Narrative Analysis Research Articles

Master Narratives surrounding Rural Emerging Adult Migration: Resources for Postsecondary Decision-making in Rural Communities

This study examined the cultural messages informing postsecondary decision-making processes surrounding emerging adult migration from/to a predominately rural state in the northeastern U.S. Utilizing an ecological approach to sampling, this study used 27 interviews and 5 focus groups of stakeholders working in educational, employment, and quality of life sectors. Narrative analysis yielded evidence of a predominant master narrative of migration as a developmental requirement during emerging adulthood. Stakeholders spoke of normative and prescriptive expectations that emerging adults particularly in rural areas orient their plans and decision-making around, including leaving their home communities for developmental reasons. Implications for emerging adult development and migration and future research on identity formation vis-a-vis master narratives are discussed.

The influence of maternal long term health conditions including multimorbidity on child oral health: A scoping review and evidence gap map protocol

Objective This scoping review will map the extent and type of evidence in relation to the association between maternal long term health conditions (LTCs), including multimorbidity, and child oral health. Introduction Newer theories are emerging that detail the many factors that can influence child oral health at child, family and community levels. More recently, the association between maternal general health and child oral health has been explored, with preliminary evidence suggesting a link between shared environmental factors and diet/substance use during pregnancy causing childhood caries. Inclusion criteria All published studies that describe the relationship between maternal LTCs (including multimorbidity) and child oral health. There will be no limitation on the date of publication due to the limited number of studies available from the initial search of PubMed. The review will exclude case studies, abstracts, and grey literature. Literature must be in English language. Methods The following databases will be searched; CINAHL, Cochrane Library, Maternity and Infant Care, Medline via PubMed, Scopus, Web of Science. The search will include sources in English only and will be undertaken between April and July 2024. Studies to be included will be of any type of study design that describe a relationship between maternal long term health conditions, including maternal long term oral health conditions, and child oral health. Data extraction will be undertaken using tabulation of results by at least two independent reviewers. Narrative analysis of the evidence will be undertaken, and results will be presented in a narrative and tabular manner due to the heterogenous and limited evidence base found in the test search. This review has been registered prospectively on Open Science Framework, (https://doi.org/10.17605/OSF.IO/ECSWJ). The review will also inform an Evidence Gap Map (EGM) to illustrate the current evidence base regarding maternal health factors that influence child oral health.

A qualitative analysis of derogatory labels used against persons with disabilities in Kashmir

ABSTRACT Approximately 15 per cent of the global population has disabilities, including 26 million people in India and 367,000 in Jammu and Kashmir. Persons with disabilities (PWD) face stigma worldwide, and derogatory labels in the Kashmiri language compound this problem. We applied stigma and labelling theories to analyse the effects of societal labels on PWD in Kashmir. Focusing on women participants, we explored the unique, gender-specific experiences of stigma they faced. We uncovered PWD’s experiences in the region through qualitative research and narrative analysis. We highlighted culturally specific labels deeply embedded in Kashmiri society, illustrating how these labels contribute to marginalisation. This approach offers a nuanced understanding of the social and emotional impacts of labelling on both men and women.

Re-reading Genesis 24:55b–60 in the context of marriage by proxy in Awkunanaw, Enugu State

Genesis 24:55–60 takes cognisance of the right of a damsel in marriage arrangement. The study aims to examine Genesis 24:55–60 in the context of marriage by proxy in Awkunanaw, Enugu State, Nigeria. The methodology employed in this study is narrative analysis. The findings of the research indicate that marriage by proxy has been a longstanding practice in ancient Awkunanaw. The approach to this practice has evolved between ancient Awkunanaw and contemporary Awkunanaw. The study also reveals that damsels were granted the right to choose their life partners within the socio-cultural context of Genesis 24:55–60. The Hebrew phrase supporting this claim is niqrä’ lanna‘árä, meaning ‘we will call to the girl’. This suggests that Rebekah, the damsel in the text, consented to the marriage made on her behalf. Therefore, the study recommends that parents and guardians in contemporary Awkunanaw should adopt the socio-cultural practices of Laban’s society, as indicated in the study, to help curb the state of chaos within families in Awkunanaw.Intradisciplinary and/or interdisciplinary implications: This study emphasises the need to advocate for the rights of young women in Awkunanaw concerning marriage by proxy. It indicates that allowing a woman to choose her marriage partner would help reduce domestic violence and other marital crises in Nigeria, particularly in Awkunanaw.

