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Theory Approach (theory + approach)
Kinds of Theory Approach Selected AbstractsESTIMATING THE RELATIONSHIP BETWEEN IMMIGRANT AND NATIVE WORKERS IN AUSTRALIA: A PRODUCTION THEORY APPROACHAUSTRALIAN ECONOMIC PAPERS, Issue 1 2010JAAI PARASNIS The impact of immigration on labour markets depends, among other factors, on the substitutability or complementarity between immigrants and natives. This relationship is examined by treating migrant and native labour, along with capital, as inputs in production process. Estimated price elasticities of substitution between immigrants and native labour suggest that in Australian context, an increase in the wage rate of one group of workers leads to an increased demand for the other. The estimated elasticities of substitution between immigrant and native workers and the complementary relationship between immigrants and capital provide an insight into the complex effects of immigration. [source] A Design Theory Approach to Building Strategic Network-Based Customer Service Systems,DECISION SCIENCES, Issue 3 2009M. Kathryn Brohman ABSTRACT Customer service is a key component of a firm's value proposition and a fundamental driver of differentiation and competitive advantage in nearly every industry. Moreover, the relentless coevolution of service opportunities with novel and more powerful information technologies has made this area exciting for academic researchers who can contribute to shaping the design and management of future customer service systems. We engage in interdisciplinary research,across information systems, marketing, and computer science,in order to contribute to the service design and service management literature. Grounded in the design-science perspective, our study leverages marketing theory on the service-dominant logic and recent findings pertaining to the evolution of customer service systems. Our theorizing culminates with the articulation of four design principles. These design principles underlie the emerging class of customer service systems that, we believe, will enable firms to better compete in an environment characterized by an increase in customer centricity and in customers' ability to self-serve and dynamically assemble the components of solutions that fit their needs. In this environment, customers retain control over their transactional data, as well as the timing and mode of their interactions with firms, as they increasingly gravitate toward integrated complete customer solutions rather than single products or services. Guided by these design principles, we iterated through, and evaluated, two instantiations of the class of systems we propose, before outlining implications and directions for further cross-disciplinary scholarly research. [source] Entrepreneurial Scripts and the New Transaction Commitment Mindset: Extending the Expert Information Processing Theory Approach to Entrepreneurial Cognition ResearchENTREPRENEURSHIP THEORY AND PRACTICE, Issue 4 2009J. Brock Smith In this study, we extend the expert information processing theory approach to entrepreneurial cognition research through an empirical exploration of the new transaction commitment mindset among business people in Canada, Mexico, and the United States. Using analysis of covariance, multivariate analysis of variance, and hierarchical regression analysis of data from a cross-sectional sample of 417 respondents, our results provide a foundation for additional cross-level theory development, with related implications for increasing the practicality of expert information processing theory-based entrepreneurial cognition research. Specifically, this paper: (1) clarifies the nature of the relationship between entrepreneurial expert scripts and constructs that might represent an entrepreneurial mindset at the individual level of analysis; (2) identifies analogous relationships at the economy level of analysis, where the structure found at the individual level informs an economy-level problem; (3) presents a North American Free Trade Agreement-based illustration analysis to demonstrate the extent to which cognitive findings at the individual level can be used to explain economy-level phenomena; and (4) extrapolates from our analysis some of the ways in which script-based comparisons across country or culture can inform the more general task of making information processing-based comparisons among entrepreneurs across other contexts. [source] Japanese Foreign Direct Investment in Electrical Machinery and Appliances in the United States: A Combined Industrial Organization and Location Theory ApproachASIAN ECONOMIC JOURNAL, Issue 3 2000Jong-Il Choe We analyse the effects of both ownership and location advantages on the size of foreign direct investment, by combining industrial organization and location theory approaches. The estimated results employing a truncated distribution model show that the parent company's managerial resources and the external economies in a located region between them determine the FDI size of Japanese electrical machinery and appliances firms. This result suggests that empirical studies, applying only the industrial organization theory approach, need to be complemented by the location theory approach. [source] Keeping the spirit high: why trauma team training is (sometimes) implementedACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 