scholarly journals How Do Nurses Apply Personal Knowing to Patient Care? A Grounded Theory Study

2021 ◽  
Vol 7 (2) ◽  
pp. 87-96
Author(s):  
Forough Rafii ◽  
◽  
Fereshteh Javaheri Tehrani ◽  
Alireza Nikbakht Nasrabadi ◽  
Shabnam Shariatpanahi ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Patient Care ◽  
Positive Outcome ◽  
Comparison Method ◽  
Therapeutic Use ◽  
Use Of Self ◽  
Structured Interviews ◽  
Therapeutic Communication ◽  
Grounded Theory Method ◽  
Personal Knowing

Background: Personal Knowing (PK) is an expression of self-knowledge concerning others. Besides, PK is the most difficult as well as the most essential pattern of knowing in nursing. The current study aimed to explore how nurses apply personal knowledge in patient care. Methods: This qualitative study was performed based on the grounded theory method. The study was performed in different hospital wards of Tehran City, Iran. The required data were generated using semi-structured interviews and clinical observations. Finally, 15 interviews and 8 sessions of observation were included in the data analysis. Strauss and Corbin’s constant comparison method (2008) was used to analyze the collected data. Results: The obtained findings suggested that nurses use the PK pattern in 3 forms of the therapeutic use of self, self-centering, and elimination of therapeutic communication. The therapeutic use of self was accompanied by kindness and amiability; efforts to strengthen the patients’ spirit; giving comfort and hope; humor; talking in a friendly manner, and gaining the patient’s trust and cooperation. Self-centering was characterized by establishing silence in the ward, strict enforcement of the rules, setting more rules, and developing rules for the method of care provision. Eliminating the therapeutic communication was accompanied by the referral of patients to others, avoidance, reluctance, and mechanical care. Conclusion: The obtained findings added to the knowledge of the patterns of knowing in nursing. The therapeutic use of self leads to a positive outcome of care as well as the satisfaction of nurses and patients. However, a self-centering and eliminating therapeutic relationship will raise an inappropriate image of nursing.

Toward a Grounded Theory of Student-Athlete Suffering and Dealing with Academic Corruption

2008 ◽  
Vol 22 (3) ◽  
pp. 273-302 ◽  
Author(s):  
Lisa A. Kihl ◽  
Tim Richardson ◽  
Charles Campisi
Keyword(s):  
Grounded Theory ◽  
Student Athletes ◽  
Positive Outcome ◽  
Comparison Method ◽  
Future Research ◽  
Theory Approach ◽  
Multiple Sources ◽  
Theoretical Concepts ◽  
Academic Corruption ◽  
Dual Consciousness

The purpose of this grounded theory study was to explain how student-athletes are affected by an instance of academic corruption. Using a grounded theory approach (Glaser & Strauss, 1967; Strauss & Corbin, 1998), multiple sources of data were collected and analyzed using the constant comparison method leading to theory generation. Findings revealed that student-athletes suffer three main consequences (negative treatment, sanctions, and a sense of loss) that lead to various harmful outcomes (e.g., distrust, embarrassment, dysfunctional relationships, stakeholder separation, anger, stress, and conflict). However, the consequences also created a positive outcome displayed through a dual consciousness of corruption (resiliency and empowerment). The results are compared with existing theoretical concepts and previous research associated with the outcomes of corruption. This theory adds to our knowledge of the nature of suffering experienced by student-athletes as a result of corruption and provides direction for future research and practice.

scholarly journals A Grounded theory study of the intention of nurses to leave the profession

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Leyla Alilu ◽  
Vahid Zamanzadeh ◽  
Leila Valizadeh ◽  
Hosein Habibzadeh ◽  
Mark Gillespie
Keyword(s):  
Grounded Theory ◽  
Comparative Method ◽  
Intention To Leave ◽  
Self Control ◽  
Structured Interviews ◽  
Grounded Theory Method ◽  
Psychosocial Concerns ◽  
Constant Comparative Method ◽  
Bedside Nursing ◽  
Organizational Expectations

ABSTRACT Objective: this study explores the process of the development of an intention to leave bedside nursing. Method: the process was studied from the perspective of 21 nurses using the grounded theory method. Data were collected using semi-structured interviews and the constant comparative method of Corbin and Strauss was used for data analysis. Results: according to the participants, the two main categories, "social image of nursing", and "culture and structure of the bedside", were the contextual factors that influence why nurses are leaving bedside care provision. Disappointment with a perceived lack of progress or improvement in the clinical experience formed primary psychosocial concerns for the participants. Competence and a process of self-control were steps taken by the participants. These, associated with interventional conditions produced the outcomes of the loss of professional commitment and desire to leave bedside nursing. "Failure to integrate personal expectations with organizational expectations: in search of escape" was the central category of the study that linked the categories together. Conclusion: the findings of this study provide useful information about the needs of nurses for overcoming the intention to leave bedside care. The identification of this process can help in recognizing emerging problems and providing solutions for them.

