scholarly journals Care for families after suicide loss: nursing academic experience

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2206-2212 ◽  
Author(s):  
Lucía Silva ◽  
Beatriz Quirino Afonso ◽  
Maiara Rodrigues dos Santos ◽  
Michelle Freire Baliza ◽  
Lisabelle Mariano Rossato ◽  
...  

ABSTRACT Objective: To understand how the nursing academics experience the process of taking care of bereaved families after a suicide loss, to identify the meanings of the experience and to build a theoretical model. Method: Qualitative study that used symbolic interactionism and grounded theory. Open interviews were held with 16 nursing academics. Data were analyzed according to the constant comparative method. Results: The phenomenon seeking his/her own restoration to help the bereaved family to move on is represented by the theoretical model composed by the categories: facing the tragedy in the family, evaluating the caring scenario, mobilizing his/her internal resources, performing the care and reflecting on the repercussions of the experience. Final considerations: The process represents efforts undertaken by students in the pursuit of the family’s restoration to provide the best care toward them, through embracement, listening, sensitivity and flexibility, so it creates opportunities for the family to strengthen and plan their future.

Author(s):  
Mayckel da Silva Barreto ◽  
Bruna Sodré Simon ◽  
Veronica Francisqueti Marquete ◽  
Rebeca Rosa de Souza ◽  
Nara Marilene Oliveira Girardon-Perlini ◽  
...  

ABSTRACT Objetive: Describing the theoretical sampling process in the development of a Grounded Theory based on the Straussian strand. The objective of the field research, used as an example, was to develop a substantive theory, based on the theoretical framework of Symbolic Interactionism, about the perceptions and experiences of patients, family members, and health professionals regarding the presence of the family during emergency care. Method: In the theoretical sampling, 42 participants were recruited, divided into nine sample groups, constituted based on the constant comparative method. Results: The description of this example allowed to identify how theoretical sampling guided data collection, which occurred through the in-depth study of concepts and the search for answers to questions arising from the data. Final Considerations: It is expected that the readers find subsidies to understand how theoretical sampling is conducted in a Grounded Theory study, based on the Straussian strand, and thus be able to apply it.


Author(s):  
Joel Olson ◽  
Chad McAllister ◽  
Lynn Grinnell ◽  
Kimberly Gehrke Walters ◽  
Frank Appunn

Building on practice, action research, and theory, the purpose of this paper is to present a 10-step method for applying the Constant Comparative Method (CCM) of grounded theory when multiple researchers perform data analysis and meaning making. CCM is a core qualitative analysis approach for grounded theory research. Literature suggests approaches for increasing the credibility of CCM using multiple researchers and inter-coder reliability (ICR), but documentation of methods for collaboration on CCM data analysis is sparse. The context for developing the10-step CCM approach was a qualitative study conducted to understand the impact of webcams on a virtual team. To develop a methodology for the study, the researchers reviewed grounded theory literature to synthesize an approach for conducting CCM with multiple researchers. Applying action research, an integration of literature and practical experience conducting the qualitative study resulted in a model for using CCM with multiple researchers performing data analysis. The method presented in this paper provides practical guidance for applying CCM collaboratively and shares the researchers’ perspectives on the value of ICR.


2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1298-1305
Author(s):  
Ana Paula Cascarani Faria ◽  
Circéa Amália Ribeiro ◽  
Ana Lucia de Moraes Horta

ABSTRACT Objective: to understand the meaning of the family's reintegration attributed by the family experiencing it and to construct a representative theoretical model of this experience. Method: this is a qualitative study, conducted with four families with a total of 20 interviewees, with Symbolic Interactionism as theoretical framework, Grounded Theory as methodological, participant observation and the experience of musical making, mediating the interview as strategies of data collection. Results: a comparative analysis of the data led to the identification of the main category and to the construction of the theoretical model TRYING TO REBUILD WHAT WAS BROKEN. Conclusion: the family experiencing reintegration lives a process of reconstruction that allows to revisit situations of abandonment and review the behavior of caring and re-meaning of family coexistence. For the health professional, this study invites to think about this theme and to review the concept of family, in order to create their own sense of care.


2021 ◽  
pp. 1-21
Author(s):  
Julian C. Hughes ◽  
Jordan Baseman ◽  
Catherine Hearne ◽  
Mabel Leng Sim Lie ◽  
Dominic Smith ◽  
...  

