Little is known about how healthcare providers (HCPs) in Canada manage mental health claims and the return to work (RTW) of injured workersOBJECTIVE:To examine HCPs' experience and challenges on the ...treatment of mental health conditions (MHCs) in the context of Workers' Compensation (WC) processes and their involvement in RTW.
Ninety-seven interviews with HCPs (general practitioners, n = 59; allied HCPs, n = 19; specialists, n = 19) were conducted in British Columbia, Manitoba, Ontario and Newfoundland. A thematic content analysis was used to analyze interviews.
HCPs reported that while RTW is extolled at virtually all costs by WC boards, they did not always see it as beneficial. Most HCPs were convinced that successful recovery and RTW depend on being aware of how mental and physical health is intertwined and treating both issues. Organizational barriers within WC processes and adversarial relationships between injured workers (IWs) and WC boards made it difficult for HCPs to adequately treat patients and facilitate RTW. Dealing with IWs' MHCs and their emotional distress due to 'going through WC systems' was challenging.
WC boards must identify how policies can be modified to mitigate compensation processes and RTW for WC claimants with MHC.
In the qualitative research world, one can use a method called meta-synthesis to interpretively assess a compiled body of literature on a specific topic, though it has seen little application in ...business research let alone in management information systems scholarship. However, because methods for qualitative inquiry have gained more popularity in the information systems discipline, this method holds great promise in supporting efforts toward theoretical generalization for qualitative researchers. Accordingly, in this paper, we present a methodological tutorial on the nature and practice of analytically synthesizing a body of qualitative research for developing and explicating theory.
This article illustrates and invites into a shared (ad)venture and process of collaborative inquiry inspired by taking the concepts of “becoming” and “thisness” both seriously and joyfully. ...Collaborative and embodied research practices between four academics in the intersection of arts, education, and artistic/post qualitative research affect the multiple processes of knowing: What and how we come to know, what we ask, and how we approach our work and each other, and others in the academia. In this process/article, we wonder, how material and immaterial encounters entangle with/in writing, how subjectivities become smooth(er), and how knowing turns toward open-ended movements.
Los fraudes financieros asociados a la crisis económica se han manifestado en los países desarrollados con efectos en la salud física, psíquica y social de las personas afectadas. A partir de los ...estudios cuantitativos y las revisiones de la literatura, este trabajo pretende obtener evidencias sobre los efectos en la salud a través de la narrativa de las personas entrevistadas. Se ha obtenido una muestra intencional de 32 personas afectadas por fraudes financieros (hipotecas abusivas y multidivisa, participaciones preferentes y swap) en Madrid, para realizar un análisis del contenido. Las personas afectadas tienen, en general, unas condiciones de edad, sexo, nivel educativo y profesión que les pueden haber permitido, en su curso de vida, acumular recursos económicos para suscribir productos financieros devenidos fraudulentos, basados en la confianza en las instituciones financieras. El fraude ha propiciado la aparición de procesos de anomia, agrandados con el tiempo, que se manifiestan con dolencias físicas (diversas enfermedades) y síntomas y patologías mentales (ansiedad, depresión, ideas de suicidio), que afectan al modo de vida, los hábitos y las relaciones personales y sociales, y que llegan a afectar a otros miembros de la familia. El aumento del consumo de fármacos y del uso de servicios de salud sirve de corolario al desajuste producido en su salud. Las personas afectadas y la sociedad española en su conjunto demandan medidas de política pública sanitaria para su atenuación y la recuperación de su confianza en el sistema bancario y político.
During the economic crisis, developed countries have experienced financial fraud, with effects on the physical and mental health of the people affected, and on social domains. Based on the theoretical framework in literature reviews and in quantitative studies, this paper aims to obtain evidence on the effects of financial fraud on health and on the family and social environments of those affected. An intentional sample of 32 people affected by abusive and multi-currency mortgages, preferred and swap stock in Madrid was approached. In-depth interviews were conducted, and the resulting data was analysed using content analysis. Fraud-affected individuals had conditions of age, sex, educational level and occupations that possibly allowed them to accumulate economic resources throughout the course of their lives and, predictably in many cases, to take out fraudulent financial products, based on trust in the financial institutions. Financial fraud has led to the emergence of various processes of anomia and adverse health effects. The consequences on health were physical ailments (symptoms and diseases in various systems and parts of the body) and mental disorders (anxiety, depression, suicidal ideation), all affecting lifestyles, behaviour and personal and social relationships, both in affected individuals and their families. The increase in the use of medical drugs and health services serves as a final corollary to the imbalances on the affected people's health. Individuals and the Spanish society demand public health policy measures to mitigate the effects on health and the recovery of their confidence in the banking and political system.
