Using QSR‐NVivo to facilitate the development of a grounded theory project: an account of a worked example

This paper demonstrates how the software package QSR‐NVivo can be used to faciitate a grounded theory approach. Recent research evidence has questioned the methodological quality of many studies that claim to utilise grounded theory. This paper argues that qualitative data analysis software can be used to encourage good quality grounded theory research by facilitating many of the key processes and characteristics associated with this approach. To achieve this, the paper identifies a number of grounded theory characteristics, common to all revisions of the methodology. It then describes the development of a recent study, which examined how people successfully maintain long‐term physical activity behaviour change. The purpose of this is to demonstrate how different functions of QSR‐NVivo may be used in conjunction with the key grounded theory characteristics. In summary, QSR‐NVivo is a powerful tool that, if used appropriately, can facilitate many aspects of the grounded theory process from the design and early sampling procedures, through to the analysis of data, theoretical development and presentation of findings.     

Practice Learning and the Development of Students as Critical Practitioners—Some Findings from Research

This article reports some findings from an ESRC‐funded research project which has been examining the development of criticality in undergraduate students, taking social work and modern languages as contrasting disciplines. This twin‐track study aims to develop the conceptualisation of ‘criticality’ in the context of empirical research. This article examines the development of criticality in final year social work students, where the practice learning experience is predominant. The analysis is framed by the project's developing theoretical conceptualisation of criticality.     

Anti-Oppressive Practice and Social Work Students' Portfolios in Scotland

Anti-oppressive practice is seen by social work educators as a key approach to social work in the UK. However, controversies exist about its use in practice. Recent literature has criticised the complexities and problematics of anti-oppressive practice. An examination is made of the content of portfolios completed by social work students undertaking a final practice learning opportunity on a post-graduate programme in Scotland. The findings indicate that students gave considerable attention to power, empowerment and partnership but there was also an apparent general acceptance of agency policies, procedures and wider structural oppression. Also some aspects of social divisions and forms of oppression such as gender, age, disability and language received considerable attention while others such as ‘race’, class, sexuality and religion received less attention. Limitations of the research are noted. Suggestions for improvement in considering anti-oppressive material include a focus on both micro and macro issues, ranging from the structure for the portfolio and the content of supervision discussions through to agency policies and procedures and the national guidelines provided to social work programmes.     

Surviving Critical Illness: New Insights From Mixed-Methods Research

Current advanced medical technology allows survival of critical illness. However, the patient's psychological response to survival is relatively unexplored. Interviews with 32 older adult survivors, using the Hospital Anxiety and Depression Scale (HADS) and the Experience after Treatment in Intensive Care (ETIC-7) scale, Miller's Q-sort, and social work clinical wisdom, yielded unique and unexpected research results. Four response types were identified: avoiding, depressed, denial, and coping. Psychological agency during illness was found to be important. Participants did not reveal posttraumatic stress disorder–related phenomena predicted in previous literature but instead experienced posttraumatic growth. Hallucinatory experiences during illness were not traumatic, whereas social support emerged as a complicated concept. Participants unexpectedly revealed that childhood trauma was an important factor. Implications for clinical social work practice and research are outlined following the discussion of findings.     

Patient-Centered Approach to Building Problem Solving Skills Among Older Primary Care Patients: Problems Identified and Resolved

This article describes problems identified by older primary care patients enrolled in Problem Solving Therapy (PST), and explores factors associated with successful problem resolution. PST patients received 1 to 8, 45-min sessions with a social worker. Patients identified problems in their lives and directed the focus of subsequent sessions as consistent with the steps of PST. The 107 patients identified 568 problems, 59% of which were resolved. Most commonly identified problems included health related issues such as need for exercise or weight loss activities, medical care and medical equipment needs, home and garden maintenance, and gathering information on their medical condition. Problems identified by patients were 2.2 times more likely to be solved than those identified by a health care professional. Using PST in primary care may facilitate patients in addressing key health and wellness issues.     

Heart ed 101

Cardiovascular disease is the leading cause of death for men and women in the United States. Risk factors and health behaviors combine over time to contribute to the disease process. College communities provide a unique environment for health promotion, risk reduction, and primary intervention. Heart health should be an integral part of college health.     

How does POSSLQ measure up? Historical estimates of cohabitation

We use March Current Population Survey (CPS) data from 1977 to 1997 to produce a new historical series of indirect cohabitation prevalence estimates. We compare our new estimates with those produced by the traditional method and evaluate the new estimates. We then compare the indirect estimates with the new direct estimates to investigate whether biases exist in the indirect estimates. Our findings indicate that the traditional indirect method of estimating cohabitation prevalence underestimates cohabitors in different subpopulations, especially among those with children. We also find that the new indirect measure produces relatively unbiased estimates of cohabitors' characteristics.     

Self-care: Why do parents leave their children unsupervised?

We used a preferences-and-constraints model to develop four hypotheses to explain why parents may choose self-care (an unsupervised arrangement) as the primary child care arrangement for their children over supervised alternatives and tested them in a multivariate framework using 1995 data from the Survey of Income and Program Participation. We found that the choice of self-care over supervised care alternatives is linked to the availability of parents' time to care for children, the child's level of responsibility and maturity, and the neighborhood context. However, we found no evidence that parents' ability to pay for child care is related to the choice of self-care. The results also suggest that parents use different decision-making processes, depending on their children's ages.     

Social-Cognitive Factors in Childhood Social Anxiety: A Preliminary Investigation

The present study addresses the social cognition of socially anxious children, with particular emphasis on their ability to understand others' mental states in interpersonal situations. The heterogeneous sample used in this preliminary investigation consisted of 63 primary school children in England and the USA. The English children were from a mainstream classroom of 8- to 9-year-olds, while the children from the USA ranged in age from 6 to 11 years and had been selected by school district officials for a variety of social interaction difficulties. All children completed measures of social anxiety, shy negative affect, and various social-cognitive abilities, and teacher ratings of social skills were additionally available for the USA subgroup. Results showed that feelings of social anxiety are not associated with any basic deficit in the understanding of recursive mental states which concern facts about the physical world. However, there was evidence that socially anxious children—particularly those with high levels of shy negative affect—do experience specific social-cognitive difficulties in understanding the links between emotions, intentions, and beliefs in social situations. Providing further support for this link, socially anxious children were rated by their teachers as poorer than non-anxious children only on social skills that require insight into others' mental states. Directions for further examination of this complex interplay between cognitive and emotional factors in the development of social anxiety are discussed.