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Full-Text Articles in Medicine and Health Sciences

Qualitative Health Research Involving Indigenous Peoples: Culturally Appropriate Data Collection Methods, Amy L. Wright, Olive Wahoush, Marilyn Ballantyne, Chelsea Gabel, Susan M. Jack Dec 2016

Qualitative Health Research Involving Indigenous Peoples: Culturally Appropriate Data Collection Methods, Amy L. Wright, Olive Wahoush, Marilyn Ballantyne, Chelsea Gabel, Susan M. Jack

The Qualitative Report

Historically, health research involving Indigenous peoples has been fraught with problems, including researchers not addressing Indigenous research priorities and then subsequently often failing to utilize culturally appropriate methods. Given this historical precedence, some Indigenous populations may be reluctant to participate in research projects. In response to these concerns, the Government of Canada has developed the Tri-Council Policy Statement (TCPS2): Research Involving the First Nations, Inuit and Métis Peoples of Canada, which stipulates the requirements for research collaborations with Indigenous communities. Utilizing this policy as an ethical standard for research practices, this paper describes, critiques and synthesizes the literature on culturally …


College Health Care Providers’ Student-Centered Care, Cheryl Ann Lambert, Julie Donovan Oct 2016

College Health Care Providers’ Student-Centered Care, Cheryl Ann Lambert, Julie Donovan

The Qualitative Report

Patient care in the university setting is indelibly connected to college health care providers. College health care providers adapt to a specific set of circumstances unique to the university context in their patient care roles. The authors therefore sought to investigate the patient care phenomenon from college health care providers’ lived experiences. The patient care phenomenon was explored via in-depth interviews with 11 college health care providers at universities in the Midwest and Northeast regions of the United States. The phenomenological theoretical framework of the study revealed five themes of patient care during data analysis: health education, behavioral health, student …


Impact Of Interviews On Heterosexual Students' Expressions Of Cultural Competency, Carol Isaac, Linda Behar-Horenstein Oct 2016

Impact Of Interviews On Heterosexual Students' Expressions Of Cultural Competency, Carol Isaac, Linda Behar-Horenstein

The Qualitative Report

The purpose of this qualitative study was to understand the effects of a cultural competency intervention on dental pre-doctoral students’ attitudes toward individuals of a different sexual orientation. 22 heterosexual students interviewed gay or lesbian individuals and wrote reflective text. Results illustrated that participants found that their interviewees had “surprisingly similar” beliefs and values – especially in the areas of religion and family. Because of their “similar values,” these students expressed respect toward their interviewees who were “so different” than themselves. This conclusion of “sameness” forced them to see homosexuals as people, rather than a stigmatized invisible outgroup, mitigating sexual …


Logistical Lessons Learned In Designing And Executing A Photo-Elicitation Study In The Veterans Health Administration, Michael A. Mitchell, Daniel O. Hedayati, Keri L. Rodriguez, Adam J. Gordon, Lauren M. Broyles, Gala True, Salva N. Balbale, James W. Conley Jul 2016

Logistical Lessons Learned In Designing And Executing A Photo-Elicitation Study In The Veterans Health Administration, Michael A. Mitchell, Daniel O. Hedayati, Keri L. Rodriguez, Adam J. Gordon, Lauren M. Broyles, Gala True, Salva N. Balbale, James W. Conley

The Qualitative Report

Participatory photography research methods have been used to successfully engage and collect in-depth information from individuals whose voices have been traditionally marginalized in clinical or research arenas. However, participatory photography methods can introduce unique challenges and considerations regarding study design, human subject protections, and other regulatory barriers, particularly with vulnerable patient populations and in highly regulated institutions. Practical guidance on navigating these complex, interrelated methodological, logistical, and ethical issues is limited. Using a case exemplar, we describe our experiences with the planning, refinement, and initiation of a research study that used photo-elicitation interviews to assess the healthcare experiences of homeless …


Evasions In Interactions: Examples From The Transcultural Nursing Research Field, Janice D. Crist Phd, Rn, Fngna, Faan, Heather Coats Ms, Aprn-Bc, Phd, Kay Lehman Rn, Msn, Cwocn, Isela Luna Rn, Phd, Ccm Jun 2016

