scholarly journals Moral Distress in Community and Hospital Settings for the Care of Elderly People. A Grounded Theory Qualitative Study

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1307
Author(s):  
Giulia Villa ◽  
Federico Pennestrì ◽  
Debora Rosa ◽  
Noemi Giannetta ◽  
Roberta Sala ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Protective Factor ◽  
Moral Distress ◽  
The Elderly ◽  
Single Type ◽  
Theory Approach ◽  
Structured Interviews ◽  
Healthcare Settings ◽  
Core Category ◽  
Care Of Elderly

Background: Moral distress has frequently been investigated in single healthcare settings and concerning a single type of professional. This study aimed to describe the experience of moral distress in all the types of professionals providing daily care to elderly patients and residents. Methods: The Grounded Theory approach, developed by Corbin and Strauss, was used. This study included participants from hospital and nursing homes of northern Italy. Purposive and theoretical sampling was used. Between December 2020 and April 2021, semi-structured interviews were conducted. Results: Thirteen participants were included in the study. Four categories were derived from the data: talking and listening, care provider wellbeing, decision making, protective factors, and potential solutions. The core category identified was “sharing daily”. Interviewees confirm how hard it may be to communicate to the elderly, but at the same time, how adequate communication with the leader is a protective factor of moral distress. They also confirm how communication is key to managing or downsizing misunderstandings at all levels. Findings highlight the scarcity of operators as a fundamental trigger of moral distress. Conclusions: Many determinants of this phenomenon lie behind the direct control of professionals, but education can help them learn how to prevent, manage, or downsize the consequences.

scholarly journals Moral Distress Trajectories of Physicians 1 Year after the COVID-19 Outbreak: A Grounded Theory Study

2021 ◽  
Vol 18 (24) ◽  
pp. 13367
Author(s):  
Giulia Lamiani ◽  
Davide Biscardi ◽  
Elaine C. Meyer ◽  
Alberto Giannini ◽  
Elena Vegni
Keyword(s):  
Critical Care ◽  
Grounded Theory ◽  
Moral Distress ◽  
Working Environment ◽  
Moral Integrity ◽  
Structured Interviews ◽  
Good Doctor ◽  
Lombardy Region ◽  
Core Category ◽  
Moral Outcomes

The COVID-19 pandemic has confronted emergency and critical care physicians with unprecedented ethically challenging situations. The aim of this paper was to explore physicians’ experience of moral distress during the pandemic. A qualitative multicenter study was conducted using grounded theory. We recruited 15 emergency and critical care physicians who worked in six hospitals from the Lombardy region of Italy. Semi-structured interviews about their professional experience of moral distress were conducted from November 2020–February 2021 (1 year after the pandemic outbreak). The transcripts were qualitatively analyzed following open, axial, and selective coding. A model of moral distress was generated around the core category of Being a Good Doctor. Several Pandemic Stressors threatened the sense of Being a Good Doctor, causing moral distress. Pandemic Stressors included limited healthcare resources, intensified patient triage, changeable selection criteria, limited therapeutic/clinical knowledge, and patient isolation. Emotions of Moral Distress included powerlessness, frustration/anger, and sadness. Physicians presented different Individual Responses to cope with moral distress, such as avoidance, acquiescence, reinterpretation, and resistance. These Individual Responses generated different Moral Outcomes, such as moral residue, disengagement, or moral integrity. The Working Environment, especially the team and organizational culture, was instrumental in restoring or disrupting moral integrity. In order for physicians to manage moral distress successfully, it was important to use reinterpretation, that is, to find new ways of enacting their own values by reframing morally distressing situations, and to perceive a cooperative and supportive Working Environment.

scholarly journals Medication adherence among the elderly: applying grounded theory approach in a developing country

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Peivand Bastani ◽  
Parisa Bikineh ◽  
Gholamhossein Mehralian ◽  
Omid Sadeghkhani ◽  
Rita Rezaee ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Medication Adherence ◽  
Medication Use ◽  
The Elderly ◽  
Theory Approach ◽  
Structured Interviews ◽  
Individual Level ◽  
Axial Coding ◽  
The Individual ◽  
Grounded Theory Approach