Interoception and its application to paediatric occupational therapy: A scoping review.

Paediatric occupational therapists assess and provide intervention for children presenting with sensory processing challenges that impact their daily occupational performance. Interoception, the ability to sense internal body signals, is an emerging practice area, yet it remains unclear how and why paediatric clinicians are applying interoception and related concepts in practice. A scoping review was conducted to report on the current body of published literature related to interoception and its application to paediatric occupational therapy practice. A comprehensive search of 10 electronic databases and related grey literature was conducted. Title and abstract screening were completed prior to full-text review of evidence. The PRISMA-ScR Checklist and the Crowe Critical Appraisal Tool were used to support a systematic scoping review process and increase robust extraction and appraisal of data. Narrative synthesis was used to analyse and synthesise data. No consumer and community involvement. A total of 18 articles were included in this review, including original research articles (n= 8), published books (n= 4), theses/dissertations (n= 3), opinion pieces (n= 2), and one government document. Narrative synthesis analysis identified six themes: (1) occupational therapy principles relevant to interoception, (2) what is interoception?, (3) assessment of interoception, (4) clinical application of interoception, (5) clinical populations receiving interoception-based intervention, and (6) relationships between interoception and other performance components. Findings indicated that paediatric occupational therapists are integrating interoception concepts alongside occupational therapy principles to inform assessment and intervention processes. Several assessments and interventions are utilised to support children; however, evidence to strengthen use is lacking. Further, there are limited occupation-based assessments and intervention programs to address interoception deficits in children. Findings from this scoping review contribute to the emerging body of empirical evidence related to interoception and paediatric occupational therapy practice. These findings provide an informed basis for practice and research by occupational therapists in this area. Interoception allows us to feel what is going on inside our body and helps us to notice how our body might be feeling (e.g. if our stomach grumbles, we might feel hungry; if our heart is beating very fast, we might feel scared; if we are sweating, our body is feeling overheated). Some children may present with problems recognising interoceptive feelings in their bodies. Therefore, occupational therapists can help children learn about their own interoception related to their bodies. This is a new topic for therapists, and they need to know more about it so that they best help children and their families. There is not a lot of information about how to use interoception in occupational therapy practice, and we wanted to know what information already exists about interoception and occupational therapy. This review provides a summary of the current knowledge that is available and summarises it. Some information about interoception and how it relates to occupational therapy services with children was found, but more research knowledge about this topic is needed.

Engaging Youth with the Teaching Personal and Social Responsibility Framework: Sport Psychology Graduate Students’ Experience in a Service-Learning Course

Purpose: Grounded in the framework of Hellison’s (2011) Teaching Personal and Social Responsibility model, this study sought to understand how graduate students learned to facilitate a youth physical activity program while participating in a service-learning course designed to promote sport for development. Methods: This study utilized a thematic narrative analysis approach. Researchers interviewed one cohort of Master’s students (n=5) studying counseling and sport psychology who participated in the service-learning course. Results: Identified themes included: (1) supervision and consultation, (2) observation, and (3) self-reflection, along with emergent sub-themes when relevant. Conclusions: This research provides insight into how future service-learning courses in the field of counseling and sport psychology can be developed to facilitate graduate student learning through a culturally conscious lens. Applications in Sport: This information can be valuable for sport psychologists, sport social workers, mental performance consultants, physical education teachers, and coach educators when considering how to promote the development of future practitioners.

Mothers' and fathers' experiences of breastfeeding and returning to paid work after birth: A mixed-method study.

