scholarly journals Psychological Distress Model Among Iranian Pre-Hospital Personnel in Disasters: A Grounded Theory Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Maryam Azizi ◽  
Abbas Ebadi ◽  
Abbas Ostadtaghizadeh ◽  
Abbasali Dehghani Tafti ◽  
Juliet Roudini ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Psychological Distress ◽  
Mental Health Problems ◽  
Hospital Staff ◽  
Structured Interview ◽  
Theory Approach ◽  
Structural Factors ◽  
Short Term ◽  
Psychological Issues ◽  
Grounded Theory Approach

Objective: Pre-hospital personnels (PHPs) who work in disasters under extreme pressure, uncertainty, and complex situations are victims of disasters themselves, and there is a link between experiencing such incidents and mental health problems. Because most studies focus on the injured and less on the psychological issues of PHPs, the present study aimed to develop a model to provide relief for PHPs in disasters from a psychological perspective.Methods: A grounded theory methodology recommended by Corbin and Strauss (2015) was employed. PHPs (n = 24) participated in a semi-structured interview between July 2018 to May 2020.Results: In the analysis of the pre-hospital staff interviews, three main themes were extracted, namely, providing relief with struggle (complexity of incident scenes, command-organizational and occupational challenges), psychological distress (psychological regression and psychological empowerment), and consequences (resilience and job burnout). Seven categories and 22 subcategories were explored from our data via the grounded theory approachConclusions: The PHPs managed psychological distress with two approaches: psychological self-empowerment and regression, which resulted in resilience and burnout, respectively. Due to the lack of enough support, the resilience of the PHPs was short-term, turned into burnout over time, and affected the structural factors again as a cycle.

Graduate students' voice and conceptions on the challenges of undertaking qualitative research within higher education context: a grounded theory approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hossein Bakhshi ◽  
Hiwa Weisi ◽  
Nouroddin Yousofi
Keyword(s):  
Qualitative Research ◽  
Grounded Theory ◽  
Graduate Students ◽  
English Language ◽  
Structured Interview ◽  
English Language Teaching ◽  
Theory Approach ◽  
Content Type ◽  
Research Mentoring ◽  
Grounded Theory Approach

PurposeThis paper explores the challenges of conducting qualitative research from ELT (English Language Teaching) Ph.D. candidates' perspectives.Design/methodology/approachThe participants of the study consisted of 30 Iranian Ph.D. students majoring in ELT. The semi-structured interview was employed to investigate the heart of experiences, issues and concerns of participants with regard to conducting qualitative research (QLR) challenges. To analyze the collected data, the recorded interviews were transcribed, and then the grounded theory approach was employed (Charmaz, 2006).FindingsThe results revealed that the major challenges of the participants consist of the credibility of QLR in ELT contexts, hermeneutic and fuzzy nature of QLR, qualitative data analysis and interpretation, publishing qualitative findings and the system of measuring professors' productivity.Originality/valueThe findings may help professors, mainly EFL ones, in research mentoring and developing research syllabi for graduate students. In addition, it may motivate Ph.D. candidates to employ QLR methods in their research studies. The pedagogical and theoretical implications of the study are discussed at the end of the paper.

An Exploratory Study of how to Use RPPs to Build Trust and Support the Use of Early Warning Systems

2020 ◽  
Vol 122 (14) ◽  
pp. 1-28
Author(s):  
Julie R. Kochanek ◽  
Carrie Scholz ◽  
Brianne Monahan ◽  
Max Pardo
Keyword(s):  
Grounded Theory ◽  
New England ◽  
Early Warning ◽  
Early Warning Systems ◽  
Structured Interview ◽  
Interview Data ◽  
Theory Approach ◽  
Research Practice ◽  
Sources Of Information ◽  
Grounded Theory Approach

Background/Context Emerging experiences suggest that research-practice partnerships (RPPs) can benefit both research and practice. As researchers and practitioners become part of the same social network, they also can become trusted sources of information for one another. By modeling the research use process, practitioners can incorporate what they learn into their own research acquisition and interpretation processes and researchers can gain a better understanding of how their work can be designed and conducted so that it is directly relevant to practice. Purpose/Focus of the Study Prior literature on research-practice partnerships has identified common challenges of these partnerships such as turnover, trust, common language, and complex systems. The study follows a grounded theory approach to better understand challenges and dynamics within research-practice partnerships. Setting The study included members of eight research-practice partnerships including two focused primarily on the use of early warning indicators to reduce high school dropout. Partnerships were diverse in their location and maturity. Five partnerships were located in the Midwest, one partnership was located in the South, and two partnerships were located in New England. Half of the partnerships were less than two years old at the time of the interviews, and the oldest partnership was 8 years old. Research Design Using a grounded theory approach to better understand challenges and dynamics within RPPs, we analyzed qualitative interview data inductively to identify common themes discussed by respondents. Data Collection and Analysis The study team conducted telephone interviews with two researchers and two practitioners from eight RPPs, for a total of 31 interviews – one researcher was interviewed for two different partnerships. The team used semi-structured interview protocols aligned to the four research questions. In analyzing the interview data, we identified themes, categories, and theories that emerged from the data and confirmed or refuted our initial impressions.

scholarly journals Getting to the Emergency Department in Time: Interviews With Patients and Their Caregivers on the Challenges to Emergency Care Utilization in Rural Uganda - a Grounded Theory Approach

2021 ◽  
Author(s):  
Ashley E Pickering ◽  
Heather Dreifuss ◽  
Charles Ndyamwijuka ◽  
Mark Nichter ◽  
Bradley Dreifuss
Keyword(s):  
Emergency Department ◽  
Grounded Theory ◽  
Emergency Care ◽  
Treatment Delay ◽  
Chief Complaint ◽  
Care Utilization ◽  
Local Health ◽  
Theory Approach ◽  
Structural Factors ◽  
Grounded Theory Approach

Objectives Karoli Lwanga Hospital and Global Emergency Care, a 501(c)(3) nongovernmental organization, operate an Emergency Department (ED) in Uganda's rural Rukungiri District. Despite available emergency care (EC), preventable death and disability persist due to delayed patient presentations. Implementation of effective EC requires assessment of socioeconomic, cultural, and structural factors leading to treatment delay. Methods We purposefully sampled and interviewed patients and caregivers presenting to the ED more than 12 hours after onset of chief complaint in January-March 2017 to include various ages, genders, and complaints. Semistructured interviews addressing actions taken before seeking EC and delays to presentation once the need for EC was recognized were conducted. Interviews were audio recorded, translated, and transcribed, enabling the interdisciplinary and multicultural research team to conduct thematic analysis utilizing a grounded theory approach. Results The 50 ED patients for whom care was sought (mean age 33) had approximately even distribution of gender, as well as occupation (none, subsistence farmers and small business owner). Interviews were conducted with 37 caregivers and 13 ED patients. The majority of interviewees (mean age 38 years) were women with a primary education. The median duration of patients' chief complaint on ED presentation was 5.5 days. On average, participants identified severe symptoms necessitating EC 1 day before presentation. Four themes of treatment delay before and after severity were recognized were identified: 1) Cultural factors and limited knowledge of emergency signs and initial actions to take ; 2) Use of local health facilities despite perception of inadequate services; 3) Lack of resources to cover the anticipated cost of obtaining EC; 4) Inadequate transportation options. Conclusions Interventions are warranted to address each of the four major reasons for treatment delay. The next stage of formative research will generate intervention strategies and assess the opportunities and challenges to implementation with community and health system stakeholders.

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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