Con su eclosión a principios de siglo, la prensa gratuita convulsionó el panorama mediáticoy obligó a la prensa de pago a cambios formales y editoriales. A partir de siete entrevistas enprofundidad a ...los responsables de 20 Minutos, este trabajo describe la organización y el contenidode este diario gratuito, el primero en fusionar en España las redacciones de papel y web. Estafusión supuso cambios de organización en la redacción y alteraciones formales en el contenido,antes incluso de la llegada de las redes sociales. 20 minutos, más que como un medio clásico deinformación, se entiende mejor como un organizador de noticias. Su variedad temática, consecciones transversales, se pueden contemplar hoy en día en los home de los diarios nativosdigitales. La interactividad se incrementa con la gestación de los géneros dialógicos, comochats, encuestas entre los lectores o entrevista online en directo. Los resultados también muestranla incidencia en el producto de la ausencia de una línea editorial politizada o que la propietaria de laempresa sea un importante grupo de comunicación de origen noruego. La posibilidad, porprimera vez, de conocer al instante el tráfico de cada noticia en la página web condicionanel periódico de papel del día siguiente. Se puede concluir que el carácter pionero de 20 Minutospropició cambios formales y estructurales en el quehacer periodístico que se trasladarona la prensa online y que perduran en el tiempo, como el poder del click, el engagement o una agendasetting más extensa, y espacios más dialógicos que suscitan el interés del lector.
In this study, an ambiguous loss framework as described by Boss (1999, Ambiguous loss: Learning to live with unresolved grief, First Harvard University Press, Cambridge, MA) was used to examine and ...understand the family experiences of Mexican immigrant agricultural workers in Minnesota. Transcripts from interviews with 17 workers in Minnesota and 17 family members in Mexico were analyzed using qualitative methodology to identify experiences of ambiguous loss in the participants' narratives. Key dimensions of ambiguous loss identified in the transcripts include: psychological family, feelings of chronic/recurring loss, finding support, and meaning making. In the category of psychological family, participants in both Mexico and the United States mourned the physical absence of their family members and experienced ambiguity regarding family responsibilities, but worked to maintain their psychological roles within the family. In the category of chronic/recurring loss, participants in both countries experienced chronic worry from not knowing if family members were safe, ambiguity regarding when the immigrant would return, and chronic stressors that compounded these feelings of loss. Participants in both countries coped with both real and ambiguous losses by accessing family support and by using ambiguous communication to minimize worry. Participants in Mexico also accessed work and community‐based support. Participants in both countries made meaning of the ambiguous loss by identifying ways their lives were improved and goals were met as a result of the immigration for agricultural work in Minnesota.
Cuando un familiar viaja al extranjero por motivos laborales, todos los miembros de la familia sienten incertidumbre debido a que los roles y las relaciones cambian. La distancia geográfica dentro de las familias está asociada con la disminución del contacto frecuente y del apoyo cercano, por eso sus integrantes pueden sentir ambivalencia, pérdida y dolor con respecto a la modificación de sus relaciones (Sands & Roer‐Strier, 2004; Senyurekli & Detzner, 2008). Incluso cuando la familia recibe beneficios económicos de la migración, es posible que consideren dichos beneficios dentro del contexto de la pérdida (Rose & Hiller, 2007). Además, las familias transnacionales pueden sentir ambigüedad con respecto a la seguridad de los miembros de la familia, al papel que desempeñarían no solo ante una emergencia sino también en la vida diaria, y a la posibilidad o la fecha de reunificación. Las familias transnacionales no son un fenómeno nuevo. Sin embargo, los cambios de la economía mundial y las tecnologías disponibles han permitido el surgimiento de nuevas configuraciones y roles familiares más allá de las fronteras (p. ej.: cuidadoras que emigran por trabajo, niños que emigran con fines educativos, y participación transnacional en la crianza de los hijos), lo cual exige nuevas investigaciones sobre las relaciones dentro de las familias transnacionales (Trask, 2013). El propósito de este estudio es analizar la ambigüedad que sienten las familias transnacionales de los trabajadores agrarios inmigrantes de Minnesota y sus familias de México.