This mixed-method study explored the experiences of mothers and fathers combining breastfeeding with returning to paid employment after childbirth. Tasmanian State Service employees participated in an online survey and phone interviews. A total of 130 parents completed the survey, and 42 participated in 60-min phone interviews. The survey had more female respondents (109) than male (21), and only 4 of the 42 interviews were with fathers. The sample consisted mainly of professional women (84%) and men (16%), predominantly Australian-born (88%). Two-thirds of participants worked part-time (62%), taking either unpaid (52%) or paid leave (61%) within the first 12 months after birth. The majority (88%) preferred to breastfeed, with the mean age of the first formula feed being 4.1 months. A narrative analysis of the qualitative data, informed by work-family conflict theory, reveals that transitioning back to paid work while breastfeeding is challenging for both mothers and fathers. Parents face multiple conflicts between paid work, family responsibilities and maintaining breastfeeding. The emotional and physical demands of feeding, expressing, storing and transporting breast milk, combined with often inadequate workplace facilities, policies and gender discrimination, add to parental pressure. Mothers bear the greatest burden, while fathers' roles and needs are often overlooked in the workplace. The major finding of this study is that breastfeeding is insufficiently recognised as an integral part of the return-to-work process for both parents, generating a form of work-family breastfeeding conflict, where work (part-time or full-time) interferes with family responsibilities and breastfeeding. Family-friendly breastfeeding policies based on equity principles are needed to address workplace gender inequality and discrimination and better support parents in combining work and breastfeeding.

Engaging citizens in experiments with computational analysis of patient stories: From unwarranted reductions to meaningful insights

In recent years, citizen engagement in policy and research has gained considerable momentum. In the healthcare domain, patient narratives, through various mediums, have emerged as a valuable source of insight into the experiences of patients and the healthcare system. Recognizing the value of such textual data, diverse analytical methods have been developed, spanning from text mining to narrative analysis. This article presents experiments that combine computational methods, qualitative methods and citizen science for analyzing patients’ stories. In this article, we reflect on two experiments in which we combined these approaches, which we analyze through a generative lens. We distinguish three main effects of the experiments: they provide a platform for discussions as a 'site of controversy'; they act as 'mediator', fostering new connections and mutual understanding among participants; and they serve as 'tin opener', stimulating substantive discussions about methodological development and substantive healthcare matters. Narrative reduction, which occurs when rich narrative data is simplified into structured quantifiable forms, is not inherently problematic; instead, it can be meaningful when combined with qualitative methods and citizen science, emphasizing the importance of utilizing diverse methods to balance authenticity and gaining broader insights. The study highlights the significance of collaborative sense-making and meaning-making in interdisciplinary research. Engaging patients, their relatives, and professionals in the analytical process, facilitated by tools like word clouds, promotes engaged discussions that yield actionable insights. Further development of such interdisciplinary approaches holds promise for a more nuanced understanding of patient experiences, fostering epistemological pluralism, and refining healthcare practices.

Effects of the Vitality Acupunch Exercise Program on Older Adults With Probable Sarcopenia: A Mixed Methods Pilot Study.

Purpose: Age-related loss of muscle mass and strength is a highly prevalent condition in older adults in long-term care (LTC) facilities. This pilot study aimed to test the effects of a vitality acupunch (VA) exercise program on muscle mass, muscle strength, muscle endurance, functional fitness, activities of daily living, quality of life, and sleep quality of older adults in LTC facilities with probable sarcopenia in the United States and understand the experiences of residents who participated in the VA program. Design: A mixed-methods experimental design was used for this study. Methods: The quantitative phase included a sample of 27 participants randomly assigned to the control (n = 13) or VA (n = 14) condition. The VA condition consisted of three weekly 40-minute instructor-led seated exercise sessions over 24 weeks. Measures were obtained at baseline, three, and sixmonth intervals. Semi-structured interviews were conducted to explore participant's experiences of the program. Findings: Statistical comparison revealed significantly higher handgrip strength for the VA group (p = .008). Narrative analysis revealed that the program had a positive impact on participant's daily lives. Conclusions: The VA program offers a holistic, evidence-based exercise program for older adults with probable sarcopenia living in LTC facilities.

Pedagogical responsiveness: Focus on the Ukuqonda institute’s mode of engagement in mathematics

This paper was prompted by mathematics teachers’ challenges in implementing the proposed framework that centres on teaching for understanding, as opposed to teaching aimed at producing marks as evidence of achievement. Teaching for understanding in mathematics, among other factors, requires the creation of engaging and inclusive learning environments underpinned by teachers’ pedagogical responsiveness to the diverse needs of learners. We investigated pedagogical responsiveness, focusing on the Ukuqonda Institute’s mode of engagement in mathematics. We specifically pursued two research questions: 1) What are the key elements of the Ukuqonda Institute’s mode of engagement in mathematics? and 2) What characterised the pedagogical responsiveness of mathematics educators at the Ukuqonda Institute? We adopted collaborative autoethnography and used two data sets generated from audio recordings captured by the authors. We employed narrative analysis and organised the findings using the characteristics of pedagogical responsiveness as heuristic devices. The findings show that the participants’ pedagogical responsiveness was stimulated by the iterative process of team planning, deliberate implementation, and reflection. The prevalent characteristics were learner interactions, learner focus, inclusivity, dialogue and relationality, knowledge work, social justice, and equity. We recommend that similar studies be conducted targeting pedagogical responsiveness with a focus on other mathematical themes. Furthermore, this study suggests that, to remain pedagogically responsive, there should be constructive alignment among the types of tasks, questions, classroom interactions, and targeted content that underpin mathematics teaching and learning across different educational levels.

Exploring and narrating futures in undergraduate climate change education: an innovative teaching approach

PurposeThis study aims to focus on an innovative undergraduate teaching intervention designed to guide students in exploring and narrating the potential futures of climate change. The intervention aimed to reduce the psychological distance associated with climate change by systematically investigating futures in real-world contexts. The study had two objectives: to examine students’ learning outcomes by analysing their visions of a carbon-neutral future towards the end of the intervention and to measure the intervention’s impact on students’ understanding of climate change and their perceived ability to contribute effectively.Design/methodology/approachThe intervention was implemented over two consecutive semesters. Data for analysis included student narratives from the final assignment (N = 140), where they envisioned life in a carbon-neutral city, and pre-/post-instruction surveys (N = 37) assessing content knowledge and action competence.FindingsContent analysis of student narratives revealed 12 distinct themes, encompassing infrastructural and technological advancements, lifestyle adaptations and shifts in societal attitudes towards sustainability. Statistical analysis of the survey data demonstrated significant improvements in both variables. These findings suggest that the teaching intervention effectively enhanced students’ scientific understanding of climate change, increased their self-perceived ability to take action and fostered a realistic sense of life in a sustainable future.Originality/valueThis research introduces a novel teaching intervention exploring and narrating climate change futures. Analysing personal narratives provides fresh insights into how young individuals envision sustainable living within the context of climate change, thereby contributing a unique perspective to climate change education and future studies.

Following Fibroids: Analysis of Social Media Fibroid Narratives

Following Fibroids: Analysis of Social Media Fibroid Narratives

Short-term mortality and associated factors among older hospitalized patients: A narrative retrospective analysis of end-of-life care in an acute geriatric unit

ObjectivesTo explore short-term mortality and its predictors among older patients hospitalized in a acute geriatric ward (AGW) in Northwestern Italy. DesignRetrospective observational single-center cohort study. Material and methodsPatients consecutively admitted for any reason between June 2021 and May 2022 were included in the analysis. Along with sociodemographic, clinical, and functional variables, prognosis estimation (Palliative Prognostic Index; PPI) at the time of admission was registered. Short-term all-cause mortality (in-hospital and within 3 months of discharge) was the primary outcome. ResultsAbout one-third of the total sample died in the short-term (32.4 %). Along with PPI score (OR 1.115, 95 %CI 1.034–1.202), short-term mortality was independently associated with functional dependency (OR 1.278, 95 %CI 1.170–1.395). ConclusionsThe high short-term mortality in our sample should call for the inclusion of palliative prognostic tools within the in-hospital comprehensive geriatric assessment to better recognize and appropriately manage older patients at the end of life.

