This practice-led research identifies parallels between drawing and writing as tools that wonder, articulate and remark experiences. The research devises a drawing/writing hybrid Drawing Vignettes that interweaves wonder and its articulation through various methods of remarking by bringing together four methods; drawing/writing, the use of sound, phenomenological bracketing and ekphrasis. In both theory and practice Drawing Vignettes unites drawn and written conventions, and appears in the thesis text as a drawing/writing hybrid. Through practice-led explorations the research questions the relationship between theory and practice, the nature of understanding and interpretation by fusing reading and looking activities through the Drawing Vignettes outputs. The research challenges writing and drawing conventions as distinct forms of theory and practice, and asks if by redrafting the boundaries of drawing and writing an original vocative poetic practice can emerge. The research aims to make explicit the relationships between the knower and the known by examining what is readable, understandable and how Drawing Vignettes is presented as a practice-led methodology that fosters the acquisition of knowledge through the participant s experience(s) and interpretation(s) allowing understanding to emerge via these exchanges. The research privileges Philip Fisher s (1998) wonder as a poetics of thought and Martin Heidegger s assertion of poetry as a projective utterance (1935) to examine how wonder impacts upon our observation(s), articulation(s) and interpretation(s) of experience(s) as a type of open-ended poetic dialogue. This investigation utilises debates from Nicolas Davey s theoria (2006) that revises the dualism of theory and practice, maintaining they are mutually engaged in dialogue. This research engages in various poetic dialogues to redraft theory practice boundaries, evaluating Drawing Vignettes as a critical revision that query s how philosphical exploartions can interpreate histories and contexts in various verbalised forms. Wonder is evaluated through this practice-led research as inherentley dialogic. It is reviewed as interweaving amongst hermenuitics, ambiguity, doubt and poetics. It is associated with knowledge generation through the hermeneutic circle , as a type of dialogue that circles back and forth between presumption and surprise and renders knowledge structures as incomplete. The research revises the embodied tacit knowledge generated through Drawing Vignettes, and philosophising is argued as an event that engages in wonder as both pensive and participatory. The embodied and autobiographical nature of inscribing, fundamental to a hybrid practice is employed as a method that allows the self to emerge, as a type of activity that traces life amplifying a sense of being in the act of viewing/speaking. The poetic attitude is a term developed by the research to describe a type of dialogic occurrence where an encounter with wonder takes place becomes projected using drawing/writing methods and relocated in the practice outcomes. The research asserts the four methods of Drawing Vignettes enables and perpetuates the poetic attitude where vocative practice outputs can be understood as a type of phenomenological text that revisits presuppositions by enveloping, documenting, analysing and perpetuating wonder. In turn Drawing Vignettes is reasoned as fostering understanding, as it articulates and traces experiences by describing and mapping their structures, empowering die sachen or matters to arise.

The underutilization of mental health services is a pervasive problem that persists despite efforts by researchers and interventionists to make treatment accessible. Several factors have been hypothesized to contribute to these underutilization rates including sociopolitical factors (financial and structural barriers), and cultural/familial factors (race, ethnicity, socioeconomic status, gender, age, marital status, attitudes, beliefs, and stigma). The current study set out to explore patterns of child mental health service utilization based on parents' perceptions. Guided by "The Youth Help-Seeking and Service Utilization Model," the relationship between parental problem recognition and willingness to seek formal and informal help as influenced by parents' demographic variables, sociocultural beliefs, experience, perceived need, family characteristics, and barriers were examined. Parental perceptions of problem behaviors in children were examined through the use of 3 vignettes (internalizing, externalizing, and no diagnosis conditions) varying only by child gender. A total of 251 Black and White parents from the community participated in this study. Data analyses involved correlations, t-tests, general linear modeling procedures (including ANOVA, ANCOVA, and multiple regressions), non-parametric tests, and logistic regression analyses. As hypothesized, results revealed that more parents recognized the internalizing and externalizing vignettes as problematic, parents reported stronger intentions to seek help when they recognized a mental health problem, and they were more willing to seek help for a boy with an internalizing problem than a girl. Additionally, perceived severity was related to recognition of both internalizing and externalizing problems. Gender, race, and previous experience were related to parents' recognition and willingness to seek help; with mothers, white parents, and those with more experience recognizing problems and expressing willingness to seek help for an internalizing problem. Finally, perception of barriers and certain beliefs impacted parents' willingness to seek help. The implications of this study with respect to help-seeking patterns for youth will be discussed. In addition, results will be discussed with an eye toward service providers' and intervention researchers' shaping the referral process, keeping families in treatment, and developing strategies aimed at improving problem recognition and help-seeking with eventual goals of increasing actual utilization of mental health services for mothers, fathers, and their children.