Evasions In Interactions: Examples From The Transcultural Nursing Research Field, Janice D. Crist Phd, Rn, Fngna, Faan, Heather Coats Ms, Aprn-Bc, Phd, Kay Lehman Rn, Msn, Cwocn, Isela Luna Rn, Phd, Ccm

The Qualitative Report

Transcultural qualitative research is known for its utility in eliciting in-depth narratives, resulting in increased understanding about cultural phenomena. However, sometimes specific phenomena in the researcher’s inquiry are ignored, evaded, or denied; or a seemingly crucial experience demonstrating society’s unfairness, which the researcher had been expecting, does not emerge. In this paper, the issue of evasions in narratives is addressed, with two examples in which participants evaded the issue about which they were asked: perceptions of discrimination for aging adults of Mexican descent, and perceptions of living with life-limiting illnesses for aging African American adults. The Ethno-Cultural Gerontological Nursing Model …


A Recursive Frame Analysis Of Satir Through The Biopsychosocial Lens, Daniel Pelak Jun 2016

A Recursive Frame Analysis Of Satir Through The Biopsychosocial Lens, Daniel Pelak

The Qualitative Report

This study attempts to add to the understanding and metatheory of the therapeutic process through the analysis of a therapeutic session through the lens of the biopsychosocial model. The study examines which interventions were utilized, in what system, and during which stage of therapy. In order to accomplish this goal, a recursive frame analysis was utilized to track the different frames and interventions of Virginia Satir’s “Of Rocks and Flowers” training session. Results indicated that Satir operated at all three levels of the biopsychosocial system and utilized exploratory questions to assess the vicious cycle in Act I, in Act II …


Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt May 2016

Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt

The Qualitative Report

This study investigated the employment barriers and support needs of people living with psychosis. A purposive community sample of 137 volunteers drawn from six key stakeholder groups were invited to participate in focus groups and semi-structured individual interviews to elicit their perceptions on the employment barriers and support needs of people living with psychosis. The stakeholder groups included in this study were people with lived experience of schizophrenia or bipolar disorder, carers, health professionals, employers, employment service providers, and community members. Data obtained from 14 focus groups and 31 semi-structured individual interviews were transcribed, imported into NVivo 10, and coded …


The Components Of Attentiveness In Oncology Care, Klaartje Klaver, Andries Baart Apr 2016

The Components Of Attentiveness In Oncology Care, Klaartje Klaver, Andries Baart

The Qualitative Report

This article presents the first findings of a qualitative empirical study of caregivers' attentiveness in hospital oncology care. It takes a care ethical perspective, in which attentiveness is considered an indispensable element of good care. The data are derived from participant observation at the oncology department of a general hospital in the Netherlands. The analysis shows a descriptive exploratory model of attentiveness, which comprises a coherent set of the clusters perception (A), object finding (B), and space for attentiveness (C). The methodological output of this article is an important one: the presented descriptive model of attentiveness promotes further research into …


The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston Mar 2016

The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston

The Qualitative Report

More than seven million people of childbearing age in the United States experience infertility. Oftentimes, for women, the experience of infertility is stressful. The Fertility Problem Inventory (FPI) has been used to quantitatively measure women’s experience of infertility-related stress. However, the construct of infertility-related stress is poorly described in existing literature. The purpose of this case study was to understand how women experience the FPI as a measure of infertility-related stress. To address this issue, women who were undergoing infertility treatment completed the FPI and participated in unstructured interviews. Archival documents were also retrieved to corroborate findings and satisfy saturation. …


Veterans Treatment Courts: Pure Pretextualism Or A Venue For Veterans' Needs?, John William Erickson Jr. Jan 2016

Veterans Treatment Courts: Pure Pretextualism Or A Venue For Veterans' Needs?, John William Erickson Jr.

