Understanding victims of identity theft: A grounded theory approach
- Turville, Kylie, Firmin, Sally, Yearwood, John, Miller, Charlynn
- Authors: Turville, Kylie , Firmin, Sally , Yearwood, John , Miller, Charlynn
- Date: 2010
- Type: Text , Conference paper
- Relation: 5th International Conference on Qualitative Research in IT and IT in Qualitative Research, QualIT 2010
- Full Text:
- Reviewed:
- Description: Being a victim of identity theft can be a devastating and life-changing event. Once the victim discovers the misuse they need to begin the process of recovery. For the "lucky" victims this may take only a couple of phone calls and a small amount of time; however, some victims may experience difficulties for many year. In order to recover, victims of crime require support and assistance; however, within Australia this support is sadly lacking. In order to identify the issues currently faced by victims of identity theft as they work through the recovery process, a Grounded Theory methodology was identified as most appropriate. This paper provides a brief overview of the history of the research project; a brief introduction of grounded theory with a focus on preconceived ideas and their implications; and a description of the research project currently being undertaken. A discussion of some issues experienced when using grounded theory within an IT department with very little experience of qualitative research will be provided, along with some preliminary results.
- Description: E1
- Authors: Turville, Kylie , Firmin, Sally , Yearwood, John , Miller, Charlynn
- Date: 2010
- Type: Text , Conference paper
- Relation: 5th International Conference on Qualitative Research in IT and IT in Qualitative Research, QualIT 2010
- Full Text:
- Reviewed:
- Description: Being a victim of identity theft can be a devastating and life-changing event. Once the victim discovers the misuse they need to begin the process of recovery. For the "lucky" victims this may take only a couple of phone calls and a small amount of time; however, some victims may experience difficulties for many year. In order to recover, victims of crime require support and assistance; however, within Australia this support is sadly lacking. In order to identify the issues currently faced by victims of identity theft as they work through the recovery process, a Grounded Theory methodology was identified as most appropriate. This paper provides a brief overview of the history of the research project; a brief introduction of grounded theory with a focus on preconceived ideas and their implications; and a description of the research project currently being undertaken. A discussion of some issues experienced when using grounded theory within an IT department with very little experience of qualitative research will be provided, along with some preliminary results.
- Description: E1
Being a parent, but not : the role of foster and kinship carers in supporting children and young people
- Authors: Cooper, Kimberlea
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: Home-based carers play an important role in the lives of children and young people. In Victoria, Australia, home-based care is now the most common form of alternative care, reflecting national and international trends. However, home-based care does currently face some challenges, such as shortages of carers. Therefore, strengthening this form of care through the training and support of foster and kinship carers is a key priority of Victoria’s reforms of child and family services. In the context of a university-industry collaboration, the current research drew upon the expertise of sixteen foster and kinship carers in the Central Highlands region of Victoria. Using constructivist grounded theory, the research sought to understand how carers support children and young people and how they see their role. In addition, the research sought carers’ perspectives on their interactions with the Out-of-Home Care (OOHC) system, including what they find supportive and challenging. The research revealed that home-based carers see some elements of their role as parenting, and others as going beyond parenting. The carers utilise principles of trauma-informed care to support children and young people, but do not experience trauma-informed support from the OOHC system. This discrepancy suggests that the implementation of trauma-informed care has the potential to increase pressure on home-based carers if it is only encouraged at the interpersonal level between carers and children and does not incorporate associated systems-level change. Therefore, this research proposes that whilst micro-level support and training for carers is necessary and useful, it is crucial to move beyond such initiatives to make macro-level reform. This research also raises doubts regarding the capacity of home-based care to become fully trauma-informed due to potential incompatibilities with the current risk-averse and deficit-oriented paradigm of the child protection system.
- Description: Doctor of Philosophy
- Authors: Cooper, Kimberlea
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: Home-based carers play an important role in the lives of children and young people. In Victoria, Australia, home-based care is now the most common form of alternative care, reflecting national and international trends. However, home-based care does currently face some challenges, such as shortages of carers. Therefore, strengthening this form of care through the training and support of foster and kinship carers is a key priority of Victoria’s reforms of child and family services. In the context of a university-industry collaboration, the current research drew upon the expertise of sixteen foster and kinship carers in the Central Highlands region of Victoria. Using constructivist grounded theory, the research sought to understand how carers support children and young people and how they see their role. In addition, the research sought carers’ perspectives on their interactions with the Out-of-Home Care (OOHC) system, including what they find supportive and challenging. The research revealed that home-based carers see some elements of their role as parenting, and others as going beyond parenting. The carers utilise principles of trauma-informed care to support children and young people, but do not experience trauma-informed support from the OOHC system. This discrepancy suggests that the implementation of trauma-informed care has the potential to increase pressure on home-based carers if it is only encouraged at the interpersonal level between carers and children and does not incorporate associated systems-level change. Therefore, this research proposes that whilst micro-level support and training for carers is necessary and useful, it is crucial to move beyond such initiatives to make macro-level reform. This research also raises doubts regarding the capacity of home-based care to become fully trauma-informed due to potential incompatibilities with the current risk-averse and deficit-oriented paradigm of the child protection system.
