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Sample records for grounded-theory study looked

  1. Grounded theory.

    Science.gov (United States)

    Harris, Tina

    2015-04-29

    Grounded theory is a popular research approach in health care and the social sciences. This article provides a description of grounded theory methodology and its key components, using examples from published studies to demonstrate practical application. It aims to demystify grounded theory for novice nurse researchers, by explaining what it is, when to use it, why they would want to use it and how to use it. It should enable nurse researchers to decide if grounded theory is an appropriate approach for their research, and to determine the quality of any grounded theory research they read.

  2. How Chairpersons Enhance Faculty Research: A Grounded Theory Study.

    Science.gov (United States)

    Creswell, John W.; Brown, Martha L.

    1992-01-01

    A study examined how department chairpersons enhanced research performance of college and university faculty. By applying grounded theory methods to a corpus of 33 interviews with chairpersons, the study resulted in a typology of chair roles (administrative, advocacy, interpersonal), then assessed the process of assistance for faculty at four…

  3. How Chairpersons Enhance Faculty Research: A Grounded Theory Study.

    Science.gov (United States)

    Creswell, John W.; Brown, Martha L.

    1992-01-01

    A study examined how department chairpersons enhanced research performance of college and university faculty. By applying grounded theory methods to a corpus of 33 interviews with chairpersons, the study resulted in a typology of chair roles (administrative, advocacy, interpersonal), then assessed the process of assistance for faculty at four…

  4. A Grounded Theory Study of Supervision of Preservice Consultation Training

    Science.gov (United States)

    Newman, Daniel S.

    2012-01-01

    The purpose of this study was to explore a university-based supervision process for consultants-in-training (CITs) engaged in a preservice level consultation course with applied practicum experience. The study was approached from a constructivist worldview using a grounded theory methodology. Data consisted of supervision session transcripts,…

  5. Humanitarian nursing challenges: a grounded theory study.

    Science.gov (United States)

    Almonte, Angelica L C

    2009-05-01

    In response to the 2004 tsunami disaster in the Indian Ocean, the U.S. Navy deployed teams aboard the USNS Mercy to provide aid during Operation Unified Assistance (OUA). To date, few research studies have examined how Navy nurses prepared for and clinically performed during this relief operation. The current article describes the challenges faced by Navy nurses throughout OUA. A purposive convenience sample was recruited; 11 participated. Data were collected from interviews, observations, field notes, memos, and a demographic tool. Information was categorized, coded, compared to incoming data, then analyzed using Strauss and Corbin's open coding, axial coding, and selective coding methods. A theoretical model was developed to illustrate how participants experienced the mission. Key lessons learned were that most were unprepared for providing pediatric care, and saying "No" in delivering care. Recommendations include: deployment of advanced-practice nurses (specialists in pediatrics and well-mental health) and predeployment training on moral distress.

  6. Newly-graduated midwives transcending barriers: a grounded theory study.

    Science.gov (United States)

    Barry, Michele J; Hauck, Yvonne L; O'Donoghue, Thomas; Clarke, Simon

    2013-12-01

    Midwifery has developed its own philosophy to formalise its unique identity as a profession. Newly-graduated midwives are taught, and ideally embrace, this philosophy during their education. However, embarking in their career within a predominantly institutionalised and the medically focused health-care model may challenge this application. The research question guiding this study was as follows: 'How do newly graduated midwives deal with applying the philosophy of midwifery in their first six months of practice?' The aim was to generate a grounded theory around this social process. This Western Australian grounded theory study is conceptualised within the social theory of symbolic interactionism. Data were collected by means of in-depth, semi-structured interviews with 11 recent midwifery graduates. Participant and interviewer's journals provided supplementary data. The 'constant comparison' approach was used for data analysis. The substantive theory of transcending barriers was generated. Three stages in transcending barriers were identified: Addressing personal attributes, Understanding the 'bigger picture', and finally, 'Evaluating, planning and acting' to provide woman-centred care. An overview of these three stages provides the focus of this article. The theory of transcending barriers provides a new perspective on how newly-graduated midwives deal with applying the philosophy of midwifery in their first six months of practice. A number of implications for pre and post registration midwifery education and policy development are suggested, as well as recommendations for future research. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Assertiveness process of Iranian nurse leaders: a grounded theory study.

    Science.gov (United States)

    Mahmoudirad, Gholamhossein; Ahmadi, Fazlollah; Vanaki, Zohreh; Hajizadeh, Ebrahim

    2009-06-01

    The purpose of this study was to explore the assertiveness process in Iranian nursing leaders. A qualitative design based on the grounded theory approach was used to collect and analyze the assertiveness experiences of 12 nurse managers working in four hospitals in Iran. Purposeful and theoretical sampling methods were employed for the data collection and selection of the participants, and semistructured interviews were held. During the data analysis, 17 categories emerged and these were categorized into three themes: "task generation", "assertiveness behavior", and "executive agents". From the participants' experiences, assertiveness theory emerged as being fundamental to the development of a schematic model describing nursing leadership behaviors. From another aspect, religious beliefs also played a fundamental role in Iranian nursing leadership assertiveness. It was concluded that bringing a change in the current support from top managers and improving self-learning are required in order to enhance the assertiveness of the nursing leaders in Iran.

  8. Becoming an Older Volunteer: A Grounded Theory Study

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    Janet Witucki Brown

    2011-01-01

    Full Text Available This Grounded Theory study describes the process by which older persons “become” volunteers. Forty interviews of older persons who volunteered for Habitat for Humanity were subjected to secondary content analysis to uncover the process of “becoming” a volunteer. “Helping out” (core category for older volunteers occurs within the context of “continuity”, “commitment” and “connection” which provide motivation for volunteering. When a need arises, older volunteers “help out” physically and financially as health and resources permit. Benefits described as “blessings” of volunteering become motivators for future volunteering. Findings suggest that older volunteering is a developmental process and learned behavior which should be fostered in older persons by personally inviting them to volunteer. Intergenerational volunteering projects will allow older persons to pass on knowledge and skills and provide positive role modeling for younger volunteers.

  9. Marshaling Resources: A Classic Grounded Theory Study of Online Learners

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    Barbara Yalof

    2014-06-01

    Full Text Available Classic grounded theory (CGT was used to identify a main concern of online students in higher education. One of the main impediments to studying online is a sense of isolation and lack of access to support systems as students navigate through complex requirements of their online programs. Hypothetical probability statements illustrate the imbalance between heightened needs of virtual learners and perceived inadequate support provided by educational institutions. The core variable, marshaling resources, explains how peer supports sustain motivation toward successful program completion. Understanding the critical contribution virtual interpersonal networks make towards maximizing resources by group problem solving is a significant aspect of this theory. Keywords: Online learning, e-learning, personal learning networks, peer networks

  10. Use of empathy in psychiatric practice: constructivist grounded theory study

    Science.gov (United States)

    Watling, Chris

    2017-01-01

    Background Psychiatry has faced significant criticism for overreliance on the Diagnostic and Statistical Manual of Mental Disorders (DSM) and medications with purported disregard for empathetic, humanistic interventions. Aims To develop an empirically based qualitative theory explaining how psychiatrists use empathy in day-to-day practice, to inform practice and teaching approaches. Method This study used constructivist grounded theory methodology to ask (a) ‘How do psychiatrists understand and use empathetic engagement in the day-to-day practice of psychiatry?’ and (b) ‘How do psychiatrists learn and teach the skills of empathetic engagement?’ The authors interviewed 17 academic psychiatrists and 4 residents and developed a theory by iterative coding of the collected data. Results This constructivist grounded theory of empathetic engagement in psychiatric practice considered three major elements: relational empathy, transactional empathy and instrumental empathy. As one moves from relational empathy through transactional empathy to instrumental empathy, the actions of the psychiatrist become more deliberate and interventional. Conclusions Participants were described by empathy-based interventions which are presented in a theory of ’empathetic engagement’. This is in contrast to a paradigm that sees psychiatry as purely based on neurobiological interventions, with psychotherapy and interpersonal interventions as completely separate activities from day-to-day psychiatric practice. Declaration of interest None. Copyright and usage © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license. PMID:28243463

  11. De-tabooing dying control - a grounded theory study

    National Research Council Canada - National Science Library

    Thulesius, Hans O; Scott, Helen; Helgesson, Gert; Lynöe, Niels

    2013-01-01

    ...?" What emerged was to eventually present a grounded theory of control of dying focusing specifically on how people react in relation to issues about euthanasia and physician-assisted suicide (PAS...

  12. How to do a grounded theory study: a worked example of a study of dental practices

    Directory of Open Access Journals (Sweden)

    Evans R

    2011-09-01

    Full Text Available Abstract Background Qualitative methodologies are increasingly popular in medical research. Grounded theory is the methodology most-often cited by authors of qualitative studies in medicine, but it has been suggested that many 'grounded theory' studies are not concordant with the methodology. In this paper we provide a worked example of a grounded theory project. Our aim is to provide a model for practice, to connect medical researchers with a useful methodology, and to increase the quality of 'grounded theory' research published in the medical literature. Methods We documented a worked example of using grounded theory methodology in practice. Results We describe our sampling, data collection, data analysis and interpretation. We explain how these steps were consistent with grounded theory methodology, and show how they related to one another. Grounded theory methodology assisted us to develop a detailed model of the process of adapting preventive protocols into dental practice, and to analyse variation in this process in different dental practices. Conclusions By employing grounded theory methodology rigorously, medical researchers can better design and justify their methods, and produce high-quality findings that will be more useful to patients, professionals and the research community.

  13. De-tabooing dying control - a grounded theory study

    Science.gov (United States)

    2013-01-01

    Background Dying is inescapable yet remains a neglected issue in modern health care. The research question in this study was “what is going on in the field of dying today?” What emerged was to eventually present a grounded theory of control of dying focusing specifically on how people react in relation to issues about euthanasia and physician-assisted suicide (PAS). Methods Classic grounded theory was used to analyze interviews with 55 laypersons and health care professionals in North America and Europe, surveys on attitudes to PAS among physicians and the Swedish general public, and scientific literature, North American discussion forum websites, and news sites. Results Open awareness of the nature and timing of a patient’s death became common in health care during the 1960s in the Western world. Open dying awareness contexts can be seen as the start of a weakening of a taboo towards controlled dying called de-tabooing. The growth of the hospice movement and palliative care, but also the legalization of euthanasia and PAS in the Benelux countries, and PAS in Montana, Oregon and Washington further represents de-tabooing dying control. An attitude positioning between the taboo of dying control and a growing taboo against questioning patient autonomy and self-determination called de-paternalizing is another aspect of de-tabooing. When confronted with a taboo, people first react emotionally based on “gut feelings” - emotional positioning. This is followed by reasoning and label wrestling using euphemisms and dysphemisms - reflective positioning. Rarely is de-tabooing unconditional but enabled by stipulated positioning as in soft laws (palliative care guidelines) and hard laws (euthanasia/PAS legislation). From a global perspective three shapes of dying control emerge. First, suboptimal palliative care in closed awareness contexts seen in Asian, Islamic and Latin cultures, called closed dying. Second, palliative care and sedation therapy, but not euthanasia

  14. De-tabooing dying control - a grounded theory study.

    Science.gov (United States)

    Thulesius, Hans O; Scott, Helen; Helgesson, Gert; Lynöe, Niels

    2013-03-13

    Dying is inescapable yet remains a neglected issue in modern health care. The research question in this study was "what is going on in the field of dying today?" What emerged was to eventually present a grounded theory of control of dying focusing specifically on how people react in relation to issues about euthanasia and physician-assisted suicide (PAS). Classic grounded theory was used to analyze interviews with 55 laypersons and health care professionals in North America and Europe, surveys on attitudes to PAS among physicians and the Swedish general public, and scientific literature, North American discussion forum websites, and news sites. Open awareness of the nature and timing of a patient's death became common in health care during the 1960s in the Western world. Open dying awareness contexts can be seen as the start of a weakening of a taboo towards controlled dying called de-tabooing. The growth of the hospice movement and palliative care, but also the legalization of euthanasia and PAS in the Benelux countries, and PAS in Montana, Oregon and Washington further represents de-tabooing dying control. An attitude positioning between the taboo of dying control and a growing taboo against questioning patient autonomy and self-determination called de-paternalizing is another aspect of de-tabooing. When confronted with a taboo, people first react emotionally based on "gut feelings" - emotional positioning. This is followed by reasoning and label wrestling using euphemisms and dysphemisms - reflective positioning. Rarely is de-tabooing unconditional but enabled by stipulated positioning as in soft laws (palliative care guidelines) and hard laws (euthanasia/PAS legislation). From a global perspective three shapes of dying control emerge. First, suboptimal palliative care in closed awareness contexts seen in Asian, Islamic and Latin cultures, called closed dying. Second, palliative care and sedation therapy, but not euthanasia or PAS, is seen in Europe and North

  15. Academic learning for specialist nurses: a grounded theory study.

    Science.gov (United States)

    Millberg, Lena German; Berg, Linda; Brämberg, Elisabeth Björk; Nordström, Gun; Ohlén, Joakim

    2014-11-01

    The aim was to explore the major concerns of specialist nurses pertaining to academic learning during their education and initial professional career. Specialist nursing education changed in tandem with the European educational reform in 2007. At the same time, greater demands were made on the healthcare services to provide evidence-based and safe patient-care. These changes have influenced specialist nursing programmes and consequently the profession. Grounded Theory guided the study. Data were collected by means of a questionnaire with open-ended questions distributed at the end of specialist nursing programmes in 2009 and 2010. Five universities were included. Further, individual, pair and group interviews were used to collect data from 12 specialist nurses, 5-14 months after graduation. A major concern for specialist nurses was that academic learning should be "meaningful" for their professional future. The specialist nurses' "meaningful academic learning process" was characterised by an ambivalence of partly believing in and partly being hesitant about the significance of academic learning and partly receiving but also lacking support. Specialist nurses were influenced by factors in two areas: curriculum and healthcare context. They felt that the outcome of contribution to professional confidence was critical in making academic learning meaningful.

  16. The journey into fatherhood: A grounded theory study.

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    Sansiriphun, Nantaporn; Kantaruksa, Kannika; Klunklin, Areewan; Baosuang, Chavee; Liamtrirat, Saowanee

    2015-12-01

    The objective of this study was to explore the process of transition into fatherhood for Thai men from childbirth to the postpartum period. Forty-one first-time Thai fathers were voluntarily recruited from two hospitals in Chiang Mai, Thailand, from December 2012 to June 2013. In-depth interviews were used to collect the data, which were analyzed based on grounded theory methodology. The basic social process that emerged as the core category was termed: "the journey into fatherhood." This process was divided into three phases: labor, delivery, and family beginning. Within this process, there were various situations, challenges, and pressures, which caused many changes of mood and feelings for the first-time fathers. Throughout this process, they applied various strategies to manage their concerns and needs, in order to develop into masterly fathers. Identifying the process of the journey into fatherhood provides nurses and midwives insight into the new fathers' experiences, which will enable them to be more sensitive, respectful, and effective caregivers.

  17. Student nurse socialisation in compassionate practice: a Grounded Theory study.

    Science.gov (United States)

    Curtis, Katherine; Horton, Khim; Smith, Pam

    2012-10-01

    Compassionate practice is expected of Registered Nurses (RNs) around the world while at the same time remaining a contested concept. Nevertheless, student nurses are expected to enact compassionate practice in order to become RNs. In order for this to happen they require professional socialisation within environments where compassion can flourish. However, there is concern that student nurse socialisation is not enabling compassion to flourish and be maintained upon professional qualification. In order to investigate this further, a glaserian Grounded Theory study was undertaken using in-depth, digitally recorded interviews with student nurses (n=19) at a university in the north of England during 2009 and 2010. Interviews were also undertaken with their nurse teachers (n=5) and data from National Health Service (NHS) patients (n=72,000) and staff (n=290,000) surveys were used to build a contextual picture of the student experience. Within the selected findings presented, analysis of the data indicates that students aspire to the professional ideal of compassionate practice although they have concerns about how compassionate practice might fit within the RN role because of constraints on RN practice. Students feel vulnerable to dissonance between professional ideals and practice reality. They experience uncertainty about their future role and about opportunities to engage in compassionate practice. Students manage their vulnerability and uncertainty by balancing between an intention to uphold professional ideals and challenge constraints, and a realisation they might need to adapt their ideals and conform to constraints. This study demonstrates that socialisation in compassionate practice is compromised by dissonance between professional idealism and practice realism. Realignment between the reality of practice and professional ideals, and fostering student resilience, are required if students are to be successfully socialised in compassionate practice and enabled

  18. Minority nursing student success: A grounded theory case study

    Science.gov (United States)

    Mister, Brenda J.