Abstract Background Medication adherence is an important concept particularly among the elderly that can, directly and indirectly, affect the health system’s costs and the elderly’s health, quality of life, and functional abilities. This study aimed to determine the model of medication adherence among the Iranian elderly using the grounded theory approach. Methods The concept of medication adherence and the determination of its process among the elderly is a multidisciplinary social issue that can be affected by many contextual factors. Grounded theory with the approach of Strauss and Corbin (2004) was applied to determine the customized model. Data triangulation occurred through semi-structured interviews, observation, field notes, and memoing. Open coding, selective coding, and axial coding were applied to analyze the data. Results Delinquency in the medication use among the elderly was caused by factors such as doubtfulness, fear of complications, not following the patients by the physicians, and negative others and medical staff’s impacts. During the process of medication adherence, the patient’s lack of knowledge, lack of sufficient education, inappropriate and restricted lifestyle, difficult living conditions, and social pressures imposed on individuals could exacerbate and worsen the delinquency in medication adherence. It should not be neglected that some other factors such as lack of an effective supervision system, lack of supportive organizations, stakeholders’ market-based behaviors, consumption inconvenience, consumption stress, hopelessness, and misunderstanding could also aggravate the delinquency. Conclusions Although the proposed theory and model were customized and context-based for the Iranian elderly, in general, making positive changes in the process of adherence to the medication use among the elderly requires scientific and basic management and planning of its factors. It should be noted that making these changes requires some interventions in and cooperation of all levels of the country's health system, from the Ministry of Health and Medical Education to the individual level of the elderly.

scholarly journals Behavioural Changes in Dementia and their Impact on Professional Caregivers: A Grounded Theory Approach

Dementia ◽  
2017 ◽  
Vol 18 (4) ◽  
pp. 1479-1491 ◽  
Author(s):  
Katie Appleton ◽  
Antonina Pereira
Keyword(s):  
Grounded Theory ◽  
Behavioural Change ◽  
Everyday Practice ◽  
Theory Approach ◽  
Behavioural Symptoms ◽  
Core Category ◽  
Professional Caregiver ◽  
Professional Care ◽  
The Impact ◽  
Grounded Theory Approach

Aim The present study aimed to explore the impact that changes in behavioural symptoms of people living with dementia have on professional caregiver and resident relationships. Method A total of 21 interviews were carried out with professional caregivers of people living with dementia. A grounded theory approach was used to investigate everyday experiences of provision of professional care in dementia settings, focussing specifically on the effect of behavioural change on such relationships. Results A core category emerged from this analysis: ‘Developing behaviour in dementia impacts relationships on a personal and professional level’. Discussion Professionals have recognized as part of their everyday practice an eventual deterioration in relationships between themselves as professional caregivers and the residents, but also between the residents and their family members and among residents themselves. Importantly, understanding patients’ behaviour and behavioural change was identified as a crucial factor to achieve and sustain good relationships between professionals and residents suffering with dementia.

Use of 4.0 (I4.0) technology in HRM: a pathway toward SHRM 4.0 and HR performance

foresight ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rajasshrie Pillai ◽  
Shilpi Yadav ◽  
Brijesh Sivathanu ◽  
Neeraj Kaushik ◽  
Pooja Goel
Keyword(s):  
Grounded Theory ◽  
Industry 4.0 ◽  
Design Methodology ◽  
Extensive Literature ◽  
Theory Approach ◽  
Structured Interviews ◽  
Content Type ◽  
Hr Managers ◽  
The Impact ◽  
Grounded Theory Approach

Purpose This paper aims to investigate the use of Industry 4.0 (I4.0) technology and its barriers in human resourcemanagement (HRM) for Smart HR 4.0 and its impact on HR performance. Design/methodology/approach The research has been conducted using the grounded theory approach. Semi-structured interviews were conducted with 122 senior HR officers of national and multi-national companies in India after the extensive literature review. NVivo 8.0 software was used for the analysis of the interview data. Findings I4.0 technology is used for HRM functions by HR professionals. It is revealed that Smart HR 4.0 that emerged from the I4.0 technology has leveraged the HR performance. It is also found that usage barriers, traditional barriers and risk barriers affect the use of I4.0 technology in HRM. Originality/value A model is developed using the grounded theory approach for HR managers to understand the impact of I4.0 on HRM. This study reveals the barriers affecting the use of I4.0 technology in HRM. It also provides the model for HR performance that emerged through the use of I4.0 technology in HR and Smart HR 4.0. The research delivered key insights for the HR professionals, marketers of HR technology and technology developers.