- Description: Doctor of Philosophy
Patients’ experiences of acute deterioration and Medical Emergency Team (MET) encounter : a grounded theory study
- Authors: Chung, Catherine
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: Globally, considerable effort has been made to ensure hospital patients whose clinical condition deteriorates receive timely and appropriate care. Research suggests that hospitals have increasing numbers of patients who are more likely to become seriously ill during their admission due to complex problems. Recently, patient experience has been recognised as a means of assessing healthcare delivery with healthcare services across the world gathering patient experience or satisfaction data. Acute deterioration is unique and complex for all involved. However, little is known about this experience from the patient’s perspective. The purpose of this study was to generate theory about processes patients engage in when experiencing acute deterioration and MET encounter. Also, the research aimed to recognise and explain the factors that mediate patients’ experiences. The findings of this study contribute to a growing body of knowledge that will improve patient care and practice guidelines for healthcare professionals. Underpinned by the theoretical framework of symbolic interactionism, grounded theory was employed for this study. From it ontological, epistemological, and methodological underpinnings, constructivist grounded theory was considered the most suitable approach. Using purposive sampling, in-depth semi-structured interviews were conducted with 27 patients across three Australian healthcare services. Data were collected over a 12-month period, between May 2018 – May 2019 and analysed using constant comparative analysis. The theoretical model ‘Unravelling a complex experience: contextualising patients’ experiences of acute clinical deterioration and Medical Emergency Team (MET) encounter’ emerged, offering a possible explanation of patients’ actions and processes. Most patients began their journeys feeling something was wrong which triggered emotional changes (experiencing changes-before the encounter). Patient experience was influenced by a combination of physical and psychological changes and a MET response (perceiving the reality - the encounter). After the MET encounter, some patients searched for deeper understandings about their illnesses and the events that occurred, whereas others managed without further reflection (reflecting on the event-after the encounter). Contextual conditions emerged influencing patients’ experiences with three broad mediating factors identified. Some participants identified that their acute deterioration and subsequent MET encounter was unexpected, and they perceived the nature of their illness (before their acute deterioration) as stable, based on what they had been told by medical staff (expectations and illness perception). Many participants acknowledged that their experience was dependent on the health care professionals who were caring for them at the time (relationship with the MET). Past experiences of illness and hospitalisation played an important role in participants’ abilities to conceptualise their experiences of acute deterioration and MET encounter (past experiences). These factors exerted a significant influence on participants’ experiences and helps to explain the differences between them. Unravelling a complex experience: Conceptualising patients’ experiences of acute deterioration and MET encounter offers a possible explanation of patients’ meanings, actions and processes when experiencing acute deterioration and MET encounter. The theory leads to recommendations that healthcare organisations gather data about patients’ experiences of acute deterioration and MET encounters, as these provide insights and opportunity to identify challenges that can be addressed.. Findings provide an explanatory framework for similar phenomena and increase awareness of patients’ experiences to ultimately inform health policy and improve patient care. The findings highlight the need for healthcare services to instigate strategies that support patients who have experienced acute deterioration. Further research could evaluate the effectiveness of implemented strategies.