    There has been a dramatic increase in the nation's racial and ethnic minority populations over recent years. This increase is placing a higher demand on the health care industry to provide culturally competent care to these diverse populations. This challenge is met with yet another problem as the nation faces a critical shortage of nurses, particularly minority nurses. This shortage is only expected to worsen over the next several years. As schools of nursing across the country are being asked to increase the number of nursing program graduates, specifically minorities, they are confronted with a double edged sword as retention rates are decreasing, and attrition rates are increasing. This is particularly troublesome when many racial and ethnic minority nursing students do not graduate. This qualitative study was implemented to assess and understand the perceived educational experiences of racial and ethnic minority nursing students enrolled in a rural community college nursing program on the Eastern Shore of Maryland. Eight voluntary nursing students who identified themselves as either a racial or ethnic minority participated in the study. Data were collected by: individual audio-taped interview sessions; audio-taped focus group sessions; and documentation of field notes. Participants also provided demographic information and were asked to provide a brief written response to a scenario regarding increasing the recruitment and retention rates of minority nursing students. All data were analyzed utilizing the constant comparative method. Results of the study revealed six different themes: personal support systems and peer relationships; college services and academic resources; faculty support; cultural understanding versus cultural insensitivity; personal attributes of self-efficacy/advice for future nursing students; and suggestions for college and nursing program improvement. After the major themes were examined one central theme, a grounded theory, was born. The

  19. Is it really theoretical? A review of sampling in grounded theory studies in nursing journals.

    Science.gov (United States)

    McCrae, Niall; Purssell, Edward

    2016-10-01

    Grounded theory is a distinct method of qualitative research, where core features are theoretical sampling and constant comparative analysis. However, inconsistent application of these activities has been observed in published studies. This review assessed the use of theoretical sampling in grounded theory studies in nursing journals. An adapted systematic review was conducted. Three leading nursing journals (2010-2014) were searched for studies stating grounded theory as the method. Sampling was assessed using a concise rating tool. A high proportion (86%) of the 134 articles described an iterative process of data collection and analysis. However, half of the studies did not demonstrate theoretical sampling, with many studies declaring or indicating a purposive sampling approach throughout. Specific reporting guidelines for grounded theory studies should be developed to ensure that study reports describe an iterative process of fieldwork and theoretical development. © 2016 John Wiley & Sons Ltd.

  20. Self-perceived participation among adults with spinal cord injury: a grounded theory study

    National Research Council Canada - National Science Library

    Ripat, J D; Woodgate, R L

    2012-01-01

    A grounded theory study of 19 adults with spinal cord injury was conducted. Participants engaged in individual in-depth interviews, and took photographs of aspects of their environment that promoted and restricted participation...

  1. A taxonomy of dignity: a grounded theory study

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    Jacobson Nora

    2009-02-01

    Full Text Available Abstract Background This paper has its origins in Jonathan Mann's insight that the experience of dignity may explain the reciprocal relationships between health and human rights. It follows his call for a taxonomy of dignity: "a coherent vocabulary and framework to characterize dignity." Methods Grounded theory procedures were use to analyze literature pertaining to dignity and to conduct and analyze 64 semi-structured interviews with persons marginalized by their health or social status, individuals who provide health or social services to these populations, and people working in the field of health and human rights. Results The taxonomy presented identifies two main forms of dignity–human dignity and social dignity–and describes several elements of these forms, including the social processes that violate or promote them, the conditions under which such violations and promotions occur, the objects of violation and promotion, and the consequences of dignity violation. Together, these forms and elements point to a theory of dignity as a quality of individuals and collectives that is constituted through interaction and interpretation and structured by conditions pertaining to actors, relationships, settings, and the broader social order. Conclusion The taxonomy has several implications for work in health and human rights. It suggests a map to possible points of intervention and provides a language in which to talk about dignity.

  2. Living with coeliac disease: a grounded theory study.

    Science.gov (United States)

    Rose, C; Howard, R

    2014-02-01

    Coeliac disease can be controlled only through adherence to a gluten-free diet. This diet is highly restrictive and can be challenging to maintain. It has been linked with elevated levels of psychological distress, including depression, anxiety and social phobia. Narratives on living with coeliac disease were written by 130 adult members of Coeliac UK (mean age 52.7 years; mean time since diagnosis 10.2 years; 67% sample female; 28% male). Qualitative analysis using grounded theory methods identified five key categories: living with widespread ignorance; social invisibility; creating a coeliac community; a changed identity; grief - and accepting the trade-off. A psychosocial model of living with coeliac disease was constructed from the findings, the central category of which was the changed identity of those diagnosed with the condition. Grief was experienced in relation to a loss of the former diet, changed personal and social identities, loss of social confidence and loss of social activities. Grief was generally mitigated over time as adjustments were made to changes in identity and lifestyle. Creating (or becoming part of) a coeliac community was a strategy enabling those with coeliac disease to re-establish their identities and increase social recognition and acceptance of the condition. Gluten-free living entails a substantial restriction of food choice. The losses and changes entailed impact on the personal and social identities of those living with coeliac disease, and on the behaviour of others towards them. Psychosocial interventions focussed on facilitating coping and adjustment may benefit those experiencing difficulties. © 2013 The Authors Journal of Human Nutrition and Dietetics © 2013 The British Dietetic Association Ltd.

  3. The Grounded Theory Bookshelf

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    Vivian B. Martin, Ph.D.

    2005-03-01

    Full Text Available Bookshelf will provide critical reviews and perspectives on books on theory and methodology of interest to grounded theory. This issue includes a review of Heaton’s Reworking Qualitative Data, of special interest for some of its references to grounded theory as a secondary analysis tool; and Goulding’s Grounded Theory: A practical guide for management, business, and market researchers, a book that attempts to explicate the method and presents a grounded theory study that falls a little short of the mark of a fully elaborated theory.Reworking Qualitative Data, Janet Heaton (Sage, 2004. Paperback, 176 pages, $29.95. Hardcover also available.

  4. Leading Critically: A Grounded Theory of Applied Critical Thinking in Leadership Studies

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    Jekins, Daniel M.; Cutchens, Amanda B.

    2011-01-01

    This study describes the development of a grounded theory of applied critical thinking in leadership studies and examines how student-centered experiential learning in leadership education bridged critical thinking with action. Over three semester undergraduate students in an upper level leadership studies course at a large four-year public…

  5. Leading Critically: A Grounded Theory of Applied Critical Thinking in Leadership Studies

    Science.gov (United States)

    Jekins, Daniel M.; Cutchens, Amanda B.

    2011-01-01

    This study describes the development of a grounded theory of applied critical thinking in leadership studies and examines how student-centered experiential learning in leadership education bridged critical thinking with action. Over three semester undergraduate students in an upper level leadership studies course at a large four-year public…

  6. [Introduction to grounded theory].

    Science.gov (United States)

    Wang, Shou-Yu; Windsor, Carol; Yates, Patsy

    2012-02-01

    Grounded theory, first developed by Glaser and Strauss in the 1960s, was introduced into nursing education as a distinct research methodology in the 1970s. The theory is grounded in a critique of the dominant contemporary approach to social inquiry, which imposed "enduring" theoretical propositions onto study data. Rather than starting from a set theoretical framework, grounded theory relies on researchers distinguishing meaningful constructs from generated data and then identifying an appropriate theory. Grounded theory is thus particularly useful in investigating complex issues and behaviours not previously addressed and concepts and relationships in particular populations or places that are still undeveloped or weakly connected. Grounded theory data analysis processes include open, axial and selective coding levels. The purpose of this article was to explore the grounded theory research process and provide an initial understanding of this methodology.

  7. Discovering Shared Experiences of Second Generation Community College Employees: A Grounded Theory Study

    Science.gov (United States)

    Studebaker, Eric J.

    2012-01-01

    The second generation community college employee had not been a target population of any previous research in the field of higher education. This study added to a broader understanding of employees, their various characteristics, and the implications of those characteristics. The purpose of this study was to develop a grounded theory defining the…

  8. The Role of Professional School Counselors in Working with Students in Gangs: A Grounded Theory Study

    Science.gov (United States)

    Barrow, Jennifer Cahoon

    2011-01-01

    The purpose of this study was to propose a grounded theory that contributed to the understanding of the professional school counselor's role at the secondary school level in working with students in gangs. The study explored the role of the professional school counselor from the first person perspective of the professional school counselor and…

  9. Exploring Attitude Transformation: A Grounded Theory Study of Romanian Teachers of Roma Students

    Science.gov (United States)

    Jones, Laura Estella

    2016-01-01

    The purpose of this systematic grounded theory study was to explore the process of change in teacher attitudes toward including Roma ("Gypsy") students in non-segregated schools in Romania. The theories guiding this study included Mezirow's (1991, 2000) theory of transformation, Gay's (2002, 2013) theory of culturally responsive…

  10. A Grounded Theory Study of Effective Global Leadership Development Strategies: Perspectives from Brazil, India, and Nigeria

    Science.gov (United States)

    Lokkesmoe, Karen Jane

    2009-01-01

    This qualitative, grounded theory study focuses on global leadership and global leadership development strategies from the perspective of people from three developing countries, Brazil, India, and Nigeria. The study explores conceptualizations of global leadership, the skills required to lead effectively in global contexts, and recommended…

  11. Exploring Attitude Transformation: A Grounded Theory Study of Romanian Teachers of Roma Students

    Science.gov (United States)

    Jones, Laura Estella

    2016-01-01

    The purpose of this systematic grounded theory study was to explore the process of change in teacher attitudes toward including Roma ("Gypsy") students in non-segregated schools in Romania. The theories guiding this study included Mezirow's (1991, 2000) theory of transformation, Gay's (2002, 2013) theory of culturally responsive…

  12. Satisfaction with College Major: A Grounded Theory Study

    Science.gov (United States)

    Milsom, Amy; Coughlin, Julie

    2015-01-01

    All college students must eventually choose and complete a major. Many switch majors, and some change it multiple times. Despite extensive literature addressing factors that influence students' initial choice of major, few scholars have examined students' experiences after enrollment in a selected major. In this study, we used a grounded theory…

  13. Opportunizing: A classic grounded theory study on business and management

    Directory of Open Access Journals (Sweden)

    Ólavur Christiansen

    2006-11-01

    Full Text Available Opportunizing emerged as the core variable of this classic GT study on business and management. Opportunizing is the recurrent main concern that businesses have to continually resolve, and it explains how companies recurrently create, identify, seize or exploit situations to maintain their growth or survival. Opportunizing is the recurrent creation and re-creation of opportunities in business. Opportunizing is basically what business managers do and do all the time. The problematic nature of opportunizing is resolved by a core social process ofopportunizing and its attached sub-processes that account for change over time and for the variations of the problematic nature of its resolution.Opportunizing has five main facets. These are conditional befriending (confidence building & modifying behavior,prospecting (e.g. information gaining, weighing up (information appraisal & decision-making, moment capturing (quick intervention for seizing strategic opportunities, andconfiguration matching (adjusting the business organization to abet the other activities of opportunizing.On a more abstract level, opportunizing has three more organizational facets: the physically boundary-less, the valuehierarchical, and the physically bounded. The first of these called perpetual opportunizing. This emerges from the conjunction of conditional befriending and prospecting. The second facet is called triggering opportunizing. It arises from the coming together of weighing up and moment capturing. The final facet is called spasmodic opportunizing. This happens when moment capturing and configuration matching unite.

  14. The Remodeling Process: A Grounded Theory Study of Perceptions of Treatment among Adult Male Incest Offenders.

    Science.gov (United States)

    Scheela, Rochelle A.

    1992-01-01

    Conducted grounded theory study to explore incest offender perceptions of treatment to generate explanatory theory of sexual abuse treatment process. Findings from theoretical sampling of 20 adult male incest offenders revealed that offenders felt remodeling process occurred as they faced discovery of their abuse and went through treatment.…

  15. Factors Affecting Christian Parents' School Choice Decision Processes: A Grounded Theory Study

    Science.gov (United States)

    Prichard, Tami G.; Swezey, James A.

    2016-01-01

    This study identifies factors affecting the decision processes for school choice by Christian parents. Grounded theory design incorporated interview transcripts, field notes, and a reflective journal to analyze themes. Comparative analysis, including open, axial, and selective coding, was used to reduce the coded statements to five code families:…

  16. Factors Affecting Christian Parents' School Choice Decision Processes: A Grounded Theory Study

    Science.gov (United States)

    Prichard, Tami G.; Swezey, James A.

    2016-01-01

    This study identifies factors affecting the decision processes for school choice by Christian parents. Grounded theory design incorporated interview transcripts, field notes, and a reflective journal to analyze themes. Comparative analysis, including open, axial, and selective coding, was used to reduce the coded statements to five code families:…

  17. Culturally Responsive Teaching in the Context of Mathematics: A Grounded Theory Case Study

    Science.gov (United States)

    Bonner, Emily P.; Adams, Thomasenia L.

    2012-01-01

    In this grounded theory case study, four interconnected, foundational cornerstones of culturally responsive mathematics teaching (CRMT), communication, knowledge, trust/relationships, and constant reflection/revision, were systematically unearthed to develop an initial working theory of CRMT that directly informs classroom practice. These…

  18. Implications of male circumcision for women in Papua New Guinea: a transformational grounded theory study.

    Science.gov (United States)

    Redman-MacLaren, Michelle; Mills, Jane; Tommbe, Rachael; MacLaren, David; Speare, Rick; McBride, William J H

    2017-07-27

    Male circumcision reduces the risk of female-to-male transmission of human immunodeficiency virus (HIV) and is being explored for HIV prevention in Papua New Guinea (PNG). PNG has a concentrated HIV epidemic which is largely heterosexually transmitted. There are a diverse range of male circumcision and penile modification practices across PNG. Exploring the implications of male circumcision for women in PNG is important to inform evidence-based health policy that will result in positive, intended consequences. The transformational grounded theory study incorporated participatory action research and decolonizing methodologies. In Phase One, an existing data set from a male circumcision study of 861 male and 519 female participants was theoretically sampled and analyzed for women's understanding and experience of male circumcision. In Phase Two of the study, primary data were co-generated with 64 women in seven interpretive focus group discussions and 11 semi-structured interviews to develop a theoretical model of the processes used by women to manage the outcomes of male circumcision. In Phase Three participants assisted to refine the developing transformational grounded theory and identify actions required to improve health. Many women know a lot about male circumcision and penile modification and the consequences for themselves, their families and communities. Their ability to act on this knowledge is determined by numerous social, cultural and economic factors. A transformational grounded theory was developed with connecting categories of: Women Know a Lot, Increasing Knowledge; Increasing Options; and Acting on Choices. Properties and dimensions of each category are represented in the model, along with the intervening condition of Safety. The condition of Safety contextualises the overarching lived realty for women in PNG, enables the inclusion of men in the transformational grounded theory model, and helps to explain relationships between men and women. The

  19. Cross-check for completeness: exploring a novel use of Leximancer in a Grounded Theory study

    OpenAIRE

    Harwood, I.A.; Gapp, R.; Stewart, H.

    2015-01-01

    This paper investigates the potential for Leximancer software to actively support the Grounded Theory (GT) analyst in assessing the ‘completeness’ of their study. The case study takes an existing GT study and retrospectively analyzes the data with Leximancer. The Leximancer output showed encouraging similarities to the main themes emerging from the GT analysis; but not sufficiently at the selective coding level to justifiably claim a definitive cross-check for overall theoretical saturation. ...

  20. A Grounded Theory Study on Journeying through the Shield to Sacredness: "Ni'hokaa' Diyin Dine'e Idliini Dolzin"

    Science.gov (United States)

    Garrity, Geraldine

    2013-01-01

    In doing a grounded theory study, the researcher does not identify a hypothesis, formulate research questions, or state a specific problem at the beginning of the research. Grounded theory research begins with data collection, minimizing preconceptions about outcomes to the greatest extent possible. I began my research with this attitude of not…

  1. Conducting a Grounded Theory Study in a Language Other Than English

    Directory of Open Access Journals (Sweden)

    Intansari Nurjannah

    2014-03-01

    Full Text Available Translation can be a problem area for researchers conducting qualitative studies in languages other than English who intend to publish the results in an English-language journal. Analyzing the data is also complex when the research team consists of people from different language backgrounds. Translation must be considered as an issue in its own right to maintain the integrity of the research, especially in a grounded theory study. In this article, we offer guidelines for the process of translation for data analysis in a grounded theory study in which the research was conducted in a language other than English (Indonesian. We make recommendations about procedures to choose when, who, and how to translate data. The translation procedure is divided into four steps which are as follows: translation in the process of coding, translation in the process of team discussion, translation in the process of advanced coding, and ensuring the accuracy of translation.

  2. A case study using grounded theory of environmental education in an alternative school

    Science.gov (United States)

    Lyle, Laurina Isabella

    This study examines the appropriate practices of an alternative school in west Tennessee in educating middle and high school students in long- and short-term alternative school placement. The participants included 23 students in grades 7-12 who had been classified as disruptive or failing academically, thus requiring intervention. The study's aim was to determine the effect of environmental education on the academic progress of these students. Data were obtained through multi-triangulation methodology and analyzed by grounded theory methodology. Four concepts emerged: social dynamics, relevance, conversion, and affirmation. A grounded theory for effective alternative education through environmental education based on the emergent concepts is proposed, including a new learning framework from which alternative school educators can design curricula and instructional units.

  3. Questions Arising about Emergence, Data Collection, and Its Interaction with Analysis in a Grounded Theory Study

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    Catherine Bruce

    2007-03-01

    Full Text Available There has been a strong call for increased clarity and transparency of method in qualitative research. Although qualitative data analysis has been detailed, data management has not been made as transparent in the literature. How do data collection and analysis interact in practical terms? What constitutes sufficient data? And can research be both planful and emergent? In this paper, the author highlights several methodological strategies for addressing data management challenges in a grounded theory study of preservice mathematics teachers.

  4. Factors Relating to the Success or Failure of College Algebra Internet Students: A Grounded Theory Study

    OpenAIRE

    Walker, Christine

    2008-01-01

    The purpose of this grounded theory study was to discover the factors that contribute to the success or failure of college algebra for students taking college algebra by distance education Internet, and then generate a theory of success or failure of the group of College Algebra Internet students at one Utah college. Qualitative data were collected and analyzed on students’ perceptions and perspectives of a College Algebra Internet course that they took during the spring or summer 2006 semest...

