Graduate Theses & Dissertations

Women's Lived Experience of Risk in Pregnancy
Cardiovascular disease (CVD) prevention, treatment and outcomes in women remain largely inequitable globally. Unique sex-specific stages of life, including pregnancy conditions, and their influence on cardiac risk is a growing area of research (Norris et al., 2020). For example, preeclampsia is strongly associated with CVD risk. This connection has led to prevention interventions such as postpartum risk clinics. Research to date on pregnancy and chronic disease is rooted in the medical paradigm of risk and lacks women’s lived experience. The present study qualitatively explored illness and risk perceptions of women with risky pregnancy conditions. Some participants felt self-blame for their conditions. Consequences and severity were focused on “baby first”, while maternal risk was viewed in the distant future. Aspects of the pregnancy experience, including prompt access to mental health support, was viewed as a “blessing in disguise”. Risks, such as lack of agency, and benefits of healthcare risk communication and intervention and implications for practice were also explored. Author Keywords: communication, critical, health care, phenomenology, pregnancy, risk
An Emergent Model of the Return to Learn Process for Adolescents with Prolonged Concussion
Current literature on concussion management focuses primarily on the return to physical activity, while the return to learn process is less clearly understood. This knowledge gap is particularly problematic for adolescents, whose primary responsibility is academics. The present study sought to develop a more in-depth understanding of the return to learn process through the perspectives of adolescents who had sustained a concussion and their parents in in-person, semi-structured interviews. A substantive grounded theory of the return to learn process for adolescents that emerged from the data is provided. The basic model is consistent with many speculative, non-empirically based concussion management protocols, but extends these models by emphasizing the central role of parents in managing their child’s recovery process, highlighting the importance of role fulfillment within the concussion management network, and identifying the impact of the adolescent’s capacity and readiness for help-seeking. The results also highlight the vulnerability of concussed adolescents to losing their support structure as they move through key school transitions. Implications for educators, medical professionals, parents, and adolescents in the return to learn process are also discussed. Author Keywords: Adolescent, Concussion, Concussion Management, Multidisciplinary Management, Return to Learn, Return to School

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2014 - 2024
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