- Description: Doctor of Philosophy
- Authors: Chung, Catherine
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: Globally, considerable effort has been made to ensure hospital patients whose clinical condition deteriorates receive timely and appropriate care. Research suggests that hospitals have increasing numbers of patients who are more likely to become seriously ill during their admission due to complex problems. Recently, patient experience has been recognised as a means of assessing healthcare delivery with healthcare services across the world gathering patient experience or satisfaction data. Acute deterioration is unique and complex for all involved. However, little is known about this experience from the patient’s perspective. The purpose of this study was to generate theory about processes patients engage in when experiencing acute deterioration and MET encounter. Also, the research aimed to recognise and explain the factors that mediate patients’ experiences. The findings of this study contribute to a growing body of knowledge that will improve patient care and practice guidelines for healthcare professionals. Underpinned by the theoretical framework of symbolic interactionism, grounded theory was employed for this study. From it ontological, epistemological, and methodological underpinnings, constructivist grounded theory was considered the most suitable approach. Using purposive sampling, in-depth semi-structured interviews were conducted with 27 patients across three Australian healthcare services. Data were collected over a 12-month period, between May 2018 – May 2019 and analysed using constant comparative analysis. The theoretical model ‘Unravelling a complex experience: contextualising patients’ experiences of acute clinical deterioration and Medical Emergency Team (MET) encounter’ emerged, offering a possible explanation of patients’ actions and processes. Most patients began their journeys feeling something was wrong which triggered emotional changes (experiencing changes-before the encounter). Patient experience was influenced by a combination of physical and psychological changes and a MET response (perceiving the reality - the encounter). After the MET encounter, some patients searched for deeper understandings about their illnesses and the events that occurred, whereas others managed without further reflection (reflecting on the event-after the encounter). Contextual conditions emerged influencing patients’ experiences with three broad mediating factors identified. Some participants identified that their acute deterioration and subsequent MET encounter was unexpected, and they perceived the nature of their illness (before their acute deterioration) as stable, based on what they had been told by medical staff (expectations and illness perception). Many participants acknowledged that their experience was dependent on the health care professionals who were caring for them at the time (relationship with the MET). Past experiences of illness and hospitalisation played an important role in participants’ abilities to conceptualise their experiences of acute deterioration and MET encounter (past experiences). These factors exerted a significant influence on participants’ experiences and helps to explain the differences between them. Unravelling a complex experience: Conceptualising patients’ experiences of acute deterioration and MET encounter offers a possible explanation of patients’ meanings, actions and processes when experiencing acute deterioration and MET encounter. The theory leads to recommendations that healthcare organisations gather data about patients’ experiences of acute deterioration and MET encounters, as these provide insights and opportunity to identify challenges that can be addressed.. Findings provide an explanatory framework for similar phenomena and increase awareness of patients’ experiences to ultimately inform health policy and improve patient care. The findings highlight the need for healthcare services to instigate strategies that support patients who have experienced acute deterioration. Further research could evaluate the effectiveness of implemented strategies.
- Description: Doctor of Philosophy
Contextual factors influencing patients' experiences of acute deterioration and medical emergency team (MET) encounter : a grounded theory study
- Chung, Catherine, McKenna, Lisa, Cooper, Simon
- Authors: Chung, Catherine , McKenna, Lisa , Cooper, Simon
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Advanced Nursing Vol. 78, no. 12 (2022), p. 4062-4070
- Full Text:
- Reviewed:
- Description: Aim: This paper explores the personal, social and structural factors that influence patients' experiences of acute deterioration and medical emergency team (MET) encounter. Background: Patient experience is recognized as a means of assessing healthcare delivery with a positive experience being linked to high-quality healthcare, improved patient safety and reduced length of stay. The experience of acute deterioration is unique, extensive and complex. However, little is known about this experience from the patient's perspective. Design: Constructivist grounded theory, informed by Kathy Charmaz, was used to explore the personal, social and structural factors that influence patients' experiences of acute deterioration and MET encounter. Methods: Using a semi-structured interview guide, in-depth individual interviews were conducted with 27 patients from three healthcare services in Victoria, Australia. Data were collected over a 12-month period from 2018 to 2019. Interview data were analysed using grounded theory processes. Findings: Contextual factors exert a powerful influence on patients' experiences of acute deterioration and MET encounter. The most significant factors identified include patients' expectations and illness perception, relationship with healthcare professionals during MET call and past experiences of acute illness. The expectations and perceptions patients had about their disease can condition their overall experience. Healthcare professional–patient interactions can significantly impact quality of care, patient experience and recovery. Patients' experiences of illness and healthcare can impact a person's future health-seeking behaviour and health status. Conclusion: Patients' actions and processes about their experiences of acute deterioration and MET encounter are the result of the complex interface of contextual factors. Impact: The findings from this study have highlighted the need for revised protocols for screening and management of patients who experience acute deterioration. © 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