3 2008T. WISBORG Background: Systematic and multiprofessional trauma team training using simulation was introduced in Norway in 1997. The concept was developed out of necessity in two district general hospitals and one university hospital but gradually spread to 45 of Norway's 50 acute-care hospitals over the next decade. Implementation in the hospitals has varied from being a single training experience to becoming a regular training and part of quality improvement. The aim of this study was to better understand why only some hospitals achieved implementation of regular trauma team training, despite the intentions of all hospitals to do so. Methods: Focus group interviews were conducted with multiprofessional respondents in seven hospitals, including small and large hospitals and hospitals with and without regular team training. Interviews were transcribed and analyzed using a Grounded Theory approach. Results: ,Keeping the spirit high' appeared to be the way to achieve implementation. This was achieved through ,enthusiasm,',strategies and alliances,' and ,using spin-offs.' It seems that the combination of enthusiasts, managerial support, and strategic planning are key factors for professionals trying to implement new activities. Conclusions: Committed health professionals planning to implement new methods for training and preparedness in hospitals should have one or more enthusiasts, secure support at the administrative level, and plan the implementation taking all stakeholders into consideration. [source] Stakeholder engagement and corporate social responsibility reporting: the ownership structure effectCORPORATE SOCIAL RESPONSIBILITY AND ENVIRONMENTAL MANAGEMENT, Issue 2 2009Jose-Manuel Prado-Lorenzo Abstract Social disclosure, according to Ullmann's conceptual framework (1985), could be explained by stakeholder power, strategic posture and economic performance, where the power of stakeholders is a function of the resources they control that are essential to the company. The aim of this work is to test the effect that shareholder power and dispersed ownership structure have on the decision to disclose corporate social responsibility (CSR) information in the Spanish context, controlling for the rest of the dimensions. Our results allow us to affirm that this paper tests a stakeholder theory approach to analyzing corporate social disclosures and is consistent with the framework proposed, although the power of shareholders is quite limited. Copyright © 2009 John Wiley & Sons, Ltd and ERP Environment. [source] The Anticipated Utility of Zoos for Developing Moral Concern in ChildrenCURATOR THE MUSEUM JOURNAL, Issue 4 2009John Fraser It proposes a new theory regarding the psychological value of such experiences for the development of identity. The study used a constructivist grounded theory approach to explore parenting perspectives on the value of zoo visits undertaken by eight families from three adjacent inner-city neighborhoods in a major American city. The results suggest that parents use zoo visits as tools for promoting family values. These parents felt that experiences with live animals were necessary to encourage holistic empathy, to extend children's sense of justice to include natural systems, and to model the importance of family relationships. The author concludes that parents find zoos useful as a tool for helping their children to develop skills with altruism, to transfer environmental values, to elevate children's self-esteem, and to inculcate social norms that they believe will aid in their children's social success in the future. [source] Wide Awake to the World: The Arts and Urban Schools,Conflicts and Contributions of an After-School ProgramCURRICULUM INQUIRY, Issue 1 2001Therese Quinn While the benefits of arts involvement are increasingly clear, policies and practices consistent with this recognition are not proceeding apace. Nearly half the schools in the United States have no full-time arts teachers and emphases on "standards" have led to the elimination of the arts in many urban schools. This case study of a multi-year after-school arts program in urban public schools explores challenges and tensions that emerged during the program's implementation. Focusing on understanding the place and purpose of an arts program in a specific community, we employed a grounded theory approach and used multiple data-gathering methods, ranging from observations and interviews to surveys. We found that in serving hundreds of students, employing dozens of staff, and aiming to meet several complex goals, this arts program faced technical challenges that undermined its effectiveness. The arts program also suffered from unaddressed conflicts regarding norms and values. Artists attempted to provide students opportunities for creative exploration, while school staff emphasized control, order, and academic goals. We discuss these tensions and the ways they undermined the arts program. [source] Young people at risk of psychosis: a user-led exploration of interpersonal relationships and communication of psychological difficultiesEARLY INTERVENTION IN PSYCHIATRY, Issue 2 2010Rory Byrne Abstract Aim: The aim of the present study was to qualitatively explore experiences and perceptions of interpersonal relationships and interpersonal communication among young people at risk of psychosis. Method: Semi-structured interviews were conducted using a qualitative grounded theory approach. Participants had entered into a service providing psychological interventions for young people assessed to be at a high risk of developing psychosis (Northwest UK). Our sample comprised one female and seven male participants (n = 8), ranging in age from 16 to 28 years, with a mean age of 22.4 years. Results: Analyses identified three central themes: difficulty with interpersonal relationships and reduced opportunities for helpful communication, difficulty talking to others about psychological problems, and experiences of talking to others about psychological problems. Conclusions: Individuals at risk of psychosis may have experienced significant difficulties with interpersonal relationships. Such difficulties may contribute directly to the development of unusual psychological experiences, and to an inability or reluctance to communicate these to others. In addition, commonly held stigmatizing ideas associated with unusual psychological experiences may contribute to a fear among at-risk individuals that they are ,going mad', and this may lead to concealment of their difficulties, and to delayed help-seeking. For at-risk individuals, helpful communication of psychological distress offers significant benefits, including improved psychological and emotional well-being and reduced risk of psychosis. Thus, while concealment of distress may directly impact on the development of unusual psychological difficulties, communication of such difficulties may be central to recovery. [source] Stigma and treatment delay in first-episode psychosis: a grounded theory studyEARLY INTERVENTION IN PSYCHIATRY, Issue 1 2010Lauren Franz Abstract Aim: A longer duration of untreated psychosis (DUP) is associated with greater morbidity in the early course of schizophrenia. This formative, hypothesis-generating study explored the effects of stigma, as perceived by family members, on DUP. Methods: Qualitative interviews were conducted with 12 African American family members directly involved in treatment initiation for a relative with first-episode psychosis. Data analysis relied on a grounded theory approach. A testable model informed by constructs of Link's modified labelling theory was developed. Results: Four main themes were identified, including: (i) society's beliefs about mental illnesses; (ii) families' beliefs about mental illnesses; (iii) fear of the label of a mental illness; and (iv) a raised threshold for the initiation of treatment. A grounded theory model was developed as a schematic representation of the themes and subthemes uncovered in the family members' narratives. Conclusions: The findings suggest that due to fear of the official label of a mental illness, certain coping mechanisms may be adopted by families, which may result in a raised threshold for treatment initiation, and ultimately treatment delay. If the relationships within the grounded theory model are confirmed by further qualitative and quantitative research, public educational programs could be developed with the aim of reducing this threshold, ultimately decreasing DUP. [source] Entrepreneurial Scripts and the New Transaction Commitment Mindset: Extending the Expert Information Processing Theory Approach to Entrepreneurial Cognition ResearchENTREPRENEURSHIP THEORY AND PRACTICE, Issue 4 2009J. Brock Smith In this study, we extend the expert information processing theory approach to entrepreneurial cognition research through an empirical exploration of the new transaction commitment mindset among business people in Canada, Mexico, and the United States. Using analysis of covariance, multivariate analysis of variance, and hierarchical regression analysis of data from a cross-sectional sample of 417 respondents, our results provide a foundation for additional cross-level theory development, with related implications for increasing the practicality of expert information processing theory-based entrepreneurial cognition research. Specifically, this paper: (1) clarifies the nature of the relationship between entrepreneurial expert scripts and constructs that might represent an entrepreneurial mindset at the individual level of analysis; (2) identifies analogous relationships at the economy level of analysis, where the structure found at the individual level informs an economy-level problem; (3) presents a North American Free Trade Agreement-based illustration analysis to demonstrate the extent to which cognitive findings at the individual level can be used to explain economy-level phenomena; and (4) extrapolates from our analysis some of the ways in which script-based comparisons across country or culture can inform the more general task of making information processing-based comparisons among entrepreneurs across other contexts. [source] Contrasting Entrepreneurial Economic Development in Emerging Latin American Economies: Applications and Extensions of Resource-Based TheoryENTREPRENEURSHIP THEORY AND PRACTICE, Issue 1 2008G. Page West III Emerging economies face daunting economic development challenges. Economists and management consultants have generally suggested global solutions that typically focus solely on foreign direct investment. Yet a resource-based theory approach offers an alternative view of economic development in which a foundation of resources within a region