The Virtuous Circle: A Grounded Theory Exploration of the Good Lives Model

Sexual Abuse ◽  
2018 ◽  
Vol 31 (8) ◽  
pp. 908-929
Author(s):  
Miriam Ryan ◽  
Mathew McCauley ◽  
Davina Walsh
Keyword(s):  
Grounded Theory ◽  
Constructivist Grounded Theory ◽  
Future Research ◽  
Theory Approach ◽  
Structured Interviews ◽  
Community Based ◽  
Good Lives Model ◽  
Sexual Offenses ◽  
Grounded Theory Approach ◽  
Good Lives

Sexual offenses evoke strong emotional responses and frequently elicit demands from society that offenders be indefinitely incarcerated or treated until they are deemed safe, which may impact the provision of therapeutic treatment for offenders. However, in recent years, there has been a proposal to move toward a positive, strengths-based treatment approach, namely the Good Lives Model (GLM). The present study used semi-structured interviews and a constructivist grounded theory approach to examine the experience of 13 men who were voluntarily engaging in or had completed a GLM community-based treatment program. A conceptual model emerged which outlines the process the men underwent, the factors they identified as crucial for change, and the perceived gains. The model extends previous work by exploring the process from the clients’ perspective. Implications for future research, prevention, and treatment are discussed.

scholarly journals PEDAGOGY OF CALCULUS IN INDIA: AN EMPIRICAL INVESTIGATION

2020 ◽  
Vol 17 (34) ◽  
pp. 164-180
Author(s):  
Ashraf ALAM
Keyword(s):  
Grounded Theory ◽  
Real Life ◽  
Teaching Experience ◽  
Study Data ◽  
Extensive Study ◽  
Pedagogical Practices ◽  
Theory Approach ◽  
Structured Interviews ◽  
Before And After ◽  
Grounded Theory Approach

When students learn a calculus construct, both a concept image as well as a concept definition is imprinted in their mind, and because of it, concrete and real-life examples become a prerequisite for a contextually rich learning environment for the abstractions inherently present in calculus. In the light of aforementioned propositions, the current study focusses on delving into several issues, few of the prominent ones include the epistemological nature of calculus curriculum in India’s senior-secondary schools, role of Indian calculus teachers in students’ cognition, possibility of enumeration of characteristics of a successful calculus teacher with regards to India’s socio-cultural milieu, challenges regarding complete immersion of calculus in manipulation of symbols that eventually give rise to cognitive obstacles, interrelationship between teachers’ calculus content knowledge and their pedagogical practices, effect of secondary school calculus on performance of Indian students’ college calculus, and the nature of effect on Indian learners having calculus in school on their procedural and conceptual performance. For this extensive study, data were collected from PGTs and Assistant/Associate Professors having more than 8 years of calculus teaching experience drawn from 76 different schools, colleges and universities belonging to 23 different states and union territories of India. A total of 323 teachers took part in this study. Multiple methods of data collection were used including naturalistic observation, structured interviews, classroom observations, focussed group interviews, and informal discussions, and these were done both before and after the classroom teaching. The researcher transcribed the interviews, identified emerging and repeated themes, and used NVivo and Concordance software to conduct content and classroom discourse analysis, with simple counting methods and applied grounded theory approach using which empirical data were thematically categorized and in the process of it, employed the induction approach. The researcher analyzed the transcripts using N5 (NUD*IST 5.0; QSR International, Melbourne) with the grounded theory approach. This research study is purely qualitative in nature and its framework lies within the interpretative paradigm. The current study was carried out between June 2016 and March 2019. Findings indicate that there are lots of cognitive obstacles in understanding the concepts inbuilt in calculus: two of the prominent ones that came out from the study include the one related to intuitions and the other related to linguistic/representational aspects.

scholarly journals COPING WITH AUTISM: DIFFERENTIAL & UNIQUE PARENTING MOTHERS JOURNEY TOWARDS ADAPTATION-A QUALITATIVE STUDY IN INDIAN CONTEXT BASED ON GROUNDED THEORY APPROACH

2021 ◽  
Vol 9 (02) ◽  
pp. 736-750
Author(s):  
Nisha Laila ◽  
◽  
Linu Sara George ◽  
Shalini G. Nayak ◽  
◽  
...  
Keyword(s):  
Grounded Theory ◽  
Qualitative Study ◽  
Conceptual Model ◽  
Autism Spectrum ◽  
Theory Approach ◽  
Eligibility Criteria ◽  
Training Centre ◽  
Northern India ◽  
Core Category ◽  
Voice Recorder