- Authors: Chung, Catherine , McKenna, Lisa , Cooper, Simon
- Date: 2022
- Type: Text , Journal article
- Relation: Journal of Advanced Nursing Vol. 78, no. 12 (2022), p. 4062-4070
- Full Text:
- Reviewed:
- Description: Aim: This paper explores the personal, social and structural factors that influence patients' experiences of acute deterioration and medical emergency team (MET) encounter. Background: Patient experience is recognized as a means of assessing healthcare delivery with a positive experience being linked to high-quality healthcare, improved patient safety and reduced length of stay. The experience of acute deterioration is unique, extensive and complex. However, little is known about this experience from the patient's perspective. Design: Constructivist grounded theory, informed by Kathy Charmaz, was used to explore the personal, social and structural factors that influence patients' experiences of acute deterioration and MET encounter. Methods: Using a semi-structured interview guide, in-depth individual interviews were conducted with 27 patients from three healthcare services in Victoria, Australia. Data were collected over a 12-month period from 2018 to 2019. Interview data were analysed using grounded theory processes. Findings: Contextual factors exert a powerful influence on patients' experiences of acute deterioration and MET encounter. The most significant factors identified include patients' expectations and illness perception, relationship with healthcare professionals during MET call and past experiences of acute illness. The expectations and perceptions patients had about their disease can condition their overall experience. Healthcare professional–patient interactions can significantly impact quality of care, patient experience and recovery. Patients' experiences of illness and healthcare can impact a person's future health-seeking behaviour and health status. Conclusion: Patients' actions and processes about their experiences of acute deterioration and MET encounter are the result of the complex interface of contextual factors. Impact: The findings from this study have highlighted the need for revised protocols for screening and management of patients who experience acute deterioration. © 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Undergraduate nursing students’ team communication skills within a simulated emergency setting : a grounded theory study
- Authors: Bourke, Sharon
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Recognising and managing clinical deterioration is considered a high priority in health care with ineffective communication being a significant contributing factor to poor clinical outcomes for patients. Nurses are in a unique position to make a difference in influencing improvements in team communication. In Australia, nurse education has become more complicated and demanding with nursing students focus on behaviour skills, such as communication, becoming more difficult in a saturated curriculum. Simulation-based education has provided an experiential way to learn these complex skills. Although there has been much work in the healthcare literature on clinical teamwork, including communication and its intersection with patient safety, there is still a gap in explaining how individuals within the team contribute to communication. The purpose of this study was to explore and explain how nursing students communicate in simulated emergency settings and how factors, such as culture, language, gender, age and power, affect nursing students’ team communication. This study investigated how transitioning nursing students are prepared with the necessary skills to achieve effective team communication at the point of transition to clinical practice as registered nurses. In order to address the aims of the study, a constructivist grounded theory methodology, informed by Kathy Charmaz (2006), was employed. Using purposive sampling, third year nursing students were recruited from one Australian university, to undertake a structured team simulation experience. Participants worked in teams of three or four to experience the team communication whilst working together to care for a deteriorating patient in the form of a mannequin. Simulations were video recorded after which individual, in-depth, semi-structured interviews were conducted with 21 participants. In line with a grounded theory approach, data collection and analysis were conducted concurrently until theoretical saturation was achieved. In response to the central problem of how nursing students communicate in simulated emergency settings, a core process was established that explained the factors that affect team communication. This problem is conceptualised as Navigating uncertainty: Explaining communication of nursing students within an emergency setting. This theoretical construct helps to explain nursing students’ actions and insights into factors that influence their communication within emergency teams. The core process is represented in three transitional stages of the theory comprising: Finding a place in the team, Understanding and working out differences and Looking to the future: Developing strategies to improve communication. This process was mediated by contextual conditions of the student, the simulation and the team. The phases are reinforced by the three main categories of Having a place in the team, Knowing yourself, and Transitioning from student to registered nurse. These categories represent the key activities that nursing students were engaged with that led to the development of the core category and process. The generated findings and theory offer valuable insights into factors that influence team communication skills within emergency settings. The theory raises awareness of social processes undertaken by nursing students during team communication, and highlights obstacles that can assist educators and academics to structure team communication education to better meet the needs of nursing students transitioning to practice settings.
- Description: Doctor of Philosophy
- Authors: Bourke, Sharon
- Date: 2022
- Type: Text , Thesis , PhD
- Full Text:
- Description: Recognising and managing clinical deterioration is considered a high priority in health care with ineffective communication being a significant contributing factor to poor clinical outcomes for patients. Nurses are in a unique position to make a difference in influencing improvements in team communication. In Australia, nurse education has become more complicated and demanding with nursing students focus on behaviour skills, such as communication, becoming more difficult in a saturated curriculum. Simulation-based education has provided an experiential way to learn these complex skills. Although there has been much work in the healthcare literature on clinical teamwork, including communication and its intersection with patient safety, there is still a gap in explaining how individuals within the team contribute to communication. The purpose of this study was to explore and explain how nursing students communicate in simulated emergency settings and how factors, such as culture, language, gender, age and power, affect nursing students’ team communication. This study investigated how transitioning nursing students are prepared with the necessary skills to achieve effective team communication at the point of transition to clinical practice as registered nurses. In order to address the aims of the study, a constructivist grounded theory methodology, informed by Kathy Charmaz (2006), was employed. Using purposive sampling, third year nursing students were recruited from one Australian university, to undertake a structured team simulation experience. Participants worked in teams of three or four to experience the team communication whilst working together to care for a deteriorating patient in the form of a mannequin. Simulations were video recorded after which individual, in-depth, semi-structured interviews were conducted with 21 participants. In line with a grounded theory approach, data collection and analysis were conducted concurrently until theoretical saturation was achieved. In response to the central problem of how nursing students communicate in simulated emergency settings, a core process was established that explained the factors that affect team communication. This problem is conceptualised as Navigating uncertainty: Explaining communication of nursing students within an emergency setting. This theoretical construct helps to explain nursing students’ actions and insights into factors that influence their communication within emergency teams. The core process is represented in three transitional stages of the theory comprising: Finding a place in the team, Understanding and working out differences and Looking to the future: Developing strategies to improve communication. This process was mediated by contextual conditions of the student, the simulation and the team. The phases are reinforced by the three main categories of Having a place in the team, Knowing yourself, and Transitioning from student to registered nurse. These categories represent the key activities that nursing students were engaged with that led to the development of the core category and process. The generated findings and theory offer valuable insights into factors that influence team communication skills within emergency settings. The theory raises awareness of social processes undertaken by nursing students during team communication, and highlights obstacles that can assist educators and academics to structure team communication education to better meet the needs of nursing students transitioning to practice settings.
- Description: Doctor of Philosophy
Instructors’ perceptions of the development of work-readiness through simulations
- Faisal, Nadia, Chadhar, Mehmood, Goriss-Hunter, Anitra, Stranieri, Andrew
- Authors: Faisal, Nadia , Chadhar, Mehmood , Goriss-Hunter, Anitra , Stranieri, Andrew
- Date: 2022
- Type: Text , Conference paper
- Relation: 33rd Australasian Conference on Information Systems: The Changing Face of IS, ACIS 2022, Melbourne, 4-7 December 2022, ACIS 2022 - Australasian Conference on Information Systems, Proceedings
- Full Text:
- Reviewed:
- Description: The global ERP software market is expected to reach $117.09 billion by 2030 (Biel, July 12, 2022). To boost graduate work-readiness, Australian institutions are adopting new pedagogical strategies by familiarising Information systems (IS) students with this highly sought-after software. One of these techniques is simulation games that provide students with a risk-free, real-world simulation of popular software to develop soft and hard skills needed by the IS industry. This exploratory study employed the Grounded Theory approach to evaluate instructors' perceptions of the influence of simulation games on the work-readiness of information systems students. We conducted semi-structured interviews with (Enterprise Resource Planning Simulation) ERPsim game laboratory instructors. The authors utilised Work Readiness Integrated Competency Model to map the three learning outcomes from the interviews’ analysis: abilities, knowledge, and attitudes. The mapping demonstrated that simulation games could support the development of specific skills and attitudes needed by the information systems sector. Copyright © 2022 Faisal, Chadhar, Goriss-Hunter & Stranieri.
- Authors: Faisal, Nadia , Chadhar, Mehmood , Goriss-Hunter, Anitra , Stranieri, Andrew
- Date: 2022
- Type: Text , Conference paper
- Relation: 33rd Australasian Conference on Information Systems: The Changing Face of IS, ACIS 2022, Melbourne, 4-7 December 2022, ACIS 2022 - Australasian Conference on Information Systems, Proceedings
- Full Text:
- Reviewed:
- Description: The global ERP software market is expected to reach $117.09 billion by 2030 (Biel, July 12, 2022). To boost graduate work-readiness, Australian institutions are adopting new pedagogical strategies by familiarising Information systems (IS) students with this highly sought-after software. One of these techniques is simulation games that provide students with a risk-free, real-world simulation of popular software to develop soft and hard skills needed by the IS industry. This exploratory study employed the Grounded Theory approach to evaluate instructors' perceptions of the influence of simulation games on the work-readiness of information systems students. We conducted semi-structured interviews with (Enterprise Resource Planning Simulation) ERPsim game laboratory instructors. The authors utilised Work Readiness Integrated Competency Model to map the three learning outcomes from the interviews’ analysis: abilities, knowledge, and attitudes. The mapping demonstrated that simulation games could support the development of specific skills and attitudes needed by the information systems sector. Copyright © 2022 Faisal, Chadhar, Goriss-Hunter & Stranieri.
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