WCQR2018: 3RD WORLD CONFERENCE ON QUALITATIVE RESEARCH
PROGRAM FOR THURSDAY, OCTOBER 18TH
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09:20-09:30 Opening WCQR2018

Filomena Gaspar - Lisbon School of Nursing President

Helena Presado - Lisbon School of Nursing (WCQR2018 Scientific Committee)

Location: Auditorium
09:30-10:30 Session 5: Opening Conference

Transformative approaches: synergies, distinctions, strengths and current challenges
Rosalind Edwards, University of Southampton - UK

Voices advocating radical challenges to traditional research practice have grown louder over the past decades.  They contest our conceptions of how and what sort of knowledge is generated by researchers. The transformation of research has been identified as one of the key methodological challenges of the twenty-first century. In this talk I will explore the challenges posed both by and for the disruption of conventional research practice and implementation of democratic and collaborative knowledge production. I will lay out the shared endeavours across transformative approaches such as inclusive research, co-production, indigenous, and ethics of care, but also the distinctions in these various transformative research philosophies. I will also point to some of the opportunities and challenges that may be on the horizon for transformative research methodologies in the general context of neo-liberalism and austerity, and specific developments concerning big data and computer technologies in social research.

Chair:
Location: Auditorium
10:30-11:00Coffee Break
10:30-11:00 Session 6: Poster Presentations 1

Auditorium

Location: Auditorium
10:30
The Interdisciplinarity in the Perspective of the Teacher in the Nursing Undergraduate Program

ABSTRACT. Considering the process of reorientation of training for the Brazilian Unified Health System and that the professional profile begins to be delineated by the curricular and pedagogical practices of the training process of the future nurse, this study aimed understand the practice of interdisciplinarity in a nursing undergraduate from a perspective of the teacher. This is a descriptive and qualitative study carried out at the University Center of the Ipojuca Valley - UNIFAVIP/ DeVry, located in the rural state of Pernambuco, Northeast, Brazil. Fifteen professors of the undergraduate nursing course participated in the study. The primary data were collected through the focal group technique, performed in two distinct groups. For the treatment of the data, after the complete transcription, the computerized textual analysis was performed through the IRAMUTEQ software (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) that allows the statistical analysis of textual data and tables of individuals /words and is anchored in the R software (www.r-project.org) and in the python language (www.python.org). The study was approved by the Research Ethics Committee of UNIFAVIP / DeVry, Nº 1,483,215.The data were discussed in the light of the theory related to the subject, with theoretical subsidies obtained from research in databases of the Virtual Health Library and CAPES. The analysis of the results by IRAMUTEC consisted of the corpus of 57 texts, presented a number of 189 text segments, 133 being used, corresponding to 70.37% of the total corpus. According to the Descending Hierarchical Classification (CHD), five classes were constituted. In a primary analysis, and more succinctly, the respective classes and defining words can be considered based on the selection of the most characteristic words, that is, the higher the value of χ2 (≥3.84), greater semantic weight the words have in relation to the class to which it belongs and, thus, were given names that function as their descriptors. The results of the study, based on the data analysis, allowed for an approach with the interdisciplinary theme from the perspective of the teacher, observing conceptions, characteristics of the interdisciplinary exercise, as well as factors that influence and the challenges for such practice. The results of the study allowed an approach with the interdisciplinary theme, approaching conceptions, characteristics of the interdisciplinary exercise, as well as factors that influence the practice of such practice. It is perceived that it is necessary to advance from a discussion that stops the conceptualization on interdisciplinarity for the constitution of a methodology that glimpses for a movement of construction of the interdisciplinary as pedagogical practice in a movement that transpires from the epistemology, from the search for a concept to the daily praxis.

10:30
REPRESENTATIONS OF THE AZORES: A METHODOLOGICAL TRIANGULATION BETWEEN AN HIERARCHICAL EVOCATION ANALYSIS AND A PHENOMENOGRAPHIC ANALYSIS
SPEAKER: Ana Arroz

ABSTRACT. The search for what is unique and specific in each place is increasingly opposed to the globalization of the tourist market. But what will be more valued and considered genuine in the Azores? Who is born, lives or visits the Azores will answer this question in the same way? Knowing the representations of different interlocutors is crucial to the planning and management of tourism in the Region, by guiding the design of dissemination devices of the archipelago in the world. In the scope of research on Place Identity and Place Attachment, the project @AZORES: Representing & experiencing authenticity aims to unveil the meanings attributed and experiences associated to the Azores by natives, residents, and tourists, through a mixed method research approach. This communication will present the objectives and methodological options of the various phases of the project and discuss the proximity versus diversity of representations about the Azores of citizens with diverse relationships with the place. For this purpose, data were collected on a free association of words, elicited by the stimulus word “Azores”, in an online survey underway, with an intentional snowball sampling. In the social representation of the Azores, according to the data collected so far, the attributes "nature", "beauty" and "house" stand out with higher frequencies and lower orders of recall. These are supplemented, at the level of the 1st periphery, by the concepts of "sea", "green", "peace" and "tranquility". The "well-being" incorporates alone the zone of contrast of the representation, although little mentioned. The evocations of the participants are subject to a methodological triangulation that confronts the results of two descriptive analyzes with different purposes and interpretative emphasis: a structural one and a phenomenological one. The analysis of evocations falls within the scope of the Central Core Theory of Social Representations and is performed with the program Evocation 2003. The phenomenological analysis, adopting the constitutionalist perspective, within the theory building family of the interpretivist paradigm, proceeds to the characterization of the qualitatively different ways in which people perceive, understand and give meaning to the Azores. The compatibility of the results of both analyzes is appreciated within each group of participants: natives, residents, and tourists. Methodological implications are inferred about the relevance and usefulness of the meanings produced by the two techniques and the suitability and feasibility of each of them in the analysis of the identity of a place, a less studied side than the identification with a place, but with potential implications in several fields of action. In this sense, possible applications of the results in the tourism promotion of the Azores are explored.

10:30
Communication Sciences and its many areas: Development of an evaluation tool to favor students’ decision-making process

ABSTRACT. This paper aims to present a study whose main purpose was the development of simple, concise, fast and affordable assessment instrument that favors the decision-making process about the areas of the students attending the 2nd cycle of studies of the Communication Sciences, of the Catholic University of Portugal. The development of the instrument was based on the Theory of Vocational Personality (Holland, 1958, 1959), one of the most important contemporary career theories, which aims to explain the relationship between the different personality types and the professional environment chosen by each individual. Holland wanted to develop career aid tools so that psychologists and their clients could better handle and perceive the issue of choice and job satisfaction. Initially, interviews were conducted with the coordinators of the degree and of the master’s degree in Social Communication, as well as a current student from each of the 6 possible areas of choice - Communication, Marketing and Advertising; Communication, Organization and Leadership; Media and Journalism; Communication, Television and Cinema; Internet and New Media; and, Political Communication, - and alumni who were already in the work environment. Some official documents were also analyzed on the objectives, structure, contents, and competencies related to each of the different areas. Based on this data collection, we constructed some items that focus on interests (what the person knows/wants to learn), skills (what the person does/wants to learn how to do), and in future professional contexts (where the person intends to integrate his/herself into the labor market). According to Holland (1959), people seek environments (contexts) where they can exercise their interests, skills and abilities, express their attitudes and values, and take on pleasant problems and roles. A pilot study was carried out with these items, in which a set of students with their choice of area already completed was invited to fill out this experimental version, to verify the calibration of the instrument in the identification of the respective area. After some modifications that were suggested, the final version of the assessment instrument was developed and administered to a new sample of students, confronting their options of choice before completing the questionnaire with the final result obtained by it. All of these different phases and outcomes from qualitative and quantitative studies will be presented throughout this work, and implications will also be drawn on the importance of developing assessment tools that respond to the specific needs of people and contexts.

10:30
The promotion of sleep quality in the elderly person admitted to the emergency department
SPEAKER: Tânia Carmo

ABSTRACT. Objectives: to identify the disturbing factors of sleep quality in the elderly person hospitalized in the emergency department (ED) of a central hospital X, from the perspective of nurses and elderly people, and identify/present nursing care interventions for the promotion of sleep quality. Method: descriptive study of a qualitative nature, based on a Case Study. Participants were 28 nurses and 12 elderly people. Data collection instruments: interviews and questionnaires. Results: disturbing factors of sleep quality in the elderly are based on a multifactorial etiology associated with the environment, patient care activities and inherent to the individual. The nurses valued the reduction of light intensity and noise to promote sleep quality and referred as a measure to implement the organization of care in order to allow a period of uninterrupted sleep time. Conclusion: for the improvement of the quality of sleep in the hospitalized elderly, the implementation of the protocol "Quiet Time" based on a partnership relationship with the elderly is fundamental.

10:30
Nurses’ intervention in the Promotion of Self-care in People with COPD: a Systematic Review of the Literature

ABSTRACT. The Chronic Obstructive Pulmonary Disease (COPD) is, according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD, 2017), a common disease that can be prevented, characterized by persistent respiratory symptoms and limitation of the air flow, resulting of alveolar alterations and/or of the airways, caused by significant exposure to particles or harmful gases. The dyspnea is the main symptom and which the dyspnea spiral leads the person to reduce or avoid physical activity, leading to physical decondition (Cordeiro & Menoita, 2012). That way, the COPD compromises the well-being and self-care, limitating the person in their ability to partake in their social and family life.This study has a goal to systemize nursing interventions that promotes the person with COPD’s self-care according to the Self-Care Theory of Orem. The methodology used was the systematic revision of literature. The starting question respects the criteria of the PICO format (Melnyk & Fineout-Overholt, 2005): When it comes to the person with CPOC (Population) which are the nursing interventions that promote self-care (Outcome)? It was accomplished a research with electronic data bases, in the EBSCO in general, in CINAHL and MEDLIN in particular. The Boolean descriptors and operators were used with the following orientation: [Nurs* AND (Lung Diseases, Obstructive OR Pulmonary Disease, Chronic Obstructive OR COPD) AND (Self Care OR Activities of Daily Living) AND (Adult OR Aged OR Aged, 80 and over)]. To select the articles, it was defined inclusion and exclusion criteria. We included articles referring nursing interventions that promote self-care in adults and elderly patients with COPD. Articles with unclear methodology, without correlation with the object of study, repeated in the different data bases, written in non - English and non - Portuguese language, not available in full text and published before 2008, were not included. After applied the filtration method, seven articles were selected. In their analyses it came to surface the following nursing interventions that promote self-care: breathing exercises, physical exercise (Casey et al., 2011 e Isselt et al.,2014) and health education. In the health education it stands out the management of symptoms such as dyspnea (Titova et al., 2015; Billington et al., 2015). For the symptomatic and exacerbations control is crucial the instruction of energy saving techniques (Cosgrove et al., 2013), rest and relaxation techniques (Isselt et al., 2014), bronchial hygiene (Cosgrove et al., 2013), and management of the therapeutical regiment (Trappenburg et al., 2009; Casey et al., 2011; Titova et al., 2015; Billington et al., 2015), specially inhalation and oxygen therapy. It is also crutial the education about adopting healthy lifestyles, such as eating habits, (Isselt et al., 2014), smoking cessation (Trappenburg et al., 2009; Cosgrove at al.2013) and physical exercise (Nguyen et al.,2008). The nurse, in the extent of their skills, promotes the self-care in the person with DPOC, helping them overcome the changes and reducing the self-care needs.

10:30
The Meanings of Integrative and Complementary Practices in Primary Health Care for Service Managers

ABSTRACT. Introduction: The National Policy for Integrative and Complementary Practices, instituted by the Ministry of Health in 2006, favors Primary Health Care by focusing on receptive listening, the establishment of therapeutic connection and the integration of the human being with its surroundings. However, the affinities between Primary Health Care and the National Policy for Integrative and Complementary Practices have not become so widely recognized and investigated, specially in the context of the biomedical model hegemony. Objective: This study aimed to analyze the meanings of the availability of Integrative and Complementary Practices in Primary Health Care assigned by the service managers of the Metropolitan Region of Goiânia. Methodology: Qualitative research, conducted between August and December 2017, with 13 coordinators of Primary Health Care services, with the use of semi-structured interviews that occurred until data saturation, were recorded, transcribed, and analyzed using the thematic content analysis technique. This study represents the first result of the three studies that comprise the project "Integrative and Complementary Practices in Primary Health Care Services – Metropolitan Region of Goiânia". Results: Out of 234 Primary Health Care services, only 21 (concentrated in five cities) offered Integrative and Complementary Practices, unlike the information provided by the National Registry of Health Centers which was 70. The offer of such practices was associated with occasional and/or emergency situations.The prevalent practice was auriculotherapy followed by art therapy. Interviewees showed insecurity in dealing with the concepts and names of Integrative and Complementary Practices, although they understood the context, referring to integrality, promotion and education in health, establishment of connection with the user and socialization. In addition, while some managers valued the offer and their influence on care, others showed indifference to the granted service. Discussion: Our results point out conceptual imprecision, which in turn contributes to a fragile institutionalization, evaluation, and monitoring of these practices. The Integrative and Complementary Practices are displaced even when they are part of the dynamics of Primary Health Care services. This situation shows how important the directioning of the Academia is in the education of these managers, allowing the broadening of the possibilities for health care, considering the particularities of each individual. For this reason, it is essential to develop manager´s leadership skills in order to influence the operationalization of the service in favor of other aid models. Conclusions: The choice of content analysis as a method of qualitative data analysis proved to be effective for the understanding of the discourses about the meaning given to the availability of Integrative and Complementary Practices. The discourses denoted how much Integrative and Complementary Practices are still very restricted in their scope, with a view to a health model that has the specialization and fragmentation, making it essential to increase reflection on the plurality of rationalities.