School of Criminal Justice Theses and Dissertations

The intended goals of Veterans Treatment Courts (VTCs) are consistent with what drove the establishment of Drug Courts and Mental Health Courts in the ‘90s. That is, a recognition that the traditional criminal justice system is geared toward punitive court dispositions; not the unique characteristics of addicts and/or mental health defendants (G. Lerner-Wren, personal communication, January 12, 2015). For example, In Dade County, Florida, a former U.S. Attorney, then the Dade County State Attorney, recognized that reform was necessary to avoid the criminalization of drug addiction; given the high prevalence of cocaine abuse. Today, U.S. Military Veterans returning from Iraq …


The Art Of Solution-Focused Brief Therapy: Experiential Training For Novice Therapists In Creative Collaborative Language, Lori Ann Pantaleao Jan 2016

The Art Of Solution-Focused Brief Therapy: Experiential Training For Novice Therapists In Creative Collaborative Language, Lori Ann Pantaleao

Department of Family Therapy Dissertations and Applied Clinical Projects

Novice solution-focused brief therapists often have difficulty delivering scaling questions within the languaging of their clients. To help beginning Solution-Focused Brief Therapy (SFBT) trainees, this researcher has created the metaphorically enhanced scaling question (MESQ) training program. By incorporating a meaning making system such as the metaphor, the scaling question becomes expressive and symbolic to the client and his or her own story. The MESQ objective is to assist novice therapists in facilitating the SFBT scaling question creatively through the use of metaphor. A metaphor is a created meaning isomorphic to its original meaning or experience. The metaphor will be co-constructed …


Sexual Attraction In The Therapy Room: An Exploration Of Licensed Marriage And Family Therapists’ Experiences And Training, Rafiah Prince Jan 2016

Sexual Attraction In The Therapy Room: An Exploration Of Licensed Marriage And Family Therapists’ Experiences And Training, Rafiah Prince

Department of Family Therapy Dissertations and Applied Clinical Projects

The client-therapist relationship is an essential part of therapy and is central in helping clients achieve therapeutic goals as the joining process facilitates the change process. However, in an effort to create a space for change, there is a possibility that professional boundaries may become blurred wherein a client may express a sexual attraction toward their therapist. To explore this phenomenon, the researcher employed convergent parallel mixed method design to explore the experiences of Licensed Marriage and Family Therapists (LMFTs) who have experienced sexual attraction from their clients. The study was conducted online through a secure forum. Implications for clients, …


An Exploration Of Home-Based Therapists’ Supervisory Experiences: A Phenomenological Inquiry, Cherre Camper Jan 2016

An Exploration Of Home-Based Therapists’ Supervisory Experiences: A Phenomenological Inquiry, Cherre Camper

Department of Family Therapy Dissertations and Applied Clinical Projects

In-home family therapy has become one of the most common options of treatment for providing services to families who do not typically utilize a private clinic (Lawson, 2005; Reiter, 2000; Yorgason, McWey, & Felts, 2005). Researchers have given some attention to the topic of home-based therapy and to general supervision, but little attention has focused on the actual supervision experiences of home-based therapy providers. This phenomenological study explored the supervision experiences of seven past and current in-home therapists: marriage and family therapists (MFTs) and social workers (MSWs). Semi-structured interviews were conducted with the participants, and data was analyzed to develop …


Social Grief: A Grounded Theory Of Utilizing Status Updates On Facebook As A Contemporary Ritual, Celese Catania-Opris Jan 2016

Social Grief: A Grounded Theory Of Utilizing Status Updates On Facebook As A Contemporary Ritual, Celese Catania-Opris

Department of Family Therapy Dissertations and Applied Clinical Projects

The popular Social Networking Site, Facebook, offers its users the ability tocommunicate with others from all over the globe. Individuals can create a virtual identity for themselves enabling members to call, message, and locate others in a matter of seconds. The number of Facebook users appears to increase; yet, the number of members who die daily is not normally accounted. Facebook now permits the memorialization ofthe deceased’s profile. This allows members to continue commenting, sharing photos and videos, and visiting the deceased’s Facebook page. This trend led to the central question of this study, “What benefits, if any, are individuals …


Electronic Medical Records (Emr): An Empirical Testing Of Factors Contributing To Healthcare Professionals’ Resistance To Use Emr Systems, Emmanuel Patrick Bazile Jan 2016

Electronic Medical Records (Emr): An Empirical Testing Of Factors Contributing To Healthcare Professionals’ Resistance To Use Emr Systems, Emmanuel Patrick Bazile

CCE Theses and Dissertations

The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced …