Browsing by Author "Taylor, Petrea"
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Item Cumulative Lifetime Violence Severity and Chronic Pain in a Community Sample of Canadian Men(Oxford University Press, 2021) Wuest, Judith; O’Donnell, Sue; Scott-Storey, Kelly; Malcolm, Jeannie; Vincent, Charlene, D.; Taylor, PetreaObjective: To create a descriptive profile of chronic pain severity in men with lifetime cumulative violence histories as target and/or perpetrator and investigate how chronic pain severity is associated with, and predicted by lifetime cumulative violence severity and known determinants of chronic pain. Methods: Analysis of variance and binary logistic regression using data collected in an online survey with a community convenience sample of 653 men who reported experiences of lifetime violence. Results: Prevalence of high intensity/high disability pain in men with lifetime violence was 35.8%. Total Cumulative Lifetime Violence Severity (CLVS)-44 scores were significantly associated with high intensity/high disability chronic pain measured by the Chronic Pain Grade Scale (OR = 8.40). In a model with 10 CLVS-44 subscales scores, only psychological workplace violence as target (aOR = 1.44) and lifetime family physical violence as target (aOR = 1.42) significantly predicted chronic pain severity. In a multivariate model, chronic pain severity was predicted by CLVS-44 total score (aOR = 2.69), age (aOR = 1.02), injury with temporary impairment (aOR = 1.99), number of chronic conditions (aOR = 1.37) and depressive symptoms ((aOR = 1.03). Conclusion: The association between lifetime cumulative violence severity and chronic pain severity in men is important new information suggesting the need for trauma- and violence-informed approaches to assessment and intervention with men. This is the first analysis using CLVS-44 subscales to understand which configurations of lifetime cumulative violence may be most predictive of chronic pain severity; further investigation is needed to confirm these findings. Keywords: cumulative lifetime violence severity, chronic pain severity, psychological workplace violence, gender, perpetration, victimizationItem Help-seeking for suicidality in women who have experienced intimate partner violence: a feminist grounded theory & photovoice study(University of New Brunswick, 2018) Taylor, Petrea; Wuest, Judith; Weed, RonaldIntimate partner violence (IPV) has been found to contribute to suicide thoughts and behaviours in women (Lamis et al., 2017). Seeking help for suicidality with a history of violent trauma is difficult within a society that stigmatizes these experiences. This study sought to discover the process of women’s help-seeking for suicidality in the wake of IPV. Feminist ethical theory, the philosophical underpinning for this multiple method qualitative design of grounded theory (GT) and photovoice (PV), provided a lens in understanding women’s journey. Transcripts from individual interviews with 32 women, seven of whom participated in the PV portion of the study, were analyzed using the constant comparative method of GT. The PV approach aligned with the philosophical underpinning of the study, feminist ethical theory, as the self-generated images and consciousness raising within the meetings helped to broaden the scope of the study. The multiple method qualitative design rendered socio-political constructs of women’s helpseeking. "Hunting to Feel Human" emerged as the basic socio-psychological process that manages the basic socio-psychological problem, "System Entrapment". To "Feel Human" is a sense of personal value and belonging, an aim that is sought in overcoming "System Entrapment", feeling stuck within dehumanization as a result of feeling invalidated within the health care system. "System Entrapment" exists within the context of past "Abuser Entrapment", being stuck within IPV, and "Trauma Entrapment", feeling stuck within suicidality. "Feeling Human" is attained through "Hunting" and several sub-processes, including "Distancing", "Grasping for Help", "Applying Counter-Pressure", "Enduring System Entrapment", "Soaking in Validation", and "Letting Go". The sub-processes are a way of "Taking the Path of Least Disempowerment", a journey that is guided by "Gauging Validation" opportunities. Depending upon the ratio of "System" and "Trauma Entrapment" that is "Gauged", the "Hunt" will retreat or move toward the system. This substantive theory helps to fill in the gaps on understanding chronic suicidality and trauma in women. Implications of this study involve a movement toward a Recovery Model through which services are adapted to clients’ needs. Ultimately, health care providers’ ability to validate suicidality by sharing their mutual humanity is the most powerful contributor to "Feeling Human".Item Navigating misgendering: A grounded theory study of gender diverse individuals’ experiences in healthcare(University of New Brunswick, 2024-08) Keats, Danielle; Taylor, PetreaMisgendering poses significant challenges for gender diverse individuals, particularly in accessing healthcare. Academic research has yet to comprehensively understand how gender diverse individuals navigate misgendering within healthcare. Employing feminist grounded theory, this study examined the social processes associated with navigating misgendering in New Brunswick healthcare settings. The findings include a pervasive psycho-social problem, the Gender Shadow, emphasizing harmful gender norms. The Gender Shadow is managed through a psycho-social process; Preserving Gender Light emerged from a journey of self-awareness and keeping agency in defining self-identity. Preserving Gender Light occurs through a Cost-Benefit Analysis and the use of the subprocesses: Avoiding, Allowing, and Correcting Misgendering. The results emphasize that navigating misgendering extends beyond individual incidents, contributing to a broader social problem perpetuated by the cisnormative framework. Results will inform policy, procedural, and clinical guidelines to improve access to healthcare for gender diverse individuals in the province.Item Trauma in NICU nurses: A grounded theory study(University of New Brunswick, 2024-08) McKim, Ashley; Taylor, PetreaThe Neonatal Intensive Care Unit (NICU) is a high stress, high stakes environment where the sickest and smallest patients receive care. This advocacy for vulnerable patients and everyday moral dilemmas means that NICU nurses are at high risk of experiencing workplace trauma. The purpose of this study is to explore the research question “How do NICU nurses at The Moncton Hospital manage their self-identified trauma in the context of the workplace?” I recruited eight nurses who are or have worked in The Moncton Hospital NICU and self-identify as having experienced occupational trauma. Data collection included semi-structured interviews. The data was coded using the Grounded Theory constant comparative approach, with the end goal of forming a mid-range theory. It is anticipated that findings will facilitate the implementation of interventions to support nurses to manage their trauma experiences.