Methodological path to reach the degree of saturation in qualitative research: grounded theory

ABSTRACT Objectives: to achieve the degree of saturation in study that applied the grounded theory. Methods: qualitative research, carried out in four Family Health Units, between June 2018 and May 2019. The data from the interviews with 30 health professionals and non-participant observation were coded in the stages: open, axial and integration. Results: the degree of saturation was achieved by two conceptual models - theoretical saturation and inductive thematic. Theoretical saturation was considered: the development of conceptual codes and observation, in the collection and analysis of data, when they generated new categories/subcategories or only indicated increasing instances. For thematic inductive saturation, the use of new codes based on each interview stood out. Final Considerations: the visual layout for the number of codes, the theoretical scope of the concepts and the delimitation of the sample groups guided the identification of the degree of saturation for the development of the conceptual body that supported the substantive theory.

A Grounded Theory of Preneurial Agency in Information Technology Creation

<p>The purpose of this study was to examine how entrepreneurs act to bring an Information Technology-based innovation into being. Successful realisation of such innovations requires collective effort, involving resources and actors both internal and external to the entrepreneur‘s own venture (Van de Ven, 1993a, 2005; Lavie, 2006). The study is qualitative in nature and uses the Glaserian variant of the grounded theory method to collect and analyse data obtained from interviewing entrepreneurs, intrapreneurs, and collective agents involved in creating IT innovation. Through undertaking open, selective, and theoretical coding and the process of constant comparative analysis, the research produces a substantive theory for explaining: A Grounded Theory of Preneurial Agency in IT Creation. The Grounded Theory of Preneurial Agency in IT Creation accounts for the actions of both entrepreneurs and intrapreneurs who are jointly called ―preneurs‖ within this study, and their interaction with collective agents to create IT innovation. The process of preneurial agency, the actions the preneur undertakes to create the innovative idea and make it a tangible reality, is shown as a triality involving the combined agency of the preneur and collective agents interacting within social structures established by the preneur. To support this abstracted view of entrepreneurship, the study develops and defines a family of terms to describe the process of preneurship, the preneur, preneurial agency, and the preneurial ba within which the actors interact to create IT-based innovation. The value of the research lies in its view of the preneur‘s process of transition from entrepreneur to intrapreneur and to institutional actor; and how the actions of both the entrepreneur and intrapreneur to create IT innovation can be shown in an abstracted process of preneurial agency. It is expected that through the application of a specific set of actions, presented in The Grounded Theory of Preneurial Agency in IT Creation as six theoretical propositions, practitioners will be better able to inform their practice, and enhance the self management of their preneurial agency and interaction with collective agents.</p>

A Grounded Theory of Preneurial Agency in Information Technology Creation

<p>The purpose of this study was to examine how entrepreneurs act to bring an Information Technology-based innovation into being. Successful realisation of such innovations requires collective effort, involving resources and actors both internal and external to the entrepreneur‘s own venture (Van de Ven, 1993a, 2005; Lavie, 2006). The study is qualitative in nature and uses the Glaserian variant of the grounded theory method to collect and analyse data obtained from interviewing entrepreneurs, intrapreneurs, and collective agents involved in creating IT innovation. Through undertaking open, selective, and theoretical coding and the process of constant comparative analysis, the research produces a substantive theory for explaining: A Grounded Theory of Preneurial Agency in IT Creation. The Grounded Theory of Preneurial Agency in IT Creation accounts for the actions of both entrepreneurs and intrapreneurs who are jointly called ―preneurs‖ within this study, and their interaction with collective agents to create IT innovation. The process of preneurial agency, the actions the preneur undertakes to create the innovative idea and make it a tangible reality, is shown as a triality involving the combined agency of the preneur and collective agents interacting within social structures established by the preneur. To support this abstracted view of entrepreneurship, the study develops and defines a family of terms to describe the process of preneurship, the preneur, preneurial agency, and the preneurial ba within which the actors interact to create IT-based innovation. The value of the research lies in its view of the preneur‘s process of transition from entrepreneur to intrapreneur and to institutional actor; and how the actions of both the entrepreneur and intrapreneur to create IT innovation can be shown in an abstracted process of preneurial agency. It is expected that through the application of a specific set of actions, presented in The Grounded Theory of Preneurial Agency in IT Creation as six theoretical propositions, practitioners will be better able to inform their practice, and enhance the self management of their preneurial agency and interaction with collective agents.</p>

Sustaining Togetherness; Family Engagement in Tuberculosis Prevention in Children Living in Tuberculosis Households in Indonesia

BACKGROUND: Preventing tuberculosis (TB) in children needs the family to be engaged; however, limited studies about how the family engages in TB prevention. AIM: This aimed of study was to develop the process of family engagement in TB prevention for children with household contact of TB patient. METHODS: Guided by Straussian grounded theory, we developed a substantive theory from 14 primary caregivers in West Java-Indonesia as the key participants of families whose child ≤5 years old received TB screening and preventive therapy, and have had an adult in the household with active TB diagnosis. Data were collected by in-depth interviews and analyzed by coding procedures. RESULTS: Sustaining togetherness aimed to maintain the children’s health, which underpinned three main stages that consisted of “moving from fear to realization,” “making the family’s collective decision,” and “holding on together.” CONCLUSION: Implications for nursing practice in providing optimum care of preventing TB among children through engagement of family.