Wintter Watts (1884-1962) was one of the most admired composers of American art song in the early twentieth century. The history of great singers who performed his songs at that time attests to the reputation of Watts as a song composer. Unfortunately the songs of Watts have become largely neglected by singers from later generations. The song cycle Vignettes of Italy (1919) for high voice is regarded by many as Watts♠ best-known composition. Vignettes of Italy was frequently performed by many famous singers in America in his day, but is little known in the current repertoire of American art song and rarely performed today. Vignettes of Italy is worthy of reintroduction to contemporary audiences and singers. This study explores the significant contributions Wintter Watts made to the body of American art song in the early twentieth century and presents a thorough investigation of Watts♠ compositional techniques of Sara Teasdale♠s texts in his song cycle Vignettes of Italy. These techniques include the use of carefully tailored rhythms, modulations, harmonic progressions, and accompaniment figures to give unique treatment to the musical setting of individual words, poetic ideas, and broader moods. I hope this research provides a foundation of understanding of this cycle, assists singers and pianists in presenting artistically coherent performances, and creates a fuller comprehension and appreciation of Watts songs.

Sarsfield, Amanda. Signs of insecure attachment development in infancy - How do child healthcare nurses identify them? Candidate dissertation in social work, 15 points. Malmö University, Health and society, social work undergraduate degree course, December 2013.The objective of this study is to examine Swedish child health clinics (Barnavårdscentralen – BVC) interpretation and evaluation of mother-infant relationships. The study’s empirical material is gathered using the vignette technique and the semi-structured interview technique. Analysis of the empirical material is undertaken using the thematic coding analysis technique. From the studies emprical material the following themes were identified: The roles of situational norm deviation and reoccurrence, the role of experience, routine & observation, the use of tools, straight forward open communication and trust and the child as an indicator for the mother’s wellbeing. The conclusion of this study is that BVC interprets and evaluates mother-infant relationships using a combination of experience, routine and observation to determine the degree of norm deviant behaviour present during routine BVC controls.

No description available.

No description available.

Yes / The growing literature on Patient and Public Involvement and Engagement (PPIE) and dementia identifies specific problems related to the influence involvement has on research outcomes, over-reliance on family members as proxies, and lack of representation of seldom-heard groups. Adaptations to the PPIE process are therefore needed in order to make possible the involvement of a broader spectrum of people living with dementia. To adapt the PPIE process in order to make participation in co-creation by people living with dementia accessible and meaningful across a spectrum of cognitive abilities. Design: Narrative elicitation, informal conversation, and observation were used to co-create three vignettes based on PPIE group members’ personal experience of dementia services. Each vignette was produced in both narrative and graphic formats. Participants: Nine people living with dementia and five family members. Results: Using enhanced methods and outreach it was possible to adapt the PPIE process so that not only family members and people with milder cognitive difficulties could participate, but also those with more pronounced cognitive problems whose voices are less often heard. Conclusions: Making creative adaptations is vital in PPIE involving people living with dementia if we wish to develop inclusive forms of PPIE practice. This may, however, raise new ethical issues, which are briefly discussed. / National Institute for Health Research. Grant Number: PR-R10-0514-120006

With the introduction of the UK Government’s inclusive ideology in the late 20th century, increased pressure was put on schools serving adolescent psychiatric units to support their pupils to return to mainstream education. However, there is a perception that a factor that makes the transition process difficult is the attitude of mainstream pupils towards their peers with mental health problems. The purpose of this research was to explore mainstream pupils’ perceptions of mental health problems and the extent to which their understandings might lead to stigmatising attitudes. A theoretical perspective encompassing the ideas of social constructionism, interpretavism and symbolic interactionism, combined with a linguistic based approach, underpinned the development of an empathetic methodological approach to researching sensitive topics with adolescents. The research involved collecting data using a sequence of questionnaires, individual interviews and group interviews with pupils in three secondary schools within socially diverse communities. The questionnaire was presented in comic booklet form and included such techniques as cartoons, vignettes, and adapted familiarity and social distance scales. This dissertation reveals ways in which young people create their personal constructs around mental health and the complexities of the nature of stigma. It also highlights the implications that these findings have for staff and pupils involved in the transition process and for the development of practice in this field.