当一个家庭成员因为工作关系进行跨国旅行,所有的家庭成员都会面临因关系和角色转变带来的不确定性。家庭内部的地理距离与较少联系和密切支持有关。家庭成员会因此感到由关系转变引起的矛盾,失落和痛苦 (Sands&Roer‐Strier, 2004; Senyurekli&Detzner, 2008). 即使家庭因为某一成员的移徙得到经济上的收益,他们也会在失落的背景下看待这些收益 (Rose&Hiller, 2007). 此外,跨国家庭可能经历有关家庭成员安全,在紧急事件中和日常生活中角色,及团圆的可能性和日期方面的模糊感。跨国家庭不是一个新现象。然而,全球经济和科技的转变使跨边界的,新的家庭格局和家庭角色的出现成为可能 (例如,女性照顾者因为找工作而移徙,儿童为受教育而移徙,家长为照顾孩子而进行跨国移徙). 因而我们需要有新的关于跨国家庭内部关系的研究(Trask,2013). 本项研究的目的是探讨明尼苏达州移民农业工人和他们在墨西哥的家人所经历的跨国家庭内部模糊感。
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Objetivo. Comprender las dinámicas mediante las cuales los pacientes significan su experiencia de la depresión. Metodología. Se utilizó una metodología cualitativa, basada en la Teoría Fundamentada. ...Se realizaron entrevistas semiestructuradas a 10 pacientes diagnosticados de un trastorno del ánimo con episodio depresivo, por el que habían estado en tratamiento psicoterapéutico previamente. Las entrevistas fueron analizadas desde un enfoque descriptivo-relacional, para reconocer las principales unidades temáticas referidas por los participantes y luego identificar sus relaciones y significados subyacentes. Resultados. El significado de la experiencia de la depresión se reveló como un proceso denominado “Construcción subjetiva de la experiencia de la depresión”, caracterizado por tres momentos. (1) “La experiencia de un malestar sin nombre”; (2) “Anclaje de la experiencia del paciente en la palabra depresión”; (3) “Apropiación de la experiencia de la depresión”. Conclusión. la experiencia de la depresión se presenta como un proceso dinámico de interacción entre el malestar subjetivo y la construcción de significados asociados a él; transitando de una experiencia desconcertante observada en el cuerpo, el ánimo y/o lo conductual, hacia una experiencia elaborable discursivamente, a través de una referencia semántica (depresión) que integra los significados y origina un proceso de apropiación de lo que implica para cada individuo tener depresión o estar deprimido.
The primary objective of the study reported in this paper was to look at the use of qualitative methodology in ergonomics research and practice. Qualitative methodology itself was chosen as a ...compatible approach to explore these aims, with ergonomics being seen as a socially situated practice. Semi-structured interviews were carried out using a prompt sheet which developed iteratively during the study. A four stage sampling procedure was used to gain access to 21 interviewees. These stages were (1) spreading the net (purposive sampling), (2) following up leads (snowball sampling), (3) focussing (intensity sampling), and (4) analysis sampling to seek out extreme/deviant cases. A total of 12 academics and 9 practitioners were interviewed from all areas of ergonomics, including cognitive (psychology), product design, engineering, human and health sciences, organisational management and sociology. The findings are represented by a model showing the interactions between multiple dimensions, including academia/practice, qualitative/quantitative and the internal and external environments of ergonomics. There was considerable interest in expanding the ergonomics toolbox to include qualitative methodology. However concerns were raised about a perceived lack of knowledge with respect to the process, which could be addressed through education and reflective practice.
In enacting a quasi-ecological approach to observing young children at both home and school, this study explored young participants' drawing transactions in and out of school in diverse communities ...around the globe. We applied a qualitative, visual, 'Day in the Life' methodology that films one full Day in their Lives. Using examples of children drawing during their Day, we documented how school and home are contexts populated by significant others whose belief systems impact upon the belief systems of the child. We also examined how drawing is used by children, teachers and family members in a collaborative and communicative manner as a powerful meaning-making tool.
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