gestates entrepreneurial activity. While theoretically appealing, it is unclear in application how such resources can be developed or which types of resources are most important to develop. This paper extends the application of resource-based theory to entrepreneurial economic development in subsistence economies. A qualitative study of contrasting entrepreneurial activity in Chiapas (Mexico) and Atenas (Costa Rica) highlights the primacy of intangible resources,and especially entrepreneurial orientation resources,in the gestation of entrepreneurial activity. [source] Assessing autonomic symptoms of Parkinson's disease with the SCOPA-AUT: a new perspective from Rasch analysisEUROPEAN JOURNAL OF NEUROLOGY, Issue 2 2010M. J. Forjaz Background:, The Scale for Outcomes in Parkinson's disease (PD) for Autonomic Symptoms (SCOPA-AUT) is a specific scale to assess autonomic dysfunction in PD patients. It was developed and validated under the classic test theory approach. This study sought to test whether the SCOPA-AUT meets item response theory standards for reliability, internal construct validity, response category ordering, and differential item functioning by gender and age group. Method:, The Rasch measurement model was applied to a sample of 385 PD patients. Results:, Model fit was obtained after the response categories were rescored and item 10-Incomplete emptying deleted because of redundancy. Person separation index, a reliability measure, was 0.82. All but two items (2-Sialorrhea and 13-Nocturia) were free of gender- and age-related bias. The strict tests of unidimensionality were met, indicating the validity of the total sumscore. Scale targeting suggested the need for items representing milder autonomic symptoms. Conclusions:, Suggestions for improving the SCOPA-AUT include a shorter scale with a simpler response scheme and a combination of sexual items for men and women. The resulting SCOPA-AUT is a reliable scale, with good internal construct validity, providing Rasch transformed results on a linear metric scale. [source] Experience and meaning of user involvement: some explorations from a community mental health projectHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 3 2002Carole Truman Abstract With an increased interest in and policy commitment to involving service users in the planning and delivery of health service provision, there is a clear need to explore both the rhetoric and realities of what user involvement entails. In the present paper, by drawing upon an evaluation of a community-based exercise facility for people with mental health problems, the authors explore ways in which the reality of user involvement is subject to a range of configurations within health services. The paper describes a piece of qualitative research that was undertaken within a participatory framework to explore the nature of user involvement within the facility. The data have been analysed using a grounded theory approach to provide insights into: the organisational context in which user involvement takes place; factors which encourage meaningful participation on the part of service users; perceived barriers to user involvement; and issues of sustainability and continuity. This research approach has enabled the authors to explore the views and experiences of users, service providers and referral agencies in relation to the nature and potential for user involvement. The findings illustrate ways in which user involvement may take place under both flexible and formal arrangements across a variety of activities. The present paper provides an account of some of the meanings and experiences of what ,successful' user participation may involve and the conditions which underpin ,success'. The authors conclude that successful and meaningful user involvement should enable and support users to recognise their existing skills, and to develop new ones, at a pace that suits their particular circumstances and personal resources. This process may require adaptation not only by organisations, but also by service providers and non-involved users. [source] Predicting the population consequences of human disturbance for Ringed Plovers Charadrius hiaticula: a game theory approachIBIS, Issue 2007DURWYN LILEY Human disturbance and its potential impacts upon bird populations are currently topical and contentious issues for conservationists. Although many studies have revealed a behavioural impact, or even direct effect on breeding success or survival, these cannot usually be extended to predict the impact on population size. Here we present a population model that allows predictions of the effect that changes in human numbers, visiting a 9-km-long section of the coastline, may have upon the size of a Ringed Plover Charadrius hiaticula population. Human disturbance affects Ringed Plovers in our study area through birds avoiding areas of high disturbance and, in addition, through the accidental trampling of a small number of nests by people walking on the beach. Using the level of human disturbance and habitat variables (which define territory quality) it is possible to predict which areas of beach are occupied and therefore the sites available to the population. Breeding success, for a given area of beach, can be predicted from habitat data. Incorporating known, density-independent, adult mortality allows the equilibrium population size