Nurses' (Un)Partner-Like Relationships With Clients

2009 ◽  
Vol 16 (1) ◽  
pp. 43-56 ◽  
Author(s):  
Majda Pajnkihar
Keyword(s):  
Reflective Practice ◽  
Interpersonal Relationships ◽  
Main Concern ◽  
Theory Approach ◽  
Human Beings ◽  
Nursing Leaders ◽  
Qualitative Research Design ◽  
Beliefs And Values ◽  
Specific Finding ◽  
Grounded Theory Approach

The aim of a previous study was to describe nursing in Slovenia generally, and to identify the most appropriate nursing model for that country. One specific finding was the issue of partner-like relationships; this article deals with that issue only. An interpretive paradigm and qualitative research design were used with a modified grounded theory approach. Interviews were carried out with selected nursing leaders ( n = 24) and other professionals ( n = 6) in order to draw on their knowledge and experience to describe the reality of nursing phenomena. The results of this research suggest that participants wish to use a theory that emphasizes clients and treats them as equal partners in nursing, promotes health, and rests on interpersonal relationships. The participants described the missing or obscure parts in nursing and their own beliefs and values about human beings and nursing. Descriptions of and the need for partner-like relationships, and the specific elements of such relationships, were of main concern. The participants argued that nurses need high quality and continuing education to ensure competent nursing practice. The indication is that Slovenia should move to graduate and undergraduate nurse education to foster expert reflective practice in order to abolish routinized care carried out in a hierarchical system.

scholarly journals Protecting Family Interests: An Interview Study with Foreign-Born Parents Struggling On in Childhood Cancer Care

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Pernilla Pergert ◽  
Solvig Ekblad ◽  
Olle Björk ◽  
Karin Enskär ◽  
Tom Andrews
Keyword(s):  
Childhood Cancer ◽  
Cancer Care ◽  
Main Concern ◽  
Theory Approach ◽  
Foreign Born ◽  
Healthcare Staff ◽  
Holistic View ◽  
Classic Grounded Theory ◽  
The Common ◽  
Grounded Theory Approach

Sweden's population is gradually changing to become more multiethnic and diverse and that applies also for recipients of health care, including childhood cancer care. A holistic view on the sick child in the context of its family has always been a cornerstone in childhood cancer care in Sweden. The purpose of this study was to gain knowledge about the experiences and main concern of foreign-born parents in the context of paediatric cancer care. Interviews were performed with eleven foreign-born parents and data were analysed using a classic grounded theory approach. Foreign-born parents often feel in a position of powerless dependence, but family interests are protected in their approaches to interaction with healthcare staff, through cooperation, contesting, and reluctant resigning. Healthcare staff need to listen to foreign-born parents and deal with their concerns seriously to prevent powerless-dependence and work for trustful cooperation in the common fight against childhood cancer.

scholarly journals Translating Evidence into Policy: Opinions and Insights of Health Researchers and Policymakers in Nepal

2020 ◽  
Author(s):  
Biplav Babu Tiwari ◽  
Anusha Ban ◽  
Sony Gurung ◽  
Khem Bahadur Karki
Keyword(s):  
Policy Formulation ◽  
Theory Approach ◽  
Qualitative Research Design ◽  
Quantitative Studies ◽  
Analysis Technique ◽  
Nationally Representative ◽  
Study Participants ◽  
Flow Of Information ◽  
Grounded Theory Approach ◽  
Depth Interviews

