scholarly journals Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Mari Salminen-Tuomaala ◽  
Päivi Åstedt-Kurki ◽  
Matti Rekiaro ◽  
Eija Paavilainen
Keyword(s):  
Myocardial Infarction ◽  
Grounded Theory ◽  
Care Practice ◽  
Theory Approach ◽  
Individual Interviews ◽  
Counseling Intervention ◽  
Grounded Theory Method ◽  
Core Category ◽  
State Of Mind ◽  
Negative Coping

Background. Patients recovering from a myocardial infarction (MI) are faced with a number of serious challenges.Aim. To create a substantive theory on myocardial infarction patients’ coping as a continuum.Methods. Grounded theory method was used. Data were collected by using individual interviews. The informants were 28 MI patients.Results. The core category “coping experiences—a pathway towards different coping orientations” includes 2 main categories: “positive and negative coping experiences” (4 months after MI) and “different coping orientations” (12 months after MI).Conclusion. Coping with a myocardial infarction is a long-term dynamic process of dealing with varied emotions and adjustment needs. Coping is threatened, if the patient denies the seriousness of the situation, suffers from depression and emotional exhaustion, or if there are serious problems in the interaction with family members. This study stresses the importance of recognizing the patient’s depressive state of mind and the psychological aspects which affect family dynamics. A more family-centered approach involving a posthospital counseling intervention is recommended.Relevance to Clinical Practice. The results of this study can be used in nursing care practice when organizing support interventions for myocardial infarction patients.

scholarly journals Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study

2020 ◽  
Vol 17 (7) ◽  
pp. 2490 ◽  
Author(s):  
Stanley K.K. Lam ◽  
Enid W.Y. Kwong ◽  
Maria S.Y. Hung ◽  
Wai-tong Chien
Keyword(s):  
Grounded Theory ◽  
Infectious Diseases ◽  
Emerging Infectious Diseases ◽  
Theory Approach ◽  
Emergency Nurses ◽  
Problem Solving Skills ◽  
Individual Interviews ◽  
Core Category ◽  
Evolving Context ◽  
Training Schemes

Emergency nurses frequently encounter uncertainty and changes during the management of emerging infectious diseases, which challenge their capability to perform their duties in a well-planned and systematic manner. To date, little is known about the coping strategies adopted by emergency nurses in addressing uncertainty and changes during an epidemic event. The present study explored emergency nurses’ behaviours and strategies in handling uncertainty and practice changes during an epidemic event. A qualitative study based on the Straussian grounded theory approach was established. Semi-structured, face-to-face, individual interviews were conducted with 26 emergency nurses for data collection. Adapting protocol to the evolving context of practice was revealed as the core category. Four interplaying subcategories were identified: (1) Completing a comprehensive assessment, (2) continuing education for emerging infectious disease management, (3) incorporating guideline updates and (4) navigating new duties and competencies. The nurses demonstrated the prudence to orientate themselves to an ambiguous work situation and displayed the ability to adapt and embrace changes in their practice and duties. These findings offer insights into the need for education and training schemes that allow emergency nurses to acquire and develop the necessary decision-making and problem-solving skills to handle a public health emergency.

scholarly journals Adapting protocol to the evolving context of practice: A grounded theory exploration of the strategies adopted by emergency nurses to address situations of uncertainty and change during the management of emerging infectious diseases

2020 ◽  
Author(s):  
Stanley Kam Ki Lam ◽  
Enid Wai Yung Kwong ◽  
Maria Shuk Yu Hung ◽  
Samantha Mei Che Pang ◽  
Wai Tong Chien
Keyword(s):  
Grounded Theory ◽  
Emerging Infectious Diseases ◽  
Theory Approach ◽  
Emergency Nurses ◽  
Problem Solving Skills ◽  
Individual Interviews ◽  
Research Guidelines ◽  
Core Category ◽  
Evolving Context ◽  
Training Schemes

Abstract Background: During an epidemic event, emergency care settings are fraught with urgency, uncertainty and changes to the clinical scenario and practice. Such situations challenge the capability of emergency nurses to perform their duties in a well-planned and systematic manner. To date, little is known about the coping strategies adopted by emergency nurses during an epidemic event. The present study explored the behaviours and strategies developed by emergency nurses to handle uncertainty and practice changes during an epidemic event.Methodology and methods: A qualitative design based on the Straussian grounded theory approach was established. A total of 26 emergency nurses from Hong Kong were recruited by purposive and theoretical sampling strategies. Semi-structured, face-to-face, individual interviews were conducted for data collection. The data were transcribed verbatim and analysed using grounded theory coding procedures. The Consolidated Criteria for Reporting Qualitative Research guidelines were followed.Results: Adapting protocol to the evolving context of practice was revealed as the core category. Four interplaying sub-categories were identified: (1) completing a comprehensive assessment, (2) continuing education for emerging infectious disease management, (3) incorporating guideline updates and (4) navigating new duties and competencies. The nurses demonstrated the prudence to orientate themselves to an ambiguous work situation and displayed the ability to adapt and embrace changes in their practice and duties.Conclusions: These findings explain how emergency nurses must adapt and adjust their practice and behaviours to the evolving nature of an epidemic event. These findings also offer insights on the need for education and training schemes that allow emergency nurses to acquire and develop the necessary decision-making and problem-solving skills to handle a public health emergency.