to be predicted. This provides a model that predicts population size. This model is then used to predict the population that the site would support with different, hypothetical, levels of disturbance. If nest loss from human activity was prevented, for example by fencing nests, we predict the Plover population size would increase by 8%. A complete absence of human disturbance would cause a population increase of 85%. If the numbers of people were to double, we predict the population would decrease by 23%. [source] Numerical simulation of one-dimensional flows through porous media with shock wavesINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN ENGINEERING, Issue 10 2001Maria Laura Martins-Costa Abstract This work studies an unsaturated flow of a Newtonian fluid through a rigid porous matrix, using a mixture theory approach in its modelling. The mixture consists of three overlapping continuous constituents: a solid (porous medium), a liquid (Newtonian fluid) and an inert gas (to account for the mixture compressibility). A set of two nonlinear partial differential equations describes the problem, which is approximated by means of a Glimm's scheme, combined with an operator splitting technique. Copyright © 2001 John Wiley & Sons, Ltd. [source] Auditor,client Interaction and Client Usefulness , A Swedish Case StudyINTERNATIONAL JOURNAL OF AUDITING, Issue 2 2006Niclas Hellman This paper investigates the usefulness of the external audit to a listed client company. The research questions focus on what the auditors discovered, the subsequent auditor,client interaction, and the ways in which this was useful to the client company. The study proceeds from the management letters produced by the auditors in the period 1999,2001. On the basis of these reports, interviews were conducted with financial managers at different organisational levels. The data collection and analysis of the data follows a grounded theory approach. The results suggest that the usefulness of the audit to the client company was primarily linked to the way the management letters, and the auditor,client interaction related to the management letters, supported the client's management control system. Improved management control was achieved as a result of co-operation between the audit firm and the client company's central accounting and finance department, that put pressure on the subordinate units. The reported benefits for the client company must be weighed against potential threats to auditor independence, and the paper also includes empirical results that indicate risks of auditor dependency on the client's accounting and finance department. [source] Positively negative: the impact of negativity upon the political consumerINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 4 2008Jenny LloydArticle first published online: 15 OCT 200 For years there has been an ongoing debate as to the role and impact that ,marketing' has had on politics. Yet, it is the case that many of the concepts associated with the field of marketing have real relevance and have, in fact, been employed within the field of political campaigning for many decades. This is an empirical paper that focuses upon the concept of political brands and the impact that current trends in campaign strategy, and in particular the growth and continued use of negative campaigning, have upon them. Using a constructivist grounded theory approach, the implications associated with such activity are examined and, in particular, its effect upon the consumer/brand relationship. Within the consideration of the results, it becomes clear that political brands' use of negative campaigning is somewhat shortsighted; offering short-term gains but at the cost of long-term damage not only to their brand image but also to the wider democratic system as it stands. In a search for political ,brands' that more effectively meet their needs, there appears a tendency for political consumers to now look outside of the conventional political sector. The emergent concept of the ,negative brand' is explored together with the implications for political consumers, political brands and the wider field of conventional party politics. Copyright © 2007 John Wiley & Sons, Ltd. [source] Professional socialization: The key to survival as a newly qualified nurseINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 2 2007Higher DiplomaArticle first published online: 29 MAR 200, MSc (Nursing), Mary Mooney RGN The impact and prevalence of professional socialization in nursing has been written about extensively. Despite the many positive developments that have taken place in nursing within the past decade, the role of professional socialization remains heavily weighted and is of particular significance to those nurses who are newly qualified. The account given by newly registered nurses in this study demonstrates that their ability and willingness to become professionally socialized determines their ease of survival at clinical level. Twelve newly qualified Irish nurses, from two separate cohorts, were interviewed to ascertain their perceptions of becoming newly qualified nurses. A grounded theory approach was used and data were analysed using thematic analysis. A category that emerged was linked very strongly with professional socialization. The respondents did not refer to professional socialization per se, but through the