Researchers have studied memory recall of crisis-oriented or emotional events in non-educational settings. However, within the health care field, there has been a limited study of the the concept of recall of crisis oriented or emotional events in& health care education. Crisis-oriented events such as natural disasters, acts of bioterroism, and industrial accidents, have been reported to impact memory. Patient safety is a primary focus in anesthesia education, appropriate crisis management is imperative to quality anesthesia care. Due to the critical nature of anesthesia delivery, there is a strong, constant need to develop methods that will enhance, support, and improve current anesthesia practices that impact patient safety. Educational methodologies used by both clinical and didactic instructors that will improve teaching effectiveness need to be investigated to ensure that patient safety content is being delivered to nurse anesthesia students in a manner consistent with the American Association of Nurse Anesthetists (AANAs) Council on Accreditation's COAs) standards of care. Utilizing a simulated anesthesia crisis situation, this study compared the differences in cognitive imprinting and application to practice between two content delivery methods, the written case study and patient safety vignettes, in nurse anesthesia students. The control group was given a written case study which is considered a traditional method of content delivery. The treatment groups studied vignettes, which are short, realistic, simulated audio-visual videos that demonstrate content to be relayed. The research hypothesis studied the use of anesthesia crisis oriented vignettes as an educational tool to impact memory recall, thus potentially improving application to clinical practice. Hypotheses for the study were: Hypothesis 1 (Hl): Student anesthetists exposed to audio-visual vignettes will exhibit superior clinical performance during simulated apparatus-related crisis events, evidenced by higher group mean demonstration scores, when compared to a matched group exposed to written case studies. Hypothesis 2 (H2): Student anesthetists exposed to audio-visual vignettes will exhibit superior recall of apparatus related material, evidenced by higher group mean post-test scores, when compared to a matched group exposed to written case studies. Using the paired samples t-test and analysis of variance procedure (ANOVA), statistical findings were evaluated for significance. The different teaching methodologies were represented in the abbreviation of the variables studied. Two different crisis oriented events were presented in vignette format, a malfunctioning unidirectional expiratory valve and a malfunctioning suctioning apparatus. Variables that were studied include: clinical performance during the anesthesia machine checkout process by recreating the stuck expiratory valve and malfunctioning suction apparatus scenarios. Statistically, mixed results were obtained. The impact that the stuck expiratory valve vignette had on student recall and clinical performance was found to be insignificant. The impact resulting from exposure to the non-functioning suction apparatus vignette was found to be significant for both student recall and clinical performance. Other recall and clinical performance measures related to the non- functioning suction apparatus were also found to be significant. Conclusions: In this research study, memory and clinical performance were impacted when the anesthesia provider incorporated the correct anesthesia apparatus checkout process and crisis management skills into their practice. This research demonstrated that under the conditions of this study, teaching methodology impacted some areas of clinical performance. Due to the small sample size and because the clinical performance measurements tools were newly designed for this particular study, findings from this study cannot be generalized to any other group or population. However, the findings from this study merit further investigation into the potential use of vignettes as an educational methodology to impact clinical practice and improve patient safety.

SUMMARY: This thesis presents the possibilities and benefits of the use of anchoring vignettes method in educational science, in connection with information and communication technologies (ICT). It is the first ever use of the anchoring vignettes method in this field. In its theoretical part, the thesis introduces the works of other authors in which research was done with the use of self- assessment questions. It also shows the research using the anchoring vignettes method, and research in which this methodology was used in educational science. The practical part presents the results of the author's own survey, which shows the diversity of self-assessment of ICT knowledge and skills of Year 1 and 2 students at secondary schools. The thesis proves distinctive subjectivity in students' self-assessment, different usage of the scale by respondents and the purposefullness of using the anchoring vignettes method in this field. First and foremost, it shows an entirely different self-assessment of students of different study programmes, genders etc. before and after the correction using the anchoring vignettes method.