Abstract Background: The Evidence-Based Policymaking (EBP) process in Nepal is rife with poor practices where often policymakers are portrayed as perpetrators for such practices. However, we need to think of the EBP as a two-sided coin where both research pull and research push play equally significant roles. Methods: Therefore, through 12 in-depth interviews, this study aimed to assess the perception of Nepalese health policymakers and researchers on EBP and identify appropriate mechanisms to integrate evidence into policies. Following the constructivist philosophical paradigm, qualitative research design was used in the study with the grounded theory approach. Purposive sampling was performed and the total number of interviews was finalized following saturation theory. All interviews were audio-recorded, transcribed, translated to English, coded line by line, and then developed into themes. Thematic analysis technique was used to manually analyze the data. Results: Study participants highlighted that evidence is being utilized during policy formulation but not in the amount it should be, with a preference for anecdotal evidence further reducing the chance. Apart from these barriers, poor credibility of information obtained, poorly targeted dissemination, inadequate policy-based researches, and policymakers and researchers operating within the spheres of their own with a feeble link to channel the flow of information between them were identified by participants. On the other hand, the publication of one-pager research brief, conduction of nationally representative surveys especially quantitative studies, the practice of cost-effectiveness study, and policymaker’s involvement during the research were some facilitators identified. Conclusions: Moreover, the study accentuates that better communication strategies such as the establishment of formal forums with policymakers and researchers, better-targeted dissemination, and identification of priority areas have wide potential to promote a unified front of health policymakers and researchers for EBP.

scholarly journals Translating evidence into policy: opinions and insights of Health Researchers and Policymakers in Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Biplav Babu Tiwari ◽  
Anusha Ban ◽  
Sony Gurung ◽  
Khem Bahadur Karki
Keyword(s):  
Policy Formulation ◽  
Theory Approach ◽  
Qualitative Research Design ◽  
Quantitative Studies ◽  
Analysis Technique ◽  
Nationally Representative ◽  
Study Participants ◽  
Flow Of Information ◽  
Grounded Theory Approach ◽  
Depth Interviews

Abstract Background The Evidence-Based Policymaking (EBP) process in Nepal is rife with poor practices where often policymakers are portrayed as perpetrators for such practices. However, we need to think of the EBP as a two-sided coin where both research pull and research push play equally significant roles. This study aimed to assess the perception of Nepalese health policymakers and researchers on EBP and identify appropriate mechanisms to integrate evidence into policies. Methods Following the constructivist philosophical paradigm, qualitative research design was used in the study with the grounded theory approach. Purposive sampling was performed, and the 12 in-depth interviews were conducted, where number of interviews was finalized using saturation theory. All interviews were audio-recorded, transcribed, translated to English, coded line by line, and then developed into themes. Thematic analysis technique was used to manually analyze the data. Results Study participants highlighted that evidence is being utilized during policy formulation but not in the amount it should be, with a preference for anecdotal evidence further reducing the chance. Apart from these barriers, poor credibility of information obtained, poorly targeted dissemination, inadequate policy-based researches, and policymakers and researchers operating within the spheres of their own with a feeble link to channel the flow of information between them were identified by participants. On the other hand, the publication of one-pager research brief, conduction of nationally representative surveys especially quantitative studies, the practice of cost-effectiveness study, and policymaker’s involvement during the research were some facilitators identified. Conclusions Moreover, the study accentuates that better communication strategies such as the establishment of formal forums with policymakers and researchers, better-targeted dissemination, and identification of priority areas have wide potential to promote a unified front of health policymakers and researchers for EBP.

scholarly journals The Meaning of Coming Out: From Self-Affirmation to Full Disclosure

2013 ◽  
Vol 9 (3) ◽  
pp. 168-187
Author(s):  
Nicholas A. Guittar
Keyword(s):  
Identity Formation ◽  
Coming Out ◽  
Constructivist Grounded Theory ◽  
Future Research ◽  
Theory Approach ◽  
Shared Meaning ◽  
Full Disclosure ◽  
Beliefs And Values ◽  
The Social ◽  
Grounded Theory Approach