scholarly journals Emergency nurses’ strategies in addressing uncertainty and change in the management of emerging infectious diseases: A grounded theory approach

2019 ◽  
Author(s):  
Stanley Kam Ki Lam ◽  
Enid Wai Yung Kwong ◽  
Maria Shuk Yu Hung ◽  
Samantha Mei Che Pang ◽  
Wai Tong Chien
Keyword(s):  
Grounded Theory ◽  
Emergency Care ◽  
Emerging Infectious Diseases ◽  
Theory Approach ◽  
Emergency Nurses ◽  
Individual Interviews ◽  
Core Category ◽  
Study Results ◽  
Training Schemes ◽  
Grounded Theory Approach

Abstract Background Uncertainty and change are the inevitable challenges facing emergency nurses, as they are bound by the nature of emergency care. During an epidemic event, emergency care settings are intertwined with urgency, uncertainty, and change, which continuously pose challenges to emergency nurses on their capacity to act on their duties in a well-planned and systematic manner. However, there has been a paucity of understanding concerning emergency nurses’ actions and strategies to address the instabilities and vulnerabilities of the circumstance. The present study aimed to explore emergency nurses’ behaviours and strategies in addressing the challenges of uncertainty and change during an epidemic event. Methods A qualitative design based upon a Straussian grounded theory approach was selected as the method of inquiry. A total of 26 emergency nurses from Hong Kong were recruited in the study by purposive and theoretical sampling strategies. Semi-structured, face-to-face, individual interviews were conducted for data collection. The data were transcribed verbatim and analysed through the grounded theory coding procedures. The COREQ guidelines were applied in the reporting of the present study. Results Rehearsing for improvisation was revealed as the core category. Four interplaying sub-categories were identified: (a) sensing the unclear situation, (b) equipping for the impending battle, (c) calibrating to the evolving guidelines, and (d) navigating the new role and duties. The nurses demonstrated their prudence to orientate themselves to an ambiguous work situation and displayed the flexibility to embrace changes in their practice, roles, and duties. Conclusions The findings delineate that emergency nurses were required to prepare and equip themselves with skills and strategies to improvise and adapt to the management of an epidemic event. The findings also offer insights into the development of education and training schemes that allow emergency nurses to acquire and augment their abilities of decision-making and problem-solving in public health responses.

The Analysis of Nurses’ Positive Deviance Behaviours as a Measure in Preventing the Transmission of Healthcare-Associated Infections (HAIs) at M. Djamil Hospital, Padang, West Sumatera

2018 ◽  
Vol 1 (1) ◽  
pp. 3-7
Author(s):  
Esthika Ariany Maisa ◽  
Yulastri Arif ◽  
Wawan Wahyudi
Keyword(s):  
Grounded Theory ◽  
Wound Care ◽  
Positive Deviance ◽  
Care Practice ◽  
Theory Approach ◽  
Nursing Managers ◽  
Theoretical Sampling ◽  
Develop Theory ◽  
Healthcare Associated ◽  
Grounded Theory Approach

Purpose: To explore the nurses’ positive deviance behaviors as an effort to provide solutions in preventing and controlling infections in the hospital. Method: This is a qualitative research using grounded theory approach. Thirteen nurses from Dr.M.Djamil hospital were selected based on theoretical sampling in order to develop theory as it appears. Nurses were interviewed from June to September 2014. Interviews were thematically analyzed using techniques of grounded theory to then generate a theory from themes formed. Findings: The modes of positive deviance behavior identified were practicing hand hygiene beyond the standards (bringing handsanitizer from home), applying nursing art in wound care practice, placing patients with MRSA infections at the corner side, giving a red mark on a MRSA patient’s bed for easy identification by nurses, changing clothes and shoes in hospital, reducing hooks on the wall, and cleaning the ward on scheduled days. Conclusion: The study shows that nurses have a number of positive deviance behaviors to prevent infection transmission in the wards. It is sugested that the hospital management and nursing managers adopt some of the uncommon solution highlighted by the nurses to solve the HAIs problems in the hospital.

scholarly journals Behavioural Changes in Dementia and their Impact on Professional Caregivers: A Grounded Theory Approach