scholarly journals Meat in a Seat: A Grounded Theory Study Exploring Moral Injury in Canadian Public Safety Communicators, Firefighters, and Paramedics

2021 ◽  
Vol 18 (22) ◽  
pp. 12145
Author(s):  
Lorraine Smith-MacDonald ◽  
Liana Lentz ◽  
David Malloy ◽  
Suzette Brémault-Phillips ◽  
R. Nicholas Carleton
Keyword(s):  
Grounded Theory ◽  
Focus Groups ◽  
Public Safety ◽  
Moral Injury ◽  
Structured Interviews ◽  
Grounded Theory Method ◽  
Study Results ◽  
Psychological Harm ◽  
Societal Problems ◽  
The Impact

The work of public safety personnel (PSP) is inherently moral; however, the ability of PSP to do what is good and right can be impeded and frustrated, leading to moral suffering. Left unresolved, moral suffering may develop into moral injury (MI) and potential psychological harm. The current study was designed to examine if MI is relevant to frontline public safety communicators, firefighters, and paramedics. Semi-structured interviews (n = 3) and focus groups (n = 3) were conducted with 19 participants (public safety communicators (n = 2); paramedics (n = 7); and firefighters (n = 10)). Interviews and focus groups were audio-recorded, transcribed, coded, and constantly compared in accordance with the grounded theory method. A conceptual theory of “frustrating moral expectations” emerged, with participants identifying three interrelated properties as being potentially morally injurious: chronic societal problems, impaired systems, and organizational quagmires. Participants navigated their moral frustrations through both integrative and disintegrative pathways, resulting in either needing to escape their moral suffering or transforming ontologically. The current study results support MI as a relevant concept for frontline PSP. Given the seriousness of PSP leaving their profession or committing suicide to escape moral suffering, the importance of the impact of MI on PSP and public safety organizations cannot be ignored or underestimated. Understanding the similarities and differences of morally injurious exposures of frontline PSP may be critical for determining mental health and resilience strategies that effectively protect PSP.

Identifying the Mental Pattern of Housing Demand by grounded Theory: The Cognitive Science Approach

2019 ◽  
Author(s):  
Sorush Niknamian
Keyword(s):  
Grounded Theory ◽  
Physical Factor ◽  
Housing Demand ◽  
Behavioral Approach ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Control Factors ◽  
Grounded Theory Method ◽  
Axial Coding ◽  
And Control

One of the main challenges of housing demand is the optimal selection of housing that almost everyone faces. A model that can measure the role and impact of all factors affecting the demand for housing is not presented unambiguously and has not been dramatically formulated explicitly. Considering the centrality of budget, behavioral and control factors in housing demand, the present study seeks to explain and design the mental pattern of consumer demand, capital and housing leases with a cognitive and behavioral approach in Tabriz. The present study is based on the qualitative approach and using the grounded theory method. The data collection method was semi-structured interviews. In order to collect information, an interview was carried out using a targeted sampling method with 12 experts in the field of housing. Data analysis was performed in three stages: open coding, axial coding, selective coding, and a qualitative research model has been designed. The results of this study indicate that extraction of more than 250 codes, along with an inventory of more than 20 concepts and 4 categories, are presented in the form of a paradigmatic model including budget constraints as axial categories and causal conditions (as reasons for selection), underlying factors (physical factor) and interventional conditions (control and behavioral factors).

scholarly journals Organizational and individual barriers and facilitators to the integration of pediatric palliative care for children: A grounded theory study

2021 ◽  
pp. 026921632110261
Author(s):  
Anat Laronne ◽  
Leeat Granek ◽  
Lori Wiener ◽  
Paula Feder-Bubis ◽  
Hana Golan
Keyword(s):  
Palliative Care ◽  
Grounded Theory ◽  
Healthcare Provider ◽  
Care Center ◽  
Healthcare Providers ◽  
Pediatric Palliative Care ◽  
Structured Interviews ◽  
Grounded Theory Method ◽  
Organizational Barriers ◽  
Provider Barriers