  5. The Logical Structure of Data in ATLAS.ti and its Advantage for Grounded Theory Studies

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    Agnes Mühlmeyer-Mentzel

    2011-01-01

    Full Text Available Qualitative data analysis software is quite similar regarding the fundamental steps and procedures of data analysis, but the way in which the results of the analysis are stored is different. This article focuses on the fit of grounded theory methodology (GTM and a network-like storage, as is used in ATLAS.ti. Using data from an ongoing research study as an example, a description is provided of how the analytical steps of GTM are implemented in ATLAS.ti and how results are stored as a net of nodes. This code net represents the developed "grounded theory" as structured conceptualized information. Exported as an XML file the code net can be used in other applications by other researchers. This has the potential to support data quality and scientific cooperation between qualitative researchers. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1101325

  6. Desarrollo cultural en las organizaciones. Un modelo de estudio basado en la Grounded Theory Cultural development in organizations. A model study based on the Grounded Theory

    Directory of Open Access Journals (Sweden)

    Manuel SÁNCHEZ-SANVICENTE

    2012-08-01

    Full Text Available La cultura organizacional se configura a partir de la interrelación de los procesos de apropiación de la filosofía, la pertenencia, la adaptación, la satisfacción y el liderazgo compartidos por un grupo. Este conjunto de categorías puede ser reconocido mediante el uso de una matriz que incluye en su estructura subcategorías o conceptos y un conjunto de propiedades observables en el público interno. El presente artículo tiene por objetivo describir un modelo de estudio construido a partir de la Grounded Theory o Teoría Fundamentada que nos permita comprender el desarrollo cultural de las organizaciones. El estudio de caso se realizó en una compañía líder en Europa del sector de la distribución.AbstractThe organizational culture is set from the interplay of the processes of appropriation of philosophy, membership, adaptation, satisfaction and leadership shared by a group. This set of categories can be recognized by using a matrix that includes in its structure or sub-concepts and a set of observable properties in the workforce. This article aims to describe a study model built from the Grounded Theory that allows us to understand the cultural development of organizations. The case study was conducted in a European leader in the distribution sector.

  7. Grounded Theory in studies on health of the elderly: integrative review

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    Karina Oliveira de Mesquita

    2015-12-01

    Full Text Available : It is an integrative literature review in order to analyze national scientific production on the health of the elderly who used the Grounded Theory (DFT or Grounded Theory. We conducted a search in the Virtual Library databases Health considering all publications until March 2015. The search resulted in the selection of 11 articles by keywords: Grounded Theory and Aging Health. A Grounded Theory has contributed in the development of theories and meanings of experiences.  

  8. Emergency Nursing Experiences in Assisting People With Suicidal Behavior: A Grounded Theory Study.

    Science.gov (United States)

    Vedana, Kelly Graziani Giacchero; Magrini, Daniel Fernando; Miasso, Adriana Inocenti; Zanetti, Ana Carolina Guidorizzi; de Souza, Jacqueline; Borges, Tatiana Longo

    2017-08-01

    To understand emergency nursing experiences in assisting people with suicidal behavior. Grounded theory study with symbolic interactionism conducted in 2015 to 2016 in Brazil with 19 nurses. Assistance for people with suicidal behavior is critical, challenging, evokes different feelings and requires knowledge, skills and emotional control. Nurses did not feel prepared or supported, and identified recurrent gaps and problems. Nurses occupied a limited role, restricted to attending to physical needs. They predominantly manifested opposition, judgments and incomprehension about patients. This study presents key elements to be addressed in interventions and investigations regarding nursing support, training and supervision. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Desarrollo cultural en las organizaciones. Un modelo de estudio basado en la Grounded Theory Cultural development in organizations. A model study based on the Grounded Theory

    National Research Council Canada - National Science Library

    Manuel SÁNCHEZ-SANVICENTE; María ROMERO-CALMACHE; Alejandro ÁLVAREZ-NOBELL; Paz ARAGÜÉS-DUFOL

    2012-01-01

    ... subcategorías o conceptos y un conjunto de propiedades observables en el público interno. El presente artículo tiene por objetivo describir un modelo de estudio construido a partir de la Grounded Theory o...

  10. This too shall pass: a grounded theory study of Filipino cancer survivorship.

    Science.gov (United States)

    de Guzman, Allan B; Jimenez, Benito Christian B; Jocson, Kathlyn P; Junio, Aileen R; Junio, Drazen E; Jurado, Jasper Benjamin N; Justiniano, Angela Bianca F

    2013-03-01

    Considering the paucity of studies dealing with the holistic aspect of the cancer experience, this grounded theory study seeks to conceptualize the process of cancer survivorship among Filipinos. Twenty-seven Filipino cancer survivors were purposively selected, and a two-part instrument, specifically robotfoto and focus group interviews, was used to gather data. The Glaserian method of grounded theory analysis was used, and extended texts were analyzed inductively via a dendrogram. Member checking and correspondence were observed to validate the surfacing stages, leading to the conceptualization of a theoretical model termed as the Ribbon of Cancer Survivorship. The said model describes the trifling (living before), transfusing (accepting the reality), transforming (being strong), and transcending (living beyond) phases of cancer survivorship. Ten interesting substages were also identified, namely: tainting, desolating, disrupting, and embracing for the transfusing phase; tormenting, distressing, awakening, and transfiguring for the transforming phase, and trembling and enlivening for the transcending phase. The resulting theoretical model has clearly and successfully described the entire process of cancer survivorship among Filipinos. It is hoped that the model be used as a reference for future studies about cancer survivorship and as a guide for nurses in providing a more empathetic care among cancer patients.

  11. Women's self-management of chronic illnesses in the context of caregiving: a grounded theory study.

    Science.gov (United States)

    Martinez-Marcos, Mercedes; De la Cuesta-Benjumea, Carmen

    2015-06-01

    Uncover how women self-manage their own chronic illness while taking care of a dependent relative. International policies place special emphasis in promoting interventions addressed to control, prevent and care for people with chronic health conditions. Self-management is a crucial part of this care. Caregivers are more prone to have chronic illness than non-caregivers. They are confronted with dilemmas about taking care of themselves while taking care of their dependent relative and the rest of their families. Caregivers articulate strategies to enable them to focus their energy on caring. Qualitative study using constructivist grounded theory. Thirty-nine women caregivers with a chronic illness participated in the study. Twenty-three semi-structured interviews and two focus groups were carried out between April 2010-December 2011. Data were analysed using grounded theory procedures. Self-management helps women caregivers with a chronic illness to balance the demands of their own illness and those of the dependent relative. They self-manage their illness by self-regulating the treatment, by regulating their strength and by controlling their emotions. Women caregivers integrate effectively and creatively the management of their chronic illnesses within the complexities of family care. This renders their health needs invisible and reaffirms them as capable caregivers. Identifying self-management strategies of women caregivers allow health professionals to acknowledge and reinforce effective self-care measures and to deter those that are ineffective and lessen their quality of life. © 2014 John Wiley & Sons Ltd.

  12. Nursing students' time management, reducing stress and gaining satisfaction: a grounded theory study.

    Science.gov (United States)

    Mirzaei, Tayebeh; Oskouie, Fatemeh; Rafii, Forough

    2012-03-01

    In the course of their studies, nursing students must learn many skills and acquire the knowledge required for their future profession. This study investigates how Iranian nursing students manage their time according to the circumstances and obstacles of their academic field. Research was conducted using the grounded theory method. Twenty-one nursing students were purposefully chosen as participants. Data was collected through semi-structured interviews and analyzed using the method suggested by Corbin and Strauss. One of the three processes that the nursing students used was "unidirectional time management." This pattern consists of accepting the nursing field, overcoming uncertainty, assessing conditions, feeling stress, and trying to reduce stress and create satisfaction. It was found that students allotted most of their time to academic tasks in an attempt to overcome their stress. The findings of this study indicate the need for these students to have time for the extra-curricular activities and responsibilities that are appropriate to their age.

  13. A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory

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    Dastjerdi Mahdieh

    2012-09-01

    Full Text Available Abstract Background Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study was to explore and understand the experience of Iranian immigrants who accessed Canadian health care services. Research with immigrants is useful for learning about strategies that newcomers develop to access health care services. Methods The research question guiding this study was, “What are the processes by which Iranian immigrants learn to access health care services in Canada?” To answer the question, a constructivist grounded theory approach was applied. Initially, unstructured interviews were conducted with 17 participants (11 women and six men who were adults (at least 18 years old and had immigrated to Canada within the past 15 years. Eight participants took part in a second interview, and four participants took part in a third interview. Results Using a constructivist grounded theory approach, “tackling the stumbling blocks of access” emerged as the core category. The basic social process (BSP, becoming self-sufficient, was a transitional process and had five stages: becoming a stranger; feeling helpless; navigating/seeking information; employing strategies; and becoming integrated and self-sufficient. We found that “tackling the stumbling blocks of access” was the main struggle throughout this journey. Some of the immigrants were able to overcome these challenges and became proficient in accessing health care services, but others were unable to make the necessary changes and thus stayed in earlier stages/phases of transition, and sometimes returned to their country of origin. Conclusion During the course of this journey a substantive grounded theory was developed that revealed the challenges and issues confronted by this particular group of immigrants. This process explains

  14. Developing a Taxonomy of Dark Triad Triggers at Work – A Grounded Theory Study Protocol

    Science.gov (United States)

    Nübold, Annika; Bader, Josef; Bozin, Nera; Depala, Romil; Eidast, Helena; Johannessen, Elisabeth A.; Prinz, Gerhard

    2017-01-01

    In past years, research and corporate scandals have evidenced the destructive effects of the dark triad at work, consisting of narcissism (extreme self-centeredness), psychopathy (lack of empathy and remorse) and Machiavellianism (a sense of duplicity and manipulativeness). The dark triad dimensions have typically been conceptualized as stable personality traits, ignoring the accumulating evidence that momentary personality expressions – personality states – may change due to the characteristics of the situation. The present research protocol describes a qualitative study that aims to identify triggers of dark triad states at work by following a grounded theory approach using semi-structured interviews. By building a comprehensive categorization of dark triad triggers at work scholars may study these triggers in a parsimonious and structured way and organizations may derive more effective interventions to buffer or prevent the detrimental effects of dark personality at work. PMID:28326048

  15. A grounded theory for unaccompanied foreign minors in Italy: the case study of Egyptian minors

    Directory of Open Access Journals (Sweden)

    Lavinia Bianchi

    2017-06-01

    Full Text Available The article suggests to share a research first emerging categories according to methodological universe of the "Grounded Theory" based on a mental construction/orientation process. The main target is to investigate in the educational relationship between an unaccompanied minor (MSNA and his educator, and so has also to consider the progressive changes in the learning of the language and the corresponding humanization of the same, so well the continued definition and shared construction of the intercultural practice. At this stage of doctoral research, some categories are emerging that are particularly pertinent to the Egyptian participants in the study. The egyptians are the main nationality present in italian system of host. The theory which is emergeting will be a scratch theory and has not a validation target of preconceived hypothesis.

  16. Decision-making processes for the self-management of persistent pain: a grounded theory study.

    Science.gov (United States)

    Fenwick, Clare; Chaboyer, Wendy; St John, Winsome

    2012-08-01

    Persistent pain negatively impacts upon the individual suffering this condition. Almost all care related to persistent pain is self-managed. Decision-making is a critical skill of the self-manager and without these skills it would be improbable that effective self-management would emerge. However, current theories regarding decision-making and self-management have not adequately accounted for the many difficulties faced by individuals enduring persistent pain and the consequences of these experiences for the decision-maker. This grounded theory study revealed that individuals will transform into three distinct types of decision-makers using three different styles of decision-making in response to the many and varied problems related to the experience of persistent pain. These findings will provide nurses with valuable information to better equip individuals with persistent pain through the decision-making processes necessary for successful self-management.

  17. How People Reason: A Grounded Theory Study of Scientific Reasoning about Global Climate Change

    Science.gov (United States)

    Liu, Shiyu

    Scientific reasoning is crucial in both scientific inquiry and everyday life. While the majority of researchers have studied "how people reason" by focusing on their cognitive processes, factors related to the underpinnings of scientific reasoning are still under-researched. The present study aimed to develop a grounded theory that captures not only the cognitive processes during reasoning but also their underpinnings. In particular, the grounded theory and phenomenographic methodologies were integrated to explore how undergraduate students reason about competing theories and evidence on global climate change. Twenty-six undergraduate students were recruited through theoretical sampling. Constant comparative analysis of responses from interviews and written assessments revealed that participants were mostly drawn to the surface features when reasoning about evidence. While prior knowledge might not directly contribute to participants' performance on evidence evaluation, it affected their level of engagement when reading and evaluating competing arguments on climate issues. More importantly, even though all participants acknowledged the relative correctness of multiple perspectives, they predominantly favored arguments that supported their own beliefs with weak scientific reasoning about the opposing arguments. Additionally, factors such as personal interests, religious beliefs, and reading capacity were also found to have bearings on the way participants evaluated evidence and arguments. In all, this work contributes to the current endeavors in exploring the nature of scientific reasoning. Taking a holistic perspective, it provides an in-depth discussion of factors that may affect or relate to scientific reasoning processes. Furthermore, in comparison with traditional methods used in the literature, the methodological approach employed in this work brought an innovative insight into the investigation of scientific reasoning. Last but not least, this research may

  18. Opening up to learning spiritual care of patients: a grounded theory study of nursing students.

    Science.gov (United States)

    Giske, Tove; Cone, Pamela H

    2012-07-01

    To determine undergraduate nursing students' perspectives on spiritual care and how they learn to assess and provide spiritual care to patients. Nursing is concerned with holistic care. Systematic teaching and supervision of students to prepare them to assist patients spiritually is a growing focus. However, there is limited consensus about the competences students need to develop and little is written related to students learning processes. Grounded theory was used to identify students' main concern and develop a substantive grounded theory. Data collected during semi-structured interviews at three Norwegian University Colleges in eight focus groups with 42 undergraduate nursing students were analysed through constant comparison of transcribed interviews until categories were saturated. The participants' main concern was 'How to create a professional relationship with patients and maintain rapport when spiritual concerns were recognised'. Participants resolved this by 'Opening up to learning spiritual care'. This basic social process has three iterative phases that develop as a spiral throughout the nursing programme: 'Preparing for connection', 'Connecting with and supporting patients' and 'Reflecting on experiences'. Nurses need a wide range of competences to fulfil the nursing focus on holistic patient care. Nursing education should prepare students to recognise and act on spiritual cues. A trusting relationship and respectful and sensitive communication assist students to discover what is important to patients. An educational focus on spiritual and existential themes throughout the nursing programme will assist students to integrate theoretical learning into clinical practice. Study participants reported seeing few role models in clinical settings. Making spiritual assessment and interventions more visible and explicit would facilitate student learning in clinical practice. Evaluative discussions in clinical settings that include spiritual concerns will

  19. Sifting, sorting and saturating data in a grounded theory study of information use by practice nurses: a worked example.

    Science.gov (United States)

    Hoare, Karen J; Mills, Jane; Francis, Karen

    2012-12-01

    The terminology used to analyse data in a grounded theory study can be confusing. Different grounded theorists use a variety of terms which all have similar meanings. In the following study, we use terms adopted by Charmaz including: initial, focused and axial coding. Initial codes are used to analyse data with an emphasis on identifying gerunds, a verb acting as a noun. If initial codes are relevant to the developing theory, they are grouped with similar codes into categories. Categories become saturated when there are no new codes identified in the data. Axial codes are used to link categories together into a grounded theory process. Memo writing accompanies this data sifting and sorting. The following article explains how one initial code became a category providing a worked example of the grounded theory method of constant comparative analysis. The interplay between coding and categorization is facilitated by the constant comparative method.

  20. The persistence of women in STEM: A constructivist grounded theory study

    Science.gov (United States)

    Gamm, Ryan

    Men and women have reached relative parity in most sectors of the United States workforce. Yet women remain underrepresented in science, technology, engineering, and mathematics (STEM) fields (AAUW, 2010). Underrepresentation persists despite several decades of research, legislation, and intervention focused on gender equality in STEM fields (Clewell, 2002). The underrepresentation or shortage of women in STEM fields is identifiable primarily in degree attainment, in workforce demographics, and in a gender wage gap. Situated in constructivist grounded theory, this study asks how do women in science, technology, engineering, and mathematics (STEM) fields, particularly those in established career positions, persist when encountering personal and institutional barriers, resistance, and hostility? I use an interpretive-constructivist lens to conduct a grounded theory study exploring the experiences of women who persist in STEM fields, their relation to extant literature on this topic, and the connections to K-12 education practices, specifically curriculum. To understand the connections to curriculum I employ Pinar's (2012) method of currere. Pinar (2012) contends currere "provides a strategy for students of curriculum to study the relations between academic knowledge and life history in the interests of self-understanding and social reconstruction" (p.44). This qualitative study explored nine female STEM workers stories of persistence as each respondent works in STEM fields were gender parity has yet to be established. This study presents a substantive theory: As women persist in STEM fields they reframe themselves to be situated in the overlapping intersection of the social processes that correspond to "engagement" and "persistence." This reframing is possible by interpreting one's present day circumstances by independently removing oneself from current circumstances to understand the cumulative effect of both past and present. The findings highlight the importance

  1. The Rediscovery and Resurrection of Bunk Johnson – a Grounded Theory Approach: A case study in jazz historiography

    Directory of Open Access Journals (Sweden)

    Richard Ekins, Ph.D., FRSA

    2011-12-01

    Full Text Available This paper was written in the beginning phase of my transitioning from grounded theory sociologist (Ekins, 19971 to grounded theory musicologist (Ekins, 20102. In particular, it provides preliminary data for a grounded theory of ‘managing authenticity’, the core category/basic social process (Glaser, 1978 that has emerged from my ongoing grounded theory work in jazz historiography. It was written whilst I was ‘credentialising’ (Glaser, 2010 my transition to popular music studies and popular musicology. In consequence, it incorporates many aspects that are inimical to classic grounded theory. As with so much of Straussian and so-called constructivist grounded theory (Bryant and Charmaz, 2007, it roots itself in G.H. Mead and a social constructivist symbolic interactionism – inter alia, a legitimising (authenticating strategy. Moreover, as is typical of this mode of conceptualising, the paper fills the void of inadequate classic grounded theorising with less conceptual theorising and more conceptual description. Nevertheless, the article does introduce a number of categories that ‘fit and work’, and have ‘conceptual grab’ (Glaser, 1978; Glaser, 1992. In particular, in terms of my own continuing credentialising as a classic grounded theorist, it sets forth important categories to be integrated into my ongoing work on managing authenticity in New Orleans revivalist jazz, namely, ‘trailblazing’, ‘mythologizing’, ‘debunking’, and ‘marginalising’, in the context of the ‘rediscovering’ and ‘resurrecting’ of a jazz pioneer. More specifically, the paper is offered to classic grounded theorists as a contribution to preliminary generic social process analysis in the substantive area of jazz historiography.