Qualitative researchers have begun to analyze narratives of individuals’ experiences with coming out in order to explore the social influences that affect these processes. However, most studies on coming out are based on the assumption that “coming out” has a singular shared meaning. The present study is centered on challenging this very assumption by taking a constructivist grounded theory approach to exploring the meaning of coming out for 30 lesbian, gay, bisexual, and queer (LGBQ) individuals via open-ended interviews. Coming out does not have a universal meaning among LGBQ persons; rather, it varies on the basis of individuals’ experiences, social environment, and personal beliefs and values. All 30 participants in the current study agree that coming out is a transformative process and an important element in identity formation and maintenance, thus challenging the notion that coming out is no longer a relevant concept. For some participants coming out is more of a personal journey of self-affirmation, while for others it is about the sharing of their sexuality with others – and oftentimes a combination of these two characteristics. Implications for future research on coming out are included.

scholarly journals PENGUATAN KARAKTER ANAK DALAM KELUARGA DALAM SITUASI PANDEMI COVID-19

2021 ◽  
pp. 77-87
Author(s):  
Lailati Nazula ◽  
Erni Munastiwi
Keyword(s):  
Grounded Theory ◽  
Character Education ◽  
Random Sampling ◽  
Theory Approach ◽  
Human Beings ◽  
Great Opportunity ◽  
Mutual Cooperation ◽  
Process Learning ◽  
The Family ◽  
Grounded Theory Approach

Situasi  pendemi  Covid-19  mengharuskan  orang  untuk  beraktivitas  dari  rumah  termasuk  proses pembelajaran. Pembelajaran dari rumah menjadi peluang besar bagi keluarga untuk memanfaatkan  situasi  ini  sebagai  sarana  penguatan  karakter  anak.  Penguatan  karakter  atau  disebut  juga  pendidikan karakter merupakan hal yang sangat penting agar mencetak manusia yang terpuji, baik  untuk dirinya maupun lingkungannya. Penelitian ini bertujuan untuk mengeksplorasi pemanfaatan  situasi  pandemi  sebagai  sarana  penguatan  karakter  anak  yang  dilakukan  oleh  orang  tua.  Dengan  metode kualitatif, melalui pendekatan grounded theory penelitian ini mengikutsertakan tiga partisipan  yang dipilih secara acak (random sampling). Data dalam penelitian dikumpulkan melalui wawancara  dengan menggunkakan pertanyaan terbuka. Sebelum dilakukan analisis data, terlebih dahulu dilakukan  pengecekan  keabsahan  data  menggunakan  teknik  member  checking,  yang  dilanjutkan  dengan  analisis menggunakan teknik coding. Dari penelitian yang dilakukan ditemukan hasil bahwa situasi  pandemi ini dapat menjadi sarana penguatan karakter anak. Hal ini dilakukan orang tua dengan cara  menciptakan  nilai  mandiri,  tanggung  jawab,  religius,  gotong-royong,  dan  nasionalis  menjadi  momentum  bagi  keluarga  untuk  terlibat  dalam  pendidikan  karakter  dan  membangun  harmonisasi  dengan anak, menjadikan anak belajar pola hidup bersih dan sehat, dan anak berkurang dari aktivitas  lingkungan luar yang kurang bermanfaat.  STRENGTHENING CHILDREN'S CHARACTER IN THE FAMILY IN THE COVID-19  PANDEMIC SITUATION  The  Covid-19  pandemic  situation  requires  people  to  be  active  from  home,  including  the  learning process. Learning from home  is a great opportunity for  families to take  advantage of this  situation as a means of strengthening children's characters. Strengthening character or also called character education is very important in order to produce commendable human beings, both for themselves and their environment. This study aims to explore the use of the pandemic situation as a means  of  strengthening  children's  characters  by  parents.  With  a  qualitative  method,  through  a  grounded  theory approach, this study included three participants who were selected at random (random sampling). The data were collected through interviews using open-ended questions. Prior to data analysis,  the validity of the data was checked using the member checking technique, followed by analysis using  coding techniques. From the research conducted, it was found that this pandemic situation can be a  means  of  strengthening  children's  characters.  This  is  done  by  parents  by  creating  independent,  responsible, religious, mutual cooperation, and nationalist values to become a momentum for families  to be involved in character  education and build harmonization with children,  made  children learn  clean and healthy lifestyles, and reduced from activities outside the environment that are less useful. 

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.

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