Background: Pediatric palliative care has established benefits for children with cancer and their families. Overcoming organizational and healthcare provider barriers have been demonstrated as central for the provision of palliative care in pediatric oncology. A deeper understanding is needed of the influence of these barriers and the interactions between them, specifically in primary palliative care in hospital settings. Aim: To identify the organizational and healthcare provider barriers to the provision of primary pediatric palliative care. Design: This study utilized the grounded theory method. Semi-structured interviews were conducted and analyzed line by line, using NVivo software. Setting/participants: Forty-six pediatric oncologists, nurses, psychosocial team members, and other healthcare providers from six academic hospital centers participated in the research. Results: Organizational and healthcare provider factors were identified, each of which acted as both a barrier and facilitator to the provision of pediatric palliative care. Organizational barriers included lack of resources and management. Facilitators included external resources, resource management, and a palliative care center within the hospital. Individual barriers included attitudes toward palliative care among pediatric oncologists, pediatric oncologists’ personalities, and the emotional burden of providing palliative care. Facilitators include dedication and commitment, initiative, and sense of meaning. Provider facilitators for palliative care had a buffering effect on organizational barriers. Conclusion: Organizational and healthcare provider factors influence the quality and quantity of palliative care given to children and their families. This finding has implications on interventions structured to promote primary palliative care for children, especially in healthcare systems and situations where resources are limited.

Advancing medical education: connecting interprofessional collaboration and education opportunities with integrative medicine initiatives to build shared learning

2016 ◽  
Vol 13 (4) ◽  
Author(s):  
Kate Templeman ◽  
Anske Robinson ◽  
Lisa McKenna
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Patient Care ◽  
Integrative Medicine ◽  
Interprofessional Education ◽  
Medical Curriculum ◽  
Interprofessional Collaboration ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Grounded Theory Method

AbstractBackgroundImproved teamwork between conventional and complementary medicine (CM) practitioners is indicated to achieve effective healthcare. However, little is known about interprofessional collaboration and education in the context of integrative medicine (IM).MethodsThis paper reports the findings from a constructivist-grounded theory method study that explored and highlighted Australian medical students’ experiences and opportunities for linking interprofessional collaboration and learning in the context of IM. Following ethical approval, in-depth semi-structured interviews were conducted with 30 medical students from 10 medical education faculties across Australian universities.ResultsMedical students recognised the importance of interprofessional teamwork between general medical practitioners and CM professionals in patient care and described perspectives of shared responsibilities, profession-specific responsibilities, and collaborative approaches within IM. While students identified that limited interprofessional collaboration currently occurred in the medical curriculum, interprofessional education was considered a means of increasing communication and collaboration between healthcare professionals, helping coordinate effective patient care, and understanding each healthcare team members’ professional role and value.ConclusionsThe findings suggest that medical curricula should include opportunities for medical students to develop required skills, behaviours, and attitudes for interprofessional collaboration and interprofessional education within the context of IM. While this is a qualitative study that reflects theoretical saturation from a selected cohort of medical students, the results also point to the importance of including CM professionals within interprofessional collaboration, thus contributing to more person-centred care.

scholarly journals Operacionalização de uma Grounded Theory: o percurso metodológico

2018 ◽  
Vol 6 (12) ◽  
pp. 572
Author(s):  
Paulo Cristiano de Oliveira ◽  
Marina Keiko Nakayama
Keyword(s):  
Qualitative Research ◽  
Distance Education ◽  
Grounded Theory ◽  
Management System ◽  
Learning Management System ◽  
Theory Method ◽  
Structured Interviews ◽  
Grounded Theory Method ◽  
Learning Management

Resumo: Pesquisadores encontram dificuldades para desenvolver estudos utilizando o método da Grounded Theory (GT). Este artigo traz o percurso metodológico da operacionalização de uma GT. A investigação que proporcionou este relato buscou esclarecer quais são e como atuam os fatores que influenciam a utilização do Learning Management System na gestão da Educação a Distância, em uma universidade, a partir da experiência dos seus gestores. A pesquisa adotou a corrente Straussiana: o problema foi explicitamente definido e foram desenvolvidas a codificação aberta, a axial e a seletiva, com dados coletados a partir de entrevistas semiestruturadas e documentos. A principal contribuição deste artigo é apresentar os procedimentos operacionais para a construção de uma GT.Palavras-chave: Grounded theory; Método; Pesquisa qualitativa; Procedimentos operacionais. Grounded Theory operationalization: the methodological routeAbstract: Researchers has been found difficult to develop studies using the Grounded Theory (GT) method. This article presents the methodological route about an operationalization of a GT. The research that provided this description sought to clarify what are and how they act the factors that influence the use of the Learning Management System in the management of Distance Education in a university, based on the experience of its managers. The research adopted the Straussian current: the problem was explicitly defined and open, axial and selective coding were developed, with data collected from documents and semi-structured interviews. The main contribution of this article is to present the operational procedures for the construction of a GT.Keywords: Grounded Theory; Method; Qualitative Research; Operational procedures. 