  2. Can nurse teachers manage student incivility by guided democracy? A grounded theory study.

    Science.gov (United States)

    Rad, Mostafa; Karimi Moonaghi, Hossein; Ildarabadi, Eshagh

    2017-07-17

    Managing incivility in academic settings is among the basic concerns and challenges of most educational systems, including nursing education. Incivility management cannot be considered devoid of disruptive behaviors. However, incivility management is a complexphenomenon upon which few studies are conducted. The present study aims at discovering teachers and students' experiences regarding incivility and developing an approach to manage nursing students' incivility. The present study was conducted based on the qualitative research design of the grounded theory methodology. This study was conducted at schools of nursing in academic settings in Iran. Study participants in the present study include nurse teachers (N=20) and nursing students (N=9). In-depth semi-structured interviews were conducted using theoretical and purposive sampling. Constant comparative analysis was used for data analysis. The results include four main categories; (1) deterioration of learning; (2) dominant individual and organisational culture; (3) guided democracy; and (4) movement toward professionalism. Guided democracy is recognised as the main basic psychosocial process for incivility management. Incivility management is pursued to help learners develop professional performance. As indicated by the results of the present study, guided democracy is an effective strategy for incivility management in nursing education. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  3. Can nurse teachers manage student incivility by guided democracy? A grounded theory study

    Science.gov (United States)

    Rad, Mostafa; Ildarabadi, Eshagh

    2017-01-01

    Introduction Managing incivility in academic settings is among the basic concerns and challenges of most educational systems, including nursing education. Incivility management cannot be considered devoid of disruptive behaviors. However, incivility management is a complexphenomenon upon which few studies are conducted. Objectives The present study aims at discovering teachers and students’ experiences regarding incivility and developing an approach to manage nursing students’ incivility. Design The present study was conducted based on the qualitative research design of the grounded theory methodology. Settings This study was conducted at schools of nursing in academic settings in Iran. Participants Study participants in the present study include nurse teachers (N=20) and nursing students (N=9). Method In-depth semi-structured interviews were conducted using theoretical and purposive sampling. Constant comparative analysis was used for data analysis. Results The results include four main categories; (1) deterioration of learning; (2) dominant individual and organisational culture; (3) guided democracy; and (4) movement toward professionalism. Guided democracy is recognised as the main basic psychosocial process for incivility management. Conclusions Incivility management is pursued to help learners develop professional performance. As indicated by the results of the present study, guided democracy is an effective strategy for incivility management in nursing education. PMID:28716787

  4. The Study of Electronic Medical Record Adoption in a Medicare Certified Home Health Agency Using a Grounded Theory Approach

    Science.gov (United States)

    May, Joy L.

    2013-01-01

    The purpose of this qualitative grounded theory study was to examine the experiences of clinicians in the adoption of Electronic Medical Records in a Medicare certified Home Health Agency. An additional goal for this study was to triangulate qualitative research between describing, explaining, and exploring technology acceptance. The experiences…

  5. Workplace Bullying in Academe: A Grounded Theory Study Exploring How Faculty Cope with the Experience of Being Bullied

    Science.gov (United States)

    Wilkin, La Vena

    2010-01-01

    This qualitative study used a grounded theory methodology to generate a theory about how targets of workplace bullying in academe may begin to heal from the aftermath of their ill-treatment. The emphasis was on understanding the experiences of university faculty members who had been targets of workplace bullying. A key factor in this study was to…

  6. The educational journeys of first-generation college women in STEM: A grounded theory study

    Science.gov (United States)

    Geier, Susan

    The purpose of this study was to ascertain the various factors that influenced these first-generation college women as they chose a college and selected a STEM major and subsequently persisted to upper level (junior/senior) status. Twenty-five first-generation college women in STEM majors who attended a research-intensive university in the Midwest were interviewed. Approaching this study using constructivist grounded theory provided the opportunity for deeper insights by examining data at a conceptual level while preserving the voices of the women in this study. The women faced numerous challenges on their journeys, yet they persisted. As the women in this study selected and persisted in STEM, they demonstrated thoughtful determination, experienced shifting identities, established purposeful relationships and applied forward thinking, as they practiced high-stakes decision-making during their journeys. The experiences of these women, namely first-generation women in STEM fields, may inform students, parents, educators, researchers, and policymakers concerned with (a) inspiring students to consider STEM majors, (b) fostering student success in STEM throughout their academic journeys, and (c) ultimately increasing the number of underrepresented minorities and women in the STEM fields.

  7. The process of patient enablement in general practice nurse consultations: a grounded theory study.

    Science.gov (United States)

    Desborough, Jane; Banfield, Michelle; Phillips, Christine; Mills, Jane

    2017-05-01

    The aim of this study was to gain insight into the process of patient enablement in general practice nursing consultations. Enhanced roles for general practice nurses may benefit patients through a range of mechanisms, one of which may be increasing patient enablement. In studies with general practitioners enhanced patient enablement has been associated with increases in self-efficacy and skill development. This study used a constructivist grounded theory design. In-depth interviews were conducted with 16 general practice nurses and 23 patients from 21 general practices between September 2013 - March 2014. Data generation and analysis were conducted concurrently using constant comparative analysis and theoretical sampling focussing on the process and outcomes of patient enablement. Use of the storyline technique supported theoretical coding and integration of the data into a theoretical model. A clearly defined social process that fostered and optimised patient enablement was constructed. The theory of 'developing enabling healthcare partnerships between nurses and patients in general practice' incorporates three stages: triggering enabling healthcare partnerships, tailoring care and the manifestation of patient enablement. Patient enablement was evidenced through: 1. Patients' understanding of their unique healthcare requirements informing their health seeking behaviours and choices; 2. Patients taking an increased lead in their partnership with a nurse and seeking choices in their care and 3. Patients getting health care that reflected their needs, preferences and goals. This theoretical model is in line with a patient-centred model of health care and is particularly suited to patients with chronic disease. © 2016 John Wiley & Sons Ltd.

  8. [Therapeutic Nursing in Neurological (Early-)Rehabilitation: A Grounded Theory Study].

    Science.gov (United States)

    Lautenschläger, S

    2015-08-01

    What is therapeutic nursing? This question is gaining relevance in the context of the billing of services in the DRG system (DRG=Diagnosis-Related Groups), because in paragraph 8-552 of the operations and procedures coding system (OPS), it is explicitly stated that therapeutic care must be carried out by specially trained personnel. To date, empirical results on therapeutic nursing in neurological early rehabilitation are sparse. The objective of the study is to develop a theory of therapeutic care in neurological early rehabilitation. The study is based on the method of grounded theory. Open participatory observations (n=92) and episodic interviews (n=10) with nursing professionals and nursing auxiliaries were conducted in 5 inpatient rehabilitation clinics. The theory of therapeutic nursing includes 6 categories: (1) nursing care, (2) observation/perception, (3) communication, (4) autonomy and individual needs of patients and their relatives, (5) multi-professional team and (6) prerequisites. The results indicate which aspects are included in therapeutic nursing and the necessary prerequisites for delivering therapeutic nursing. Against this background, continuing education programs reveal conspicuous gaps in the area of knowledge transfer and application in practice. The results of the study should be taken into consideration and integrated in nursing education, both at the basic level and in continuing education. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Nursing Challenges in Motivating Nursing Students through Clinical Education: A Grounded Theory Study.

    Science.gov (United States)

    Nasrin, Hanifi; Soroor, Parvizy; Soodabeh, Joolaee

    2012-01-01

    Nurses are the first role models for students in clinical settings. They can have a significant role on students' motivation. The purpose of this study was to explore the understanding of nursing students and instructors concerning the role of nurses in motivating nursing students through clinical education. The sampling was first started purposefully and continued with theoretical sampling. The study collected qualitative data through semistructured and interactive interviews with 16 nursing students and 4 nursing instructors. All interviews were recorded, transcribed, and analyzed using grounded theory approach. One important pattern emerged in this study was the "concerns of becoming a nurse," which itself consisted of three categories: "nurses clinical competency," "nurses as full-scale mirror of the future," and "Monitoring and modeling through clinical education" (as the core variable). The findings showed that the nurses' manners of performance as well as the profession's prospect have a fundamental role in the process of formation of motivation through clinical education. Students find an insight into the nursing profession by substituting themselves in the place of a nurse, and as result, are or are not motivated towards the clinical education.

  10. Nursing Challenges in Motivating Nursing Students through Clinical Education: A Grounded Theory Study

    Directory of Open Access Journals (Sweden)

    Hanifi Nasrin

    2012-01-01

    Full Text Available Nurses are the first role models for students in clinical settings. They can have a significant role on students’ motivation. The purpose of this study was to explore the understanding of nursing students and instructors concerning the role of nurses in motivating nursing students through clinical education. The sampling was first started purposefully and continued with theoretical sampling. The study collected qualitative data through semistructured and interactive interviews with 16 nursing students and 4 nursing instructors. All interviews were recorded, transcribed, and analyzed using grounded theory approach. One important pattern emerged in this study was the “concerns of becoming a nurse,” which itself consisted of three categories: “nurses clinical competency,” “nurses as full-scale mirror of the future,” and “Monitoring and modeling through clinical education” (as the core variable. The findings showed that the nurses’ manners of performance as well as the profession’s prospect have a fundamental role in the process of formation of motivation through clinical education. Students find an insight into the nursing profession by substituting themselves in the place of a nurse, and as result, are or are not motivated towards the clinical education.

  11. Clinical decision-making and therapeutic approaches in osteopathy - a qualitative grounded theory study.

    Science.gov (United States)

    Thomson, Oliver P; Petty, Nicola J; Moore, Ann P

    2014-02-01

    There is limited understanding of how osteopaths make decisions in relation to clinical practice. The aim of this research was to construct an explanatory theory of the clinical decision-making and therapeutic approaches of experienced osteopaths in the UK. Twelve UK registered osteopaths participated in this constructivist grounded theory qualitative study. Purposive and theoretical sampling was used to select participants. Data was collected using semi-structured interviews which were audio-recorded and transcribed. As the study approached theoretical sufficiency, participants were observed and video-recorded during a patient appointment, which was followed by a video-prompted interview. Constant comparative analysis was used to analyse and code data. Data analysis resulted in the construction of three qualitatively different therapeutic approaches which characterised participants and their clinical practice, termed; Treater, Communicator and Educator. Participants' therapeutic approach influenced their approach to clinical decision-making, the level of patient involvement, their interaction with patients, and therapeutic goals. Participants' overall conception of practice lay on a continuum ranging from technical rationality to professional artistry, and contributed to their therapeutic approach. A range of factors were identified which influenced participants' conception of practice. The findings indicate that there is variation in osteopaths' therapeutic approaches to practice and clinical decision-making, which are influenced by their overall conception of practice. This study provides the first explanatory theory of the clinical decision-making and therapeutic approaches of osteopaths.

  12. The experiences of families of critically ill patients in Greece: a social constructionist grounded theory study.

    Science.gov (United States)

    Plakas, Sotirios; Cant, Bob; Taket, Ann

    2009-02-01

    The experiences of patients' families in intensive care units (ICUs) are of international concern. In Greece however, adequate attention has not been paid to this issue. To explore the experiences of critical care patients' families in Greece. The intensive care units of 3 general district hospitals in the area of Athens, Greece. The social constructionist version of grounded theory was used. In-depth interviews with 25 relatives of critically ill patients were carried out, and participant and non-participant observation was used to cross-validate the data obtained. Seven major categories were identified, with 32 components across all categories. The experiences of families revolved around the two core categories of "Intense Emotions" and "Vigilant Attendance". The study conceptualised two new categories in this field, "Religiosity" and "Loss of Intimacy" and enhanced the category "Vigilant Attendance". Three further categories were identified, namely "Caring", "Dignity" and "Information". The various interrelationships between the categories were also examined. The study has examined the experience of Greek patients' families from a qualitative perspective and suggests that major changes need to be made in terms of management and support.

  13. Promoting participation in healthcare situations for children with JIA: a grounded theory study

    Directory of Open Access Journals (Sweden)

    Britt-Mari Gilljam

    2016-05-01

    Full Text Available Children's right to participate in their own healthcare has increasingly become highlighted in national and international research as well as in government regulations. Nevertheless, children's participation in healthcare is unsatisfactorily applied in praxis. There is a growing body of research regarding children's participation, but research from the children's own perspective is scarce. The aim of this study was thus to explore the experiences and preferences for participation in healthcare situations among children with juvenile idiopathic arthritis (JIA as a foundation for creating strategies to promote their participation in pediatric healthcare. Twenty children, aged 8 to 17 years, with JIA were interviewed individually and in focus groups. In order to increase the children's opportunities to express their own experiences, different interview techniques were used, such as draw-and-tell and role play with dolls. The analysis was conducted with a constructivist grounded theory. The result explores children's perspective of influencing processes promoting their participation in healthcare situations. The core category that emerged was, “Releasing fear and uncertainty opens up for confidence and participation,” and the categories related to the core category are, “surrounded by a sense of security and comfort,” and “strengthened and supported to become involved.” In conclusion, the knowledge gained in this study offers new insights from the perspective of children themselves, and can constitute a valuable contribution to the understanding of necessary conditions for the development of specific interventions that promote participation among children in healthcare situations.

  14. Analysis of the decision-making process leading to appendectomy: a grounded theory study.

    Science.gov (United States)

    Larsson, Gerry; Weibull, Henrik; Larsson, Bodil Wilde

    2004-11-01

    The aim was to develop a theoretical understanding of the decision-making process leading to appendectomy. A qualitative interview study was performed in the grounded theory tradition using the constant comparative method to analyze data. The study setting was one county hospital and two local hospitals in Sweden, where 11 surgeons and 15 surgical nurses were interviewed. A model was developed which suggests that surgeons' decision making regarding appendectomy is formed by the interplay between their medical assessment of the patient's condition and a set of contextual characteristics. The latter consist of three interacting factors: (1) organizational conditions, (2) the professional actors' individual characteristics and interaction, and (3) the personal characteristics of the patient and his or her family or relatives. In case the outcome of medical assessment is ambiguous, the risk evaluation and final decision will be influenced by an interaction of the contextual characteristics. It was concluded that, compared to existing, rational models of decision making, the model presented identified potentially important contextual characteristics and an outline on when they come into play.

  15. Assimilating to Hierarchical Culture: A Grounded Theory Study on Communication among Clinical Nurses.

    Science.gov (United States)

    Kim, MinYoung; Oh, Seieun

    2016-01-01

    The purpose of this study was to generate a substantive model that accounts for the explanatory social processes of communication in which nurses were engaged in clinical settings in Korea. Grounded theory methodology was used in this study. A total of 15 clinical nurses participated in the in-depth interviews. "Assimilating to the hierarchical culture" emerged as the basic social process of communication in which the participants engaged in their work environments. To adapt to the cultures of their assigned wards, the nurses learned to be silent and engaged in their assimilation into the established hierarchy. The process of assimilation consisted of three phases based on the major goals that nurses worked to achieve: getting to know about unspoken rules, persevering within the culture, and acting as senior nurse. Seven strategies and actions utilized to achieve the major tasks emerged as subcategories, including receiving strong disapproval, learning by observing, going silent, finding out what is acceptable, minimizing distress, taking advantages as senior nurse, and taking responsibilities as senior nurse. The findings identified how the pattern of communication in nursing organizations affected the way in which nurses were assimilated into organizational culture, from individual nurses' perspectives. In order to improve the rigid working atmosphere and culture in nursing organizations and increase members' satisfaction with work and quality of life, managers and staff nurses need training that focuses on effective communication and encouraging peer opinion-sharing within horizontal relationships. Moreover, organization-level support should be provided to create an environment that encourages free expression.

  16. Promoting participation in healthcare situations for children with JIA: a grounded theory study.

    Science.gov (United States)

    Gilljam, Britt-Mari; Arvidsson, Susann; Nygren, Jens M; Svedberg, Petra

    2016-01-01

    Children's right to participate in their own healthcare has increasingly become highlighted in national and international research as well as in government regulations. Nevertheless, children's participation in healthcare is unsatisfactorily applied in praxis. There is a growing body of research regarding children's participation, but research from the children's own perspective is scarce. The aim of this study was thus to explore the experiences and preferences for participation in healthcare situations among children with juvenile idiopathic arthritis (JIA) as a foundation for creating strategies to promote their participation in pediatric healthcare. Twenty children, aged 8 to 17 years, with JIA were interviewed individually and in focus groups. In order to increase the children's opportunities to express their own experiences, different interview techniques were used, such as draw-and-tell and role play with dolls. The analysis was conducted with a constructivist grounded theory. The result explores children's perspective of influencing processes promoting their participation in healthcare situations. The core category that emerged was, "Releasing fear and uncertainty opens up for confidence and participation," and the categories related to the core category are, "surrounded by a sense of security and comfort," and "strengthened and supported to become involved." In conclusion, the knowledge gained in this study offers new insights from the perspective of children themselves, and can constitute a valuable contribution to the understanding of necessary conditions for the development of specific interventions that promote participation among children in healthcare situations.