coding process this emerged as the linchpin of the discussion. [source] Absorption spectra of recently synthesised organic dyes: A TD-DFT studyINTERNATIONAL JOURNAL OF QUANTUM CHEMISTRY, Issue 12 2010Denis Jacquemin Abstract We use a time-dependent density functional theory approach to investigate the absorption spectra of a panel of organic dyes synthesised and characterised during 2009. Several chemical modifications (solid-state packing, oxidation, variation of acidity,) are tackled, and both successes and failures of theory are highlighted and discussed. The obtained deviations are compared to the errors reported previously for traditional families of organic dyes. © 2010 Wiley Periodicals, Inc. Int J Quantum Chem, 2010 [source] Do Applicants' Perceptions Matter?INTERNATIONAL JOURNAL OF SELECTION AND ASSESSMENT, Issue 4 2007Investigating Reapplication Behavior Using Fairness Theory This study used a fairness theory approach to examine a link between applicants' perceptions and their actual reapplication behavior. We suggested that applicants who do not receive job offers form ,Would' counterfactuals based on perceived performance and ,Should' counterfactuals based on two procedural justice rules (job relatedness and opportunity to perform). Participants (N=542) were applicants for a United States federal government position. After not being hired in the initial selection process, 9% of the applicants reapplied for the job the following year. We found some support for the hypothesized interactions. The job relatedness,perceived performance interaction was not significant, but the opportunity to perform,perceived performance interaction was. Opportunity to perform had a stronger influence when perceived performance was higher. [source] Not just surviving, but thriving: perceived strengths of successful US-based travel agenciesINTERNATIONAL JOURNAL OF TOURISM RESEARCH, Issue 1 2008David Bruce Weaver Abstract In-depth interviews with owners of 19 exceptionally successful US-based travel agencies were analyzed using a ground theory approach to reveal customer service excellence, employee enrichment and effective networking as three core perceived strengths that comprise a theme of ,relationship building'. The latter is supported by a theme of ,facilitation' entailing diligent client selection, a culture of learning, high adaptability (related to technology and product realignment), scale, adherence to business basics, and owner optimism. Together, both themes suggest a macro-theme of ,deep commitment'. The results provide guidelines for aspiring travel agency owners. Copyright © 2007 John Wiley & Sons, Ltd. [source] Life experiences after stroke among Iranian stroke survivorsINTERNATIONAL NURSING REVIEW, Issue 2 2010A. Dalvandi phd DALVANDI A., HEIKKILÄ K., MADDAH S.S.B., KHANKEH H.R. & EKMAN S.L. (2010) Life experiences after stroke among Iranian stroke survivors. International Nursing Review57, 247,253 Background:, Stroke is a major cause of disability worldwide. It is a life-threatening and life-altering event, which leaves many physical and mental disabilities, thus creating major social and economic burdens. Experiencing a stroke and its aftermath can be devastating for patients and their families. In Iran, many services are not available for those who lack property; this may result in many difficulties and long-term problems for stroke survivors and their family members who are usually the main caregivers in Iranian cultural. Despite its effect on their lives, little is known about how the survivors perceive stroke in the Iranian context, therefore, knowing more about this process may enhance problem identification and problem solving. Aim:, To illuminate how stroke survivors experience and perceive life after stroke. Method:, A grounded theory approach was recruited using semi-structured interviews with 10 stroke survivors. Findings:, The survivors perceived that inadequate social and financial support, lack of an educational plan, lack of access to rehabilitative services, physical and psychological problems led them to functional disturbances, poor socio-economical situation and life disintegration. The core concept of life after stroke was functional disturbances. Conclusions:, The study shows the need to support the stroke survivors in their coping process with their new situation by providing appropriate discharge plans, social and financial support, social insurances and training programmes for the stroke survivors and their families. [source] From east to west: Nepalese women's experiencesINTERNATIONAL NURSING REVIEW, Issue 3 2004C. Rolls rn Abstract Background:, Nepal is a small mountainous South Asian country located between the nations of India and China. Forty-two per cent of the 22 million Nepalese people live in poverty. As a result, immigration to a developed country is the dream of many but available to few. Some immigrants from Nepal have arrived in Australia in recent years entering the ,Skill' stream of eligibility categories. Nepalese immigrants to Australia are predominantly young married couples with professional education qualifications. Aim:, To generate knowledge of the childbirth and early experiences of Nepalese women in their mother country and in Australia. The aspect presented here is the immigration experiences of Nepalese women to Australia. Method:, An ethnographic, grounded