Abstract This paper reports on a study which examined the notions of authenticity and citizenship for people living with cognitive impairment or dementia in a care home in the North-East of England. We demonstrated that both notions were present and were encouraged by engagement with an artist, where this involved audio and visual recordings and the creation of a film. The artist's interactions were observed by a non-participant observer using ethnographic techniques, including interviews with the residents, their families and the staff of the care home. The data were analysed using grounded theory and the constant comparative method of qualitative analysis. Our findings suggest that participatory art might help to maintain and encourage authenticity and citizenship in people living with dementia in a care home. Certainly, authenticity and citizenship are notions worth pursuing in the context of dementia generally, but especially in care homes.


BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 501-509 ◽  
Author(s):  
David McGuinness ◽  
Kathy Murphy ◽  
Emma Bainbridge ◽  
Liz Brosnan ◽  
Mary Keys ◽  
...  

BackgroundA theoretical model of individuals' experiences before, during and after involuntary admission has not yet been established.AimsTo develop an understanding of individuals' experiences over the course of the involuntary admission process.MethodFifty individuals were recruited through purposive and theoretical sampling and interviewed 3 months after their involuntary admission. Analyses were conducted using a Straussian grounded theory approach.ResultsThe ‘theory of preserving control’ (ToPC) emerged from individuals' accounts of how they adapted to the experience of involuntary admission. The ToPC explains how individuals manage to reclaim control over their emotional, personal and social lives and consists of three categories: ‘losing control’, ‘regaining control’ and ‘maintaining control’, and a number of related subcategories.ConclusionsInvoluntary admission triggers a multifaceted process of control preservation. Clinicians need to develop therapeutic approaches that enable individuals to regain and maintain control over the course of their involuntary admission.Declaration of interestNone.


Author(s):  
M. R. van Diggelen ◽  
K. I. Doulougeri ◽  
S. M. Gomez-Puente ◽  
G. Bombaerts ◽  
K. J. H. Dirkx ◽  
...  

Abstract The purpose of this study is to determine what good coaching during design-based learning (DBL) entails by integrating theoretical and practical perspectives on good coaching. For this purpose, a grounded theory approach was used. For the practical perspective, themes on good coaching were derived from a qualitative study on coaching by observing and interviewing teachers and students involved in a DBL project. For the theoretical perspective, we consulted and analyzed literature on scaffolding, feedback, and formative assessment and coaching in problem-based learning from the learning sciences and the studio model from arts and design literature. Synthesizing themes from both perspectives led to the development of a theoretical coaching model consisting of three main categories (and four subcategories), seventeen themes and thirteen propositions. The model and propositions might be of use for those involved in coaching students in DBL and provide relevant directions for research on coaching in DBL.


2017 ◽  
Author(s):  
Ιωάννα Μπακιρτζή

Η παρούσα διατριβή πραγματεύεται τρόπους προώθησης της Συμπεριληπτικής Εκπαίδευσης στην Πρωτοβάθμια Εκπαίδευση στην Ελλάδα. Ειδικότερα προτείνει την εφαρμογή της Καθολικής Σχεδίασης για Μάθηση και της Ολικής Ποιότητας στην Εκπαίδευση ως ένα δομημένο πλαίσιο στο οποίο προάγεται η φιλοσοφία της συμπερίληψης και οι αρχές της. Η μέθοδος που ακολουθήθηκε για τη διεξαγωγή της έρευνας εντάσσεται στους κόλπους της ποιοτικής ερευνητικής μεθόδου και συγκεκριμένα της έρευνας – δράσης. Επιπρόσθετα, αξιοποιήθηκαν στοιχεία της θεμελιωμένης θεωρίας (grounded theory), στην οποία βασίστηκε η ανάλυση και επεξεργασία των δεδομένων, που έγινε μέσω της συνεχούς συγκριτικής μεθόδου (constant comparative method). Όσον αφορά στη μεθοδολογία, έγινε χρήση του photovoice, της παρατήρησης, της συνέντευξης καθώς και του αναστοχαστικού ημερολογίου. Για την επίτευξη της εμπιστευσιμότητας εφαρμόστηκε μία πληθώρα στρατηγικών, η οποία στόχευε στην αξία της αλήθειας, στη μεταφερσιμότητα, στην αληθοφάνεια και την επιβεβαιωσιμότητα. Η έρευνα διεξήχθη σε ένα ελληνικό δημόσιο δημοτικό σχολείο και συμμετέχοντές της ήταν μαθητές του σχολείου, οι γονείς τους, οι εκπαιδευτικοί των αντίστοιχων τάξεων και η διευθύντρια.Η έρευνα χωρίστηκε σε τρία στάδια, με το καθένα να προκύπτει λόγω αναγκαιότητας από το προηγούμενο. Έτσι, διαμορφώθηκε το στάδιο της αρχικής αξιολόγησης της υπάρχουσας κατάστασης στο σχολείο με στόχο τη διερεύνηση του βαθμού ανάπτυξης της συμπεριληπτικής εκπαίδευσης, το στάδιο της παρέμβασης με βάση τις αρχές των φιλοσοφιών της καθολικής σχεδίασης για μάθηση και της ολικής ποιότητας και αυτό της τελικής αξιολόγησης της παρέμβασης.Τα αποτελέσματα φανέρωσαν τη δυναμική των δύο παραπάνω φιλοσοφιών για την προώθηση της συμπεριληπτικής εκπαίδευση. Η κάθε μία ξεχωριστά αλλά και σε συνδυασμό με την άλλη οδήγησαν στην εξάλειψη φαινομένων περιθωριοποίησης των μαθητών, στην αύξηση της συμμετοχής τους στο καθημερινό μάθημα και τις σχολικές δραστηριότητες, στην υπερπήδηση των εμποδίων και στην απόδοση ισότιμων ευκαιριών προς όλους. Θετικό αντίκτυπο είχε η παρέμβαση και προς τους γονείς οι οποίοι ήρθαν πιο κοντά στο σχολείο και είδαν τις ανάγκες τους να ικανοποιούνται, όπως και προς τους εκπαιδευτικούς, που ανέπτυξαν σχέσεις συνεργασίας και είδαν την αλλαγή τόσο στους μαθητές τους όσο και στο σύνολο του σχολείου.