  17. Mentoring: A Grounded Theory Study Examining How the Relationship between the Mentor and Mentee Becomes Mutually Beneficial

    Science.gov (United States)

    Martin, David Richard

    2013-01-01

    This grounded theory qualitative study examined the mentee/mentor relationship between five first year teachers and their five assigned mentors in a school district in Central Florida. To generate a model that seeks to explain how and why a mentee/mentor relationship changes and evolves from that of a single directional stream of information to…

  18. Experiences of using information and communication technology within the first year after stroke – a grounded theory study

    DEFF Research Database (Denmark)

    Marwaa, Mille Nabsen; Ytterberg, Charlotte; Guidetti, Susanne

    2016-01-01

    in Sweden and Denmark regarding the use of ICT in everyday life. The participants comprised 11 men and seven women aged 41–79 years. A grounded theory approach was used throughout the study and a constant comparative method was used in the analysis. Results: Five categories were identified from the analysis...

  19. Decision-making regarding organ donation in Korean adults: A grounded-theory study.

    Science.gov (United States)

    Yeun, Eun Ja; Kwon, Young Mi; Kim, Jung A

    2015-06-01

    The aim of this study was to identify the hidden patterns of behavior leading toward the decision to donate organs. Thirteen registrants at the Association for Organ Sharing in Korea were recruited. Data were collected using in-depth interview and the interview transcripts were analyzed using Glaserian grounded-theory methodology. The main problem of participants was "body attachment" and the core category (management process) was determined to be "pursuing life." The theme consisted of four phases, which were: "hesitating," "investigating," "releasing," and "re-discovering. " Therefore, to increase organ donations, it is important to find a strategy that will create positive attitudes about organ donation through education and public relations. These results explain and provide a deeper understanding of the main problem that Korean people have about organ donation and their management of decision-making processes. These findings can help care providers to facilitate the decision-making process and respond to public needs while taking into account the sociocultural context within which decisions are made. © 2014 Wiley Publishing Asia Pty Ltd.

  20. Balancing intertwined responsibilities: A grounded theory study of teamwork in everyday intensive care unit practice.

    Science.gov (United States)

    Bjurling-Sjöberg, Petronella; Wadensten, Barbro; Pöder, Ulrika; Jansson, Inger; Nordgren, Lena

    2017-03-01

    This study aimed to describe and explain teamwork and factors that influence team processes in everyday practice in an intensive care unit (ICU) from a staff perspective. The setting was a Swedish ICU. Data were collected from 38 ICU staff in focus groups with registered nurses, assistant nurses, and anaesthetists, and in one individual interview with a physiotherapist. Constant comparative analysis according to grounded theory was conducted, and to identify the relations between the emerged categories, the paradigm model was applied. The core category to emerge from the data was "balancing intertwined responsibilities." In addition, eleven categories that related to the core category emerged. These categories described and explained the phenomenon's contextual conditions, causal conditions, and intervening conditions, as well as the staff actions/interactions and the consequences that arose. The findings indicated that the type of teamwork fluctuated due to circumstantial factors. Based on the findings and on current literature, strategies that can optimise interprofessional teamwork are presented. The analysis generated a conceptual model, which aims to contribute to existing frameworks by adding new dimensions about perceptions of team processes within an ICU related to staff actions/interactions. This model may be utilised to enhance the understanding of existing contexts and processes when designing and implementing interventions to facilitate teamwork in the pursuit of improving healthcare quality and patient safety.

  1. Trust Testing in Care Pathways for Neurodevelopmental Disorders: A Grounded Theory Study

    Directory of Open Access Journals (Sweden)

    Gustaf Waxegard

    2016-06-01

    Full Text Available Building care pathways for the expansive, heterogeneous, and complex field of neurodevelopmental disorders (ND is challenging. This classic grounded theory study conceptualizes problems encountered and resolved by professionals in the unpacking—diagnosis and work up—of ND. A care pathway for ND in children and adolescents was observed for six years. Data include interviews, documentation of a dialogue-conference devoted to the ND care pathway, 100+ hours of participant observations, and coding of stakeholder actions. Trust testing explores whether professional unpacking collaboration can occur without being “stuck with the buck” and if other professionals can be approached to solve own unpacking priorities. ND complexity, scarce resources, and diverging stakeholder interests undermine the ability to make selfless collaborative professional choices in the care pathway. ND professionals and managers should pay as much attention to trust issues as they do to structures and patient flows. The trust testing theory may improve the understanding of ND care pathways further as a modified social dilemma framework.

  2. Young carers in Germany: to live on as normal as possible – a grounded theory study

    Directory of Open Access Journals (Sweden)

    Schnepp Wilfried

    2008-12-01

    Full Text Available Abstract Background In contrast to a growing body of research on the situation of adult family care givers, in Germany hardly anything is known about the situation of children and teenagers who are involved in the care of their relatives. Methods In this Grounded Theory study 81 semi structured interviews have been carried out with children and their parents in 34 families, in which one member is chronically ill. 41 children and 41 parents participated and the sample is heterogeneous and diverse. Results On the one hand, there is the phenomenon 'keeping the family together", which describes how families themselves cope with the chronic illness and also, which tasks to what extent are being shifted and redistributed within the family in order to manage daily life. Influencing factors, the children's motives as well as the impact on the children also belong to this phenomenon. The second phenomenon 'to live a normal course of life' describes concrete wishes and expectations of support for the family to manage the hindered daily life. These two phenomena linked together constitute the 'model of experience and construction of familial care, in which children take over an active role'. Conclusion It will be discussed, that the more families are in dire need of support, the more their distress becomes invisible, furthermore, that management of chronic illness is a process, in which the entire family is involved, and thus needs to be considered, and finally, that young carer's relief is not possible without relief of their parents.

  3. Grounded Theory Study of Conflicts in Norwegian Agile Software Projects: The Project Managers’ Perspective

    Directory of Open Access Journals (Sweden)

    Lubna Siddique

    2016-07-01

    Full Text Available This paper aims to explore the process of conflicts in agile software projects. The purpose was to investigate the causes and consequences of these conflicts. For this purpose, we conducted a qualitative study involving agile software projects in Norway. Grounded theory was used to analyze the data and the interview findings are presented using Glaser´s Six C model (context, condition, causes, consequences, contingencies, and covariance. The research findings suggest that there are several causes of conflicts. These include: the role of the product owner, an inexperienced project manager, the customer’s lack of knowledge about methodology organizational hierarchy in public companies, contracting, personal egos, financial issues, not getting the right team. Consequences of conflicts include: decreased productivity, wastage of time and resources, diverted attention from project objectives loss of motivation, poor decision making, loss of communication. Based on interview data, different conflict strategies are suggested and these include appropriately skilled project manager, communication and negotiation, defining clear roles, stakeholder analysis, managing stakeholder´s expectations, discussion, finding the root cause of conflict. Project managers are using these strategies to avoid or resolve conflicts. The competencies required to handle these kind of conflicts are also discussed in the paper, while the implications of theory and practice of conflict management theory are also presented.

  4. The core of after death care in relation to organ donation - a grounded theory study.

    Science.gov (United States)

    Forsberg, Anna; Flodén, Anne; Lennerling, Annette; Karlsson, Veronika; Nilsson, Madeleine; Fridh, Isabell

    2014-10-01

    The aim of this study was to investigate how intensive and critical care nurses experience and deal with after death care i.e. the period from notification of a possible brain dead person, and thereby a possible organ donor, to the time of post-mortem farewell. Grounded theory, based on Charmaz' framework, was used to explore what characterises the ICU-nurses concerns during the process of after death and how they handle it. Data was collected from open-ended interviews. The core category: achieving a basis for organ donation through dignified and respectful care of the deceased person and the close relatives highlights the main concern of the 29 informants. This concern is categorised into four main areas: safeguarding the dignity of the deceased person, respecting the relatives, dignified and respectful care, enabling a dignified farewell. After death care requires the provision of intense, technical, medical and nursing interventions to enable organ donation from a deceased person. It is achieved by extensive nursing efforts to preserve and safeguard the dignity of and respect for the deceased person and the close relatives, within an atmosphere of peace and tranquillity. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Integrating care for neurodevelopmental disorders by unpacking control: A grounded theory study

    Science.gov (United States)

    Waxegård, Gustaf; Thulesius, Hans

    2016-01-01

    Background To establish integrated healthcare pathways for patients with neurodevelopmental disorders (ND) such as autism spectrum disorder and attention-deficit hyperactivity disorder is challenging. This study sets out to investigate the main concerns for healthcare professionals when integrating ND care pathways and how they resolve these concerns. Methods Using classic grounded theory (Glaser), we analysed efforts to improve and integrate an ND care pathway for children and youth in a Swedish region over a period of 6 years. Data from 42 individual interviews with a range of ND professionals, nine group interviews with healthcare teams, participant observation, a 2-day dialogue conference, focus group meetings, regional media coverage, and reports from other Swedish regional ND projects were analysed. Results The main concern for participants was to deal with overwhelming ND complexity by unpacking control, which is control over strategies to define patients’ status and needs. Unpacking control is key to the professionals’ strivings to expand constructive life space for patients, to squeeze health care to reach available care goals, to promote professional ideologies, and to uphold workplace integrity. Control-seeking behaviour in relation to ND unpacking is ubiquitous and complicates integration of ND care pathways. Conclusions The Unpacking control theory expands central aspects of professions theory and may help to improve ND care development. PMID:27609793

  6. Occupational therapy students in the process of interprofessional collaborative learning: a grounded theory study.

    Science.gov (United States)

    Howell, Dana

    2009-01-01

    The purpose of this grounded theory study was to generate a theory of the interprofessional collaborative learning process of occupational therapy (OT) students who were engaged in a collaborative learning experience with students from other allied health disciplines. Data consisted of semi-structured interviews with nine OT students from four different interprofessional collaborative learning experiences at three universities. The emergent theory explained OT students' need to build a culture of mutual respect among disciplines in order to facilitate interprofessional collaborative learning. Occupational therapy students went through a progression of learned skills that included learning how to represent the profession of OT, hold their weight within a team situation, solve problems collaboratively, work as a team, and ultimately, to work in an actual team in practice. This learning process occurred simultaneously as students also learned course content. The students had to contend with barriers and facilitators that influenced their participation and the success of their collaboration. Understanding the interprofessional learning process of OT students will help allied health faculty to design more effective, inclusive interprofessional courses.

  7. Integrating care for neurodevelopmental disorders by unpacking control: A grounded theory study

    Directory of Open Access Journals (Sweden)

    Gustaf Waxegård

    2016-09-01

    Full Text Available Background: To establish integrated healthcare pathways for patients with neurodevelopmental disorders (ND such as autism spectrum disorder and attention-deficit hyperactivity disorder is challenging. This study sets out to investigate the main concerns for healthcare professionals when integrating ND care pathways and how they resolve these concerns. Methods: Using classic grounded theory (Glaser, we analysed efforts to improve and integrate an ND care pathway for children and youth in a Swedish region over a period of 6 years. Data from 42 individual interviews with a range of ND professionals, nine group interviews with healthcare teams, participant observation, a 2-day dialogue conference, focus group meetings, regional media coverage, and reports from other Swedish regional ND projects were analysed. Results: The main concern for participants was to deal with overwhelming ND complexity by unpacking control, which is control over strategies to define patients’ status and needs. Unpacking control is key to the professionals’ strivings to expand constructive life space for patients, to squeeze health care to reach available care goals, to promote professional ideologies, and to uphold workplace integrity. Control-seeking behaviour in relation to ND unpacking is ubiquitous and complicates integration of ND care pathways. Conclusions: The Unpacking control theory expands central aspects of professions theory and may help to improve ND care development.

  8. Surviving a critical illness through mutually being there with each other: a grounded theory study.

    Science.gov (United States)

    Chiang, Vico C L

    2011-12-01

    The objectives of this study were to conduct a theoretical analysis of the critically ill patients' perceptions of the impact of informal support and care from their main family carer (MFC) during the time of their stay in the hospital (ICU) and thereafter (and vice versa). RESEARCH DESIGN AND SETTING: The grounded theory method was used to investigate the target phenomenon in the ICU of a large general hospital, and three months later in the community after the patients were discharged. Qualitative data were collected through participant observation and interviews for constant comparative analysis until theoretical saturation. A substantive theory emerged and it illustrated and described the dynamic actions and interactions between critically ill patients and their MFC during the process of recovery. Three categories, 1) being there with, 2) coping and 3) self-relying, comprise the essential components of this theory. The theory represents the core process of 'surviving a critical illness through mutually being there with each other' in which both the patients and their MFC are involved. Implications and recommendations were proposed to provide a basis for further research and nursing practice on the phenomenon of informal support and care of critically ill patients and their recovery. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Negotiating the role of the professional nurse: The pedagogy of simulation: a grounded theory study.

    Science.gov (United States)

    Walton, Joni; Chute, Elizabeth; Ball, Lynda

    2011-01-01

    Simulation is the mainstay of laboratory education in health sciences, yet there is a void of pedagogy-the art and science of teaching. Nursing faculty does not have adequate evidence-based resources related to how students learn through simulation. The research questions that were addressed were as follows: (a) How do students learn using simulation? (b) What is the process of learning with simulations from the students' perspective? (c) What faculty teaching styles promote learning? and (d) How can faculty support students during simulation? Grounded theory methodology was used to explore how senior baccalaureate nursing students learn using simulation. Twenty-six students participated in this research study. Sixteen nursing students who completed two semesters of simulation courses volunteered for in-depth audio-taped interviews. In addition, there were two focus groups with five senior students in each group who validated findings and identified faculty teaching styles and supportive interventions. Negotiating the Role of the Professional Nurse was the core category, which included the following phases (I) feeling like an imposter, (II) trial and error, (III) taking it seriously, (IV) transference of skills and knowledge, and (V) professionalization. Faculty traits and teaching strategies for teaching with simulation were also identified. A conceptual model of the socialization process was developed to assist faculty in understanding the ways students learn with simulation and ways to facilitate their development. These findings provide a midrange theory for the pedagogy of simulation and will help faculty gain insight and help to assimilate into teaching-learning strategies.

  10. User involvement and experiential knowledge in interprofessional rehabilitation: a grounded theory study.

    Science.gov (United States)

    Slomic, Mirela; Christiansen, Bjørg; Soberg, Helene L; Sveen, Unni

    2016-10-04

    User involvement is increasingly important in developing relevant health care services. The aim of this study was to contribute to a deeper understanding of user involvement and patients' experiential knowledge as recognized and incorporated into clinical practice by rehabilitation professionals. A qualitative design using a grounded theory approach was applied. Data were collected by observations of the interprofessional meetings at two rehabilitation units treating patients with traumatic brain injury and multiple trauma and by individual semi-structured interviews with rehabilitation professionals. The professionals recognized and incorporated user involvement into clinical practice as formal or authentic. Formal user involvement was sometimes considered pro forma. Incorporating patient' experiential knowledge was considered a part of authentic user involvement. Possible gaps between the patients' experiential knowledge and professional expertise were recognized. Challenges included dealing with 'artifacts', sources of information external to the patients' own experiences, and addressing the patients' possibly reduced insight due to trauma. Patients' experiential knowledge was recognized as an essential component of the professionals' knowledge base. The professionals considered user involvement and patients' experiential knowledge as part of their clinical practice. Implementation of user involvement and contribution of patients' experiential knowledge could be improved by understanding the issues raised in practice, such as possible negative consequences of user involvement in form of burdening or disempowering the patients. A better understanding of the characteristics and measures of user involvement is necessary in order to be able to offer its full benefits for both the patients and the professionals.

  11. Swedish pediatric diabetes teams' perception of fathers' involvement: A Grounded Theory study.

    Science.gov (United States)

    Boman, Ase; Povlsen, Lene; Dahlborg-Lyckhage, Elisabeth; Borup, Ina

    2013-06-01

    The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy - if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.

  12. How Australian Female Adolescents Prioritize Pregnancy Protection: A Grounded Theory Study of Contraceptive Histories

    Science.gov (United States)

    Smith, Jennifer L.; Skinner, S. Rachel; Fenwick, Jennifer

    2011-01-01

    Grounded theory principles were systematically employed to reveal key differences in pregnancy risk and underlying disparities in contraceptive use in (a) never-pregnant (b) pregnant-terminated and (c) pregnant-continued teenagers. Analysis of 69 semistructured interviews revealed a bicausal model of pregnancy protection that accounted for…

  13. Fathers' Orientation to Their Children's Autism Diagnosis: A Grounded Theory Study

    Science.gov (United States)

    Hannon, Michael D.; Hannon, LaChan V.

    2017-01-01

    Sixteen fathers of individuals with autism were interviewed to develop a grounded theory explaining how they learned about their children's autism diagnosis. Results suggest the orientation process entails at least two phases: orienting oneself and orienting others. The orienting oneself phase entailed fathers having suspicion of developmental…

  14. Characteristics of a central change programme within a governmental bureaucracy: A grounded theory study

    NARCIS (Netherlands)

    R. de Korte (Ronald); G.J. van der Pijl (Gert)

    2009-01-01

    textabstractPurpose The purpose of the paper is to present a theory of organisational change within the setting of a governmental bureaucracy. Design/methodology/ approach Orthodox grounded theory is employed in the setting of a change programme in 12 Audit departments of the Dutch Ministries (publi

  15. A grounded theory study of the acquisition of technology by Danish dairy producers

    DEFF Research Database (Denmark)

    Brinkmann, Troels Vammen; Tandrup, Peter René; Brandt, Charlotte J.;

    grounded theory method for this research. We carried out and analyzed 28 interviews with milk producers and 5 with technology vendors. Our results show that motivations for technology acquisition for milk producers include the economic situation of the farmer, the perceived value of the technology...