Readiness and efforts of civics teachers in developing literacy and numeracy skills

This research aimed to assess the readiness and efforts of civics teachers in developing literacy and numeracy skills. For data collection, qualitative methods including surveys and interviews, were employed. A total of 38 civics teachers from junior high schools in Pacitan Regency, Indonesia were selected based on gender, teaching experience, and certification. The data was analyzed using both qualitative narrative and quantitative descriptive analysis, employing percentages. The results showed that civics teachers demonstrated moderate proficiency in literacy skills, while their numeracy abilities were considered sufficient. In addition, teachers exhibited a greater readiness for literacy-oriented learning compared to numeracy. The efforts made by teachers encompassed four aspects, namely i) collaborating with colleagues and implementing student-centered collaborative learning, ii) developing a culture of literacy and numeracy through training and discussions, iii) seeking out learning resources and media that supported literacy and numeracy, and iv) promoting reading, annotating texts, and analyzing numeracy-related readings.

Development of a codebook for the narrative analysis of in-hospital trauma interviews of patients following stroke.

Given their sudden onset and life-threatening consequences, strokes and transient ischemic attacks (TIAs) can trigger posttraumatic stress disorder (PTSD). To gain a deeper understanding of the potential influence of factors in patients' descriptions of these medical events on PTSD, we conducted a standardized trauma interview with a convenience sample of patients hospitalized for suspected stroke/TIA (N = 98) to assess the details and emotional experience of the stroke/TIA event. Three researchers reviewed the interviews and the research literature on risk and protective factors for PTSD. From this analysis, a codebook with descriptions, examples, and scoring protocols for eight Likert scale, two categorical, and four binary codes was developed. Upon demonstrating sufficient interrater reliability, the research team scored all narratives. Three superordinate themes were identified in the analysis: distress (e.g., fear, helplessness), potential protective factors (e.g., positive expectancies, concern for loved ones), and level of detail (e.g., somatic detail, emotional detail). Differences in perceptions, themes, and expectations emerged in the narratives, indicating a wide range of responses following stroke/TIA. Additionally, patient age was negatively correlated with scores for the fear, r = -.34, p <.001, and negative consequences, r = -.24, p =.018, codes and positively associated with the likelihood of having positive expectancies, OR = 1.05, 95% CI [1.00, 1.10], p =.039. These findings provide a more comprehensive understanding of how patients reflect on their experiences post-stroke/TIA and can inform future research on the contributions of trauma narrative characteristics and emotional responses to PTSD risk.

Navigating Intersectional Complexities: A Narrative Analysis of Syrian Refugee Women With Disabilities in Turkey

Refugee women with disabilities experience a multiplicity of insecurities before, during, and after their displacement, including exposure to violence during conflicts, barriers to their mobility, challenges along their routes to safety, difficulties in accessing rights and services in the host state, and hardships while navigating the means of survival in the host community. Despite the intertwined convergence of gender and ableism in exile affecting refugee women’s experiences, international and national laws and policies fail to address this intersectional reality. This study examines the lived experiences of Syrian refugee women with disabilities in Gaziantep, Turkey. Through an analysis of qualitative data with a narrative approach, the study not only depicts the interactions of gender, disability, and displacement that shape Syrian women’s lives but also contests the traditional discourse on their vulnerabilities. Through specific stories of Syrian women, this study highlights their strategies for survival and their future plans within the context of the intersectionality of the challenges they face.

