Joan M Eakin

Joan M Eakin
University of Toronto | U of T · Dalla Lana School of Public Health

PhD. Sociology (McGill University,1980)

About

54
Publications
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2,352
Citations

Publications

Publications (54)
Article
Full-text available
Discourses of research impact shape the ways in which critical qualitative research and researchers are evaluated in contemporary academic environments. Mainstream conceptualizations of research impact arise from a positivist perspective that challenges the aims and approaches of critical qualitative research. In this paper, we propose a framework...
Article
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Much qualitative research produces little new knowledge. We argue that this is largely due to deficits of analysis. Researchers too seldom venture beyond cataloguing data into pre-existing concepts and scouting for “themes,” and fail to exploit the distinctive powers of insight of qualitative methodology. The paper introduces a “value-adding” appro...
Article
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Hiring and promotion of qualitative researchers in the health sciences, in Canada and internationally, is impacted by the prestige of quantification as the ultimate measure of scientific quality in current academic and health-care settings. This is further exacerbated by neoliberal notions of productivity, which offer very limited forms of assessme...
Article
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While qualitative inquiry has been a part of the Canadian Journal of Public Health (CJPH) for many years, CJPH does not yet have the reputation as a home for qualitative research that has a critical focus and that is cqqqonversant with contemporary developments in social theory and qualitative methodology. This paper describes efforts to establish...
Research
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FINAL REPORT TO THE ONTARIO WORKPLACE AAFETY AND INSURANCE BOARD Service work at Ontario’s Workplace Safety and Insurance Board (WSIB), particularly in relation to the institutional context in which it takes place. Methods: Individual interviews with adjudicators, nurse case managers and customer service representatives, and managers working with s...
Article
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Drawing on long experience as a sociologist in the health academy, I explore the challenges of practicing and teaching critical qualitative research in an environment dominated by very different scientific reasoning. I account for the transgressive positioning of qualitative research in the health sciences in terms of the role of social theory in i...
Article
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Based on findings from an institutional ethnography in a large mental health organization, we explore how institutional forces shape the experiences of health care workers with mental health issues. We interviewed 20 employees about their personal experiences with mental health issues and work and 12 workplace stakeholders about their interactions...
Article
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This paper seeks to demonstrate the nature and value of a 'standpoint' perspective in occupational safety and health research. Argued through the case of workers in small enterprises, the paper discusses the notion of 'standpoint'; describes and accounts for the primacy of the managerial standpoint and the invisibility of workers in occupational sa...
Article
Part-time, casual, contract, temporary and self-employment are some of the more commonly known forms of ‘contingent work’. Recent employment surveys indicate an increase in these forms of work while permanent forms of employment have ostensibly declined. Contingent work has become a focus of concern for those interested in the effects of changing l...
Article
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Small workplaces have particular injury risks and are enduringly difficult for the occupational health and safety (OHS) system to reach. This paper puts forward an "upstream" perspective on OHS in small workplaces that moves beyond the attributes of the workplace and those who work there. The paper draws on and synthesizes ideas and findings from e...
Article
Purpose: To understand patient perceptions and attitudes regarding online access to testicular cancer surveillance test results, and to identify factors that may be important in maximizing referencing of electronic medical records (EMRs) by patients for these results. Methods: In this qualitative study, seven focus groups were conducted with a tota...
Article
People with primary bone cancer typically are young (usual age-at-onset 16-35 years old) and undergo arduous treatments. The current standard of care (tumour resection and limb reconstruction with or without chemotherapy) results in survival rates in excess of 60%, but also results in significant disability at a time when patients are choosing care...
Article
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Unlabelled: The purpose of this study was to explore patient training experiences related to the self-administration of hemodialysis at home. Researchers used a qualitative study using semi-structured interviews and a focus group. The setting was a hospital-based patient education program in Toronto, Ontario, Canada. Qualitative interviews and foc...
Chapter
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Neoliberalizing Health Care, Policy Transfer and Managed CompetitionThe Rise of Managed Competition in Home Care in OntarioNeoliberal Provincial PoliticsManaged Competition and Home Care WorkersConclusion AcknowledgmentsNotes
Article
Non-profit organizations play an important role in the provision of health and social services. No longer temporary providers of emergency services, non-profit organizations appear to be permanent features of the social service landscape. Despite some of the intrinsic rewards that work in non-profit organizations offers, jobs in these organizations...
Article
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This case documents the metamorphosis of an academic public health project on the implementation of Ontario's return-to-work policies and practices into a community theatre project, the production of a play called Easy Money. The result was a highly successful knowledge translation initiative. Injured workers, the focus of the academic study, inten...
Article
A telephone survey of a random sample of 811 long-term home care clients from three geographically distinct regions in Ontario was conducted to illuminate the living and working conditions in households receiving long-term care services. The median age of clients was 77 years and 75 percent were female. The majority had not completed high school. A...
Article
In Canada, food assistance is provided through a widespread network of extra-governmental, community-based, charitable programs, popularly termed food banks. Most of the food they distribute has been donated by food producers, processors, and retailers or collected through appeals to the public. Some industry donations are of market quality, but ma...
Article
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This essay reflects on the proceedings of an invitational workshop on the nature and challenges of teaching qualitative research (QR) in health science settings. The context of this workshop is the increasing interest in QR in the health sciences and the inadequacy of pedagogy and institutional support for QR. We argue that there are special proble...
Article
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Although there is considerable research on the effectiveness of various approaches to promoting successful return to work after work-related injury or illness, little is known about the process in small workplaces. This paper reports on a study of the effects in small workplaces of a particular set of policies and practices in Ontario, Canada, call...
Article
In this article, we explore the form of evaluation put forward by guidelines used in the health sciences for appraising qualitative research and we begin to articulate an alternative posture. Most guidelines are derivative of the modes of assessment developed by clinical epidemiologists as part of the promotion of evidence-based medicine (EBM). The...