theory approach was used to observe and analyse the experiences of 11 Nepalese participants. Findings:, Analysis of data suggests that Nepalese female immigrants with the ability to comprehend and speak English and a level of education and skill required by Australia can successfully negotiate the change of culture and adapt to their new society. Major benefits of immigration for the women were the opportunities to work, become independent and to share in decision making for their family. Conclusion and implications for nursing practice:, Severance from the Nepalese joint family, a male dominant hierarchical society, and a new way of life allow a Nepalese woman to become an individual rather than a member of a collective. This study has produced transcultural information from the perspective of the educated professional Nepalese female immigrant that will assist in the provision of midwifery and nursing care. [source] Evidence-Based Practice in Healthcare: An Exploratory Cross-Discipline Comparison of Enhancers and BarriersJOURNAL FOR HEALTHCARE QUALITY, Issue 3 2010Joanna Asadoorian Abstract: In order to improve health outcomes, healthcare providers need to base practice on current evidence. The purpose of this qualitative study was to explore and compare the understanding and experiences with evidence-based practice (EBP) in three different disciplines. Researchers conducted individual interviews with psychiatrists, nurses, and dental hygienists. The majority of study participants demonstrated an understanding of EBP and were able to identify enhancers and barriers to implementing EBP. Using a grounded theory approach, several major themes acting as enhancers and barriers to EBP emerged and revealed both differences and similarities within and across the three health disciplines. While saturation was not attempted, this exploratory research is important in contributing to understanding the cultural practice milieu in relation to individual characteristics in implementing evidence into practice with the overall aim of improving healthcare delivery and outcomes. [source] Healthcare professionals' perceptions of existential distress in patients with advanced cancerJOURNAL OF ADVANCED NURSING, Issue 7 2010Esther Mok mok e., lau k-p., lam w-m., chan l-n., ng j.s.c. & chan k-s. (2010) Healthcare professionals' perceptions of existential distress in patients with advanced cancer. Journal of Advanced Nursing,66(7), 1510,1522. Abstract Title.,Healthcare professionals' perceptions of existential distress in patients with advanced cancer. Aim., This paper is a report of an exploration of the phenomenon of existential distress in patients with advanced cancer from the perspectives of healthcare professionals. Background., Existential distress is an important concern in patients with advanced cancer; it affects their well-being and needs to be addressed in the provision of holistic care. Method., Focus groups were conducted from November 2008 to February 2009 with physicians, nurses, social workers, occupational therapists, physiotherapists, and chaplains working in a palliative care unit that served patients with advanced cancer in Hong Kong. Data collection and analysis were guided by the grounded theory approach. All categories were saturated when five focus groups had been held with a total number of 23 participants. Findings., We found three causal conditions of existential distress: anticipation of a negative future, failure to engage in meaningful activities and relationships, and having regrets. Three basic (caring, relating and knowing) and six specific (positive feedback, religious support, new experiences, task setting, exploring alternatives and relationship reconciliation) intervening strategies were identified. Whether the intervening strategies would be effective would depend on patients' openness and readiness; healthcare professionals' self-awareness, hopefulness, and interest in knowing the patients; and a trusting relationship between patients and healthcare professionals. A sense of peace in patients was considered a consequence of successful interventions. Conclusion., This paper acknowledges the lack of an accepted conceptual framework of existential distress in patients with advanced cancer. It is based on healthcare professionals' views, and further studies from the perspectives of patients and their families are needed. [source] Parameter estimation in selected populations with missing dataJOURNAL OF ANIMAL BREEDING AND GENETICS, Issue 2 2009G. Yagüe-Utrilla Summary This study proposes a procedure to estimate genetic parameters in populations where a selection process results in the loss of an unknown number of observations. The method was developed under the Bayesian inference scope following the missing data theory approach. Its implementation requires slight modifications to the Gibbs sampler algorithm. In order to show the efficiency of this option, a simulation study was conducted. [source] Supervising medication administration by undergraduate nursing students: influencing factorsJOURNAL OF CLINICAL NURSING, Issue 5-6 2010Kerry Reid-Searl Background., The administration of medication is an important skill nursing students need to learn in the clinical setting to develop safe practices. Legally within Queensland, registered nurses are required to provide personal supervision for this process. Research