Guided reflection: transcending a routine approach in the management of sexually transmissible infections

2002 ◽  
Vol 13 (9) ◽  
pp. 624-632 ◽  
Author(s):  
Jan Browne ◽  
Victor Minichiello ◽  
David Plummer

This paper describes a distinctive approach to the sexually transmissible infections (STI) clinical consultation: 'the guided reflection approach'. The authors coined this term and identified the guided reflection approach through analysis of 22 in-depth interviews with practitioners who provide care for people with STI, and 34 people who had attended a healthcare facility in Australia for screening or treatment of an STI. A grounded theory method was used to collect and analyse this information. The data revealed when the STI consultation is conducted using the principles characterized by the guided reflection approach creates contexts for sexual empowerment that have the potential to effectively assist people to gain autonomy for safe sex. Routinely, most of the practitioners in this study were shown to direct the STI consultation towards risk behaviours and practices and prevention of transmission, with minimal intervention. However, this study shows that if clinical interaction is to make a difference to the patient's autonomy for sexual behaviour, two changes will be required. First, practitioners need to adopt the goal of assisting patients to attain levels of autonomy, and second, practitioners require education to assist them to develop the interactive skills needed to engage patients in dialogue and reflection about sexual behaviour.

2014 ◽  
Vol 9 (1) ◽  
pp. 51-72
Author(s):  
Muhammad Zaman ◽  
Muhammad Zakria Zakar ◽  
Abida Sharif

This article deals with the traditional and changing gender roles and relationships in the exchange-marriage system that exists in south Punjab, Pakistan. It examines the structural roles and an individual’s independent choices. In-depth interviews were conducted with twenty-four families who have utilized the system of exchange. In this research the guidelines of the Grounded Theory Method (GTM) in order to collect and analyse the data. The study found that pre-determined, structured roles were more influential and they retain more importance than the individual’s choices. It revealed a perpetual tension between structural forces and an individual agency: an emancipated individual tries to assert and wants to exercise her/his choice but finds that the structural pressures are powerful. Some contention grows between the structural agents and the individual agency for the freeing of the individual’s emancipated role. This paper analyses the interplay between the structure and the agency. It also analyses the tensions and the process of slight social change that occurs under given social conditions.


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1742
Author(s):  
Li-Yun Szu ◽  
Lee-Ing Tsao ◽  
Shu-Chuan Chen ◽  
May-Lien Ho

A successful self-participation experience empowers patients to adapt to living with hemodialysis. However, few studies regarding the subjective experiences of such patient participation have been conducted. This study’s purpose was to describe hemodialysis patients’ perspectives on integrating hemodialysis into a new life regarding self-participation experience. A qualitative study using the grounded theory method was applied. Thirty-two well-adaptive hemodialysis Taiwanese patients attended in-depth interviews. “Integrating hemodialysis into a new life journey” was identified as the core category guiding the entire self-participation experience of hemodialysis patients. The three antecedent themes were “Sense of worthlessness”, “Life is still worth living”, and “Friendly and joyful atmosphere of the hemodialysis room”. Once the patients went through the three antecedent themes, they gradually began making efforts to participate more fully in their hemodialysis. Within this participation experience, the hemodialysis patients exhibited these four interactive themes: “Overcoming one’s predicament”, “Integrating self-care skills into my life”, “Resuming previous roles and tasks”, and “Adapting to independent living”. Finally, most adaptive patients master the hemodialysis life. Encouraging patients to discover that their life is worth living and providing a friendly and joyful atmosphere in hemodialysis units are the keys to facilitating patients’ self-participation more fully.