Article
Community-based charitable food assistance programs have recently been established in several affluent nations to distribute public and corporate food donations to 'the needy'. In Canada, food banks comprise the primary response to hunger and food insecurity, but problems of unmet food need persist. We conducted an ethnographic study of food bank w...
Article
On the basis of a qualitative study of health in small enterprises, this paper attempts to theorise the social production of illness and injury in the workplace. Particular features of working life in small workplaces, especially their personalised social relations and low polarisation of employer-employee interests, shape workers’ perceptions of t...
Article
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A determinants approach to workplace health promotion focuses on the sources of health and ill health in the workplace itself. Key practice requirements of such an approach include the capacity to shift focus beyond the individual to the work environment, to cross disciplinary and jurisdictional boundaries in identifying problems and solutions, to...
Article
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The purpose of this paper is to consider how gender, class and power have been addressed in the work stress literature and to propose an alternative approach that highlights the role of power in the development of work-related stress. We begin with a discussion and critique of prominent work-related stress models. The models' conceptualizations of...
Article
In this paper we examine the recent ascendancy of a "population health" perspective on the "determinants of health" in health policy circles as conceptualized by health economists and social epidemiologists such as Evans and Stoddart [Evans and Stoddart (1990) Producing health, consuming health care. Social Science & Medicine 31(12), 1347 1363]. Th...
Article
This paper is an attempt to provide Employee Assistance professionals with a greater understanding of Small Business Owner (SBO) characteristics, and of how SBOs respond to employees with problems, so they may tailor their services to the needs of this population more effectively. Accordingly, a study of SBOs conducted by interview in Ontario, Cana...
Article
Regarding smoking control in the workplace, small independent operations may differ from large workplaces or from small worksites that are branch units of large companies/organizations. We examined the relationships of worksite and company size to workplace smoking restrictions and programs, using data from a population-based telephone survey. Thre...
Article
Regarding smoking control in the workplace, small independent operations may differ from large workplaces or from small worksites that are branch units of large companies/organizations. We examined the relationships of worksite and company size to workplace smoking restrictions and programs, using data from a population-based telephone survey. Thre...
Article
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As part of our on-going efforts to formulate an alternative paradigm for health promotion research, we discuss an approach that we have called a ‘critical social science perspective’ (CSSP). This perspective consists of a set of ‘reflexive’ questions concerning the implicit assumptions and ideology underlying the research process, and the role of p...
Article
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In an ethnographic study of work-related back injury, the problem of legitimacy was a central feature of workers' experiences. Injured workers encountered suspicion in their workplaces regarding the validity of their claims to back injury and their need for compensable time off work. The experience was associated, in most instances, with damaged re...
Article
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The promotion of health in small workplaces is particularly challenging. Research was conducted to identify the types of agencies offering prevention and promotion services to small workplaces, and to describe the activities and strategies used to engage this "hard-to-reach" population. This paper reports on a survey of 58 agencies located across C...
Article
As part of a qualitative research study of the experience of work-related back problems, a series of in-depth ethnographic interviews were conducted with 15 workers receiving treatment for back injuries. Analysis of these data revealed that the workers perceived their back problems as lifelong problems. Many believed that their back injuries had pe...
Article
The paper addresses four issues that pervaded conference deliberations: the relevance of qualitative approaches to research, the importance of community participation in the research process, the need to broaden the disciplinary base of health promotion, and the possibilities for a critical research perspective. The paper suggests why the idea of q...
Article
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Small workplaces present particular challenges for the promotion of occupational health and safety. However, little is known about the social organization of work in such settings and how it relates to matters of health and safety. The research on which this article is based relates patterns of occupational health behavior to the nature of social r...
Article
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Physicians' response to acquired immune deficiency syndrome (AIDS) is poorly understood and often attributed to fear of human immunodeficiency virus (HIV) infection through occupational exposure. We surveyed 268 physicians from three geographic regions in North American with different specialties and responsibilities for HIV-positive patients. An i...
Article
This study explored how single working mothers perceive and deal with concerns about their children's health. "Grounded theory" analysis of data from interviews with single mothers in a wide variety of circumstances suggested that contextual factors including the mother's work situation, child care and social network are important to understanding...
Article
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Attempts to comprehend physicians' extreme reaction to AIDS (acquired immune deficiency syndrome) have met with great difficulty since the disease brings into question traditional norms and assumptions. As the medical profession struggles to develop guidelines and policies to help it deal with this disease, it can draw on very little systematic res...
Article
Employee fitness programs may be evaluated by comparing program participants with nonparticipants on program outcome variables. This study was designed to identify how participants in an employee fitness program may selectively differ from nonparticipants. Joiners were more likely to have engaged in prior fitness activity, to consider fitness a hig...
Article
In 1973, the Canadian Province of Quebec 'democratized' its hospital boards of directors by replacing the previous 'elite' boards by boards representative of the hospitals' major interest groups. This study looks at the impact of these participatory boards on the distribution of power within hospitals, particularly their effect on the hospital admi...
Article
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In 1973 the Canadian Province of Quebec "democratized" its hospital boards of directors by replacing their traditional lay community or religious members with individuals more representative of the hospitals' major interest groups. In the province's English-speaking hospitals, patients, community organizations, physicians and nonprofessional hospit...
Article
Eyssen, G.McK., Hoffmann, J.E., Spengler, R., 1980. Managers' attitudes and the occurrence of accidents in a telephone company. Journal of Occupational Accidents, 2: 291—304.The study explores the association between certain social factors and the occurrence of accidents among construction and maintenance workers in a Canadian telephone company. Co...

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