Objective: The main objective of this study was to explore the experiences of mothers parenting children with Autism Spectrum Disorder (ASD) with a view to formulate a conceptual model of parenting experiences based on the constructs identified. Design &Methods: The study used grounded theory methodology in order to derive a conceptual model for parenting a child with ASD. The participants were mothers between the age group of 24-50 years undergoing parent child training from Autism training Centre, Northern India. The study is based on in depth interviews with twelve mothers who were meeting the eligibility criteria. The interviews were digitally recorded with a voice recorder. The anonymity and confidentiality of the participants were assured. The translated data were coded and categorised using open code software Results: The qualitative data analysis revealed thirteen major categories and forty six sub categories and a core category was derived out of the concepts and formulated a conceptual model of coping with autism, Unique and differential parenting Mothers Journey towards adaptation. Conclusion: This qualitative study provides evidence for parenting experiences of Indian mothers of children with ASD. The findings would provide identification of problems, need based care and guidance for professionals. Practice Implications: The conceptual model formulated could be used as a basis to test the hypothesis in various aspects of the concepts discussed in relation to mothers experiences of a child with ASD and thus a substantive theory of parenting a child with ASD could be developed in future after comparing and concept analysis of the existing parenting theories .

scholarly journals Exploring the growth process of successors in long-lived small and medium-sized manufacturing companies: a qualitative study

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 285
Author(s):  
Hiroo Suzuki ◽  
Yasunobu Kino
Keyword(s):  
Growth Process ◽  
Small And Medium Enterprises ◽  
Early Stage ◽  
Theory Approach ◽  
Manufacturing Companies ◽  
Structured Interviews ◽  
Double Loop Learning ◽  
Core Category ◽  
The Future ◽  
Medium Enterprises

Background: Japan is the world's largest country in terms of the number of long-lived companies, the majority of which are family-owned small and medium-sized enterprises. On the other hand, many business owners will be retiring without successors, and the closure of these small and medium enterprises may have a significant impact on the future economy. The purpose of this study is to explore the growth process of successors in long-lived small and medium-sized manufacturing companies so that potential successors can know what they will experience as managers and be prepared for the future, and professionals who support successors can be provided with information on the growth process of successors to provide appropriate support. Methods: Semi-structured interviews were conducted with six successors of small and medium-sized manufacturing companies that are more than half a century old. Their answers were analyzed using the modified grounded theory approach to construct a hypothetical model. Results: In total, 46 concepts, four categories, 17 subcategories, and one core category with an analysis result diagram were formed. The diagram shows the successors gained confidence in management through the dilemma between autonomy and constraint in the early stage of succession, which was found in previous research. Following the initial stage, the successors responded to the crisis caused by market constraints such as being stuck in a new market, unreasonable treatment from customers, and created autonomous strategies in their businesses. Conclusions: By experiencing repetitive crises, the successors tend to acquire new perspectives toward the naturally occurring crises. This change of premise by the successors is considered as the process of double-loop learning. Relationships inside and outside the company influence the generation of this viewpoint. From a long-term perspective, a sense of unity with employees, stable employment, and the pursuit of enjoyment constitute the successors' values in this model.

scholarly journals Exodus of clergy: ‘When the fight is just not worth it anymore’ – The role of conflict in responding to the call

2018 ◽  
Vol 52 (1) ◽  
Author(s):  
Shaun Joynt
Keyword(s):  
Grounded Theory ◽  
Social Process ◽  
Pastoral Ministry ◽  
Roman Catholic Church ◽  
Theory Approach ◽  
Full Time ◽  
Structured Interviews ◽  
Protestant Church ◽  
Practical Theological ◽  
Basic Social Process

Conflict affects clergy’s response to the call. Unresolved conflict negatively influences their decision to remain in full-time pastoral ministry. This contributes to a shortage of clergy in the Roman Catholic Church, but to a lesser extent, the Protestant church, as it faces a distribution or displacement challenge. The shortage negatively affects the church, as clergy equip congregants to live the faith and transmit it to the next generation. The purpose of this study is to discover what factors are involved in responding to the call to full-time pastoral ministry. A practical theological grounded theory approach is used to discover the properties of the basic social process responding to the call and more specifically one of its categories, namely conflict. Semi-structured interviews are conducted and data coded, using Glaser and Strauss’ grounded theory methodology in order to determine a basic social process, namely responding to the call. The category of ‘conflict’ includes properties such as conflict due to lack of communication, dealing with favouritism, conflict with leadership and managing conflict or leaving due to conflict. Osmer’s descriptive-empirical task is used to view the category conflict from a practical theological perspective. The results of this study indicate three responses to the call by clergy who left full-time pastoral ministry: not called in the first place, a dual call (being bi-vocational or seasonal), and being called, but leaving anyway due to, among other factors, conflict.

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