  16. Work and Risk: Perceptions of Nuclear-Power Personnel. a Study in Grounded Theory.

    Science.gov (United States)

    Fields, Claire Dewitt

    1992-01-01

    The utility industry has devoted time and money to assure personnel within nuclear power plants are informed about occupational risks. Radiation-protection training programs are designed to present information to employees about occupational radiation and protective procedures. Work -related concerns are known to create stress, affect the morale of the workforce, influence collective bargaining, and increase compensation claims. This study was designed to determine perceptions of risk among employees of nuclear power plants and identify variables that influence these perceptions. Four power plants were included in the study, one in Canada and three in the United States. Data were generated through participant observations and interviews of 350 participants during a period of 3 weeks at each plant. Data were gathered and analyzed following procedures advanced by Grounded Theory, a naturalistic methodology used in this study. Training content, information, and communication materials were additional sources of data. Findings indicated employees believed health and safety risks existed within the work environment. Perceptions of risk were influenced by training quality, the work environment, nuclear myths and images of the general public, and fears of family members. Among the three groups of workers, administration personnel, security personnel, and radiation workers, the latter identified a larger number of risks. Workers perceived radiation risks, shift work, and steam pipe ruptures as high-level concerns. Experiencing stress, making mistakes, and fear of sabotage were concerns shared among all employee groups at various levels of concern. Strategies developed by employees were used to control risk. Strategies included teamwork, humor, monitoring, avoidance, reframing, and activism. When risks were perceived as uncontrollable, the employee left the plant. A coping strategy of transferring concerns about radiological risks to nonradiological risks were uncovered in

  17. Making sense of medically unexplained symptoms in general practice: a grounded theory study.

    Science.gov (United States)

    Stone, Louise

    2013-06-01

    Background General practitioners often encounter patients with medically unexplained symptoms. These patients share many common features, but there is little agreement about the best diagnostic framework for describing them. Aims This study aimed to explore how GPs make sense of medically unexplained symptoms. Design Semi-structured interviews were conducted with 24 GPs. Each participant was asked to describe a patient with medically unexplained symptoms and discuss their assessment and management. Setting The study was conducted among GPs from teaching practices across Australia. Methods Participants were selected by purposive sampling and all interviews were transcribed. Iterative analysis was undertaken using constructivist grounded theory methodology. Results GPs used a variety of frameworks to understand and manage patients with medically unexplained symptoms. They used different frameworks to reason, to help patients make sense of their suffering, and to communicate with other health professionals. GPs tried to avoid using stigmatising labels such as 'borderline personality disorder', which were seen to apply a 'layer of dismissal' to patients. They worried about missing serious physical disease, but managed the risk by deliberately attending to physical cues during some consultations, and focusing on coping with medically unexplained symptoms in others. They also used referrals to exclude serious disease, but were wary of triggering a harmful cycle of uncoordinated care. Conclusion GPs were aware of the ethical relevance of psychiatric diagnoses, and attempted to protect their patients from stigma. They crafted helpful explanatory narratives for patients that shaped their experience of suffering. Disease surveillance remained an important role for GPs who were managing medically unexplained symptoms.

  18. Factors influencing decision-making around family presence during resuscitation: a grounded theory study.

    Science.gov (United States)

    Giles, Tracey; de Lacey, Sheryl; Muir-Cochrane, Eimear

    2016-11-01

    The aim of this study was to examine factors impacting family presence during resuscitation practices in the acute care setting. Family presence during resuscitation was introduced in the 1980s, so family members/significant others could be with their loved ones during life-threatening events. Evidence demonstrates important benefits; yet despite growing support from the public and endorsement from professional groups, family presence is practiced inconsistently and rationales for poor uptake are unclear. Constructivist grounded theory design. Twenty-five health professionals, family members and patients informed the study. In-depth interviews were undertaken between October 2013-November 2014 to interpret and explain their meanings and actions when deciding whether to practice or participate in FPDR. The Social Construction of Conditional Permission explains the social processes at work when deciding to adopt or reject family presence during resuscitation. These processes included claiming ownership, prioritizing preferences and rights, assessing suitability, setting boundaries and protecting others/self. In the absence of formal policies, decision-making was influenced primarily by peoples' values, preferences and pre-existing expectations around societal roles and associated status between health professionals and consumers. As a result, practices were sporadic, inconsistent and often paternalistic rather than collaborative. An increased awareness of the important benefits of family presence and the implementation of clinical protocols are recommended as an important starting point to address current variations and inconsistencies in practice. These measures would ensure future practice is guided by evidence and standards for health consumer safety and welfare rather than personal values and preferences of the individuals 'in charge' of permissions. © 2016 John Wiley & Sons Ltd.

  19. Assimilating to Hierarchical Culture: A Grounded Theory Study on Communication among Clinical Nurses.

    Directory of Open Access Journals (Sweden)

    MinYoung Kim

    Full Text Available The purpose of this study was to generate a substantive model that accounts for the explanatory social processes of communication in which nurses were engaged in clinical settings in Korea. Grounded theory methodology was used in this study. A total of 15 clinical nurses participated in the in-depth interviews. "Assimilating to the hierarchical culture" emerged as the basic social process of communication in which the participants engaged in their work environments. To adapt to the cultures of their assigned wards, the nurses learned to be silent and engaged in their assimilation into the established hierarchy. The process of assimilation consisted of three phases based on the major goals that nurses worked to achieve: getting to know about unspoken rules, persevering within the culture, and acting as senior nurse. Seven strategies and actions utilized to achieve the major tasks emerged as subcategories, including receiving strong disapproval, learning by observing, going silent, finding out what is acceptable, minimizing distress, taking advantages as senior nurse, and taking responsibilities as senior nurse. The findings identified how the pattern of communication in nursing organizations affected the way in which nurses were assimilated into organizational culture, from individual nurses' perspectives. In order to improve the rigid working atmosphere and culture in nursing organizations and increase members' satisfaction with work and quality of life, managers and staff nurses need training that focuses on effective communication and encouraging peer opinion-sharing within horizontal relationships. Moreover, organization-level support should be provided to create an environment that encourages free expression.

  20. Why are physicians not persuaded by scientific evidence? A grounded theory interview study.

    Science.gov (United States)

    Sekimoto, Miho; Imanaka, Yuichi; Kitano, Nobuko; Ishizaki, Tatsuro; Takahashi, Osamu

    2006-07-27

    The government-led "evidence-based guidelines for cataract treatment" labelled pirenoxine and glutathione eye drops, which have been regarded as the standard care for cataracts in Japan, as lacking evidence of effectiveness, causing great upset among ophthalmologists and professional ophthalmology societies. This study investigated the reasons why such "scientific evidence of treatment effectiveness" is not easily accepted by physicians, and thus, why they do not change their clinical practices to reflect such evidence. We conducted a qualitative study based on grounded theory to explore physicians' awareness of "scientific evidence" and evidence-supported treatment in relation to pirenoxine and glutathione eye drops, and to identify current barriers to the implementation of evidence-based policies in clinical practice. Interviews were conducted with 35 ophthalmologists and 3 general practitioners on their prescribing behaviours, perceptions of eye drop effectiveness, attitudes toward the eye drop guideline recommendations, and their perceptions of "scientific evidence." Although few physicians believed that eye drops are remarkably effective, the majority of participants reported that they prescribed eye drops to patients who asked for them, and that such patients accounted for a considerable proportion of those with cataracts. Physicians seldom attempted to explain to patients the limitations of effectiveness or to encourage them to stop taking the eye drops. Physicians also acknowledged the benefits of prescribing such drugs, which ultimately outweighed any uncertainty of their effectiveness. These benefits included economic incentives and a desire to be appreciated by patients. Changes in clinical practice were considered to bring little benefit to physicians or patients. Government approval, rarity of side effects, and low cost of the drops also encouraged prescription. Physicians occasionally provide treatment without expecting remarkable therapeutic

  1. Why are physicians not persuaded by scientific evidence? A grounded theory interview study

    Directory of Open Access Journals (Sweden)

    Ishizaki Tatsuro

    2006-07-01

    Full Text Available Abstract Background The government-led "evidence-based guidelines for cataract treatment" labelled pirenoxine and glutathione eye drops, which have been regarded as the standard care for cataracts in Japan, as lacking evidence of effectiveness, causing great upset among ophthalmologists and professional ophthalmology societies. This study investigated the reasons why such "scientific evidence of treatment effectiveness" is not easily accepted by physicians, and thus, why they do not change their clinical practices to reflect such evidence. Methods We conducted a qualitative study based on grounded theory to explore physicians' awareness of "scientific evidence" and evidence-supported treatment in relation to pirenoxine and glutathione eye drops, and to identify current barriers to the implementation of evidence-based policies in clinical practice. Interviews were conducted with 35 ophthalmologists and 3 general practitioners on their prescribing behaviours, perceptions of eye drop effectiveness, attitudes toward the eye drop guideline recommendations, and their perceptions of "scientific evidence." Results Although few physicians believed that eye drops are remarkably effective, the majority of participants reported that they prescribed eye drops to patients who asked for them, and that such patients accounted for a considerable proportion of those with cataracts. Physicians seldom attempted to explain to patients the limitations of effectiveness or to encourage them to stop taking the eye drops. Physicians also acknowledged the benefits of prescribing such drugs, which ultimately outweighed any uncertainty of their effectiveness. These benefits included economic incentives and a desire to be appreciated by patients. Changes in clinical practice were considered to bring little benefit to physicians or patients. Government approval, rarity of side effects, and low cost of the drops also encouraged prescription. Conclusion Physicians occasionally

  2. A Grounded Theory Study of the Mentoring Process Involved With Undergraduate Athletic Training Students.

    Science.gov (United States)

    Pitney, William A; Ehlers, Greg G

    2004-12-01

    OBJECTIVE: To gain insight regarding the mentoring processes involving students enrolled in athletic training education programs and to create a mentoring model. DESIGN AND SETTING: We conducted a grounded theory study with students and mentors currently affiliated with 1 of 2 of the athletic training education programs accredited by the Commission on Accreditation of Allied Health Education Programs. PARTICIPANTS: Sixteen interviews were conducted, 13 with athletic training students and 3 with individuals identified as mentors. The students ranged in age from 20 to 24 years, with an average of 21.6 years. The mentors ranged from 24 to 38 years of age, with an average of 33.3 years. Participants were purposefully selected based on theoretic sampling and availability. DATA ANALYSIS: The transcribed interviews were analyzed using open-, axial-, and selective-coding procedures. Member checks, peer debriefings, and triangulation were used to ensure trustworthiness. RESULTS: Students who acknowledged having a mentor overwhelmingly identified their clinical instructor in this role. The open-coding procedures produced 3 categories: (1) mentoring prerequisites, (2) interpersonal foundations, and (3) educational dimensions. Mentoring prerequisites included accessibility, approachability, and protege initiative. Interpersonal foundations involved the mentor and protege having congruent values, trust, and a personal relationship. The educational dimensions category involved the mentor facilitating knowledge and skill development, encouraging professional perspectives, and individualizing learning. Although a student-certified athletic trainer relationship can be grounded in either interpersonal or educational aspects, the data support the occurrence of an authentic mentoring relationship when the dimensions coalesced. CONCLUSIONS: Potential mentors must not only be accessible but also approachable by a prospective protege. Mentoring takes initiative on behalf of a student and

  3. Factors involved in nurses' responses to burnout: a grounded theory study

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    Nikravesh Mansoure

    2004-11-01

    Full Text Available Abstract Background Intense and long-standing problems in burn centers in Tehran have led nurses to burnout. This phenomenon has provoked serious responses and has put the nurses, patients and the organization under pressure. The challenge for managers and nurse executives is to understand the factors which would reduce or increase the nurses' responses to burnout and develop delivery systems that promote positive adaptation and facilitate quality care. This study, as a part of more extensive research, aims to explore and describe the nurses' perceptions of the factors affecting their responses to burnout. Methods Grounded theory was used as the method. Thirty- eight participants were recruited. Data were generated by unstructured interviews and 21 sessions of participant observations. Constant comparison was used for data analysis. Results Nurses' and patients' personal characteristics and social support influenced nurses' responses to burnout. Personal characteristics of the nurses and patients, especially when interacting, had a more powerful effect. They altered emotional, attitudinal, behavioral and organizational responses to burnout and determined the kind of caring behavior. Social support had a palliative effect and altered emotional responses and some aspects of attitudinal responses. Conclusions The powerful effect of positive personal characteristics and its sensitivity to long standing and intense organizational pressures suggests approaches to executing stress reduction programs and refreshing the nurses' morale by giving more importance to ethical aspects of caring. Moreover, regarding palliative effect of social support and its importance for the nurses' wellbeing, nurse executives are responsible for promoting a work environment that supports nurses and motivates them.

  4. Decision-making in Swiss home-like childbirth: A grounded theory study.

    Science.gov (United States)

    Meyer, Yvonne; Frank, Franziska; Schläppy Muntwyler, Franziska; Fleming, Valerie; Pehlke-Milde, Jessica

    2017-06-14

    Decision-making in midwifery, including a claim for shared decision-making between midwives and women, is of major significance for the health of mother and child. Midwives have little information about how to share decision-making responsibilities with women, especially when complications arise during birth. To increase understanding of decision-making in complex home-like birth settings by exploring midwives' and women's perspectives and to develop a dynamic model integrating participatory processes for making shared decisions. The study, based on grounded theory methodology, analysed 20 interviews of midwives and 20 women who had experienced complications in home-like births. The central phenomenon that arose from the data was "defining/redefining decision as a joint commitment to healthy childbirth". The sub-indicators that make up this phenomenon were safety, responsibility, mutual and personal commitments. These sub-indicators were also identified to influence temporal conditions of decision-making and to apply different strategies for shared decision-making. Women adopted strategies such as delegating a decision, making the midwife's decision her own, challenging a decision or taking a decision driven by the dynamics of childbirth. Midwives employed strategies such as remaining indecisive, approving a woman's decision, making an informed decision or taking the necessary decision. To respond to recommendations for shared responsibility for care, midwives need to strengthen their shared decision-making skills. The visual model of decision-making in childbirth derived from the data provides a framework for transferring clinical reasoning into practice. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  5. A Grounded theory study of the intention of nurses to leave the profession.

    Science.gov (United States)

    Alilu, Leyla; Zamanzadeh, Vahid; Valizadeh, Leila; Habibzadeh, Hosein; Gillespie, Mark

    2017-06-05

    this study explores the process of the development of an intention to leave bedside nursing. 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. 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. 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. este estudo explora o processo de desenvolvimento da intenção de deixar a enfermagem de cabeceira. o processo foi estudado desde a perspectiva de 21 enfermeiras utilizando o método da Grounded Theory (Teoria Fundamentada). Os dados foram coletados utilizando entrevistas semi-estruturadas e o método comparativo constante de Corbin e Strauss se utilizou para analisar os dados. segundo os participantes, duas categorias principais, "imagem social da enfermagem" e "cultura e estrutura de cabeceira", foram os fatores contextuais que influenciam as razões para que as enfermeiras estejam deixando o cuidado de cabeceira. A decepção com a percepção de falta

  6. Four types of coping with COPD-induced breathlessness in daily living: a grounded theory study

    DEFF Research Database (Denmark)

    Bastrup, Lene; Dahl, Ronald; Pedersen, Preben Ulrich

    2013-01-01

    COPD predominantly cope with breathlessness during daily living. We chose a multimodal grounded theory design that holds the opportunity to combine qualitative and quantitative data to capture and explain the multidimensional coping behaviour among poeple with COPD. The participants' main concern...... comprised distrinctive physiological, cognitive, affective and psychosocial features constituting coping-type-specific indicators. In theory, four predominant coping types with distinct physiological, cognitive, affective and psychosocial properties are observed among people with COPD. The four coping types...

  7. Men in Nursing: Intention, Intentionality, Caring, and Healing: Emphasis on the Results of a Grounded Theory Study.

    Science.gov (United States)

    Zahourek, Rothlyn P

    2016-01-01

    The purpose of this article is to amplify the results section of a grounded theory study on how men in nursing view and experience intention, intentionality, caring, and healing. This is the second grounded theory study addressing intentionality in healing. The first study included a female population. The theory that was generated-Intentionality: The Matrix of Healing (IMH)-is examined with these new data. The results are compared with issues generally faced by men in nursing and how they described their beliefs and experiences with intentionality and healing. The theory (IMH) is supported; the importance of action in this cohort was an additional emphasis. This article provides an expanded view of men in nursing and their experiences as nurses and with intentionality, caring, and healing and has implications for the development of holistic nursing theory as well.