Dementia ◽  
2017 ◽  
Vol 18 (4) ◽  
pp. 1479-1491 ◽  
Author(s):  
Katie Appleton ◽  
Antonina Pereira
Keyword(s):  
Grounded Theory ◽  
Behavioural Change ◽  
Everyday Practice ◽  
Theory Approach ◽  
Behavioural Symptoms ◽  
Core Category ◽  
Professional Caregiver ◽  
Professional Care ◽  
The Impact ◽  
Grounded Theory Approach

Aim The present study aimed to explore the impact that changes in behavioural symptoms of people living with dementia have on professional caregiver and resident relationships. Method A total of 21 interviews were carried out with professional caregivers of people living with dementia. A grounded theory approach was used to investigate everyday experiences of provision of professional care in dementia settings, focussing specifically on the effect of behavioural change on such relationships. Results A core category emerged from this analysis: ‘Developing behaviour in dementia impacts relationships on a personal and professional level’. Discussion Professionals have recognized as part of their everyday practice an eventual deterioration in relationships between themselves as professional caregivers and the residents, but also between the residents and their family members and among residents themselves. Importantly, understanding patients’ behaviour and behavioural change was identified as a crucial factor to achieve and sustain good relationships between professionals and residents suffering with dementia.

The Incorporation of a Spiritual Emergency Experience Into a Client’s Worldview: A Grounded Theory

2016 ◽  
Vol 59 (6) ◽  
pp. 877-897 ◽  
Author(s):  
Hana Sedláková ◽  
Tomáš Řiháček
Keyword(s):  
Grounded Theory ◽  
Psychotic Experiences ◽  
Spiritual Emergency ◽  
Grounded Theory Method ◽  
States Of Consciousness ◽  
Theoretical Approaches ◽  
Core Category ◽  
Previous State ◽  
New Perspective ◽  
Depth Interviews

This study is focused on the process of constructing the meaning of a spiritual emergency experience. In the context of this study, spiritual emergency is understood as an experience of psychotic nature, defined by criteria such as good preepisode functioning, nonordinary states of consciousness, awareness of the intrapsychic nature of the process, or preserved ability to cooperate. In-depth interviews with 13 participants who experienced an episode of spiritual emergency were analyzed using the grounded theory method. The analysis yielded a core category titled “The incorporation of a spiritual emergency experience into a client’s worldview.” The process of incorporation was conceptualized by two complementary paths: (a) a Suppressive path characterized by an effort to mitigate or eliminate symptoms, considering them as a personally meaningless pathology, and return to a previous state of functioning and (b) a Facilitative path characterized by an acceptance of symptoms, a search for their meaning, and eventually, the adoption of a new perspective. The results are discussed in relation to different theoretical approaches to psychotic experiences.

scholarly journals Data Saturation: The Mysterious Step In Grounded Theory Method

2018 ◽  
Author(s):  
Khaldoun Aldiabat ◽  
Carole-Lynne Le Navenec
Keyword(s):  
Qualitative Research ◽  
Grounded Theory ◽  
Graduate Students ◽  
Theory Approach ◽  
Grounded Theory Method ◽  
Theoretical Sampling ◽  
Data Saturation ◽  
Definition Of ◽  
The Relationship ◽  
Grounded Theory Approach

The aim of this paper is to provide a discussion that is broad in both depth and breadth, about the concept of data saturation in Grounded Theory. It is expected that this knowledge will provide a helpful resource for (a) the novice researcher using a Grounded Theory approach, or for (b) graduate students currently enrolled in a qualitative research course, and for (c) instructors who teach or supervise qualitative research projects. The following topics are discussed in this paper: (1) definition of data saturation in Grounded Theory (GT); (2) factors pertaining to data saturation; (3) factors that hinder data saturation; (4) the relationship between theoretical sampling and data saturation; (5) the relationship between constant comparative and data saturation; and (6) illustrative examples of strategies used during data collection to maximize the components of rigor that Yonge and Stewin (1988) described as Credibility, Transferability or Fittingness, Dependability or Auditability, and Confirmability.

scholarly journals COPING WITH AUTISM: DIFFERENTIAL & UNIQUE PARENTING MOTHERS JOURNEY TOWARDS ADAPTATION-A QUALITATIVE STUDY IN INDIAN CONTEXT BASED ON GROUNDED THEORY APPROACH

2021 ◽  
Vol 9 (02) ◽  
pp. 736-750
Author(s):  
Nisha Laila ◽  
◽  
Linu Sara George ◽  
Shalini G. Nayak ◽  
◽  
...  
Keyword(s):  
Grounded Theory ◽  
Qualitative Study ◽  
Conceptual Model ◽  
Autism Spectrum ◽  
Theory Approach ◽  
Eligibility Criteria ◽  
Training Centre ◽  
Northern India ◽  
Core Category ◽  
Voice Recorder