10:30
QUALITATIVE ANALYSIS OF THE COPING MECHANISMS OF PAIN IN WOMEN WITH CHRONIC PELVIC PAIN

ABSTRACT. Introduction: The etiology of chronic pelvic pain (CPP) may be associated with gynecological conditions such as endometriosis, adhesions, infection or more rarely by the tumor, and by non-gynecological causes, such as irritable bowel syndrome, related bladder, musculoskeletal or even neuropathic. Most of the time, the cause remains obscure throughout the pain trajectory (IASP, 2015). The CPP in women is defined as a condition that generates disabilities, such as interferences in the quality of life, deficits in the efficiency of work activities and impairments in the interaction with the social environment (Nogueira, Reis, & Poli-Neto, 2006; Romão, Gorayeb, Reis, Nogueira & Silva, 2009; Souza, Nakano, Reis, Rosa e Silva & Poli-Neto, 2012; Mellado, Reis, Falcone, Nogueira, Poli-Neto & Rosa e Silva, 2016). The prevalence of CPP can vary from 3.8% in women aged 15-73 years to 14-24% in women of reproductive age. In Brazil, there is no clear picture of the prevalence of CPP, in Ribeirão Preto, Southeastern Brazil, it was registered the prevalence of 11.5% but when it was considered only women of reproductive age the prevalence rose to 15.1% (Silva, Michelazzo, Rocha, Rosa e Silva, Reis, Nogueira &Poli-Neto, 2011). During the pain trajectory, individual coping mechanisms may arise in order to alleviate the adversities brought by the pain. Therefore, understanding the coping mechanisms used during the pain routine is of fundamental importance for the refinement of clinical planning and the development of intervention strategies for this debilitating condition. Methods: Open interviews were realized through a central guiding question. The interviews were recorded audio and transcribed in full for later analysis of the data submitted to the thematic analysis with the help of the software "RQDA" (Huang, 2016). Results: Sixty-six open interviews were conducted. The thematic analysis (Braun & Clarke, 2006) allowed us to categorize five main themes related to how women dealt with the pain experience: 1. To seek support from family, friends or partners; 2. Intensification or increase of dedication to the work activity; 3. To read or study the pain escape mechanism; 4. Not knowing how to deal with pain; and 5. To use drugs to avoid pain. The analysis process consisted on categorizing the data collected in preliminary codes and, from them, the categories were being developed. Partial Conclusion: Based on the qualitative approach of the thematic analysis, we were able to identify the means that women used to deal with the pain routine. Our hypothesis is that the lack of understanding about how to deal with pain and the failures to adhere to the proposed treatments corroborate to the resigned behavior and, evolve to social isolation, strengthening the physical and psychological introspection and consequently causing non adherence of therapies.

10:30
EDUCATION OF YOUTH AND ADULTS: REASONS FOR SCHOOL EVASION

ABSTRACT. This work presents a research in phase of execution in two schools, being one of Cuiabá and another of Várzea Grande. It is considered relevant to promote studies and research in order to understand the causes of school dropout in youth and adult education. In this way, the studies also aim to subsidize the formulation and execution of educational policies and provide reflection to contribute to a pedagogical proposal that meets the expectations of students who did not have the right age schooling. Official surveys (IBGE, 2016) indicate that students do not finish their studies, due to work reasons, lack of interest in school stay, and in regard to women, the issues of early pregnancy and domestic work are pointed out as impediments to the school life . However, in the initial studies it was evidenced that, internal factors, school specificities, have been contributing to school dropout. Previously, studies by Junior (2015) already pointed out that intraschool factors, impair education in the EJA. The same research, points out that issues such as: school requirements, problems with teachers, inappropriate schedules and curricula different from the reality of the student, reflect a percentage of 57% of the reasons that led to dropping out. There is also the need to discuss and analyze themes related to urban violence, low student purchasing power, family disruption, inadequate school spaces and methodologies, difficult access and mobility of students to attend school. It is fundamental to study the reasons for school dropout in youth and adult education, and although repeated initiatives have already been sent regarding educational policies, it can be seen that the digits of dropout in public schools. The research focuses on investigating the main reasons for dropping out. In this objective perspective also, to deepen reflections on intra and extra school factors which, has been interfering in the process of permanence of the youngsters in the schools. In an attempt to approximate reality in the studies will be used, documentary sources, and interviews with students who have escaped from school and constant dialogue with those responsible for school management. In this sense two schools are mapped one located in the center and another located in the neighborhood. Initially, documents, photos, and other information were collected to enable students to know the socioeconomic and scholar profile of the students. The documentary phase has been relevant already allowing to conclude that in only one school, considered a reference center of the studies of EJA were enrolled 8,000 (eight thousand) students, of these, 2,795 (two thousand seven hundred and ninety five) left the course. The issue reveals such seriousness when in the course of the research a school integrating the EJA offer was terminated. Faced with the problem, we remain to complete the documentary phase and visit the students who have given up on their residences. Another difficult task, when 30 students contacted, only 6 are found, due to social economic vulnerability and constant change of residence.

11:00-13:00 Session 7A: Rationale and Paradigms of Qualitative Research

Short Papers/Abstracts (15m + 5m)

Location: Room 1.43
11:00
Qualitative Evidence for Best Nursing Practices in Primary Health Care

ABSTRACT. The Brazilian Unified Health System presents as principles the universalization, equity and integrality of care to users. This requires health professionals, especially Nurses, to identify health needs and address vulnerabilities. These competencies require the development of criticality in order to introduce transformative and scientifically based actions in Primary Health Care. This is a theoretical reflection study, whose objective is to reflect on the best practices of Nursing in Primary Health Care, under the perspective of qualitative analysis of scientific evidence. The approach and the understanding of the research object were made based on the Theory of Practical Intervention of Collective Health Nursing (TIPESC) (Egry, 1996), which is anchored in historical and dialectical materialism. In health studies, the scientific evidence has been primarily produced from systematized reviews of the literature, whose approach is mostly quantitative. When considering the theoretical and practical field of collective health, the evidences related to Nursing interventions emerge as fundamental for the implementation of best practices in Primary Health Care. Studies of exclusively quantitative analysis are limited for understanding the health-disease process, insofar as they fragment the quality of phenomena and homogenize the distinct characteristics of social groups (Egry, Fonseca, Apostolic, Cubas, Chaves & Rehem, 2017). The analysis made from interpretive categories through the social categories of gender, generation, race / ethnicity and social class (Egry, Fonseca & Oliveira, 2013) makes it possible to capture and interpret the contradictions of social phenomena that imply in the health-disease process, as well as such as the proposal of intervention measures aimed at overcoming the vulnerabilities expressed in the collective. It also allows the recognition of the contradictions that are revealed in the structural dimension (policies that configure working conditions), particular dimension (heterogeneities of social groups) and singular dimension (specificities of social subjects and their families) that make up the objective reality. The evidence generated from this methodology of analysis promotes the construction of qualitative markers that are articulated to the processes of production and social reproduction of the territory and establish parameters to evaluate the quality of the practices planned and implemented by the Nursing professionals. The construction and implementation of best nursing practices in Primary Health Care find in the qualitative scientific evidences a promising space for the development of ethical-professional competencies, for the consolidation of the Unified Health System and for the emancipation and autonomy of the users of the services to promote of quality of life.

11:20
Theoretical and Methodological Discussions on the Field of Qualitative Research

ABSTRACT. Based on long-term, qualitative, inductive, and ethnographic fieldwork conducted in the framework of Goffmanian interactionism in twelve elementary schools located in various regions of the Czech Republic and Slovak Republic, I provide insight into the theoretical and methodological discussions of qualitative research. In social science, there are interlocking tensions that constitute problems of practice in contemporary qualitative research. My interest especially lies in identifying some of these tensions, hesitations, contradictions, and pitfalls in educational research. Norman Denzin and Yvonna Lincoln (2011) polemicize against postmodern sensibility, traditional positivism and postpositivism, and conservative, neoliberal global environment. I would like to follow up their ideas to engage in polemical debate about another tension. I want to draw attention to clash of children and teachers perspectives or conflict between colorful and black-and-white perspective in the light of the ethnographic practice. In the context of qualitative research, I focus on tensions related to egocentrism and sociocentrism, involvement and traditional scientific approach without participation, and social distance dynamics between researcher and informant. I also refer to ethnographic treatment of data, ethical aspects as well as perspectives on children and childhoods. I bring into dialogue various views on the obstacles of research in educational area in order to enrich our understanding of educational research process. The implication for qualitative research is that close attention should be paid to interdisciplinary approach. I argue that closer alliance among social anthropology, pedagogy, psychology and philosophy is particularly fruitful one.

11:40
Dialogic Thematic Analysis of Conversation in Tutors' Forums online

ABSTRACT. This article presents the dialogic thematic analysis of the conversation as a method of analysis of forums specially created for research purposes in a virtual learning environment and aims to analyze the concepts of self positioning, the identification and the identity of the tutors in graduate course, through dialogic interactions. The dialogue between these three concepts will allow us to identify the tutors' perceptions about the competences required by the new learning culture resulting from the development of digital technologies that modify the traditional roles of the teacher.

12:00
Beyond the Normal Curve: The Experience of Parents with Gifted Children

ABSTRACT. In Venezuela, giftedness has been vaguely studied and attended. This lack of knowledge determines the hampered experience of the parents with gifted children. This paper is an excerpt from a major investigation titled “The Experience of Parents with Gifted Children”. The principal objective was to understand the experience of parents with gifted children belonging to the Venezuelan organization: Proyecto Órbita – C.I. 130, achived through twelve in-depth interviews, using grounded theory design in a qualitative methodology. We found some theoretical aspects that approach to the construction of a theory emerging from the participants’ speeches. Among these results highlights the problems in the motor development of the gifted children, the expectations that parents have for the future of their child, the importance of educating in the value of humility, and that parents do not get properly informed in the subject of giftedness.

12:20
Methodological Essay in Qualitative Research in Nursing: Foucault, Benjamin, and ethical-aesthetic effects in academic writing

ABSTRACT. Reflective essay on the theoretical-methodological possibility of qualitative research in the area of Nursing that proposes to articulate philosophical and scientific discourses, with the intention of producing a possible theoretical-methodological path for an academic doctoral study. In this sense, in proposing an essay on possibilities of academic research, based on an ethico-aesthetic perspective of academic writing, in which the researcher subject allows himself to think differently, we see a relation with the nomadic thinking perspective, insofar as creates new possibilities, deterritorializes the researchers of its bases, which in the area of Nursing, is hegemonically housed in the field of positivist and predictive thinking. This methodological exercise constitutes an exercise of possibility of existence in academic life.

12:40
Staying Native: Conspiracy, Compromise or Collaboration?

ABSTRACT. How can one ethically conduct research in a setting where the researcher holds a position of authority? This was a question put forward by experienced academics when I started my Ph.D. journey. Coming from an ethical culture of non-academic professional practice, I see my position in this research setting as less of a challenge than the defence of this position within an academic setting. In this paper, I outline my position in the research, one that privileges a practitioner role over a researcher role. I argue that this position can minimise the risk of research related power imbalances and conflicts of interests. I discuss the tensions and relationships between my practitioner and researcher roles and include motivations for occupying these roles. Examples of how the roles are enacted in practice are provided. In this setting it is intersubjectivity that is sought.

11:00-13:00 Session 7B: Rationale and Paradigms of Qualitative Research

Short Papers/Abstracts (15m + 5m)

Location: Room 1.44
11:00
Finding the Themes Related to Designing Learning for Post-Experience, Management Professionals: How to Conduct Qualitative Research

ABSTRACT. The two approaches related to the education discipline research emanate from the perspective of promoting theoretical and/or empirical social science; and from the perspective of informing judgements and decisions about educational policy and practice (Wilkinson, 2005). Both perspectives can be deployed to be able, firstly, to draw out the detail of what is already understood about a domain and then, secondly, to be able to contribute to the possibilities of a more knowledgeable future. Researching management learning becomes more pertinent in a marketized higher education (HE) system, as it forms a large proportion of the student body, both for undergraduate and postgraduate business and management programme provisions.

1. Research in the Social Context of the Educational Domain. Research can consider the existence and nature of phenomena, the scope and extent of which, for the social sciences, is set out within Economic and Social Research Council (ESRC,2018:) guidelines indicating the way in which this is undertaken in specific domains. At the higher levels of study of a phenomenon, it is essential to underpin the research process with strong philosophical foundation of social science and to establish a deep understanding of educational theory in the specific domain of study. From an overall perspective, research considers the purpose, questions, current knowledge, the approach needed and the methods of data gathering towards the analysis and subsequent conclusions; although notably it is not essential that this takes place on a linear basis as this would make the process too rigid and therefore not allow for emergent arguments and knowledge. 2. Ontology and epistemology in educational settings. Establishing the ontological position is the first step in the construction of the research (Thomas, 2010), with this comes the challenges of being very specific in clarifying ‘what you are looking at’ and the appreciation of the different perspectives from which this might be viewed. In this case, ontologically the considerations are related to exploring how the curriculum is designed for post-experience, management professionals to determine the current issues as related to its appropriateness for the professional postgraduate learner typology. Additionally, the epistemological planning of the research process will enable you to decide how you will go about looking for knowledge in this domain and the procedures to be used for discovering that knowledge and then adding to it. 3. Finding Themes within the Management Learning Discipline Literature. In the example given in this paper, the style of the critical realist is deployed in seeking to draw out trends, developments and issues (Oliver, 2012) in management learning curriculum design. It first requires the understanding of the types of knowledge and learning that may be present and the intention of curriculum design for the acquisition of knowledge in the context of applied professional management practice. This paper provides details of how the process has been conducted and offers the opportunity to share the knowledge of the qualitative research process with a wider academic community of qualitative, social scientists and perhaps beyond.