  8. Weight maintenance as a tight rope walk - a Grounded Theory study

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    Weinehall Lars

    2010-02-01

    Full Text Available Abstract Background Overweight and obesity are considerable public health problems internationally as well as in Sweden. The long-term results of obesity treatment are modest as reported by other studies. The importance of extending the focus to not only comprise obesity treatment but also prevention of weight gain is therefore being emphasized. However, despite the suggested change in focus there is still no consensus on how to prevent obesity or maintain weight. This study reports findings from a qualitative study focusing on attitudes, behaviors and strategies important for primary weight maintenance in a middle-aged population. Methods In depth interviews were conducted with 23 maintainers and four slight gainers in Sweden. The interviews were transcribed and an analysis of weight maintenance was performed using Grounded Theory. Results Based on the informants' stories, describing attitudes, behaviors and strategies of importance for primary weight maintenance, a model illustrating the main findings, was constructed. Weight maintenance was seen as "a tightrope walk" and four strategies of significance for this "tightrope walk" were described as "to rely on heritage", "to find the joy", "to find the routine" and "to be in control". Eleven "ideal types" were included in the model to illustrate different ways of relating to the main strategies. These "ideal types" described more specific attitudes and behaviors such as; eating food that is both tasteful and nutritious, and choosing exercise that provides joy. However, other somewhat contradictory behaviors were also found such as; only eating nutritious food regardless of taste, and being physically active to control stress and emotions. Conclusion This study show great variety with regards to attitudes, strategies and behaviors important for weight maintenance, and considerations need to be taken before putting the model into practice. However, the results from this study can be used within

  9. A Grounded Theory Study of Aircraft Maintenance Technician Decision-Making

    Science.gov (United States)

    Norcross, Robert

    Aircraft maintenance technician decision-making and actions have resulted in aircraft system errors causing aircraft incidents and accidents. Aircraft accident investigators and researchers examined the factors that influence aircraft maintenance technician errors and categorized the types of errors in an attempt to prevent similar occurrences. New aircraft technology introduced to improve aviation safety and efficiency incur failures that have no information contained in the aircraft maintenance manuals. According to the Federal Aviation Administration, aircraft maintenance technicians must use only approved aircraft maintenance documents to repair, modify, and service aircraft. This qualitative research used a grounded theory approach to explore the decision-making processes and actions taken by aircraft maintenance technicians when confronted with an aircraft problem not contained in the aircraft maintenance manuals. The target population for the research was Federal Aviation Administration licensed aircraft and power plant mechanics from across the United States. Nonprobability purposeful sampling was used to obtain aircraft maintenance technicians with the experience sought in the study problem. The sample population recruitment yielded 19 participants for eight focus group sessions to obtain opinions, perceptions, and experiences related to the study problem. All data collected was entered into the Atlas ti qualitative analysis software. The emergence of Aircraft Maintenance Technician decision-making themes regarding Aircraft Maintenance Manual content, Aircraft Maintenance Technician experience, and legal implications of not following Aircraft Maintenance Manuals surfaced. Conclusions from this study suggest Aircraft Maintenance Technician decision-making were influenced by experience, gaps in the Aircraft Maintenance Manuals, reliance on others, realizing the impact of decisions concerning aircraft airworthiness, management pressures, and legal concerns

  10. Information needs and behaviors of geoscience educators: A grounded theory study

    Science.gov (United States)

    Aber, Susan Ward

    2005-12-01

    Geoscience educators use a variety of resources and resource formats in their classroom teaching to facilitate student understanding of concepts and processes that define subject areas considered in the realm of geoscience. In this study of information needs and behaviors of geoscience educators, the researcher found that participants preferred visual media such as personal photographic and digital images, as well as published figures, animations, and cartoons, and that participants bypassed their academic libraries to meet these information needs. In order to investigate the role of information in developing introductory geoscience course and instruction, a grounded theory study was conducted through a qualitative paradigm with an interpretive approach and naturalistic inquiry. The theoretical and methodological framework was constructivism and sense-making. Research questions were posited on the nature of geoscience subject areas and the resources and resource formats used in conveying geoscience topics to science and non-science majors, as well as educators' preferences and concerns with curriculum and instruction. The underlying framework was to investigate the place of the academic library and librarian in the sense-making, constructivist approach of geoscience educators. A purposive sample of seven geoscience educators from four universities located in mid-western United States was identified as exemplary teachers by department chairpersons. A triangulation of data collection methods included semi-structured interviews, document reviews, and classroom observations. Data were analyzed using the constant comparative method, which included coding, categorizing, and interpreting for patterns and relationships. Contextual factors were identified and a simple model resulted showing the role of information in teaching for these participants. While participants developed lectures and demonstrations using intrapersonal knowledge and personal collections, one barrier

  11. Building a competent health manager at district level: a grounded theory study from Eastern Uganda.

    Science.gov (United States)

    Tetui, Moses; Hurtig, Anna-Karin; Ekirpa-Kiracho, Elizabeth; Kiwanuka, Suzanne N; Coe, Anna-Britt

    2016-11-21

    Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how district managers in a rural setting in Uganda perceived existing approaches to strengthening management so as to provide a pragmatic and synergistic model for improving management capacity building. Twenty-two interviews were conducted with district level administrative and political managers, district level health managers and health facility managers to understand their perceptions and definitions of management and capacity building. Kathy Charmaz's constructive approach to grounded theory informed the data analysis process. An interative, dynamic and complex model with three sub-process of building a competent health manager was developed. A competent manager was understood as one who knew his/her roles, was well informed and was empowered to execute management functions. Professionalizing health managers which was viewed as the foundation, the use of engaging learning approaches as the inside contents and having a supportive work environment the frame of the model were the sub-processes involved in the model. The sub-processes were interconnected although the respondents agreed that having a supportive work environment was more time and effort intensive relative to the other two sub-processes. The model developed in our study makes four central contributions to enhance the WHO framework and the existing literature. First, it emphasizes management capacity building as an iterative, dynamic and complex process rather than a set of characteristics of competent managers. Second, our model suggests the need for professionalization of health managers at different levels of the health

  12. Struggling for Independence: A Grounded Theory Study on Convalescence of ICU-survivors 12 Months Post ICU Discharge

    OpenAIRE

    Ågård, Anne Sophie; Egerod, Ingrid; Tønnesen, Else Kirstine; Lomborg, Kirsten

    2012-01-01

    Objectives: To explore and explain the challenges, concerns and coping modalities in ICU-survivors living with a partner or spouse during the first 12 months post ICU discharge. Design: Qualitative, longitudinal grounded theory study.Settings: Five ICUs in Denmark, four general, one neurosurgical. Methods: Thirty-five interviews with patients and their partners at three and 12 months post ICU-discharge plus two group interviews with patients only and two with partners only.Findings: The ICU-s...

  13. The Development of Constructivist Grounded Theory

    Directory of Open Access Journals (Sweden)

    Jane Mills

    2006-03-01

    Full Text Available Constructivist grounded theory is a popular method for research studies primarily in the disciplines of psychology, education, and nursing. In this article, the authors aim to locate the roots of constructivist grounded theory and then trace its development. They examine key grounded theory texts to discern their ontological and epistemological orientation. They find Strauss and Corbin's texts on grounded theory to possess a discernable thread of constructivism in their approach to inquiry. They also discuss Charmaz's landmark work on constructivist grounded theory relative to her positioning of the researcher in relation to the participants, analysis of the data, and rendering of participants' experiences into grounded theory. Grounded theory can be seen as a methodological spiral that begins with Glaser and Strauss' original text and continues today. The variety of epistemological positions that grounded theorists adopt are located at various points on this spiral and are reflective of their underlying ontologies.

  14. Factors Involved in Iranian Women Heads of Household's Health Promotion Activities: A Grounded Theory Study.

    Science.gov (United States)

    Rafii, Forough; Seyedfatemi, Naima; Rezaei, Mahboubeh

    2013-01-01

    We aimed to explore and describe the factors involved in Iranian women heads of household's health promotion activities. Grounded theory was used as the method. Sixteen women heads of household were recruited. Data were generated by semi structured interviews. Our findings indicated that remainder of resources (money, time and energy) alongside perceived severity of health risk were two main factors whereas women's personal and socio-economic characteristics were two contextual factors involved in these women's health promotion activities. To help these women improve their health status, we recommended that the government, non-governmental organizations and health care professionals provide them with required resources and increase their knowledge by holding training sessions.

  15. Look! Listen! Learn! Parent Narratives and Grounded Theory Models of Parent Voice, Presence, and Engagement in K-12 Education

    Science.gov (United States)

    McKenna, Maria K.; Millen, Jessica

    2013-01-01

    Educators' expectations and understandings of parental involvement in our nation's schools are often disconnected from the reality of students' home lives. This qualitative study purports that educators often lose opportunities to more fully understand and serve students, particularly when perceptions of parental involvement and…

  16. Balancing power: A grounded theory study on partnership of academic service institutes.

    Science.gov (United States)

    Heshmati Nabavi, Fatemeh; Vanaki, Zohreh; Mohammadi, Eesa; Yazdani, Shahram

    2017-07-01

    Governments and professional organizations have called for new partnerships between health care providers and academics to improve clinical education for the benefit of both students and patients. To develop a substantive grounded theory on the process of forming academic-service partnerships in implementing clinical education, from the perspective of academic and clinical nursing staff members and managers working in Iranian settings. The participants included 15 hospital nurses, nurse managers, nurse educators, and educational managers from two central universities and clinical settings from 2009 to 2012. Data were collected through 30 in-depth, semi-structure interviews with the individual participants and then analyzed using the methodology of Strauss and Corbin's grounded theory. Utilizing "balancing power" as the core variable enabled us to integrate the concepts concerning the partnership processes between clinical and educational institutes. Three distinct and significant categories emerged to explain the process of partnership: 1) divergence, 2) conflict between educational and caring functions, and 3) creation of balance between educational and caring functions. In implementing clinical education, partnerships have been formed within a challenging context in Iran. Conflict between clinical and educational functions was the main concern of both sides of the partnership in forming a collaborative relationship, with our findings emphasizing the importance of nursing educators' role in the establishment of partnership programs.

  17. Balancing power: A grounded theory study on partnership of academic service institutes

    Directory of Open Access Journals (Sweden)

    FATEMEH HESHMATI NABAVI

    2017-07-01

    Full Text Available Introduction: Governments and professional organizations have called for new partnerships between health care providers and academics to improve clinical education for the benefit of both students and patients. To develop a substantive grounded theory on the process of forming academic-service partnerships in implementing clinical education, from the perspective of academic and clinical nursing staff members and managers working in Iranian settings. Methods: The participants included 15 hospital nurses, nurse managers, nurse educators, and educational managers from two central universities and clinical settings from 2009 to 2012. Data were collected through 30 in-depth, semi-structure interviews with the individual participants and then analyzed using the methodology of Strauss and Corbin’s grounded theory. Results: Utilizing “balancing power” as the core variable enabled us to integrate the concepts concerning the partnership processes between clinical and educational institutes. Three distinct and significant categories emerged to explain the process of partnership: 1 divergence, 2 conflict between educational and caring functions, and 3 creation of balance between educational and caring functions. Conclusions: In implementing clinical education, partnerships have been formed within a challenging context in Iran. Conflict between clinical and educational functions was the main concern of both sides of the partnership in forming a collaborative relationship, with our findings emphasizing the importance of nursing educators’ role in the establishment of partnership programs.

  18. Nursing communication in nursing care to mastectomized women: a grounded theory study.

    Science.gov (United States)

    de Almeida Araújo, Iliana Maria; da Silva, Raimunda Magalhães; Bonfim, Isabela Melo; Fernandes, Ana Fátima Carvalho

    2010-01-01

    The goal was to understand the nurse/patient communication process, emphasizing nursing care to mastectomized women. Symbolic Interactionism and Grounded Theory were used to interview eight nurses from a referral institution in cancer treatment, using the guiding question: how do nurses perceive their communication process with mastectomized women? Data analysis allowed for the creation of a central theory: the meaning of communication in nursing care to women, constituted by three distinct but inter-related phenomena: perceiving communication, the relationship nurse/mastectomized woman and rethinking the communication nurse/mastectomized woman. With a view to satisfactory communication, professionals need to get involved and believe that their presence is as important as the performance of technical procedures that relieve situations of stress.

  19. Achieving Rigour and Relevance in Information Systems Studies: Using grounded theory to investigate organizational cases

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    Hans Lehmann, Ph.D.

    2005-11-01

    Full Text Available This paper builds on the belief that rigorous Information Systems (IS research can help practitioners to better understand and to adapt to emerging situations. Contrary to the view seeing rigour and relevance as a dichotomy, it is maintained that IS researchers have a third choice; namely, to be both relevant and rigorous. The paper proposes ways in which IS research can contribute to easing the practitioners’ burden of adapting to changes by providing timely, relevant, and rigorous research. It is argued that synergy between relevance and rigour is possible and that classic grounded theory methodology in combination with case-based data provides a good framework for rigorous and relevant research of emerging phenomena in information systems.

  20. Grounded theory methodology--narrativity revisited.

    Science.gov (United States)

    Ruppel, Paul Sebastian; Mey, Günter

    2015-06-01

    This article aims to illuminate the role of narrativity in Grounded Theory Methodology and to explore an approach within Grounded Theory Methodology that is sensitized towards aspects of narrativity. The suggested approach takes into account narrativity as an aspect of the underlying data. It reflects how narrativity could be conceptually integrated and systematically used for shaping the way in which coding, category development and the presentation of results in a Grounded Theory Methodology study proceed.

  1. Ingredients and change processes in occupational therapy for children: a grounded theory study.

    Science.gov (United States)

    Armitage, Samantha; Swallow, Veronica; Kolehmainen, Niina

    2017-05-01

    There is limited evidence about the effectiveness of occupational therapy interventions for participation outcomes in children with coordination difficulties. Developing theory about the interventions, i.e. their ingredients and change processes, is the first step to advance the evidence base. To develop theory about the key ingredients of occupational therapy interventions for children with coordination difficulties and the processes through which change in participation might happen. Grounded theory methodology, as described by Kathy Charmaz, was used to develop the theory. Children and parents participated in semi-structured interviews to share their experiences of occupational therapy and processes of change. Data collection and analysis were completed concurrently using constant comparison methods. Five key ingredients of interventions were described: performing activities and tasks; achieving; carer support; helping and supporting the child; and labelling. Ingredients related to participation by changing children's mastery experience, increasing capability beliefs and sense of control. Parents' knowledge, skills, positive emotions, sense of empowerment and capability beliefs also related to children's participation. The results identify intervention ingredients and change pathways within occupational therapy to increase participation. It is unclear how explicitly and often therapists consider and make use of these ingredients and pathway.

  2. Development of the Thai healthy aging model: A grounded theory study.

    Science.gov (United States)

    Thiamwong, Ladda; McManus, Michael S; Suwanno, Jom

    2013-06-01

    To develop a model of healthy aging from the perspective of Thais, a grounded theory approach, including in-depth interviews and focus groups, was used. A purposive sample of 39 community-dwelling adults aged 40-85 years old was interviewed. The Thai healthy aging model composed of three themes: normality, nature, and dharma. In Thai, they are called tham-ma-da, tham-ma-chat, and tham-ma, or "Thai 3Ts". The theme of normality encompasses subthemes of staying physically active by being involved in plenty of physical activities, and being mentally active with creative and thoughtful hobbies and work. The theme of nature encompasses subthemes of living simply and being careful with money. The theme of dharma encompasses subthemes of enjoyment through helping family and participating in community activities, staying away from stress and worries by talking openly and honestly with someone, making merit, and helping other people without expecting anything in return. A greater understanding of healthy aging is a benefit for older adults and healthcare providers in an intervention-design process. Research can contribute valuable information to shape policy for healthy aging as well. © 2013 Wiley Publishing Asia Pty Ltd.

  3. Grounded Theory Approach in Social Research

    Directory of Open Access Journals (Sweden)

    Dr Venkat Pulla

    2014-11-01

    Full Text Available This paper discusses Grounded Theory, which is one of the newer methodologies becoming popular with social researchers since its evolution in the late 1960s. The paper discusses the principles and processes of the Grounded Theory and then explores the nature of codes, coding process and the concept of saturation. It then goes on to discuss the pros and cons, arguments for and against the use of Grounded Theory methodology in social research and explores the applicability of this methodology in producing sound theoretical basis for practice. Selected narratives from the author’s recent studies are used to explain the processes of Grounded Theory methodology.

  4. Facilitating classroom based interprofessional learning: a grounded theory study of university educators' perceptions of their role adequacy as facilitators.

    Science.gov (United States)

    Derbyshire, Julie A; Machin, Alison I; Crozier, Suzanne

    2015-01-01

    The provision of inter professional learning (IPL) within undergraduate programmes is now well established within many Higher Education Institutions (HEIs). IPL aims to better equip nurses and other health professionals with effective collaborative working skills and knowledge to improve the quality of patient care. Although there is still ambiguity in relation to the optimum timing and method for delivering IPL, effective facilitation is seen as essential. This paper reports on a grounded theory study of university educators' perceptions of the knowledge and skills needed for their role adequacy as IPL facilitators. Data was collected using semi structured interviews with nine participants who were theoretically sampled from a range of professional backgrounds, with varied experiences of education and involvement in facilitating IPL. Constant comparative analysis was used to generate four data categories: creating and sustaining an IPL group culture through transformational IPL leadership (core category), readiness for IPL facilitation, drawing on past interprofessional learning and working experiences and role modelling an interprofessional approach. The grounded theory generated from this study, although propositional, suggests that role adequacy for IPL facilitation is dependent on facilitator engagement in a process of 'transformational interprofessional learning leadership' to create and sustain a group culture.

  5. Continuity means "preserving a consistent whole"--A grounded theory study.

    Science.gov (United States)

    Östman, Malin; Jakobsson Ung, Eva; Falk, Kristin

    2015-01-01

    Living with a chronic disease like chronic heart failure (CHF) results in disruptions, losses, and setbacks in the participants' daily lives that affect health and well-being. By using grounded theory method, we illuminate whether persons with CHF experience discontinuity in life and, if so, what helps them to preserve and strengthen continuity in their daily lives. Thirteen individual interviews and one group interview with five participants, aged 62 to 88 years, were carried out. Through data collection and data analysis, we constructed three concepts that make up a model illustrating the participants' experiences in daily life in relation to corporeality, temporality, and identity: experiences of discontinuity, recapturing approaches, and reconciliation. The first concept, experiences of discontinuity, was constructed from the following categories: the alienated body, the disrupted time, and the threatened self. The second concept, recapturing approaches, consists of categories with continuity creative constructions: repossessing the body, maintaining a façade, seizing the day, restoring the balance of time, and preserving self. These actions are intended to overcome problems and master changes in order to maintain balance in daily life through constructions that recreate normality and predictability. The third concept, reconciliation, was constructed from three categories: feel normal, set to adjust, and be positioned. These categories describe how the participants minimize their experiences of discontinuity by recapturing approaches in order to reconcile with various changes and maintain continuity in daily life. Our findings provide a fresh perspective on continuity that may contribute to the development of significant interventions in continuity of care for persons with CHF. However, continuity requires that healthcare systems support each patient's ability to manage change, reorientation, and adjustment to the new situation in order to make it easier for

  6. Methodological issues in grounded theory.

    Science.gov (United States)

    Cutcliffe, J R

    2000-06-01

    Examination of the qualitative methodological literature shows that there appear to be conflicting opinions and unresolved issues regarding the nature and process of grounded theory. Researchers proposing to utilize this method would therefore be wise to consider these conflicting opinions. This paper therefore identifies and attempts to address four key issues, namely, sampling, creativity and reflexivity, the use of literature, and precision within grounded theory. The following recommendations are made. When utilizing a grounded method researchers need to consider their research question, clarify what level of theory is likely to be induced from their study, and then decide when they intend to access and introduce the second body of literature. They should acknowledge that in the early stages of data collection, some purposeful sampling appears to occur. In their search for conceptually dense theory, grounded theory researchers may wish to free themselves from the constraints that limit their use of creativity and tacit knowledge. Furthermore, the interests of researchers might be served by attention to issues of precision including, avoiding method slurring, ensuring theoretical coding occurs, and using predominantly one method of grounded theory while explaining and describing any deviation away from this chosen method. Such mindfulness and the resulting methodological rigour is likely to increase the overall quality of the inquiry and enhance the credibility of the findings.