Objective: The main objective of this study was to explore the experiences of mothers parenting children with Autism Spectrum Disorder (ASD) with a view to formulate a conceptual model of parenting experiences based on the constructs identified. Design &Methods: The study used grounded theory methodology in order to derive a conceptual model for parenting a child with ASD. The participants were mothers between the age group of 24-50 years undergoing parent child training from Autism training Centre, Northern India. The study is based on in depth interviews with twelve mothers who were meeting the eligibility criteria. The interviews were digitally recorded with a voice recorder. The anonymity and confidentiality of the participants were assured. The translated data were coded and categorised using open code software Results: The qualitative data analysis revealed thirteen major categories and forty six sub categories and a core category was derived out of the concepts and formulated a conceptual model of coping with autism, Unique and differential parenting Mothers Journey towards adaptation. Conclusion: This qualitative study provides evidence for parenting experiences of Indian mothers of children with ASD. The findings would provide identification of problems, need based care and guidance for professionals. Practice Implications: The conceptual model formulated could be used as a basis to test the hypothesis in various aspects of the concepts discussed in relation to mothers experiences of a child with ASD and thus a substantive theory of parenting a child with ASD could be developed in future after comparing and concept analysis of the existing parenting theories .

How do hospice nurses prepare to give end-of-life care? A grounded theory study of nurses in one UK hospice

2021 ◽  
Vol 27 (7) ◽  
pp. 334-350
Author(s):  
Sue Griffith ◽  
Leslie Gelling
Keyword(s):  
Grounded Theory ◽  
End Of Life ◽  
End Of Life Care ◽  
Role Models ◽  
Theory Approach ◽  
Life Care ◽  
Core Element ◽  
Hospice Nurses ◽  
Individual Interviews ◽  
Making A Difference

Background: Literature for preparing hospice nurses to deliver end-of-life care is sparse. Aim: To investigate how nurses in one UK hospice prepared to deliver end-of-life care in their role. Methods: A classic grounded theory approach was used to investigate the experiences of 22 registered nurses in one UK hospice, to discover how they prepared for their role. A total of 17 individual interviews and one focus group were conducted. Constant comparison of data and member checking were performed to establish validity. Findings: Findings were synthesised into five categories: the ‘shared ideal’, feeling good at the job, making a difference, experience/exposure to hospice work and the importance of role models. The shared ideal formed the core category, which explained how hospice nurses feel a sense of ‘fit’ with their work. Conclusion: The feeling of a nurse feeling well-suited to the work and that there the work was a good ‘fit’ for them was identified as a core element to nurses' feelings of preparedness to provide end-of-life care.

Equity in nursing care: A grounded theory study

2017 ◽  
Vol 26 (2) ◽  
pp. 598-610 ◽  
Author(s):  
Zahra Rooddehghan ◽  
Zohreh ParsaYekta ◽  
Alireza N Nasrabadi
Keyword(s):  
Grounded Theory ◽  
Health System ◽  
Nursing Care ◽  
Sample Selection ◽  
Main Concern ◽  
Mutual Relationship ◽  
Individual Interviews ◽  
The Core ◽  
Core Category ◽  
Nurses Perceptions

Background: Equity in providing care is also a major value in the nursing profession. Equitable care aims to provide the entire population with safe, efficient, reliable, and quality nursing services at all levels of health. Objectives: This study was conducted to explain the process of the realization of equity in nursing care. Research design: This qualitative study uses Glaser’s approach to grounded theory. Participants and research context: Sample selection began with convenience sampling and continued with purposive sampling. A total of 27 people were ultimately selected as the study subjects. Data were mainly collected through unstructured in-depth individual interviews plus observation and field notes. The data were then analyzed using the “Six C’s” coding family of Glaser. Ethical considerations: The study protocol was approved by the Tehran University of Medical Sciences (91D1302870). Written informed consent was also obtained from all subjects. Findings: According to the findings, participants’ main concern in providing equitable care is the rationing of nursing care. The identification of participants’ main concern led to the emergence of the core category of the study, that is, “nurses’ domination.” The other categories revolving around the core category were conceptualized according to the six C’s coding family: “nurses being dominated,” “nurses’ ineffective power in the health system,” “low attention to equitable care in health system,” “lack of clarity in measuring equitable care,” “the health structure’s inconsistency with equity,” and “the inefficiency of the care system.” Conclusion: There is a mutual relationship between providing fair care and nurses’ perceptions of equity. Nurses who have themselves experienced equity can provide their patients the experience of equity. This mutual relationship is actualized in a context in which fair care is clearly defined and demanded.

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