge traditional conceptualisations of the transitioning process. A phenomenon, historically named the “shock of practice”, was reflected on by therapists in each phase of the study and adaptive and mal-adaptive responses to this in the thinking and behaviour of new graduates was identified. The clinical supervisor-supervisee relationship appeared to be the key source of support, and the supervisor the most significant knowledge resource, for new graduates. This relationship was supplemented by both peer support and Preceptorship. Discharge planning was a significant source of anxiety and development of an algorithm to support this process is proposed. Recommendations for further research and theoretical implications for practice and undergraduate education are discussed.

ABSTRACT This is a comprehensive study of youth in the foster care system. It examines perceptual experiences of the youth before, during, and after transitioning to independent living. Additionally, it delineates their exposure to employment, education, mentors, and counseling programs. Furthermore, it renders social work practitioners with insight on the tensions and challenges transitioning youth face before and after conversion, as well as available programs to assist the youth throughout the transitioning phase – specifically, programs that: Pursue educational and vocational opportunities; Build supportive relationships and connections; Assist with finding and maintaining employment; Teach money management skills; Assist with securing housing; Help maintain health and wellness; and, Develop additional life skills. This study highlights the future of transitioning youth and the types of assistance needed to help them age‑out of foster care gracefully and live productive lives. The factors herein are not only critical, but meticulously evaluated and considered top priority during the collection of data for purposes of this research.

This study investigated whether the presence of a supportive adult in the life of a youth transitioning out of foster care impacts the likelihood that the youth experiences homelessness, teenage pregnancy, drug or alcohol addiction, or incarceration in San Bernardino County. Understanding the impact of a supportive adult, or mentor, on youth transitioning from foster care to independence would allow the social workers to more strategically plan for a successful exit from state care. This study will use public data collected from the federally mandated survey for the National Youth in Transition Database (NYTD). Data was analyzed to determine if a correlation exists between having a supportive adult and the four aforementioned negative outcomes. The results showed that the four negative consequences examined occurred less frequently with individuals who identified as having a supportive adult in their lives. However, the differences demonstrated by the data were not statistically significant. Further research needs to examine the effect of mentoring on youth transitioning out of foster care.

Many entry-level nurses are not prepared to handle medical emergencies. Although responsible for managing the care of individuals with complex medical conditions, many of these nurses compromise the safety of patients due to a lack of experience and an inability to apply clinical judgment. The purpose of this study was to explore the perceptions of registered nurses about their transition from entry-level to advanced beginner. Bandura's social cognitive theory, along with Colaizzi's descriptive method of data analysis, provided a basis for this phenomenological study. Research questions focused on challenges that entry-level nurses have experienced with problem-solving and complex patient care that requires advanced critical thinking and the application of clinical judgment. Criterion sampling facilitated recruitment of advanced-beginner RNs, with data collected through semistructured, one-on-one interviews. Data analysis occurred in a series of steps, including extracting and developing meanings from interview transcripts, clustering meanings into description lists, and eliminating outliers. Data analysis revealed 12 major themes aligned with behavior, clinical environment, and personal/cognitive factors. Among the findings were that nurses often felt unsupported, unable to manage conflict, unprepared, unseasoned, inefficient, and unable to lead others effectively. This study was necessary because its findings may provide insights leaders in health services can use to develop strategies to better prepare entry-level nurses to care for individuals with complex medical conditions. Among the implications for positive social change are developing a better tool for the training and advancement of entry-level nurses, consequently improving patient safety and reducing health care costs.

College’s revenue sports, football and men’s basketball, fuel the billion dollar intercollegiate athletics industry. Historically, those same two sports have maintained the lowest grade point average among all student-athletes. This inverse relationship begs the question, “what academic sacrifices are being made at the expense of college’s revenue sports?” Student engagement into educationally purposeful activities has been widely acknowledged as having influence on desirable college outcomes. The full extent of student engagement’s effect has yet to be determined. The purpose of this study was to conduct exploratory, qualitative research into the role of student engagement in educationally purposeful activities on the career transition of football student-athletes in the Southeastern Conference by answering the following research questions: how do SEC football players perceive their educationally purposeful engagement activities during college? To what extent do their perceptions of purposeful engagement activities influence career transitions? Results of this qualitative research uncovered the following four major themes: (a) Limited Purposeful Engagement Activities; (b) Desire for Internship Opportunities; (c) Undefined Career Path; and (d) Career Transition Regret. Results showed that former SEC football players in this study did not have enough experience with educationally purposeful engagement activities during college to make a determination. Additionally, student-athlete participants did not have the guidance or time required to participate in the only activity they perceived to be beneficial such as internships. Last, the former SEC football players did not perceive a positive relationship between their purposeful engagement activities and career transition. Creating a distinct set of student engagement criteria for student-athletes should be considered based on the study’s findings. Moreover, all stakeholders in student-athletes should collaborate effectively and share responsibility for their outcome.

Since the early 1990s a growing number of constitution building processes in countries transitioning from authoritarian rule or recovering from war or severe institutional crisis have involved public participation. This increase stems from an assumption made by many peacebuilding scholars and practitioners that public participation in constitution building will lead to higher levels of democracy. This assumption has not, however, been the subject of systematic or comprehensive analysis. Therefore, the overarching purpose of this thesis is to scrutinize the participation-hypothesis - as it is referred to in this study. The study is a two-step investigation. The first part begins with an analysis of twenty cases of participatory constitution building that have occurred in post-conflict states, transitioning states and countries that have experienced a severe institutional crisis. In order to differentiate the cases in terms of how much influence participants were granted, an analytical framework is developed and the cases are categorized as either false, symbolic, limited, consultative or substantial participation. The participation-hypothesis is then empirically investigated by comparing democracy levels prior to and after the process for each of the 20 cases. In order to further test the hypothesis, cases of constitution making in which there was no public participation are then added to the investigation. These cases are included as a point of reference – the democratic outcome in this group is compared with the democratic outcome in the twenty participatory processes. The empirical results reveal that there is no relationship between public participation in constitution building processes and higher levels of democracy. On the contrary, some cases that involved considerable influence for participants have not experienced improved levels of democracy, while cases with low levels of influence for participants have shown democratic improvement. Moreover, a majority of cases of constitution making without public participation have also experienced increases in their democracy scores. Therefore, the conclusion of the first part of the study is that the participation-hypothesis does not stand up to empirical scrutiny. Particularly challenging for the participation-hypothesis is the fact that the analysis in part one shows that similar participatory processes have been followed by democratic improvement in some countries and democratic decline in others. Two such cases are Kenya and Zimbabwe. While democracy levels have increased in Kenya since the conclusion of the process, they have steadily declined in Zimbabwe. In the second part of the study, these two countries are therefore the object of intense, systematic and comparative scrutiny in order to explore factors beyond participation in constitution building that might explain the different trajectories of democracy. The comparison shows that the actions of political elites – in particular their ability to cooperate with each other – is the major explanation as to why the two wind up on different paths. The importance of elite cooperation is well-established in the democratization literature. One major conclusion of this study is therefore that the participation-hypothesis needs to be informed by insights drawn from this literature.