Crafting Subverses: A Narrative Analysis of the Experience of Losing a Parent through Intimate Partner Homicide

Abstract Purpose Losing a parent due to intimate partner homicide is a traumatic experience, exacerbated by homicide and the associated grief being a taboo in many western cultures. This study investigated the experiences of young people and adults bereaved by parental intimate partner homicide during childhood, to gain a better understanding of how they make sense of and share their personal story after such a loss. Methods Within the context of a larger study, we conducted twelve semi-structured interviews with people with lived experience of such deaths in Australia and used narrative analysis to interpret the data. Results Participants were frequently confronted with imposed narratives (i.e., from family, practitioners, peers) about the homicide, their parents, and their own identities, leading to a deep sense of loneliness and feeling misunderstood, powerless, and silenced. In various ways, participants resisted imposed narratives and took control over their stories. This process was difficult but could lead to improved and more authentic relationships with oneself, family, and others. In this way, participants used their experiences to transform themselves and others, sometimes by becoming advocates or practitioners supporting others with similar experiences. Conclusions We named this process of taking control of one’s story “crafting subverses.” It involved making sense of and sharing experiences of trauma and grief for personal healing and social justice. Helping children craft their “subverses” may be an important aspect of gaining a deeper understanding of how to support them. Provision of carefully tailored peer mentoring, professional support and opportunities to influence programs and policy appear key to better support systems for those bereaved due to parental intimate partner homicide.

A qualitative assessment of behavioral interview method among anesthesiology residency applicants

Background The objective of residency recruitment is to select the most appropriate candidate. While cognitive skills are identified before an interview and can be measured objectively, non-cognitive skills can be harder to discern. These non-cognitive skills though are a good predictors of future residency performance. A structured behavioral interview is better at identifying noncognitive skills compared to a traditional interview. Objective Compare the noncognitive traits identified in the interviews with those identified in resident evaluations Methods Using the semi-annual evaluations 6 residents were split between satisfactory group and excellent group. Behavioral-based interviews and traditional unstructured interviews conducted on the same individual were compared and the results of the interview were compared to the semi-annual and annual evaluations submitted by the teaching faculty and the program directors. The interviews were analyzed for non-cognitive skills. Results Qualitative analysis of behavioral interview narratives and the narrative part of the semiannual evaluations independently identified the non-cognitive characteristics of adaptability, decisiveness, time management, judgment, and the ability to work in a team. It also identified other essential non-cognitive skills necessary for an anesthesiologist, such as ability to prioritize, study techniques, ability to destress. Conclusion The noncognitive traits found in the excellent group response to the structured interview match those found in the semi-annual evaluations. In this case individuals who are suited to the field of anesthesiology are adaptable, decisive, team-players with excellent judgment.

Effectiveness of The Early Start Denver Model for Children with Autism: A Narrative Review and Experiences for Viet Nam

Early intervention for children with autism is crucial for their development and quality of life. Different early intervention models exist, including the Early Start Denver Model, which has scientific evidence and is included in Vietnam's Guidance Document on Diagnosis and Intervention for Children with autism spectrum disorders. Therefore, quantitative research design and descriptive statistics methodologies are used in the study to review the Denver early intervention model's effectiveness in treating children with autism worldwide and bring lessons learned for application in Vietnam. This narrative review analyses 16 scientific articles conducted in an international database. Research results show that the Early Start Denver Model is efficacious in improving core defects in children with autism, such as social skills, communication skills, and repetitive behaviors,…; using the Early Start Denver Model will improve parent-child interactions, reducing stress for parents during the parenting process. The findings also indicate lessons for applying the Early Start Denver Model for children with autism in Vietnam, considering factors like regional culture, educational facilities, and learning materials; motor skills and imitation skills should be combined with other therapies for better effectiveness.

The Problems of “Culture,” and the Future of Universals: A Rejoinder

ABSTRACT In the rejoinder to the commentaries on his target article, Hogan seeks to clarify his criticism of “culture” as a theoretical concept and to extend his defense of a research program in story universals. In order to do so, he organizes the fifteen commentaries into groups—advocates of a biocultural synthesis; writers working in the technical analysis of narrative and style; critics who consider the study of literary universals in the context of folklore studies, and so on. In the course of these responses, Hogan touches on a range of subsidiary topics, from Homer’s Iliad to New Historicism.