Understanding Reasons for Lack of Acceptance in HIV Programs Among Indigenous: a Qualitative Study in Indonesia

Background: Melanesians are Indigenous Papuans that are racially and culturally different from most Indonesians. Poverty and inequalities remain high in this region despite having the highest revenues. Furthermore, Papua has the highest HIV prevalence rate, which is 24 times higher than other regions. Therefore, this study aimed to develop an understanding of the acceptance of HIV programs among Papuans.Methods: This is a qualitative study carried out using the grounded theory with data collected from 23 Papuans through semi-structured face-to-face interviews. All interviews were conducted in Bahasa Indonesia, audio-recorded, summarized, and transcribed for analysis.Results: The results showed that to “keep being a good Papuan," emerges from 4 interconnected categories, including 1) Culture and Religion, 2) Dealing with modernisms, 3) Tailoring program and 4) Stigma reduction. As a substantive theory underpinning the experiences of indigenous people with the programs, “Keep being a good Papuan” was a way of overcoming a series of problems and dealing with modernism to eliminating HIV. This is largely focused on the local culture, therefore any adjustment needs to balance keeping their tradition and welcoming modernism.Conclusions: Therefore, the future of the programs needs to be agreed upon, funded, implemented, measured, and achieved. One of the strategies used to achieve this is by elaborating a supportive culture and community-based interventions. Further, implementation needs to be prioritized to integrate and improve the quality of the programs due to the needs of the community and the available resources.

An Emergent Theory Depicting Patients’ Fortitude Through the Healing and Recovering Process of Depression

BACKGROUND: Depression is a common mental disorder. Literature has explored patients’ perspectives of the recovering process of depression. However, there is a lack of research to explore both patients’ and caregivers’ perspectives of the healing process and develop a theory to support patients with depression. AIMS: The purpose of this study is to develop a substantive theory that depicts patients with depression toward healing and recovering. METHOD: This study used a grounded theory approach and collected data between 2019 and 2020 in a medical center in Taiwan. A theoretical sampling was performed after interviewing 29 participants, including 20 patients who had recovered from depression and nine caregivers; data saturation was achieved. Data analysis was conducted with open, axial, and selective coding and used NVivo Version 11 to aid the process of coding. RESULTS: A substantive theory was developed and the core category was “Patients’ fortitude through the healing and recovering process of depression.” Other main categories interrelated in this core category were reframing negative thinking and cultivating positive thinking, rebuilding a positive self-worth by embracing self-compassion, and learning to cope with everyday stress. CONCLUSION: This theory could help health care professionals to work therapeutically with patients and commend their fortitude while experiencing depression and engaging them with the care they planned together; and find some joy in life. Educators and researchers could use this theory to advance nursing care.

CREATIVITY AND SPONTANEITY IN THE THEORY OF THE COMMUNITY POWER LEARNING PROCESS

In this article, the study of community power learning process is introduced. The aim of the study was to build a conception and a substantive theory of adult learners’ group learning. The theory has a dialogue with three perspectives: andragogy, sociometry and neuroscience. The community power learning process builds a close connection with Morenian approaches of using sociometry, peer support and spontaneity and creativity in a group learning process. Spontaneity and creativity are seen as an essential part of adult group learning. Four main categories were found: participation, communality, creativity, and tutoring. The core category was identified as the community power learning process. This study has been carried out using grounded theory research methodology.

Exploring Perceptions of Female Genital Mutilation/Cutting Abandonment (FGM/C) in Kenyan Health Care Professionals

Female genital mutilation/cutting (FGM/C) remains a global problem. We aimed to explore Kenyan health care professionals’ (HCPs) perceptions of FGM/C abandonment and, in particular, those focused on those serving Maasai communities who continue to practice FGM/C. Using a grounded theory Straussian approach, 18 interviews were conducted with HCPs in Kajiado County, Kenya, to understand perceptions of FGM/C as a cultural practice, identify barriers and facilitators to abandonment, and explore attitudes to medicalization (FGM/C conducted by HCPs) and alternatives of FGM/C. Within a substantive theory, one core category (“FGM/C persists but can be abandoned”) comprised two subcategories: “exploring the influencers of persistence” and the “roadmap to abandonment.” HCPs believed collaborative multilateral efforts were necessary to support successful abandonment and that “enlightening” the community needed to focus on changing the perception of FGM/C as a social norm alongside a health risk educational approach. Future effective intervention is needed to support the abandonment of FGM/C in Kenya.

The problem of variation

Chapter 7 maps out a broad framework for considering the problem of variation in evolution. Under the neo-Darwinian view that variation merely plays the role of supplying random infinitesimal raw materials, with no dispositional influence on the course of evolution, a substantive theory of form and its variation is not required to specify a complete theory of evolution. This view has been breaking down from the moment it was proposed, and is now seriously challenged by results from evo-devo, comparative genomics, molecular evolution, and quantitative genetics. For instance, the multivariate generalization of quantitative genetics indicates that selection cannot possibly act as an independent governing force. Replacing a theory of variation as fuel with a theory of variation as a dispositional factor will require, at minimum, an understanding of tendencies of variation (source laws), and an understanding of how those tendencies affect evolution (consequence laws).

The “Prudential” Bit

This chapter attempts to provide a defense of a sui generis form of intrinsic prudential value against skepticism of this notion expressed by, among others, G. E. Moore and Guy Fletcher. This chapter also addresses recent conceptual analyses of intrinsic prudential value, and argues that we should adopt what Stephen Campbell calls the ”Substantive Theory Strategy”.