2018 ◽  
Vol 27 (9) ◽  
pp. 710-717 ◽  
Author(s):  
Graham P Martin ◽  
Emma-Louise Aveling ◽  
Anne Campbell ◽  
Carolyn Tarrant ◽  
Peter J Pronovost ◽  
...  

BackgroundHealthcare organisations often fail to harvest and make use of the ‘soft intelligence’ about safety and quality concerns held by their own personnel. We aimed to examine the role of formal channels in encouraging or inhibiting employee voice about concerns.MethodsQualitative study involving personnel from three academic hospitals in two countries. Interviews were conducted with 165 participants from a wide range of occupational and professional backgrounds, including senior leaders and those from the sharp end of care. Data analysis was based on the constant comparative method.ResultsLeaders reported that they valued employee voice; they identified formal organisational channels as a key route for the expression of concerns by employees. Formal channels and processes were designed to ensure fairness, account for all available evidence and achieve appropriate resolution. When processed through these formal systems, concerns were destined to become evidenced, formal and tractable to organisational intervention. But the way these systems operated meant that some concerns were never voiced. Participants were anxious about having to process their suspicions and concerns into hard evidentiary facts, and they feared being drawn into official procedures designed to allocate consequence. Anxiety about evidence and process was particularly relevant when the intelligence was especially ‘soft’—feelings or intuitions that were difficult to resolve into a coherent, compelling reconstruction of an incident or concern. Efforts to make soft intelligence hard thus risked creating ‘forbidden knowledge’: dangerous to know or share.ConclusionsThe legal and bureaucratic considerations that govern formal channels for the voicing of concerns may, perversely, inhibit staff from speaking up. Leaders responsible for quality and safety should consider complementing formal mechanisms with alternative, informal opportunities for listening to concerns.


2019 ◽  
Vol 33 (6) ◽  
pp. 676-684 ◽  
Author(s):  
Martina Sinta Kristanti ◽  
Christantie Effendy ◽  
Adi Utarini ◽  
Myrra Vernooij-Dassen ◽  
Yvonne Engels

Background: Strong family bonds are part of the Indonesian culture. Family members of patients with cancer are intensively involved in caring, also in hospitals. This is considered “normal”: a societal and religious obligation. The values underpinning this might influence families’ perception of it. Aim: To explore and model experiences of family caregivers of patients with cancer in Indonesia in performing caregiving tasks. Design: A grounded theory approach was applied. The constant comparative method was used for data analysis and a paradigm scheme was employed for developing a theoretical model. Setting/participants: The study was conducted in three hospitals in Indonesia. The participants were family caregivers of patients with cancer. Results: A total of 24 family caregivers participated. “Belief in caregiving” appeared to be the core phenomenon. This reflects the caregivers’ conviction that providing care is an important value, which becomes the will power and source of their strength. It is a combination of spiritual and religious, value and motivation to care, and is influenced by contextual factors. It influences actions: coping mechanisms, sharing tasks, and making sacrifices. Social support influences the process of the core phenomenon and the actions of the caregivers. Both positive and negative experiences were identified. Conclusion: We developed a model of family caregivers’ experiences from a country where caregiving is deeply rooted in religion and culture. The model might also be useful in other cultural contexts. Our model shows that the spiritual domain, not only for the patient but also for the family caregivers, should be structurally addressed by professional caregivers.


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