undertaken by the authors suggests the supervision students receive frequently falls short of what is legally required. Aims and objectives., The aim of the study was to examine the factors that influence the experiences of final-year undergraduate nursing students when administering medications in the clinical setting. Design., A grounded theory approach was used with constant comparative analysis to identify categories from the data. Methods., The experiences of final-year nursing students were explored using a grounded theory approach. In-depth, semi-structured interviews were conducted with 28 final-year undergraduate nursing students in Queensland, Australia. Results., Supervision was found to be the central issue influencing medication administration for students. Three main factors were identified as influencing the supervision provided by registered nurses: attitudes of the registered nurse, communication from the university, and busyness and having time. Conclusions., The extent to which registered nurses provide direct supervision to nursing students when administering medication is influenced by factors inherent within the clinical environment. Relevance to clinical practice., The factors influencing the supervision provided by registered nurses needs further exploration that effective strategies can be implemented to ensure safe practices in relation to medication administration can be implemented. [source] Never-ending making sense: towards a substantive theory of the information-seeking behaviour of newly diagnosed cancer patientsJOURNAL OF CLINICAL NURSING, Issue 11 2007Eilis McCaughan BSc Aim., The aim of this paper was to report a study which explored the information-seeking behaviour of patients newly diagnosed with cancer in the immediate postdiagnosis period. Background., Information is an important tool for cancer patients. There is evidence that patients' information needs are not being adequately met and, in many cases, patients often do not recall much information at the time of diagnosis. Method., Using a grounded theory approach, a theoretical sample of 27 newly diagnosed patients was interviewed in their own homes. Data were analysed using grounded theory analysis procedures. Results., A substantive theory describing the transitions from ,being traumatized' by the diagnosis, through a phase of trying to ,take it on', through to ,taking control' is tentatively offered. It provides a theoretical framework to understand newly diagnosed cancer patients' changing, varied and continuing needs and their efforts to regain some control over their lives. Their information-seeking behaviour seemed a journey of ,never-ending making sense' with ongoing discovery and new information needs as they struggled with the effects of the disease and treatments. Conclusions., The processes and stages identified in this study provide nurses with a framework to assess the readiness of patients to receive information and to assist them in their efforts to regain some control over their disease and their lives. Relevance to clinical practice., Health professionals need to be aware of these stages, to be equipped to assess the need of individuals for information and support. [source] Patients and nurses' perceptions of ward environmental factors and support systems in the care of suicidal patientsJOURNAL OF CLINICAL NURSING, Issue 1 2006Fan-Ko Sun PhD Aims., The aims of this paper are to present and discuss the findings that emerged from a qualitative study exploring nurses and patients' views of the acute psychiatric ward (the context) and the type of care received (the intervening conditions). Background., The phenomenon of suicide and the nursing care of people who are suicidal have previously been investigated. However, literature demonstrates that there is a dearth of information exploring the importance of the ward context in the care of suicidal patients and the intervening conditions that are used by professionals in the care of suicidal patients. Method., Qualitative research using the grounded theory approach. Data collection and analysis., Fifteen patients who had either suicidal ideas or had attempted suicide and 15 psychiatric nurses were interviewed and observed. Data were analysed using open, axial and selective coding. Findings., A substantive theory of suicide-nursing care was developed. For the purpose of this paper, the two categories that emerged in the ,context' element of the paradigm model are explored. They were: team working and the psychiatric ward environment. In addition, the four categories from the ,intervening conditions' are discussed. They were: nurses' attitudes and beliefs have an effect on caring, barriers to caring, patients' negative thoughts and feelings about the care provided and support systems. Conclusion., The findings indicated that the context of the ward environment and the intervening conditions used by nurses in the nursing care of suicidal patients helped to define some of the complex dynamics that impacted on the development of a therapeutic relationship within the practice of suicide-nursing care. Relevance to clinical practice., Environmental factors as well as the nurses' knowledge and skills and the type of support patients receive impact on the care of suicidal patients. These findings could help to enhance and advance suicide-nursing care. [source] |