2015 ◽  
Vol 12 (2) ◽  
pp. 97
Author(s):  
Gun Faisal ◽  
Dimas Wihardyanto

The Talang Mamak tribe, one of Indonesian tribe, still practices the hunting and gathering of natural produce despite the fact that among them have chosen to settle permanently and doing farming activities. The aim of this research is to study the characteristics of the Talang Mamak house. The method used in this research is grounded theory method, based on the open coding, axial coding as well selective coding techniques. The method used to find the variation layout of the houses and then evaluate the characters and concept of the layouts. The conclusion of this study is that the core of the Talang Mamak house is based on the connectivity of four rooms namely: Ruang Haluan, Ruang Tangah, Ruang Tampuan and Pandapuran. The house has an open layout where all daily household activities are done without barriers. The social status of the owner is identified by houses furniture and staf


Author(s):  
Antony Bryant

The term grounded theory was introduced to the research lexicon by Barney Glaser and Anselm Strauss in the 1960s, particularly with the publication of The Discovery of Grounded Theory in 1967. The term itself is somewhat misleading since it does not refer to a theory per se but rather to a method that facilitates the development of new theoretical insights—grounded theories. In this chapter the method is outlined, together with some background to its appearance and subsequent developments. Some key aspects are demonstrated using brief examples and exercises. Later sections describe the main features, procedures, outputs, and evaluation criteria.


2021 ◽  
Vol 14 ◽  
pp. 117863292110176
Author(s):  
Elin Mordal ◽  
Ingrid Hanssen ◽  
Andargachew Kassa ◽  
Solfrid Vatne

In Ethiopia, delivery wards are a part of primary healthcare services. However, although the maternal mortality rate is very high, approximately 50% of mothers use skilled birth attendants. This study focused on how women in a rural southern district of Ethiopia experience maternity care offered at the local delivery wards. In this qualitative, exploratory study, 19 women who had given birth in a healthcare facility were interviewed in 2019. Individual in-depth interviews were supplemented with observations conducted at 2 different delivery wards in the same district in 2020. Two main themes emerged from the thematic content analysis: increased awareness and safety were the primary reasons for giving birth at a healthcare facility, and traditions and norms affected women’s birth experiences in public maternity wards. The main shortcomings were a shortage of medicine, ambulance not arriving in time, and lack of care at night. For some women, being assisted by a male midwife could be challenging, and the inability to afford necessary medicine made adequate treatment inaccessible. Providing continuous information gave the women a certain feeling of control. Strong family involvement indicated that collectivistic expectations were key to rural delivery wards. The healthcare system must be structured to meet women’s needs. Moreover, managers and midwives should ensure that birthing women receive high-quality, safe, timely, and respectful care.


2014 ◽  
Vol 48 (3) ◽  
pp. 484-491 ◽  
Author(s):  
Ingrid Meireles Gomes ◽  
Maria Ribeiro Lacerda ◽  
Nen Nalú Alves das Mercês

Objective: To build a theoretical model to configure the network social support experience of people involved in home care. Method: A quantitative approach research, utilizing the Grounded Theory method. The simultaneous data collection and analysis allowed the interpretation of the phenomenon meaning The network social support of people involved in home care. Results: The population passive posture in building their well-being was highlighted. The need of a shared responsibility between the involved parts, population and State is recognized. Conclusion: It is suggested for nurses to be stimulated to amplify home care to attend the demands of caregivers; and to elaborate new studies with different populations, to validate or complement the proposed theoretical model.



KWALON ◽  
2021 ◽  
Vol 26 (1) ◽  
pp. 69-75
Author(s):  
Fijgje de Boer ◽  
Antony Bryant

2013 ◽  
Vol 53 (2) ◽  
pp. 142-155 ◽  
Author(s):  
Andrea Cherman ◽  
Sandra Regina da Rocha-Pinto

A valoração do conhecimento representa uma lacuna na área do conhecimento organizacional. Esse artigo visa responder quais processos são adotados pelos indivíduos para a valoração dos conhecimentos nas organizações. A pesquisa, realizada com profissionais de RH, utilizou grounded theory method. Os resultados sugerem que o processo de identificação dos indivíduos com a identidade organizacional ocupa um lugar central na valoração do conhecimento. A organização, por intermédio da alta gestão ou das rotinas organizacionais, surgiu como "o outro" que parece conduzir as diretrizes a serem seguidas, assim como quais conhecimentos avaliar e valorar; aquela com quem os membros organizacionais buscam identificar-se. Os indivíduos expressaram mecanismos de afirmação, adequação ou reconstrução de suas identidades a fim de gerar, justificar ou negar identificação com a organização. É sugerido que o modelo de comando vertical ainda prevalece sobre a interação horizontal, tornando difícil o estabelecimento de conhecimento emergente entre os membros organizacionais.


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