11:20
Methodological Handicraft in Qualitative Research on Work Psychodynamics

ABSTRACT. The rigor in the qualitative research imposes to relate i) objects of study, taken in their complexities historically constituted; ii) theoretical perspectives from which the objects are analyzed; and iii) methodological choices that operationalize the research. This text socializes a reflexive account about the methodological mix of three studies, whose objects were delimited from the same theoretical lens: The Psychodynamics of Work (POW). The POW is interested by the objective, subjective and intersubjective work experiences, being the "study of psycho-affective movements generated by the evolution of intersubjective and intra-subjective conflicts" there are in the work (ASSIS; MACEDO, 2008, p.119). It is a theoretical current with epistemological alignment in the understanding studies, since it considers the work as action of the subject in the objective world, but loaded with subjective senses. The studies invest in methodological processes of discursive recovery of the objectivity-subjectivity, focused on the acts of speech and listening interested for the understanding of the senses. The structuring elements were: a) Theoretical lens of the studies: POW; b) Objects: Study I - conflicts in labor relations in the context of new public management; Study II - manager-subordinate relationship in the context of flexible companies; Study III - labor relations in social business. The types of interviews were: Studies I and III - narrative interviews using stimulus element; Study II - narrative interviews with guide topics. In each study, narratives were anchored in the professional life history of the subjects, considering the specificities of the contexts of the public agency, the company, and the social business. Stimulus elements were used in Study I (posters with names of the governors and periods of government) and in Study III (poster with the expression Social Business). This "methodological bet" proved to be correct. In Study I, the subjects elaborated narratives about perceptions and feelings concerning the work context in each change of ruler that implanted new techniques of management; and, in Study III, the stimulus element made possible the emergence of workers' representations about a recent organizational type, the social business, still lacking conceptual consensus in the literature. In Study II, the narratives were evoked following the guideline framework. In the three surveys, fundamental dimensions of POW were addressed: a) work experiences; b) thoughts about experiences; c) feelings about experiences. These discursive moments of double protagonism (stimuli of the researchers and elaborations of the researched ones) allowed the construction of narratives loaded with meanings, which were interpreted through the analysis of the nuclei of meaning, a re-reading of the thematic content analysis technique, in the territories of the POW, as proposed by Mendes (2007, p. 72): "the ASN consists of the dismemberment of the text into units, into nuclei of meaning formed from the investigation of the psychological themes of the discourse." It is concluded that the PDT studies have, in the qualitative approach, large methodological possibilities of operationalization, which require the researcher to posture as an intellectual artisan (MILLS, 2009), but always observing the intersection between theory, object and method.

11:40
Narratives of Victims of Economic Kidnapping. Constructed Meanings and Effects of the Kidnapping

ABSTRACT. The objective of this study realized in Mexico was to identify the constructed meanings of kidnapping and the repercussions of this crime on survivors of economic kidnapping. Sampling was by opportunity, having as a criteria of inclusion to have been a victim of economic kidnapping. We worked with nine Mexican citizens; two women and seven men; one participant was under-age. The period of time that they were kidnapped was between 3 and 5 days, two exceeded this time: the under-age was kidnapped 21 days, and another male about two months.

As a method, the multiple case study was used (Stake, 2013) and as data collection technique the production of narratives. For the generation of narratives, Chase (2015) was followed who suggests framing this type of interview with an open and general question so the subjects elaborate a story; In our case, the initial question was: can you tell me what happened (about the kidnapping)? and later, also with open questions, it was deepened about what the person narrated. With the support of the Atlas.Ti software, a holistic and phenomenological analysis of the narratives was carried out. At all time the welfare of the participants and compliance with the ethical principles of research with people was observed.

With the holistic analysis, stable, regressive and progressive narratives were identified. Stable narratives are those in which the trajectory of the story or the person remains without significant changes; in the regressive, the valuation that the person makes decreases, the story goes in continuous decrease or deterioration; In progressive narratives the movement of the evaluative dimension increases with the passage of time, growth and improvement are observed (Gergen and Gergen 1983). All people interviewed meant the kidnapping as "terrible act" and "the worst that can happen to you", however differences were identified between other meanings contained in the regressive and progressive narratives. In the regressive narratives, meanings with negative connotations predominated, such as "punishment of God" and "event that destroys your life"; and in the progressive narratives, meanings with positive connotations predominated, such as "proof that I surpassed", "a new opportunity", "event where I showed spiritual strength". The effects identified were associated with the constructed meanings, in such a way that effects such as search for new personal goals, self-affirmation and empowerment were related to positive meanings and effects such as isolation and loss of interest in living, were associated with meanings with negative connotation. The narratives we build are full of meanings about ourselves, our experiences, the world and our context. These meanings may or may not favor our development, in such a way that we must favor the construction of meanings that favor our full development, particularly in people who have experienced high impact situations such as kidnapping. Allowing people to freely construct a narrative of their experiences allows us to identify the meanings they have constructed, providing elements for interventions. In the end, meanings can be deconstructed and reconstructed.

12:00
Nurse's Training in Relation to Sexual Violence against Women

ABSTRACT. Violence is present and can be manifested in all social spheres. There is sexual violence, which is conceptualized as an act committed intentionally that causes physical, psychological, spiritual and/or social harm to others. It is practiced by the aggressor as a way of oppressing, humiliating, terrifying and even dominating in an aggressive, hostile and violent act. Despite the conceptual advancement and public policies to combat sexual violence (World Health Organization, 2013, Ministry of Health, 2010), the importance of health professionals in their consolidation, and the consensus about the lack of focus on violence sexual violence against women by the training bodies, there's still insufficient knowledge about the approach to sexual violence against women in vocational training (Contreras, 2010). The objective of this study was to analyze the curricular guideline of the undergraduate course in nursing in a private university in Fortaleza, Ceará, Brazil. It's a study with a qualitative, descriptive approach, of documentary analysis. She completed her undergraduate course in nursing and included the following documents : Guidelines and Curricular Matrix, information on extension projects and events. The data were collected between August and October of 2017, in a private university in the city of Fortaleza, using semi-structured strata. The documents were grouped, and the information collected corresponded to the institution, name of the document, e-mail address and texts about sexual violence against women. The documents were collected in electronic media. The information about extension projects, events and academic leagues were found in the coordination of the nursing course. For the analysis, processing and interpretation of the information, thematic content analysis was used according to the perspective of Bardin (2006). Study approved by the Research Ethics Committee of the Center of Philosophy and Human Sciences of UFRJ, under opinion of No. 1,540,152. In the National Curricular Guidelines (NCG), the instrument guiding the process of construction of Pedagogical Projects, they include as specific skills and abilities of the nurse, acting in integral health care programs in all phases of life with development of technical and scientific skills, and socio-educational. The guidelines ensure flexibility of organization and articulation of the courses considering the demands and needs prevalent in the local population. According to art. 3 of the NCG / ENF, the profile of the professional nurse is focused on humanistic, critical, ethical and reflexive practice, capable of acting in different health-disease situations. In the 10 events, different topics were addressed, but all about violence against women. Open to all the courses of the institution with the purpose of propagating knowledge and multidisciplinary interaction, being realized in the form of symposia, lectures, seminars, among others. A "Violence and Accidents" extension's program (LEVA) was identified, with active methodologies. No program was found focusing solely on sexual violence against women.It was evidenced that the training of Nursing students for the integral care in sexual health is below expectations. With this, it is noticed the need to insert in the universities and in the disciplinary curricula the subject of the sexual violence.

12:20
Researcher’s identities and knowledge production: exploring insider/outsider dynamics and intersectionalities.

ABSTRACT. In this paper, we explore the role of insider/outsider dynamics and of intersectionalities in ethnographic research in sub-Sahara Africa. Our contribution builds on three key assumptions. Firstly, we understand the insider/outsider status as both precarious and shifting according to the various encounters we make along the research process. Secondly, we acknowledge that we all have multiple intersecting identities and positionalities, including multiple outsider and insider status. However, and thirdly, we also believe that constructions such as race/ethnicity significantly contribute to the shaping of our insider/outsider status, especially when we do research in sub-Sahara Africa. In this regard, we acknowledge existing critical questions regarding the ethics of studying Africa from an outsider status (Mama, 2007), especially considering academic knowledge about Africa, whatever the field, is produced mainly by institutions and scholars outside the continent (Adebayo, 2006). Previous research has explored the distinctiveness of doing ethnography in Africa from an insider status (e.g. Natukunda et al., 2016), highlighting a set of distinctive dimensions, including those related to the impact of western knowledge systems but also regarding a set of specific challenges faced by native ethnographer on along the research process, from access to participants to the politics of representation. Other studies have explored the research process from an outsider position (Girei, 2017), enlightening dilemmas and controversies linked especially to dimensions such as trust, privilege, whiteness, and power asymmetries more generally. In this research we share our tales from the field, the experiences we had with research participants, the challenges around the insider/outsider dynamics and the engagement with participants’ subject positions along the research process, focusing especially on a) trust and authenticity, b) power and authority and c) voice and politics of representation. This research adopts a critical interpretivist approach and draws on several theoretical streams, such as critical management studies, postcolonial theory and feminism. With regard to methods, face-to-face unstructured interviews were conducted with both insider and outsider scholars With this research, we aim to make two main contributions. One is that of addressing the gap related to the exploration of the insider/outsider dynamics in management research in international development, looking specifically at Africa. The other is that of unpacking the outsider/insider dynamics by nurturing an inter-subjective dialogue committed to recognise how the insider/outsider dynamics is shaped by insider/black and outsider/white markers and how this affect the process of knowledge production. However, we also aim to identify bridges, overlapping and commonalities between those markers and fractures within them, so to provide field-based twofold reflections on the precariousness of the insider/outsider dynamics.

Adebayo, O (2006) African scholars and African Studies. Development in Practice 16(6) 533-544 Girei, E (2017) Decolonising management knowledge: a reflexive journey as researcher and practitioner in Uganda. Management Learning 48(4): 453-470 Mama A (2007) Is It ethical to study Africa? Preliminary thoughts on scholarship and freedom. African Studies Review 50(1): 1-26. Natukunda, L, Johnson, P and Dibben, P (2016) A tale from the field: reflexivity during management research in an African based development organisation. Africa Journal of Management. 2(4), 422-437

12:40
Contributions Of The Combination Of Techniques And Participants In Qualitative Research On Institutionalized Older Adult’s Health Promotion

ABSTRACT. Brazil currently experiences the phenomenon of population aging as a result of increased life expectancy. This demographic transition has significantly increased the demand for longitudinal care such as Long-term Care Facilities (LTCF) for older adults in recent years (Camarano & Barbosa, 2016). However, there are difficulties in monitoring these facilities, few regulations, lack of studies and spaces of reflection, making this an important field of research. The present study emerged from the research "Quality of Life of the Institutionalized Older Adults: Aspects of Health Promotion", developed in five phases in which different collection strategies were used. Objective: To present the power of the conjugation of techniques and different participants in qualitative research on the health promotion of the institutionalized older adults. Methodology: Descriptive-exploratory, quantitative-qualitative research in the Metropolitan Region of Belo Horizonte, Brazil, from 2014 to 2018. In the first phase, the mapping of 170 ILPI was carried out and 156 of them were characterized by telephone inquiry or on-site visits. In phase 2, 46 semi-structured interviews with 51 municipal and state-level stakeholders were conducted in order to comprehend how healthcare system is structured. In the third phase, 62 professionals and managers of LTCF participated in 10 focus groups aiming to know how they promote health. In the fourth phase, 127 institutionalized participants were interviewed to understand the meanings attributed to LTCF and their perception about their quality of life. The last phase intended to interact with the participants and validate the results using the workshop as a collection data strategy. After data collection, analysis were performed according to Bardin (2009): vertical and horizontal reading and the approach of the central ideas originating themes and the grouping of the themes categories and empirical subcategories (Minayo, 2014). Results: Each technique has its peculiarity with advantages and disadvantages depending on the objectives and the participants’ characteristics. The interviews allowed capturing the perception about living in a LTCF and the meanings assigned as a place of care as well as the political interface with caring of older adults. In the focus groups the polysemy attributed to the concept of LTCF, the experience of institutionalization and the promotion of health were important findings. In the workshops, participants had the opportunity to reflect and potentialize the discussions and conflicts. Considerations: The use of several techniques for the qualitative research data collection was extremely relevant considering the complexity of the object of this study. The workshop presented a greater approximation and interaction with the participants. We hope to expand the discussion about collective techniques in qualitative research, especially the workshops, and their use as intervention strategy.

11:00-13:00 Session 7C: Systematization of approaches with Qualitative Studies

Short Papers/Abstracts (15m + 5m)

Location: Room 1.45
11:00
Ethnographies of Place disruptions: Development and Socio-environmental Deterioration

ABSTRACT. Large industrial projects are an unwelcome neighbor for many local communities in developing countries. The weak environmental legislation coupled with an extractive economy favors the development of these initiatives exposing residents daily to their negative externalities such as pollution of the air and sea, loss of biodiversity and alteration of the landscape, among others. The literature has identified how the disruption of the place threatens the well-being and sense of identity commonly provided by places. Place attachment, place identity, residential satisfaction and other environmental psychological dimensions are severely affected in these contexts. The present work aims to expose the main ethnographic elements in research with communities whose socio-physical environments have been abruptly modified as a result of development projects. The research that inspires this presentation was carried out in the Bay of Concepción, on the Pacific coast of central-southern Chile, where the construction of a maritime gas terminal is planned. Although this initiative has not yet materialized, since its announcement a perception of risk has been generated that has increased in the community, triggering a series of actions of rejection and mobilizations against the industrial project. The methodology used in this research was an ethnographic approach which combined field observation and narrative interviews. For the presentation of the results I tried to assemble the different voices; that of the local residents and that of the researcher himself, in a set of ethnographic texts. One of the most remarkable results is referred to the confrontation of narrative resources in a community, particularly the increasing employment opportunity and the socio-environmental deterioration related to development projects. Moreover, the perception of environmental threat as well as intensifying resistance actions, allows for a revaluation of natural and community resources, articulating local development actions such as local trade, ecotourism, and the strengthening of networks, among others.

11:20
Qualitative data analysis of specialized knowledge – The MTSK Model - Numbers in Infant Education

ABSTRACT. A cross-sectional study of qualitative typology aims to present the model MTSK - The Mathematics Teacher's Specialized Knowledge (CARRILLO et al, 2017) as an instrument for the analysis of qualitative data in mathematics teaching. The objective of the research was to know the beliefs and knowledge of teachers of early childhood education about the formation of the concept of number by children, whose data collection was done from a focus group (collective interview) with audio recordings sessions. The sample consisted of 8 teachers - 4 newly and 4 experts in education of children, distributed equally between public and private schools. The MTSK model divides the specialized knowledge of the mathematics teacher into six sub-domains grouped into two domains: didactic knowledge and knowledge of the mathematical content itself; From mathematical knowledge: i) KoT (of topics); ii) KSM (structure of mathematics); iii) KPM (practice of mathematics); and didactic knowledge of the contents: iv) KFLM (features of learning mathematics); v) KMT (knowledge of mathematics teaching) and iv) KMLS (mathematics learning standards). The information was recorded according to Contents Analysis from Bardin's perspective (2016). In this communication we intend to present results of this research, whose theoretical is based on renowned authors of mathematics teaching, as well as current neurosciences, for whom the acquisition of the number sense would culminate in arithmetic thinking proper and would also depend on the cognitive functions that develop during the process of childhood education and in the first years of schooling. Quantitative skills acquire cultural characteristics when linguistic, cultural and pedagogical factors have different effects on the various components of mathematical skills and can affect school learning. Current research shows that evidence that mathematical skills or disabilities are given equally by both environmental and genetic factors. It is worth mentioning that neuroscientists who are dedicated to the study of innate numerical sense in infants and the Mental Number Line (MNL) later improved in the human brain as the person has mathematical experiences, believe that arithmetic knowledge is automated, spatially increasing the image of ordinal numbers, a process that depends on the interaction between the understanding of the magnitude and the symbolic and spatial properties of numbers. The difficulties of children in forming the concept of number and then in arithmetic operations would be mainly related to an ambiguous metaphorical association of the conceptual number line that is usually used to teach numbers, reducing it to a physical and finite number line. Consequently, the limited concept of the teacher would not promote for students the abstract conception of the numerical system, a situation that may underlie the low results of Brazilian students' arithmetic assessments in primary education. Therefore the present research analyzes the concept of number and how much it has been a fundamental element in the development of logical-mathematical thinking in the first years of schooling according to the analysis of the Specialized Knowledge of the teacher.

11:40
The Subjectivity in Evaluation of Resident Physicians in Medical Clinic Programs
SPEAKER: Luiz Toso

ABSTRACT. The objective of this study was to understand the evaluation process of resident physicians in medical clinic programs under different points of view. Qualitative, exploratory and descriptive study, collecting date in two medical clinic residency programs. Research participants were the coordinators of the two programs, eight preceptors and 12 resident physicians, totaling 22. The data was collected through focus group and interviews, which were transcribed, analyzed, and organized for reflection through content analysis. The results are presented in two units of analysis: the resident physicians evaluation from the different points of view among the subjects and subjectivity in the evaluation of values, attitudes and behaviors. There was a disparity between the students 'and preceptors' looks regarding the evaluation of professional training, subjectivity in the evaluation, absence of clear rules and knowledge of all involved, referring to the fragility in the evaluation process.

12:00
Knowledge Translation and Actor-Network Theory: A Protocol for a Case Study in Brazil

ABSTRACT. To better understand the knowledge translation process and its impact on practice we propose a protocol to analyse the interactions between knowledge producers and knowledge users in the Program of Development and Technological Innovation in Public Health Network (PDTSP-Teias Network) in Rio de Janeiro, Brazil. Developing the interface between research and action has not been, until now, a common practice in developed and developing countries, including Brazil. Therefore, the aims of this study protocol are: (1) to perform a post hoc systematization of the process of knowledge translation and exchange in the PDTSP-Teias Network in the period comprising 2009 to 2012; (2) to verify, using the PDTSP-Teias Network process and outcomes, how participation in the PDTSP-Teias Network facilitated knowledge translation and exchange between knowledge producers and knowledge users; and (3) to analyse how the PDTSP-Teias Network influenced the translation of evidence into practice.

12:20
Creating Music to promote people’s health: A dialogical workshop sponsored by FioCruz foundation to help students who carry Chagas disease and their respective families in Rio de janeiro(Brazil).

ABSTRACT. The purpose of the Music language project is to use music as a health promotion tool. We do that by integrating Music practices as a complementary treatment to health problems. The ABR method is the guide line for our Research. We also record the group performances to enhance the data possibilities. Our transdisciplinary group from FioCruz Institution organized the first ABR workshop in Rio de Janeiro,2016 to reflect upon the possible exchange between Science and Art. We have had over 10 sessions on this issue ever since. The use of music in qualitative research can be regarded less as an experiment and more as a realization (Leavy,2009).

12:40
Care Intersectoriality of children and adolescents who use psychoactive substances
SPEAKER: Beatriz Toso

ABSTRACT. The objective was to understand the intersectoral conception among the psychosocial attention network and the attention and social protection network in Cascavel, Paraná, Brazil, in order to care children and adolescents who use psychoactive substances. Qualitative research with the application of semi-structured recorded interviews, to workers who care young drug users making up the services networks. Data analysis was based on the discourse analysis framework. The results were presented in the category “intersectoriality understanding by the different actors”, demonstrating it is represented in actions that are not developed in isolation. They are joint actions, but also express movement, rupture of the walls from isolated knowledge areas. Thus, understanding the intersectoriality perception in daily life helps us to think of strategies to cope with existing barriers in the attention networks, proposing actions that can improve the individuals flux inside these systems for the care integrality.

11:00-13:00 Session 7D: Qualitative and Mixed Methods Research

Short Papers/Abstracts (15m + 5m)

Location: Room 1.46
11:00
How Low Socioeconomic Status is Associated with the Dehumanization of Patients with Chronic Pain
SPEAKER: Eva Diniz

ABSTRACT. Dehumanization, or the denial of human characteristics, is pervasive in health-care and affects more individuals of low socioeconomic status (SES). The psychosocial mechanisms accounting for it remain under investigated. This qualitative study aims to analyze whether and how SES recognition may lead to dehumanization of low-SES patients in (interdependent) nurse-patient relationships. Fifty nurses watched videos of two chronic-pain patients performing pain-inducing movements. Afterwards they described: (1) patient characteristics and profession (free association task); (2) how pain impacts patient’s daily-life; (3) treatment recommendations. IRAMUTEQ software was used to analyze the free association task and thematic analysis for the remaining data. Patients’ SES was easily recognized leading to different descriptions: medium-SES women were described through humanizing attributes, e.g., competence, positive prospects; low-SES women were presented as lacking human attributes, e.g., passive, without future prospects. Implications for future research will be discussed as to clarify the relationship between dehumanization and SES in health.

11:20
Teaching Qualitative Research Ethics Experientially

ABSTRACT. Teaching postgraduate students about ethical considerations needs rethinking. Traditionally principles and concepts are absorbed within lectures bolstered by textbook learning. This presentation suggests an alternative pedagogy teaching ethics experientially allowing students to draw on their moral compasses to evaluate a range of incrementally complex scenarios loosely based on published research. The initial scenario involves a fictitious description of a student who plans to use narrative data covertly collected from women transiting a Women’s Refuge institution for her dissertation. Students identify in this scenario issues that do not sit well with their moral compass voicing unease with anyone collecting data on vulnerable women (and the organisation) without their knowledge. They translate this unease into recognizable ethical concepts i.e. care, autonomy, beneficence, non-maleficence, storage of data and then confidently employ this ethics toolbox in other scenarios involving focus groups, autoethnography, narrative and survey research.

11:40
Perspectives of primary health care providers on migrant patients’ adherence to TB treatment
SPEAKER: Sónia Dias

ABSTRACT. This study aimed to explore health care providers’ perspectives about migrant patients’ adherence to TB treatment and related factors, and debate on the value of using a qualitative research approach in a health topic traditionally researched through quantitative methods. The study was conducted through individual semi-structured interviews with 17 health care providers working on TB healthcare services in Lisbon. This qualitative approach allowed us to gain a clearer insight into the migrants’ adherence to TB treatment and related factors as expressed by health care providers. The use of a qualitative approach in this study had several advantages, but also some limitations. Globally, the use of a qualitative approach in this study contributed to produce rich, relevant and useful knowledge that may be helpful to inform health policies and good practices for the promotion of TB-treatment adherence among a most vulnerable population like migrants.

12:00
Needs of the family caregiver of the person with stroke in the transition from the hospital to the community

ABSTRACT. After experiencing a stroke, a person should have some temporary or definitive consequences, which cause functional disability and dependency in self-care. This makes it impossible to satisfy the basic human needs autonomously and independently. (Faria, 2014). During the transition process from the hospital to the community, these people are dependent on a caregiver in a complex situational transition and are also in need of nursing therapeutic support for a healthier transition (Araújo, 2015). This integrative literature review aimed to identify the needs of the family caregiver during the transition from the hospital to the community. The research based on the question: "What are the care needs of the family caregiver in the transition from Hospital to the community, to the person with stroke?" was effected in the EBSCO, B-ON, Science Direct and SCOPUS databases, within the temporal line 2013 - 2017. The bibliographical sample consisted of 13 articles, which met the inclusion criteria. The results of the primary studies were subject to thematic analysis-categorial and emerged the following category: the self-care needs, psycho-socio-emotional needs and requirements in the provision of home care. The non-abolition of self-care requirements causes major impact on informal caregivers in their social life (tiredness and distress) and dissatisfaction in the access and quality of health services available. This situation is worrying, because low levels of social support are associated with anxiety, depression and irritability of the caregiver, increasing the risk of burnout, generating negative impacts on their life, impairing the situational transition, and consequently the provided care. The results pointed out that early individualized education promotes improvements in the knowledge of caregivers. It is important that caregivers demonstrate and practice the care to enhance the acquisition and mastery, increasing the empowerment, decreasing the overload, enabling a better quality of life and mental health, with consequent improvement of the satisfaction with the care provided. The informal caregiver’s action will be better as sooner as the nursing intervention, perfecting his skills in the performance of the new role and the possibility of solving problems that arise, lowering hospital readmissions. We concluded that caregivers must be prepared to face the new relationship with stroke relatives, and the transition to that role often occurs after the hospitalization. Thus, the nursing team's performance can not only be achieved through technical activities, but also through the training of the caregiver, adopting a differentiating posture in order to provide early care during the hospitalization, so that the family members feel more supported in the situational transition and that this happens healthily.

12:20
Management of Dizziness through Online Open Access Systems: A Mixed Method Study

ABSTRACT. Dizziness is one of the most common reasons why elderly people seek medical advice. Although several agents and levels of care could be involved in the diagnosis of dizziness, its treatment and education about how to manage it, dizziness is mainly dealt with in outpatients practice, increasing its financial burden. There is evidence that online support resources could be cost-effective educational methods to promote healthier behaviours and to manage a long term condition. An example of this is the LIFEGUIDE programme (Balance Retraining intervention online module), which has been successful in managing dizziness under the supervision of professionals from Primary Care. However, as an open access alternative to this, voluntary and community organisations could have the capacity to reach and guide people in the use of a web-based resource and optimise the use of community resources. In this project we aimed to disseminate the balance Retraining LIFEGUIDE online module (to manage dizziness) within open systems through the involvement of voluntary and community organisations and understand their role in the dissemination and facilitation process. This was a mixed method study (completed by March 2018) with a sequential explanatory design, including the following phases: 1. Network mapping of VCOs and development of dissemination strategies and workshop, which led to the identification of participant organisations in this study and to the planning and implementation of the dissemination strategies of the online tool for dizziness management. 2. Quantitative survey of the website resource use. Website users’ characteristics were explored and the effect of contagion mapped. All users were people suffering from dizziness. 3. Qualitative data collection through a focus group to assess outcomes, resources used and patterns of contagion/spread and role of social media with the organisations involved in the dissemination process. Statistical (SPSS 23.0) and thematic analyses took place, to meet the aim of this study. This presentation will also reflect on the explanatory value of the qualitative data for this project. A total of 4 voluntary organisations relevant to dizziness and representing local, regional and national groups participated in the dissemination of the project and in the focus group. Their dissemination strategy resulted in total of 291 users of the dizziness online resource (phase 2) with a diverse profile in terms of residence (91.6% users were from the UK), age (mean age 58.2), gender and home characteristics. The most effective strategy of dissemination of the organisations was including a link to the dizziness online source on their respective websites (p<0.01). Four categories emerged from the thematic analysis that explained the process of dissemination and use of the website and role of the voluntary organisations: Motivators and limitations to assume role in the dissemination of open access resources in the long term, Strategies for dissemination, Contagion effect as main outcome of the dissemination of the online resource, and Effectiveness of dissemination strategies and feedback This project has shown care pathways that could increase the interaction between professionals and non-professionals, users, sectors and levels of care and contribute to building further working networks.

12:40
Methodological flexibility in the study of new objects: methodological craftsmanship in a qualitative research on the Slash Generation

ABSTRACT. The research articulates the themes generation slash, careers and, mainly, the methodological flexibilization adopted to approach new objects. Slash means bar, graphic signal used to separate the dates or the multiple functions of a person. The dynamic life and full of simultaneous and different professional activities, complementary or not, define the profile of this new generation of workers. The research had an entirely qualitative orientation, believing that the "most central methodological primacy of constructing a research with qualitative orientation is exactly that of being a [permanent] construction" (ALBANDES-MOREIRA, 1993, p.74). We find that current discussions on the subject have gained space as the number of professionals in the slash condition has increased (EUGENIO, 2012). Since this object is not linearly structured, we assume then, that a methodological rigidity to study it could be misleading. The object requested a "methodological mix" for data collection and analysis. For data collection, we used in-depth interviews, on-site observations and social networks. For the analysis of the data, it was used, preliminarily, the elaboration of literary tales on the subjects of research. Complementarily, the thematization of the data is being processed using the technique of the analysis of the sense nuclei. The field research was carried out between September and November 2017, in two Brazilian cities - Fortaleza and São Paulo - with the participation of five subjects: two women and three men, ranging in age from 30 to 50 years. Access to the subjects was based on the relations of the researchers and the fulfillment of the condition of being a slasher, that is to say, is currently involved with two professional activities in parallel. We look at the collected data and let the "perceive" take care of our looks. We understood that it was necessary to write immediately about the field, from the lived experiences, with reflections and emotions occupying the same status of analytical resource to try to achieve interesting results. In addition to the in-depth interviews - whose conversations were recorded and transcribed for a total of 220 minutes, from observations with field diary notes and countless exchanges of impressions and feelings among researchers, after each encounter through whatsapp - we write literary tales about subjects trying to see details that stand out when using the literary poetics, but that probably escape when an objective description of the data. Good and long face-to-face and virtual meetings between researchers generated rich discussions about the process of data analysis, which is in the process of completion using the technique of the analysis of sense nuclei (MINAYO, 2004). We conclude that the subject-subject relationship was a fundamental point and the balance between reflections and emotions assumed an important analytical resource status for reaching the results.

11:00-13:00 Session 7E: Data Analysis Types

Short Papers/Abstracts (15m + 5m)

Location: Room 0.30
11:00
Guidelines for using vocabulary learning applications through Flash Cards to improve reading skills for children with learning disabilities

ABSTRACT. This research aims to study the application of flash card learning applications for reading skills for children with learning disabilities. Conduct qualitative research by studying the literature and research related to the writing and development of vocabulary teaching applications for children with special needs. The questionnaire was used to collect interview data and to collect information from three groups of experts, the experts involved in the application, the learning professionals, the children with learning disabilities, the parents of children with learning disabilities. The results of the study showed that the informants had no experience in implementing learning applications for children with disabilities. But there is a positive attitude towards the application, because it is a useful tool to stimulate interest in learning vocabulary, the Flash Card application is an alternative. Help with teaching with normal teaching. Especially for young children who like to touch. To see real pictures and cartoons.

11:20
Action-Research for the development of Care Technology: Protocol for the Management of Pain and Stress of the Newborn in Intensive Care

ABSTRACT. Research has shown the number of painful and stressful procedures which newborns are exposed to during the hospitalization period (Carbajal et al., 2008; Cruz, Fernandes & Oliveira, 2016; Sposito, 2016) as well as the short, medium and long term impairments that these can cause (Brummelte et al., 2012; Valeri, Holsti & Linhares, 2015). However, globally there is still a knowledge gap among professionals in relation to the pain management of newborns and its day-to-day practical details (Ozawa & Yokoo, 2013; Britto et al., 2014; Costa et al., 2016). Participative development of a Protocol was proposed for the management of Pain and Stress in Intensive Therapy Neonatal Units, based on scientific evidence, in a public children’s hospital, of Paraná, Brazil. The objective of the Protocol is to minimize the dichotomy between theory and practice exposed in several studies (Lago et al., 2013; Carbajal et al., 2008; Johnston et al., 2011). Therefore, as a reference for undertaking this intervention research, the theoretical-methodology of Michell Thiollent (2011) was used, is a type of social research, with an empirical base, it materializes through action to solve a collective problem, which affects participants and researcher, resulting in improvement in the professional practice and the quality of care. Following approval by the Ethics Committee, the research was undertaken with a multi-professional team (n=65: physiotherapists, doctors, assistant nurses and nurses; according to inclusion criteria). The 12 phases suggested by Thiollent were organized in three stages as follows: I: Description of the knowledge and practice of the multi-professional team for the management of neonatal pain (1. Exploratory phase; 2. Research theme; 3. Problem placement; 7. Field of observation, samples and qualitative representation; 8. Data collection); II: Theory and communication as strategies to base the práxis (4 The place of theory; 5 Hypothesis; 6 Workshops; 9 Learning; 10 Formal and informal knowledge); III: Elaboration of the Protocol and implementation of the steps (11 Plan of action; 12 External disclosure). For the study of these theory based results, with emphasis on the State of the Art Management of Neonatal Pain, a unifying review was presented. Data from Stage I was transferred to an Excel sheet and analyzed statistically, using a 5% significance level. Stages II and III, arising from the workshop theories and discussions compose the Protocol for the Management of Pain and Stress in newborn children. Each workshop had the participation of all the professional categories in differing numbers. They were all documented and developed from the starting point of the team’s own questions in the questionnaire (Stage I). The research had some limitations such as: fluctuation in participant numbers, with less doctor participation. The multi-professional Protocol for the Management of Pain and Stress in neonatal ICUs was developed, and will be validated. The discussions pointed to a deficit in evidence based scientific knowledge, creating uncertainty in relation to its management. The development of Action-Research caused a positive movement of reflective interaction within the team, with a view to it being used for the qualification of neonatal care.

11:40
Trust in Financial Markets: the role of the human element

ABSTRACT. The successive financial scandals involving important players in financial markets (Rezaee, 2005) lead the regulators to frantically produce new regulations aimed at preventing such scandals, seeking to increase security and overall trust in the financial system (Barth, Caprio and Levine, 2004). In short, such regulations are based on minimum values ​​for capital ratios, supervising practices, market discipline in close connection with information disclosure, and incentives to adopt "best regulatory and supervisory practices". While there is no guaranteed that the current level of rules and restrictions leads to a more secure financial system (Santos, 2001), it is even less clear that it guarantees an increase in investors' trust. In fact, such rules – e.g. Basel Core Principles for Effective Banking Supervision (BCPs) or the various Financial Sector Assessment Programs (FSAPs) – tend to affect the performance of financial institutions (Chortareas et al., 2012) affecting also its employees – who are the natural interface between institutions and their clients – and the main drivers of investors’ trust in the system. In such context, this research suggests that this regulatory growth leaves a fundamental target aside - the human element - essential if one aims at increasing investors’ trust. This work suggests trust is key for investments, adding that trust is even more important when the interaction between the client and the financial institution is usually carried out with a high asymmetry of knowledge about the issues addressed (Corritore, Kracher and Wiedenbeck, 2003; Jarvenpaa, Tractinsky and Vitale, 2000). Based on answers from 366 questionnaire respondents, we use fussy set qualitative comparative analysis (fsQCA) to test the conditional arguments that leads the client from a bank to trust his financial advisor. We analyze to which extent the conditions for trust (Butler, 1991) differ between people with different degrees of relationship with the financial markets. To Butler’s conditions, it is added the predisposition to trust (Yamagishi and Sato, 1986). The relationship of each respondent with financial markets is classified as (i) basic - savings / loans and deposits, or (ii) advanced – for the ones that invest directly or through specific products in the financial market. In line with the ongoing development of financial literacy programs worldwide, we also control for the level of financial literacy (Van Rooij, Lusardi and Alessie, 2011a) of respondents. To the best of our knowledge this is a first attempt to introduce Butler’s trust scale and fsQCA in the context of financial markets trust. We can conclude that trust conditions depend on the type of relationship - basic or advanced. In addition, we notice that financial literacy itself has a non-negligible role in trustworthiness of the investor / financial advisor relationship. In this way, the consideration of the human element into the strategies to strengthen confidence in the financial market seems a promising venue. Knowing those differences, allows us to suggest qualitative improvements of the relationship between financial institutions and their clients and a better understanding on how to improvement of trust in financial market.

12:00
Scoping review of addressing violence against children and adolescents in the context of primary health care: a necessary qualitative approach
SPEAKER: Emiko Egry

ABSTRACT. Introduction: Violence against children and adolescents is a social phenomenon that creates debates and public concerns due to its impact on the health-illness relationship. The perspective on the subject requires multi-professional, interdisciplinary, inter-institutional, and inter-sectoral actions beyond the biological aspect intrinsic of the problem. In this case, primary health care is a great arena for the development of plans, projects, and actions focusing on assessing and finding solutions for domestic violence and intra-familiar violence. However, when dealing with such a phenomenon, there are limitations such as the healthcare professionals’ lack of education, awareness, and referral in identified violence cases. Objective: Designing plans, projects, and actions to create opportunities to deal with and stop violence against children and teenagers within the scope of primary health care; and identifying the main barriers and key contributors to implement the plans, projects, and actions. Methodology: This paper contains a systematic review of scope with the methodological measurement complying with the Joanna Briggs Institute’s recommendations. The guideline question in this study is “What are the plans, projects, and actions that facilitate or support strategies to fight violence against children and adolescents within the primary health care scope of practice?”. Research study in English, Spanish and Portuguese found in 14 databases from several fields of knowledge will be used regardless of their publishing date. As a theoretical reference, both theoretical and philosophical foundation in Collective Health as well as their respective analytical categories, such as social class, race/ethnicity, with genre and generation being the main categories. The results will be primarily presented in the form of tables and charts, using narrative/summary description in which the results will be congruent with the objectives, questions, and the components of the curriculum hereby presented. In addition, the results will be analyzed based on the theoretical categories applied to this study such as gender and generation; for this to occur, content analysis based on Bardin’s studies will be used. Lastly, WebQDA, a software for qualitative analysis and EndNote, a tool for managing bibliography, will be used to better organize and manage the data collected.

12:20
Integrating Spirituality into Counselling among Malaysian Counsellors: An Interpretative Phenomenological Analysis

ABSTRACT. The purpose of the paper was to explore the experiences of six professional Malaysian counsellors on the integration of spirituality into counselling. Using interpretative phenomenological analysis, two in-depth semi-structured interviews were conducted with each of the counsellors. The interviews were audio-taped and transcribed verbatim. Among the findings were: a) relationships with people and connections with the sacred are often regarded as significant in the practice of spirituality; b) case conceptualization affects the way counselling service is provided to the client; c) theoretical orientation and counselling approaches of the counsellor play a role in the counselling process; and d) effective integration of spirituality into counselling could involve creativity on the part of the counsellor.

12:40
Using a Sequential-Consensual Qualitative Study to Co-Design a Curriculum for Cultural Safety Training of Medical Students in Colombia
SPEAKER: Juan Pimentel

ABSTRACT. Cultural safety is an approach to medical training that encourages practitioners to work in a culturally congruent way, acknowledging the validity of their patients' worldviews. Lack of cultural safety is linked to ethnic health disparities and ineffective health services. Colombian medical schools currently provide no training in cultural safety. The aim of this sequential-consensual qualitative study is twofold: (i) to document the opinions of stakeholders on what a curriculum in cultural safety should teach to medical students; and (ii) to use this understanding to co-design a curriculum for cultural safety training of Colombian medical students. Focus groups will explore the opinions of traditional medicine users, medical students, and cultural safety experts regarding the content of the curriculum; deliberative dialogue between key cultural safety experts will settle the academic content of the curriculum. The research will develop participatory methods in medical education that might be of relevance in other subjects.

11:00-13:00 Session 7F: Innovative processes of Qualitative Data Analysis

Short Papers/Abstracts (15m + 5m)

Location: Room 0.31
11:00
Quality Provision of Maternal and Newborn Health Care for Very Preterm Infants in Portugal in the context of neoliberal policies: A Mixed-Method Approach

ABSTRACT. The Troika bailout programme under neoliberal policy, comprising health care reforms and austerity measures for the National Health Service (NHS), was implemented by the Portuguese Government (2011-2014) to economize non-essential health care costs. This study aims to explore the perception of parents with very preterm infants (VPT) and healthcare professionals on maternal and new-born healthcare provision in the context of neoliberal policy and to analyse evidence-based care provision in Porto and Lisbon, Portugal.

A mixed-method approach of quantitative and qualitative analyses was used. A total sample of 974 mothers from the EPICE-Portugal cohort with VPT infants, born between 2011-2012, was included for statistical analysis. From this cohort 12 parents and 15 HCP involved in maternal care were randomly selected for qualitative analysis. Data was collected between April-September 2018 comprising: i) 4 Focus Groups with 12 parents and 6 HCP ii) 9 semi-structured interviews with HCP; iii) 14 Video Stories, a visual participatory methodology comprising self-expression through participant generated videos; iv) and 6 debriefing interviews as explanatory conversations with parents. A content analysis was performed applying Nvivo2011 software. Retrieved qualitative and quantitative data was categorized into the WHO framework on “Maternal and Newborn Quality of Care”(WHO, 2016).

The Quantitative analysis highlighted that evidence-based high quality care is provided in neonatal units in Portugal. Qualitative data disclosed inadequate provision of maternal health care. Main detected barriers were the lack of: i) preventive measures and initiatives; ii) adequate prenatal follow-up; iii) communication between doctor and patient; iv) pre- and postnatal psychological support. Maternal health care provision in public hospitals was evaluated to be unsatisfactory (e.g. overcrowded rooms, overworked staff). Privatization measures were found to be associated with complicating provision of healthcare services for mothers of VPT infants due to i) increased working hours; ii) decentralization of health facilities and; iii) cuts in: healthcare staff, salary, benefits, and health care resources and investment.

Neoliberal policy with privatization, budget cuts, and health care reforms, was found to have impacted health care provision for parents with VPT infants in Portugal. Stronger emphasis should be laid on prenatal care by providing psychological support for parents and their families, information guidelines, increased communication, and intensive pre-and postnatal follow-up care. The authors recommend specific tailored national policies for parents with VPT infants and enhancement of home support for the family.

 

11:20
Reflecting on the use of photo-elicitation methods to enhance the interpretative lens and re-balance power back to the participant. A Review
SPEAKER: Kate Reid

ABSTRACT. The use of visual methods, specifically photo-elicitation in qualitative research has seen an increase in popularity in applied social science research, particularly in psychology. This paper considers the evolution of the photograph as a research tool, situating its use within historical and disciplinary contexts. We argue that there are interesting benefits associated with supplementing qualitative methods such as the one-to-one interviews with photo-elicitation. We present a recent review of photo-elicitation used in research which identifies as being informed by Interpretative Phenomenological Analysis (IPA). This paper aims to explore the use of photographs in IPA and summarises published research paying attention to domain of study, sample and variation of photo-method. There are 14 published articles utilising photographs in IPA from 2010 -2018. These studies were conducted internationally and reach across different topic domains including health, developmental, education and occupational research. The reviewed studies extend across the age span and there was notable younger age participants involved. Using photographs offered particular advantages in comparison to interview alone: (a) to empower marginalised groups (b) to facilitate in-depth interpretative discussions of abstract concepts and sensitive issues (c) to synthesise data with other methods to strengthen and enhance trustworthiness of findings. Photographs can be ‘elicited’ by participants or used as a secondary artefact by researchers as a stimulus for discussion. Visual methods using photographs vary, and include photo-narratives, photo-journals, photo-montage, photo-questionnaires. Particular attention is paid to exploring ethical issues to ensure confidentiality, privacy and wider GDPR adherence.

11:40
Practical Strategies in Conducting a Qualitative Meta-Synthesis

ABSTRACT. Although still new in many parts of the world, qualitative research is growing exponentially. More and more countries are experiencing a growing interest in qualitative research. More and more universities are promoting the inclusion of qualitative research in the coursework, faculty research production and dissemination, as well as theses and dissertations. Research funding organizations that used to be strongly based on quantitative research have begun promoting alternative research methods. More and more scholarly conferences and seminars are opening up for qualitative research papers and presentations. People who used to struggle with quantitative research are finally finding their voice and discovering their formerly-unexplored skills. As a result, there is a growing wealth of qualitative research.  Unfortunately, synthesizing qualitative research is still an uncommon practice. It is not yet common to find many meta-syntheses in many fields in general There is more need to systematically synthesize the qualitative research studies that have recently been produced. One of the ways to do so is to conduct a meta-synthesis, known also as meta-narrative. Although this qualitative research design is not necessarily new, it is still not frequently used to help synthesize existing qualitative research studies. This is because either most qualitative researchers do not know how to use it, since they are still fairly new to the field, or because it is a challenging undertaking. Unlike meta-analysis, its counterpart, meta-synthesis still needs to be more clearly and more practically introduced to qualitative researchers in many parts of the world. This presentation paper defines meta-synthesis, provides different orientations of meta-synthesis, as well as a step-by-step guide in conducting a meta-synthesis. This presentation of this ongoing work is meant to generate more interest and discussion on this less-used and yet much needed qualitative research design. The discussion generated here will be helpful in improving the practice of meta-synthesis in general. With this knowledge, more qualitative research may be systematically synthesized to help orient new directions of inconclusive research. Expertise in meta-synthesis can also help generate more informed practical guidelines needed by different policymakers and practitioners in different fields. Such a contribution would take the relevance of qualitative research one step higher. Although the presentation uses the illustration from the field of education, it is based on principles and steps that are useful in many different fields where qualitative research is used.

12:00
Nordic Identifications Captured through Participatory Photography

ABSTRACT. This study explores how upper secondary students in four Nordic countries identify with the Nordic region, their associations to the Nordic and what it means for them to live in a Nordic country. The study draws on students' interpretations of photographs in combination with interviews. The data consists of 571 photographs taken during spring 2018 by a total of 104 students in the metropolitan areas in Helsinki, Stockholm, Oslo and Copenhagen. The semi-structured group interviews were conducted during the same period with the same students. The results showed that students clearly identified themselves as citizens in the Western world. Visual ethnography in education as a method enhanced the upper secondary students' instrumental way of giving meaning to what living in the Nordic countries means to them. Moreover, the method enables the students to become a kind of a co-researcher together with the research team also in both an aesthetic and narrative way, since also interviews were conducted with the participants. The study offers insights into how visual ethnography as a method can serve as a useful and activating tool in cross-national educational settings.

12:20
Food Grown and Traded in Panama City

ABSTRACT. Following a scientific mission to Panama, the UL conducted a survey to 50 informants, resident in the capital city, three of them urban gardeners and the remainder plant traders. Results from the in-depth interviews, applied by the author with an open questionnaire, gathered a total of 166 vernaculars, corresponding to 171 different species, 96 of which had medicinal or cosmetic applications, 61 were consumed as food and 14 as spices. The research was part of an extensive project aimed at presenting study cases of sustainable practices gathered in urban environments. A second objective was to build a database about the evolution in flora consumption, focused mainly on food plant species in this contribution.

12:40
“Well-Healthy Relationships”: Using Indigenous Approaches to Support Relationship Formation for Persons with Disabilities
SPEAKER: Sarah Knudson

ABSTRACT. There is limited knowledge about the experiences of intimate relationship formation for those with disabilities, particularly amongst Indigenous populations in urban areas. In order to address this research gap, our project uses an Indigenous approach—talking circles facilitated by a Knowledge Keeper—to engage local community members in discussions about their challenges and journeys of relationship formation, and considerations of community-level efforts at improving socialization and safe meeting spaces for disabled Indigenous persons. Through a central aim of “story-catching” through semi-structured biographical narratives in talking circles, we demonstrate how Indigenous methods can be appropriately and effectively employed to generate rich qualitative data. Our research also underscores how qualitative Indigenous approaches work to foster an ethical space (Ermine, 2007) between researchers, participants, and their communities, and how this in turn encourages individual and community empowerment.

11:00-13:00 Session 7G: Qualitative Analysis with Support of Specific Software

Short Papers/Abstracts (15m + 5m)

Location: Room 0.33
11:00
What Is Better to Study: The Printed Book or the Digital Book?: An Exploratory Study of Qualitative Nature

ABSTRACT. Several years after the incorporation of digital in educational contexts, there is little systematic knowledge about the attitudes and practices of students with regard to reading in printed and digital books. This study aims to know what the students think of the Master "Research in Teaching and Learning of Experimental, Social and Mathematical Sciences", of the University of Extremadura -Spain (2017-2018 academic year), about the study through of printed books or digital books. The design of the research is descriptive and based on the qualitative and quantitative analysis (mixed-method) of the messages of an electronic Forum in which 31 students will participate. The content analysis of the messages of the Forum has been carried out following a process of reduction, organization, coding, obtaining results and determination of conclusions, using webQDA resource, software to support the qualitative analysis of data. The quantitative findings reveal that the largest of university students continues to prefer to study by printed books. The main justifications for this option refer to the importance of making annotations on an object with a life of its own and that reading on paper allows reaching higher levels of concentration and memory through the sensory experience that its use provides.

11:20
Effective Use of Digital Tools and CAQDAS Software in Qualitative Evidence Synthesis and Systematic Reviews: Practical Approaches and Recommendations

ABSTRACT. This paper focusses on practical steps to effectively harnessing digital tools and using market-leading Computer Assisted Qualitative Analysis Software (CAQDAS) packages to undertake systematic reviews and synthesise qualitative and mixed-methods research. With their foundations in the health sciences the gold-standard Cochrane methods have an increasing influence on other social science disciplines: especially educational and management research. The workshop is framed by the recently published Cochrane Collaboration Guidance for Qualitative Evidence Synthesis (Cargo et al., 2018; Flemming, Booth, Hannes, Cargo, & Noyes, 2018; Harden et al., 2018; Harris et al., 2018; Noyes, Booth, Cargo, et al., 2018; Noyes, Booth, Flemming, et al., 2018) which will form the basis of the forthcoming Cochrane Handbook. Through an exploration of the authors’ practical experience in supporting the use of both ATLAS.ti and NVivo in systematic reviews, the workshop explores: • core principles of systematic reviews, • the place of CAQDAS and other digital tools in the workflow of a review, • using software for screening, quality analysis and synthesis, • creating and implementing analysis frameworks through coding hierarchies (including the provision of example coding frameworks for import and use) • using queries and memos to develop analysis • exporting and reporting findings. A particular focus is on ways to move beyond categorical coding and into relational explorations of the influences and developments of different studies through exploring how coded segments can be linked together using of hyperlinks (in ATLAS.ti) vs see also links (in NVivo). The presentation also seeks to propose pragmatic approaches for the assessment and selection of the best-fit tools for a review, rather than these being grounded in familiarity or institutional licensing arrangements. Finally, drawing on a current project to support an exploratory systematic evidence mapping in environmental science, the future landscape and potential for the new generation of automated and pattern-coding tools in CAQDAS software will be considered.

11:40
Farriers’ roles in ‘making every contact count’: a tale of integration for a mixed methods study design using NVivo
SPEAKER: Jenny Lynden

ABSTRACT. This paper explores the unique affordances of using NVivo for an applied psychology research study in a veterinary healthcare context, both in terms of how it supported and constructed the research journey, and how it enabled an in-depth analysis leading to conceptual and theoretical development. 

In veterinary medicine it is estimated that approximately 45% of leisure horses in the UK are now overweight (Robin et al., 2015).  This is likely to be the result of complex horse-owner relationships involving affection and nurturing behaviours, such as overfeeding (Visser & Van Wijk-Jansen, 2012).     Overweight horses are at an increased risk of laminitis.  This causes inflammation in the hoof, severe pain and results in disability and death (Hollands, 2012).   There is an interest in how horse owners access information about nutrition and how they become motivated to make changes to their care practices (Hoffman, Costa, & Freeman, 2009; Roberts & Murray, 2014).   Prior to the current study, there had been no research published into how farriers’ roles are constructed in supporting horse owners to manage horse obesity.   Farriers shoe horses’ feet every 4-8 weeks and are, therefore, in a unique position to provide ongoing support to horse owners.  However, they receive no formal training for this role. 

Symbolic interactionist (SI) role theory can be useful in framing an analysis because it recognises how in everyday situations there is a degree of uncertainty and discretion which leads to joint action between individuals in modifying roles in occupational and healthcare settings (Hardy & Conway, 1988).  This involves a process of social learning, ultimately leading to norms which become ‘internalised standards’ (Lum, 1988).   An ethnographic approach is an established practice for SI research as it centres on interpreting the intersubjective world of human lived experience, recognising the capacity people have for reflexivity and therefore meaning making using symbolic representations (Prus, 1996).   The research was designed to explore how farriers’ roles are constructed through interaction with horse owners, and to what extent their roles ‘make every contact count’ in supporting horse owners to prevent laminitis.  The study identified different farrier and horse owner typologies and a ‘contracting’ process which lead to 4 ‘contexts of care’ (Lynden, Ogden, & Hollands, 2018).  

This paper will focus on how NVivo enabled the integration and triangulation of complex data analysis (e.g. coding of interview data using the constant comparison method for grounded theory analysis; micro-level transcription of video data for conversation analysis; and the integration of a factor analysis conducted within SPSS for survey data).  The paper will explore how the use of tools within NVivo (including, coding, memoing, matrix queries and conceptual mapping) supported theory development.  This provides further support for the advantages of using CAQDAS for a mixed methods design as it supports the integration of complex datasets (Silver & Lewins, 2014).  Inevitably, this type of mixed methods research raised epistemological tensions for working across different paradigms and this paper will outline how linked memoing within NVivo kept these tensions visible throughout the research process.

12:00
Establishing methodological coherence when using stimulated recall interviews and narrative analysis
SPEAKER: Urisha Naidoo

ABSTRACT. Qualitative research is multimodal in focus, often to triangulate data findings and to add rigor, complexity, richness and depth to the data analysis. However, critics often question the trustworthiness of data findings. Pre-observation interviews, videoed observations of clinical sessions followed by stimulated-recall interviews were chosen as the data methods. Narrative analysis was chosen as it served as a data management mechanism to form coherence among the variety of data sources and the volume of data in order to produce a coherent whole. Techniques from creative short story writing were used and were supplemented with with verbatim extracts from transcripts to further authenticate the narratives and to enhance the credibility of the analysis. It is well documented that videoed observations and stimulated recall interviews are compatible in their pairing as research methods however, the veracity and the compatibility between these research methods and narrative analysis needed to be established. The constructs of trustworthiness were used to allude to the coherence between stimulated recall interviews and narrative analysis. Credibility was achieved through triangulation of the data whereby multiple sources were gathered, i.e. pre-observation interviews, Video recorded observation data and stimulated recall interviews. Transferability was achieved through the narrativising of the data warranted thick descriptions of the empirical data that were presented in the narratives to allude the reader to the context. Dependability of the study was achieved through detailed data production planning and transparency of process. Confirmability was established through triangulation. Triangulation of the data was conducted in an effort to reduce the effect of researcher bias. Although qualitative research is inherently multimodal in focus, the trustworthiness and the coherence of the methods used in a single study needs to be established so that the findings can be dependable and generative. This paper argues that videoed observations, stimulated recall interviews and narrative analysis form a triangulated process to establish methodological coherence and trustworthiness in qualitative research.

12:20
Contribution of textual analysis by ALCESTE software to determine dimensional publicness and public values: an application on two banks of the French local authorities.
SPEAKER: Serge Rouot

ABSTRACT. This research is an original empirical approach, which carries out the textual analysis of the financial communications of the two major banks of the French local sector: the historic lender Dexia and the new bank AFL, built by and for local authorities. Using Alceste software, the analysis reveals the public values in their financial reports and measures the dimensional publicness. Our results are fairly surprising. There are a few differences between public values in the two banks and their constraints, mainly economic. While the nature of their shareholdings could have let it suppose.

12:40
Approaching Ethnographic Research about Human Interaction as Making Music Together

ABSTRACT. This essay develops the idea of perceiving and practicing ethnographic research through the lens of music-making. I propose and initially explore four tenets of approaching ethnographic research about human interaction as aesthetic activities of making music together. Accomplishing this stance involves: (1) active involvement and inclusion of all parties in the emerging process of composition, improvisation, and performance; (2) committed listening, attunement, and mutual responsiveness; (3) achieving reflexive immersion while embracing the ethical demands of assemblage; and (4) co-achieving rhythm and the connections of musical temporality and form. In doing so, I emphasize theoretical and lived understandings of an aesthetics of interpersonal communication. I argue that it is vital to recognize the interconnection of aesthetic activities with everyday life and the opportunity to learn and create possible understandings together in ethnographic inquiry.

13:00-14:00Lunch Break
14:00-16:00 Session 8A: Rationale and Paradigms of Qualitative Research

Full Papers (20m + 10m)

Location: Room 1.43
14:00
Using Emoji in Research with Children and Young People: Because We Can?

ABSTRACT. Participatory and rights based research with children and young people emerged over the last few decades. The participatory tradition describes children as human beings with a right to participate in research on questions important to their lives. Visual methods such as drawing, mapping and photography have been adapted from positivist traditions in childhood research and from qualitative research in general. More recently, digital technology has been rapidly changing and expanding, affording a myriad of new possibilities for researchers. This paper considers the use of new technologies, specifically emoji, in conjunction with other visual methods such as video and digital interactive mapping, to improve participant engagement and interaction with the research topic in ways that are salient for children and young people. Using three case studies, the paper reports on the theoretical development, application and experiences of researchers using these technologies.

14:30
See Me! Biographies of the Hidden City

ABSTRACT. Cooper and Whyte (eds. 2017) outline the violent and isolating impact of austerity policies on increasing numbers of vulnerable people across the UK. The concerns outlined are reinforced by an increasing body of research, providing further evidence of the factual basis of the damning country report by the United Nations Human Rights Committee (2016). This undisseminated report listed 73 action points related to the planned replacement of the Human Rights Act with a diluted Bill of Rights against a backdrop of issues relating to poverty, food insecurity, rising homelessness, increasing insecure work contracts and diminution of workers’ rights, lack of parity between mental and physical health in service planning, limited support for refugees and asylum seekers, limited childcare, removal of housing benefit to under 21s and failure to ensure payment of the minimum wage to under 25s causing poverty and homelessness, failure to regulate corporate tax and ensure income to support the population. In October 2016, in the aftermath of the BREXIT referendum, the EU Commission on Racism and Intolerance (2016) Report on the UK highlighted the role of press and politicians in normalizing overtly xenophobic and racist behavior.

Despite the increasingly compelling body of evidence, and an indictment of the policy focus delivered in the results of the 2016 General election, there are only the smallest of changes to national policy, and the people affected most ‘denied recognition’, (Honneth 1995), disconnected at a structural level, socially invisible, prey to stigma and disdain.

This paper represents an attempt to overcome that disconnect and link the hidden narratives of austerity across a city with those able to effect local change. It will more fully analyse the impact of, and responses to, austerity at a local level across one industrial northern city. Using established local professional networks, the paper will initially provide results from a research pilot recording the biographies of one group of those ‘unseen’ lives touched by austerity, and seek to reconnect those biographies with policy makers, and social change agents, at least at a local level. The aim of the pilot will be to trial approaches to supportive, research conversations which extend the concept of intersubjectivity to ‘recognise’ individual participants, and enable a ‘forum of participation’ (Delcroix & Inowlocki, 2007). In empowering people to co – produce local solutions to local issues, it is hoped that the research process will be a process of reconnection, rekindling a sense of control, ability to exercise influence over individual and community lives and, as a consequence, well being. The research design will seek to identify pressure points, points of disconnection and potential connection, points with the potential for support, (re) actualisation and change, with a view to helping identify specific issues and solutions.

15:00
The Complete Health Improvement Program: Doctors' Voices, Talks and Perspectives

ABSTRACT. The Complete Health Improvement Program (CHIP) focuses on bringing a clearer understanding of the nature & causes of today's chronic diseases, their risk factors & how to prevent,treat, disarm, & potentially reverse them (Diehl,2015). This qualitative inquiry, anchored on Bandura's social cognitive theory,explored the voices of medical doctors who were CHIP participants for the purpose of generating a substantive theory to guide & improve the program. The definite objectives of the study were to highlight the doctor's perspective on CHIP, optimum health, and challenges & opportunities to the quality of life in the 21st century.. Instrumental Case study design was utilized and criterion sampling technique was used in the selection of participants. The results of the study helped in the health policy formulation, theory development in lifestyle medicine, and the populace's decision to adopt a healthy lifestyle.

15:30
Ethics, Epistemology and Community-Based Research on African Americans

ABSTRACT. The paper argues that people-centered research cannot be objective or value-free in design and outcomes. Instead, hegemonic paradigms remain embedded in knowledge production, interpretation and validation. Eurocentric values are assumed to be universally applicable and produces epistemic injustice because the knower can be wrong. It refutes the notion that better research procedures addresses ethical issues and that the ethics of reciprocity or reflexivity are solutions to understanding multiculturalism. Instead, the paper calls for a decolonization of research through epistemological inclusiveness at all levels. Epistemologies that are representative of minority and/or the least powerful groups in society. Specific to African Americans and people of the African Diaspora, the paper concludes that race-based or Afrocentric epistemologies are required in research to accurately capture the perspectives and experiences of those being studied.

14:00-16:00 Session 8B: Systematization of approaches with Qualitative Studies

Full Papers (20m + 10m)

Location: Room 1.44
14:00
Humor intervention in the nurse–patient interaction
SPEAKER: Luís Sousa

ABSTRACT. The aim of this study is to describe the factors that influence the use of humor in nursing care, its applicability and benefits. Method: A scoping review was performed using the Arksey and O'Mally methodology. Articles published between 2008 and 2018 were search on the platforms EBSCO Host, Virtual Health Library and Google Scholar. From the initial 465 articles found, 17 were included for final revision. Results: Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context; and limitations and precautions of humor intervention. Conclusion: The use of humor promotes both communication and human interaction; it promotes well-being; helps dealing/coping with difficult and unpleasant situations, reduce tension, discomfort and stress; and strengthen the immune system. This intervention should be used with caution.

14:30
Critical health-disease transition in the family: Nursing intervention in the lived experience

ABSTRACT. In the therapeutic intervention process families facing a diagnosis of critical-illness, experiences a set of difficulties, which requires adaptive strategies. They want to act correctly, and to do so, they interact between themselves and with the Intensive Care Unit team. This study aimed to analyse the strategies found by families to deal with the situation, in their lived experience in a family context and in the inpatient context. This research fits into a qualitative paradigm and a phenomenological approach, according to Van Manen. Participants were referred to a "snowball" effect and data was collected by interviews with open questions. From the collected data three essential themes emerged revealing the strategies: Becoming aware; Build up a dialogue; Ensure comfort. It can be seen that families interacting with nurses can find cognitive and emotional support allowing them to be aware of the situation and speak about it in order to strengthen and to comfort themselves.

15:00
Creation of the Happiness 360º model - Qualitative analysis from survey responses

ABSTRACT. Qualitative data analysis has been increasingly important in the development of research, especially in areas such as the Happiness Economics and Communication for the Development. In order to understand what Happiness is and in what form certain variables like, sex, literacy, etc., influence the concept of happiness, based on a survey conducted in April 2018, inserted in the project to create the model Happiness 360º and using the software of Qualitative Analysis, Webqda, we have analyzed the answers to the question - What is happiness for you? The great peculiarity is that it is an open question. It could be considered that the question is recurrent and the work redundant, but the results are very interesting from an analytical point of view. The data collected allows us to draw interesting conclusions from an analytical point of view as will be seen in the following pages.

15:30
Palliative care in gastric cancer: Barriers to access in Santander, Colombia

ABSTRACT. Gastric cancer (GC) is a public health issue with high incidence and mortality in Colombia due to its tardy diagnosis and barriers to access to curative treatment; this leaves palliative care (PC) as the only option. Our aim is describe the barriers to PC perceived by adults with GC, caregivers and physician in Santander, Colombia. A qualitative study was carried out with the analysis of the grounded theory (Strauss and Corbin), through semi-structured interviews, after sampling for convenience. In conclusion, access to PC should be improved during the course of the disease because of its positive impact on life quality of patient and family, this requires remove barriers to timely and integral access and strengthen health and education policies with active participation of State and community to facilitate procedures and services that ensure the attention required by the adult with GC.

14:00-16:00 Session 8C: Qualitative and Mixed Methods Research

Full Papers (20m + 10m)

Location: Room 1.45
14:00
Transmedial storytelling searching "The National idea of Russia"

ABSTRACT. In this article the author starts with the art object, which was created on the basis of on All-Russian competition of art concepts on a topic «The National Idea of Russia». The visual analysis contains a dynamic political representation: the unification of the images a sovereign’s orb and a traditional tilting doll creating the effect of move…. along with a slogan "Try to kill!" as an aggressive counter-game with the viewer. The textual analysis is … 458 art ideas which were participating in contest and have shown significant range of substantial references for understanding a national idea of Russia: national symbols, family and children, Christian symbols, animalistic images, anthropocentric images, morality, humanitarian values, liberal values, ecological values, idea of revival and patriotism. A separate stage is focused on the selected art ideas representing the narrative (N=130). The interpretation of their narrative core focuses on change, transformation, release, the physical efforts, proud death, rescue and hope. In general a piece of art reflects an important condition of modern media presentation - the idea of the conflict, the space of ideological collision. The use of virtual outsourcing for the organization of the art concept contest as media technology also allows the authors to be guided by the contours of collective identity of the Russians found in such an unusual way. But the national unifying idea declared by the sculpture and contest as "thought which gives us strength for improving life", is visually aggressive, substantial – and traditional.

14:30
Avatar Kinect: Drama in the Virtual Classroom among L2 Learners of English

ABSTRACT. This study presents a dramaturgical analysis of student interactions in relation with and as mediated through a gesture-based gaming software among L2 learners of English at two international branch campuses in the Arabian Gulf where face-to-face interactions between unrelated members of the opposite sex are generally discouraged. We investigated whether Avatar Kinect might provide a safe way for young males and females to interact while discussing social issues in a composition course. Data was collected through personal observation and survey. Five key themes emerged from the study. First, some participants chose to perform at front stage and others chose to remain back stage. Second, front stage participants chose avatars with gender and skin colour similar to themselves. Third, all participants appeared be engaged in the interactive role play processes and with one another. Fourth, front stage actors appeared to act without inhibition. Finally, all participants expressed frustration with technology shortcomings.

15:00
Peer-led recruitment of ‘hard to reach’ older limbless veterans: A case-study discussion
SPEAKER: Gill McGill

ABSTRACT. Abstract. Military veterans in the UK are considered a group at risk of experiencing health inequalities and a vulnerable population, particularly older veterans and those who have lost limbs. Recruiting so-called ‘hard to reach’ populations has been a key focus of much health-related research. A key reason for this is the fundamental importance of selecting an appropriate sample from a population which, at times, can be very difficult to find and engage. This study aimed to explore peer-recruiters’ experiences of being involved in a research study in which they had engaged in peer-led recruitment to successfully engage older, limbless veterans into a study. A case-study methodology was utilized in which two peer-recruiters took part in semi-structured interviews. Three themes emerged: importance of the insider perspective; involvement in the wider project; personal and professional gain.

15:30
Strategic Analysis of Risk Management of STEM Education - The Strategic Risk: Teachers - opportunities, training and social status in Israel.

ABSTRACT. A doctorate study conducted in the Faculty of Education Science and Technology at the Technion – Israel Institute of Technology, offers an innovative implementation of the risk management process for STEM Education in Israel. A three-phase risk-management process employed: Risk Identification, Risk Assessment & Prioritizing, and Risk Response. The research goal was to outline a risk-management plan to STEM education in Israel based on the conceptions of five stakeholders groups: Educators, academics, industrials, military and philanthropy actors. Research findings presented according to the three phases of the risk management analysis performed in the research: SWOT analysis aimed at identifying risks, a Delphi method for the purpose of risks rating, and a response plan aimed at mitigating risks faced by STEM education in Israel.

14:00-16:00 Session 8D: Qualitative and Mixed Methods Research

Full Papers (20m + 10m)

Location: Room 1.46
14:00
Preventing falls in hospitalized elderly: design and validation of an intervention for the team
SPEAKER: Luis Cunha

ABSTRACT. The studies advise to intervene in the teams as a measure to prevent falls in hospitalized elderly, however there is no validated intervention for the team. This study aims to design and validate, by a panel of experts, an intervention for the team to manage the risk of falls in hospitalized elderly. This methodological study with quanti - qualitative approach, using the Delphi method, was developed in two phases: in the first, five researchers designed the intervention; in the second phase 13 professionals validated it. The analysis of content to the participants' answers in the first phase of the study allowed the definition of the indicators to be placed in each previously defined category: team formation; Communication; leadership; monitoring and mutual support. After the two rounds all the indicators obtained a consensus superior to 80%. The reliability test results ensure that the intervention can be used safely in the clinic and in research.

14:30
More than grandparents: Multiple case study on the role of great-grandparents in the multigenerational family
SPEAKER: Emily Schuler

ABSTRACT. The increase of human aging is a phenomenon observed worldwide and allows the experience of several roles within the family. Now grandparents can see their grandchildren grow up and have children, becoming great-grandparents, and thus adding another generation in the network of relationships. Consequently, more and more multigenerational families are emerging, formed by four or even five generations, and therefore more vertically. It is a multiple case study with three families consisting of four generations, totaling twelve participants, who were accessed through people known to the researcher. As research instrument, a semi-directed interview was used, with a specific script for each generation, as well as a questionnaire with the sociodemographic data of the participants, elaborated by the researcher. The data were analyzed through the thematic content analysis. The main results pointed out the following: 1) As for the feelings experienced when becoming great-grandparents, they reported joy, satisfaction and gratitude; 2) The support provided by them, most of the time, is of the emotional type; 3) The family relationship appeared as significant, being kept especially in the form of visits; 4) Conflicts exist, but seem to be circumvented with wisdom and much respect; 5) The legacies transmitted by them are related to faith, solidarity, education and order; 6) The meaning of being great-grandmother is intimately linked to the feeling of transcendence, the sense of having fulfilled the purpose of life and also its continuity in grandchildren and great-grandchildren. It was observed in other generations the appreciation of the great-grandparents, perceived as wise people, who can contribute as teachers to the new generations. It is hoped to give visibility to this generation still little studied in our country. The qualitative method used was seen as essential to fulfill the proposed objectives and to have a more systemic view of the role of great-grandparents in the family. The semi-directed interview, with the specific scripts for each generation made it possible to maintain the focus of the research, however, addressing different generations' views about the role of great-grandparents studied in this research. In addition, the participants felt comfortable to talk in depth and thus cover the topic in question. However, it should be noted that this theme has not been exhausted and that multigenerational families are expanding. There is still a lot to be explored about it, since it appears to be quite new in academia. In addition, the urgent need for a closer look at society for this elder population is needed to create new public policies that include this generation, as well as psychological support and family therapies.

15:00
ANTINEOPLASTIC THERAPY ADMINISTRATION: NURSING INTERVENTION IN THE RELIEF OF SUFFERING
SPEAKER: Eunice Sá

ABSTRACT. Suffering is a constant in the lives of people with blood cancer disease by the side effects of Chemotherapy. These moments of drug administration by nurses can have a therapeutic potential. Objectives: to identify the nursing interventions with potential to act on the suffering and the contribution to evaluate the results of the nursing intervention designed. Methods: Multi-method study of complex interventions. The intervention process was modeled using the methodology of qualitative research. Having finished the pilot study we realized that the new study design would turn again to qualitative research approach in particular to understand the rationale of the identification of the issues reported variation. Conclusions: It was concluded that the use of mixed methods of investigations allowed the understanding of the different parcels of nursing intervention. The implementation and evaluation of “drug chemotherapy administration as an individualized nursing intervention” demonstrated that it interferes positively in reduction of suffering.

15:30
Medication Administration - Nursing Workload and Patient Safety in Clinical Wards

ABSTRACT. The study aim is to analyze the characteristics of the work organization performed by nursing staff regarding medication administration procedures and their implications on the workload of these professionals and on patient safety. The study design is exploratory, with mixed method research and an ecological restorative approach. Data were collected between January 2014 and March 2015, in three inpatient units of a teaching hospital in the south of Brazil, by means of photo walkabouts and focus groups, in the qualitative step. In the quantitative phase data were collected from the 162 lists of patients assigned to nursing technicians during their work shifts. The results showed that the administration of medications has an impact on the professionals' workload and patient safety. There are weaknesses in the process that may contribute to medication administration errors, which are related to the number of doses and the number of patients assigned to each professional.

14:00-16:00 Session 8E: Data Analysis Types

Full Papers (20m + 10m)

Location: Room 0.30
14:00
The person with brain injury: wordless rehabilitation
SPEAKER: Filipa Santos

ABSTRACT. Communication is fundamental to the therapeutic relationship through which individuals define common objectives and the means to achieve them (King,1984) This is a challenge due to the increase in language disorders caused by brain injury (BI). These are a barrier to the understanding and knowledge of the person and their needs by the nurse specialist in rehabilitation (NSR). They have difficulties in family, professional and social integration; worse quality of life (Menoita, 2012); states of fury and depression (Sousa, 2005) and less enthusiasm in participating in rehabilitation (Buhl & Pallesen, 2015). The communication should be a priority research area for the NSR, whose results contribute to the participation of the person with BI in their rehabilitation process. This scoping review aimed to examine and map the existing literature on nonverbal communication (NVC) in the person with BI, in the context of rehabilitation. The CINAHL Plus® and MEDLINE databases were used. The time limit was extended to 15 years due to lack of studies in the area. Nine articles were used. The NVC is more involved in the rehabilitation phase than in the chronic one, with a disturbance in the understanding of gestures but not in its production (Rousseaux, et al., 2010b). It is urgent to encourage the participation and interaction of the person with BI in the process of rehabilitation with a view to its success. The scarcity of evaluation tools makes it subjective. The Lille communication test is the only concrete instrument, but not validated in Portugal. The application of the Rancho Los Amigos Scale reveals that people have a better NVC when they are in more advanced stages of it (Buhl & Pallesen, 2015). However, the NVC systems are well defined, and the classification of Knapp (1980) is the one that has the greatest consensus: paralanguage, proxemics, touch, environmental factors, kinesis and physical characteristics. There is also reference to affective intonation and silence / eye contact (Silva, et al., 2000; Santos, 2005; Ramos & Bortagarai, 2011). These, associated with close observation, become fundamental weapons through strategies such as: attractive, enthusiastic and humorous approaches (Buhl & Pallesen, 2015); creation of relaxed and supported atmosphere; silent dialogue; understanding and mediation through bodily actions and interpretation of body language associated with the understanding of the situation in which the person is; forced cooperation (stimulating communication, avoiding replacing the person) (Sundin & Jansson, 2003). The GRIP model suggests an intervention based on four phases: contact establishment; recording responses to reformulation of care plans; intentional interaction (through touch, expressiveness and patience for response) and partial participation (encouraging the person's participation after establishing effective communication) (Buhl & Pallesen, 2015). I believe that there is a gap in the evaluation tools. This is an urgent need for development, as it shows a lower participation of the person with language impairment in their rehabilitation process. The NVC systems are well defined as well as the strategies to be implemented, and their adequacy to the systems preserved after BI is necessary.

14:30
The emotional experience of the adolescent with perinatal Human Immunodeficiency Virus infection

ABSTRACT. The Human Immunodeficiency Virus (HIV) infection affects almost 2 million children in the world, and vertical transmission being the most common way of infection. However, due to medical advances and the development of antiretroviral therapy, children born with perinatal HIV in the last decades are now adolescents in transition into adulthood. This article intends to characterize the emotional experience of adolescents with perinatal HIV and to identify the conditions that facilitate the transitions experienced by those adolescents. A systematic review of literature based on the methodology of the Joanna Briggs Institute was carried out. Based on the PCC mnemonic, which corresponds to the P (participant) to the adolescent with perinatal HIV infection, the C (concept under study) to emotional management and the C (context) community nursing care, the following research question was formulated: What is the emotional experience of adolescents with perinatal HIV? After defining the selection criteria, the inclusion and exclusion criteria to be applied in the selection process of the articles obtained were outlined. In a search for results in both Portuguese and English and Spanish, the various terms defined were combined using the Boolean operators AND / OR. In addition, the survey was temporarily limited between 2012 and 2017. After the research according to the various data previously described, an initial sample of 279 articles was obtained. In order to guarantee a rigorous selection of the articles, the inclusion and exclusion criteria were applied, first to the titles, then to the abstract, being a partial or complete reading of the text when necessary. A final sample of six articles was then obtained. From the analysis of these findings it emerged that disclosure, family relations, peers/intimate partner, psychological symptoms and risk behaviors are dimensions that influence the emotional experience of these adolescents. It is can be concluded that the emotional experience of adolescents with perinatal HIV infection is mainly negative, due to the changes and challenges that can generate deep emotional conflicts, making them more vulnerable, and predispose them to risky behaviors. These results have as implications for nursing care the need to focus on the promotion of the facilitating factors of this transition, such as the gradual preparation for the diagnosis, the construction of a healthy sexual self-concept, the involvement of the peers, intimate partners and family, among others. As limitations in the accomplishment of this literature review, several studies were mainly focused on African and / or Latin American populations, as well as focused on a target population that included simultaneously children, adolescents and young adults. This is why we recommend carrying out studies whose population sample is children, adolescents or young adults separately. The fact that the various age groups were mixed did not facilitate the data extraction and analysis process. In addition, we also consider relevant studies focused on the American and European population.

15:00
Glocalizing identities: grounded theory of networked scholar

ABSTRACT. Grounded theory explained university professor and researcher identity construction in social media. Twelve interviews were conducted with 7 full and associate professors and 5 researchers from Lithuania and Italy. Professors and researchers were engaged in 3 scientific fields and were active social media users. A core category Glocalizing identities showed the process of professional self-presentation of university teachers in social media environments. Two opposite scenarios of identity construction were researched. The first showed direction to a person’s self-regulated learning in social media. The second pointed to social media skepticism. The first Glocalizing identities scenario was constructed from Accepting-Flowing-Learning parts. In some cases, it started from Hiding and gradually moved to Accepting-Flowing-Learning. The second scenario was constructed from Hiding-Disassociating-Ignoring parts. These findings contribute to understanding how active networked university professors and researchers in non-English speaking European countries – Lithuania and Italy – constructed their professional identities in social media.

14:00-16:00 Session 8F: Innovative processes of Qualitative Data Analysis

Full Papers (20m + 10m)

Location: Room 0.31
14:00
Demystifying Qualitative Data Analysis for Novice Qualitative Researchers

ABSTRACT. Qualitative research is a rich and diverse discipline, yet novice qualitative researchers may struggle in discerning how to approach their qualitative data analysis among the plethora of possibilities. This paper presents a foundational model that facilitates a comprehensive yet manageable approach to qualitative data analysis, and it can be applied within an array of qualitative methodologies. Based on an exhaustive review of expert qualitative methodologists, along with our own experience of teaching qualitative research, this model synthesises commonly-used analytic strategies that are likewise applicable to novice qualitative researchers. This foundational model consists of four iterative cycles: The Inspection Cycle, Coding Cycle, Categorisation Cycle, and Modelling Cycle, and memo-writing is inherent to the entire analysis process. Our goal is to offer a solid foundation from which novice qualitative researchers may begin familiarising themselves with the craft of qualitative research and continue discovering methods for making sense of qualitative data.

14:30
Biomechanics of Nurse Midwives in the delivery: contribution of Qualitative Research

ABSTRACT. The prevalence of musculoskeletal injuries is high in maternal and obstetrical nurses. In this study, we used film recording and analysis to develop a qualitative and descriptive way of analysing the postures of the experts during labour and understand how intervention during labour influences the postures and identify strategies for the prevention of LMELT. Ten maternal and obstetrical specialist nurses (EESMOs) participated in the films, the results evidenced changes in posture when changing from a static position to dynamics and allow to make suggestions, in the work contexts, for the prevention of musculoskeletal injuries in the EESMOS and to improve the quality of life of the professionals.

15:00
“Listen to your gut”: a reflexive approach to data analysis

ABSTRACT. Over the last two decades qualitative research has seen significant shifts towards the narrative, reflexive and creative. And yet, analytical frameworks do not seem to have stayed abreast of these developments. Using research into the construction of identity under the influence of fibromyalgia as an example, this paper seeks to exemplify a reflexive approach to data analysis that accounts for the researcher’s positionality as well as the increasingly untraditional, unconventional data stemming from creative data collection methods. The paper provides insight into data analysis and reflexivity and offers two practical examples of reflexive data analysis – an illustrated poem and an installation. After an outline of the processes and practical steps involved in the creation of these analytical outcomes, the paper concludes with thoughts relating to challenges, potential areas of application and a look to the future of this innovative approach to data analysis. In this approach, data analysis is in itself a form of knowledge generation through the process of assemblage and “listening to gut feelings”. This approach may be seen as unscientific, but given its advantages in relation to new insights, dissemination and communication of ideas, this approach is more fruitful than detrimental to developing qualitative research further.

15:30
Through the looking glass: insights of the volunteer ethnographer when researching sensitive topics with vulnerable populations

ABSTRACT. This paper extends further research on being both a volunteer and ethnographic researcher and intends to offer some insights on the practical dilemmas of adopting this dual role when conducting research on sensitive topics and with vulnerable populations. The discussion presented here draws upon an ethnographic participant observation study of a food redistribution organisation (Re-food) held in Lisbon, the capital of Portugal. The paper builds awareness on the emotional challenges in the field and discusses potential self-reflective strategies for researchers to cope with the extraordinary demands posed on them by specific circumstances and subjects. The volunteer ethnographer, when developing their work, is subject to a wide range of emotional challenges that are related to the functions that they had to develop in the research context itself due to their dual role, as well as to the vulnerability of participants and the sensitivity of the topic addressed.

14:00-16:00 Session 8G: Invited Talks

Invited Talks (20m + 10m)

Location: Room 0.33
14:00
Qual, Mixed, Machine and Everything in Between

ABSTRACT. Software is a journey. Whether you are learning, using, or building it, there are steps, failures, ah hah moments, and on a good day, breakthroughs, insights, and learning. Software is not a magic button. Software will not make you smarter or help improve your research design. In this talk, I reflect on an 20-year software journey that started with crumbly newspapers and government records in archives and led to free, open-source, web-based qualitative coding tools, as well as a commercial software platform that competes with IBM for supremacy in text analytics and machine learning. We literally do qual, mixed, machine, and everything in between, and this talk explains why and how our tools and methods contribute to research across the disciplines.

14:30
How better can great be? Improvements on webQDA functionalities

ABSTRACT. This presentation aims to address the efforts that have been made towards the enhancement and growth of webQDA functionalities, tools and structure. For the data collection a comparison with other CAQDAS and their capabilities, user’s surveys in workshops, seminars and courses, and observation with structed notes, both in live and online courses context was undertaken. The main purpose of this study is to define the improvements and updates that can optimize and increase the quality of the existing tools. It also seeks to increment the usability of the software by adding new tools and functionalities. In this aspect, the biggest investment was made on data visualization and cooperative work, by introducing new graphic outputs and allowing other users to validate results with the introduction of memos or notes. In the end of this presentation we will demonstrate how intuitive and practical the webQDA software is.

15:00
Current features and future developments of ATLAS.ti

ABSTRACT. ATLAS.ti has been facilitating qualitative data analysis for over 25 years, and new features have continuously been added to meet your needs and help you get your research published faster. Are you conducting a literature review? Import your references from your bibliographic manager and ATLAS.ti will automatically organise the information. Do you analyze current trends from Twitter? Quickly import Tweets into your ATLAS.ti project with just one click. Do you want to assess your team’s collaborative analysis? You can count on ATLAS.ti's integrated intercoder agreement tool. Today, in keeping with growing demand for online working environments, a brand-new web-based version has been launched: ATLAS.ti Cloud. You can now log into ATLAS.ti Cloud from any computer in the world and analyse your qualitative data for free. Teams can also simultaneously collaborate on an ATLAS.ti Cloud project and see their work updated in real time. The ATLAS.ti team looks forward to hearing from you during this session to learn how ATLAS.ti can continue to meet all your qualitative data analysis needs.