scholarly journals Vaccination learning experiences of nursing students: a grounded theory study

2015 ◽  
Vol 12 ◽  
pp. 29 ◽  
Author(s):  
Eshagh Ildarabadi ◽  
Hossein Karimi Moonaghi ◽  
Abbas Heydari ◽  
Ali Taghipour ◽  
Abdolghani Abdollahimohammad
Keyword(s):  
Grounded Theory ◽  
Nursing Students ◽  
Learning Outcomes ◽  
Empirical Support ◽  
Structured Interviews ◽  
Undergraduate Nursing Students ◽  
Effective Learning ◽  
Undergraduate Nursing ◽  
Grounded Theory Method ◽  
Core Category

Purpose: This study aimed to explore the experiences of nursing students being trained to perform vaccinations. Methods: The grounded theory method was applied to gather information through semi-structured interviews. The participants included 14 undergraduate nursing students in their fifth and eighth semesters of study in a nursing school in Iran. The information was analyzed according to Strauss and Corbin’s method of grounded theory. Results: A core category of experiential learning was identified, and the following eight subcategories were extracted: students’ enthusiasm, vaccination sensitivity, stress, proper educational environment, absence of prerequisites, students’ responsibility for learning, providing services, and learning outcomes. Conclusion: The vaccination training of nursing students was found to be in an acceptable state. However, some barriers to effective learning were identified. As such, the results of this study may provide empirical support for attempts to reform vaccination education by removing these barriers.

scholarly journals The role of the ‘on treatment’ review radiographer: what are the requirements?

2008 ◽  
Vol 7 (3) ◽  
pp. 113-131 ◽  
Author(s):  
Laura Lees
Keyword(s):  
Grounded Theory ◽  
Patient Care ◽  
Interpersonal Skills ◽  
Scope Of Practice ◽  
Full Time ◽  
Structured Interviews ◽  
Self Reflection ◽  
Treatment Review ◽  
Care And Support ◽  
Set Up

AbstractPurpose: The aims of this study were to describe the scope of practice of the radiotherapy ’on treatment’ review radiographer. This included trying to gain an insight in to what knowledge, skills and characteristics are needed to operate in this role extension and to establish whether the role requires skills in areas of patient care and support which are beyond the generic training of a treatment floor therapy radiographer.Method: A qualitative grounded theory methodology was employed using semi-structured interviews with ’on treatment’ review radiographers from three different departments. The departments were selected to maximise the amount of data collected, consequently they were chosen due to the differences in the way their review service was set up. This ranged from full time, to team led, to part time review. Using coding and constant comparative analysis based on grounded theory, categories were developed describing attributes of the role.Results: The scope of practice and challenges of the role varied slightly between the departments. The core categories needed to operate in the role were identified as knowledge, listening skills and characteristics with sub categories of self-reflection, interpersonal skills and attitudes.Conclusions: To be a review radiographer requires advanced knowledge at Masters level, with well developed listening and interpersonal skills and enjoyment of the people side of the profession. These skills need to be regularly practised, updated and reflected upon. The requirements for further training needs are noted and recommendations for further research are identified along with the limitations of this research. The role appears to require knowledge and skills in areas of patient care and support, which are above the level of practice of a treatment floor therapy radiographer.

Coping Mechanisms of Physicians Who Routinely Work with Dying Patients

2003 ◽  
Vol 47 (3) ◽  
pp. 253-264 ◽  
Author(s):  
Dena Schulman-Green
Keyword(s):  
Grounded Theory ◽  
Patient Care ◽  
Coping Mechanisms ◽  
Theory Method ◽  
Grounded Theory Method ◽  
Coping Process ◽  
Dying Patients ◽  
Support Mechanisms ◽  
Patient Use ◽  
Affect Patient Care

Physicians routinely care for dying patients, yet many report being uncomfortable doing so. Discomfort with death can compromise patient care through insensitive or inadequate interactions and can lead to physicians' feeling remorse, anger, guilt, and inadequacy. The purpose of this study was to explore how physicians cope with the discomfort of caring for dying patients, as well as how the coping process can affect patient care. Twenty physicians who routinely cared for dying patients were interviewed about related discomfort. Transcripts were analyzed according to the grounded theory method using Atlas/ti software. Eight coping mechanisms were identified, including medicalization, dehumanizing the patient, anger directed at the patient, use of euphemisms, use of humor, denial of the lack of skill, going numb, and talking to others. Improvement of support mechanisms would provide a forum for physicians to speak about discomfort and would encourage the development and sharing of productive coping mechanisms.

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