  7. Review Essay: A Journey through Grounded Theory

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    Paula Krüger

    2007-01-01

    Full Text Available In "Constructing Grounded Theory", Kathy CHARMAZ guides the reader through the research process. Starting with a look back at the history of grounded theory, she explains how to gather rich data, code it, write memos, and compose the first draft. Through various examples from her own research CHARMAZ provides the reader not only with a theoretical description of how to construct a grounded theory but also with a way of seeing how new questions emerge from the data and new theory is built from it. She highlights central concepts, definitions, and useful questions, and offers the reader flexible guidelines to design and conduct a research project. Because of this, the book will be very useful for novices as well as for experts and (PhD- students in the late stages of their theses; it is a must-have for everyone who works with/on (constructivist grounded theory. URN: urn:nbn:de:0114-fqs0701256

  8. Managing preconceived expectations: mental health service users experiences of going home from hospital: a grounded theory study.

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    Keogh, B; Callaghan, P; Higgins, A

    2015-11-01

    What is known on the subject? The time of discharge from a mental health hospital can be challenging for mental health service users, with high rates of readmission in the immediate months following discharge. Although some research exists that explores service users' perspectives of being discharged, little evidence exists that explores the processes influencing or used by service users' to adapt to the transition from in-patient acute mental health service. What this papers adds to existing knowledge? The findings of this grounded theory study demonstrates the strategies service users used to managed their own, as well as their social audiences, preconceived expectations arising from their new identity as 'psychiatric patients' following their discharge from hospital. While there is a move to develop recovery-orientated mental health services, key indicators of recovery-oriented practices were often absent from service users' experiences of service provision. What are the implications for practice? Nurses and other mental health professionals need to recognize their contribution to the architecture of stigma that transcends the physical structures of hospital or ward and are entrenched within attitudes, interactions and practices. The findings of this study can provide guidance to those working with service users and help them to understand the complexities of their experiences when using mental health services, which go far beyond the management of their symptoms. Following a period of hospitalization, the transition to home can result in increased vulnerability and a source of stress for mental health service users. Readmission rates have been suggested as one indicator of the success of the transition from hospital to community care. Despite knowledge of some of the factors that impact on service users following discharge, no coherent model or theoretical framework could be located in the literature, which explains or aides an in-depth understanding of the

  9. Informed Grounded Theory

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    Thornberg, Robert

    2012-01-01

    There is a widespread idea that in grounded theory (GT) research, the researcher has to delay the literature review until the end of the analysis to avoid contamination--a dictum that might turn educational researchers away from GT. Nevertheless, in this article the author (a) problematizes the dictum of delaying a literature review in classic…

  10. "Awakening to" a new meaning of being at-risk for arrhythmogenic right ventricular cardiomyopathy: a grounded theory study.

    Science.gov (United States)

    Manuel, April; Brunger, Fern

    2015-04-01

    Efforts of social scientists to understand how individuals living in a family at risk for a genetically linked condition make health care decisions, having brought to the forefront the contextual nature of risk perception. Using a grounded theory approach, this study examines the experiences of 29 individuals living in families at risk for arrhythmogenic right ventricular cardiomyopathy (ARVC). Attention is paid to how individuals (re)construct the meaning of being at risk in relation to the developing science of gene discovery. Findings highlight that individuals living in a family at risk for ARVC juxtapose existing scientific knowledge against experiential knowledge as they "awaken to" the fact that they or a family member are at risk. This process is pragmatic and fluid and contingent upon whether and how symptoms are aligned with the constructed image of the at-risk relative.

  11. The transition experience of rural older persons with advanced cancer and their families: a grounded theory study

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    Berry Patricia H

    2010-04-01

    Full Text Available Abstract Background Transitions often occur suddenly and can be traumatic to both patients with advanced disease and their families. The purpose of this study was to explore the transition experience of older rural persons with advanced cancer and their families from the perspective of palliative home care patients, bereaved family caregivers, and health care professionals. The specific aims were to: (1 describe the experience of significant transitions experienced by older rural persons who were receiving palliative home care and their families and (2 develop a substantive theory of transitions in this population. Methods Using a grounded theory approach, 27 open-ended individual audio-taped interviews were conducted with six older rural persons with advanced cancer and 10 bereaved family caregivers. Four focus group interviews were conducted with 12 palliative care health care professionals. All interviews were transcribed verbatim, coded, and analyzed using Charmaz's constructivist grounded theory approach. Results Within a rural context of isolation, lack of information and limited accessibility to services, and values of individuality and community connectedness, older rural palliative patients and their families experienced multiple complex transitions in environment, roles/relationships, activities of daily living, and physical and mental health. Transitions disrupted the lives of palliative patients and their caregivers, resulting in distress and uncertainty. Rural palliative patients and their families adapted to transitions through the processes of "Navigating Unknown Waters". This tentative theory includes processes of coming to terms with their situation, connecting, and redefining normal. Timely communication, provision of information and support networks facilitated the processes. Conclusion The emerging theory provides a foundation for future research. Significant transitions identified in this study may serve as a focus for

  12. Sexual life and fertility desire in long-term HIV serodiscordant couples in Addis Ababa, Ethiopia: a grounded theory study

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    Hailemariam Tewodros G

    2012-10-01

    Full Text Available Abstract Background Even though remarkable progress has been achieved, HIV/AIDS continues to be a major global health priority. HIV discordant relationship is one of the emerging issues in HIV prevention endeavour. In Ethiopia, very little is known about HIV-serodiscordant couples particularly how they manage their sexual relationship and fertility desire. Therefore, we conduct this study with the aim of exploring the experiences of HIV discordant couples about their sexual life, and fertility desire in the context of long-term relationships in Addis Ababa, Ethiopia. Methods A grounded theory approach was employed using in-depth interviews among 36 informants in ART/PMTCT centers of three public hospitals, a health center and one PLHIV association in Addis Ababa. Theoretical sampling was used to recruit 28 clients who lived in a discordant relationship and eight health care providers as key informants. Data collection and analysis were undertaken simultaneously using a constant comparison. The analysis was facilitated using OpenCode software. Results A grounded theory pertaining to sexual life and desire to have a child among HIV discordant couples emerged as “maintaining the relationship” as a core category. Couples pass through a social process of struggle to maintain their relationship. The causal conditions for couples to enter into the process of struggle to maintain their relationship were collectively categorized as “Entering in-to a transition” (knowing HIV serostatus and this includes mismatch of desire to have a child, controversy on safe sex versus desire to have a child, and undeniable change in sexual desire and practice through time were the features in entering into-transition. Then after the transition, couples engaged in certain actions/strategies that are categorized as “dealing with discordancy” such as entertaining partner’s interest by scarifying once self interest to maintain their relationship. Conclusions

  13. Sexual life and fertility desire in long-term HIV serodiscordant couples in Addis Ababa, Ethiopia: a grounded theory study.

    Science.gov (United States)

    Hailemariam, Tewodros G; Kassie, Getnet M; Sisay, Mitike M

    2012-10-24

    Even though remarkable progress has been achieved, HIV/AIDS continues to be a major global health priority. HIV discordant relationship is one of the emerging issues in HIV prevention endeavour. In Ethiopia, very little is known about HIV-serodiscordant couples particularly how they manage their sexual relationship and fertility desire. Therefore, we conduct this study with the aim of exploring the experiences of HIV discordant couples about their sexual life, and fertility desire in the context of long-term relationships in Addis Ababa, Ethiopia. A grounded theory approach was employed using in-depth interviews among 36 informants in ART/PMTCT centers of three public hospitals, a health center and one PLHIV association in Addis Ababa. Theoretical sampling was used to recruit 28 clients who lived in a discordant relationship and eight health care providers as key informants. Data collection and analysis were undertaken simultaneously using a constant comparison. The analysis was facilitated using OpenCode software. A grounded theory pertaining to sexual life and desire to have a child among HIV discordant couples emerged as "maintaining the relationship" as a core category. Couples pass through a social process of struggle to maintain their relationship. The causal conditions for couples to enter into the process of struggle to maintain their relationship were collectively categorized as "Entering in-to a transition" (knowing HIV serostatus) and this includes mismatch of desire to have a child, controversy on safe sex versus desire to have a child, and undeniable change in sexual desire and practice through time were the features in entering into-transition. Then after the transition, couples engaged in certain actions/strategies that are categorized as "dealing with discordancy" such as entertaining partner's interest by scarifying once self interest to maintain their relationship. HIV discordant couples' relationship is filled with controversies of maintaining

  14. Grounded theory in medical education research: AMEE Guide No. 70.

    Science.gov (United States)

    Watling, Christopher J; Lingard, Lorelei

    2012-01-01

    Qualitative research in general and the grounded theory approach in particular, have become increasingly prominent in medical education research in recent years. In this Guide, we first provide a historical perspective on the origin and evolution of grounded theory. We then outline the principles underlying the grounded theory approach and the procedures for doing a grounded theory study, illustrating these elements with real examples. Next, we address key critiques of grounded theory, which continue to shape how the method is perceived and used. Finally, pitfalls and controversies in grounded theory research are examined to provide a balanced view of both the potential and the challenges of this approach. This Guide aims to assist researchers new to grounded theory to approach their studies in a disciplined and rigorous fashion, to challenge experienced researchers to reflect on their assumptions, and to arm readers of medical education research with an approach to critically appraising the quality of grounded theory studies.

  15. What Makes Hotel Expatriates Remain in Their Overseas Assignments: A Grounded Theory Study

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    Ho, Zoe Ju-Yu

    2012-01-01

    In this study the researcher uses a qualitative research design to discover what makes hotel expatriates remain in their overseas assignments. In-depth interviews, participant observations, and personal documents are used as data collection methods. Four hotel expatriates are recruited as participants of the study. The collected interview…

  16. Coding Issues in Grounded Theory

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    Moghaddam, Alireza

    2006-01-01

    This paper discusses grounded theory as one of the qualitative research designs. It describes how grounded theory generates from data. Three phases of grounded theory--open coding, axial coding, and selective coding--are discussed, along with some of the issues which are the source of debate among grounded theorists, especially between its…

  17. Coding Issues in Grounded Theory

    Science.gov (United States)

    Moghaddam, Alireza

    2006-01-01

    This paper discusses grounded theory as one of the qualitative research designs. It describes how grounded theory generates from data. Three phases of grounded theory--open coding, axial coding, and selective coding--are discussed, along with some of the issues which are the source of debate among grounded theorists, especially between its…

  18. Negotiating Identity Development among Undocumented Immigrant College Students: A Grounded Theory Study

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    Ellis, Lauren M.; Chen, Eric C.

    2013-01-01

    This qualitative study explored the identity development process of 11 undocumented college students living in the United States, focusing on how undocumented college students negotiate the interplay of acculturation, ethnic identity, and educational and career pursuits. A semistructured interview protocol was used and data analysis was iterative,…

  19. The Development of an International Student Advisor: A Grounded Theory Study

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    Sparaco, Kathleen Keenan

    2012-01-01

    This qualitative study explored the professional experience of international student advisors. The statement of problem for this research was that the professional role of international student advisors has not been clearly defined or understood within U.S. higher education. The research questions asked (1) what encompassed the lived experience of…

  20. Effects of the Virtual Environment on Online Faculty Perceptions of Leadership: A Grounded Theory Study

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    Curry, Steven P.

    2016-01-01

    The purpose of this qualitative study was to explore how faculty members, teaching in the virtual environment of higher education, perceived the effectiveness of leader actions to understand how principles of existing leadership theory in critical areas such as communication effectiveness, development of trust, and ability to motivate faculty…

  1. Constructing Grounded Theory: Reflections on a Case Study of a Professor of Architectural Design.

    Science.gov (United States)

    Janesick, Valerie J.

    1982-01-01

    Discusses a case study describing the philosophy of teaching design to architecture students as practiced by one professor. A model of his architectural design curriculum emerged. Three issues arose: constructing theory from data grounded in experience, posing appropriate research questions, and understanding the roots of ethnographic inquiry.…

  2. Boundaries to Instructional Use of Facebook in Higher Education: A Grounded Theory Collective Case Study

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    Whitehurst, Jodi Nicole

    2015-01-01

    The pervasive use of Facebook by college students has prompted educators in higher education to explore ways in which this social media platform could be used for instructional purposes. However, findings concerning Facebook in higher education instruction have been mixed. Furthermore, some studies have indicated significant boundaries to the…

  3. Dance Pedagogy Case Studies: A Grounded Theory Approach to Analyzing Qualitative Data

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    Wilson, Margaret

    2009-01-01

    Combining traditional forms of research to fit unique populations contributes to understanding broad phenomena within the discipline of dance. This paper describes a methodological approach for understanding separate, but interrelated, case studies which illuminated a particular approach to teaching and learning about the body. In each case study…

  4. Negotiating Identity Development among Undocumented Immigrant College Students: A Grounded Theory Study

    Science.gov (United States)

    Ellis, Lauren M.; Chen, Eric C.

    2013-01-01

    This qualitative study explored the identity development process of 11 undocumented college students living in the United States, focusing on how undocumented college students negotiate the interplay of acculturation, ethnic identity, and educational and career pursuits. A semistructured interview protocol was used and data analysis was iterative,…

  5. Boundaries to Instructional Use of Facebook in Higher Education: A Grounded Theory Collective Case Study

    Science.gov (United States)

    Whitehurst, Jodi Nicole

    2015-01-01

    The pervasive use of Facebook by college students has prompted educators in higher education to explore ways in which this social media platform could be used for instructional purposes. However, findings concerning Facebook in higher education instruction have been mixed. Furthermore, some studies have indicated significant boundaries to the…

  6. Sanitation-related psychosocial stress: A grounded theory study of women across the life-course in Odisha, India.

    Science.gov (United States)

    Sahoo, Krushna Chandra; Hulland, Kristyna R S; Caruso, Bethany A; Swain, Rojalin; Freeman, Matthew C; Panigrahi, Pinaki; Dreibelbis, Robert

    2015-08-01

    While sanitation interventions have focused primarily on child health, women's unique health risks from inadequate sanitation are gaining recognition as a priority issue. This study examines the range of sanitation-related psychosocial stressors during routine sanitation practices in Odisha, India. Between August 2013 and March 2014, we conducted in-depth interviews with 56 women in four life stages: adolescent, newly married, pregnant and established adult women in three settings: urban slums, rural villages and indigenous villages. Using a grounded theory approach, the study team transcribed, translated, coded and discussed interviews using detailed analytic memos to identify and characterize stressors at each life stage and study site. We found that sanitation practices encompassed more than defecation and urination and included carrying water, washing, bathing, menstrual management, and changing clothes. During the course of these activities, women encountered three broad types of stressors-environmental, social, and sexual-the intensity of which were modified by the woman's life stage, living environment, and access to sanitation facilities. Environmental barriers, social factors and fears of sexual violence all contributed to sanitation-related psychosocial stress. Though women responded with small changes to sanitation practices, they were unable to significantly modify their circumstances, notably by achieving adequate privacy for sanitation-related behaviors. A better understanding of the range of causes of stress and adaptive behaviors is needed to inform context-specific, gender-sensitive sanitation interventions.

  7. Factors influencing how senior nurses and midwives acquire and integrate coaching skills into routine practice: a grounded theory study.

    Science.gov (United States)

    Rafferty, Rae; Fairbrother, Greg

    2015-06-01

    To introduce a theory which describes the process of and explicates the factors moderating, the acquisition and integration of leadership coaching skills into the routine practice of senior nurses and midwives. Organizations invest significant resources in leadership coaching programs to ensure that coaching is embedded as a core function of the manager's role. However, even after training, many managers remain unable to undertake this role successfully. The process by which health professionals translate 'manager as coach' training into successful practice outcomes, has remained largely unexplored. A grounded theory study design. Data, collected between February 2012-May 2013, included in-depth interviews with 20 senior nurses and midwives who had attended a leadership coaching program and analysis of nine reflective practice journals. Multiple researchers coded and analysed the data using constant comparative techniques. The outcomes of coaching training ranged from inappropriate use of the coaching skills through to transformed managerial practice. These outcomes were influenced by the dynamic interaction of three central domains of the emergent theoretical model: pre-existing individual perceptions, program elements and contemporaneous experiences. Interactions occurred within the domains and between them, impacting on activators such as courage, motivation, commitment and confidence. The study offers new insights into how senior nurses and midwives acquire and integrate coaching skills into their routine practice. The process is described as multifactorial and dynamic and has implications for the training design, delivery and organizational support of future leadership coaching programs. © 2015 John Wiley & Sons Ltd.

  8. Being healthy: A Grounded Theory study of help seeking behaviour among Chinese elders living in the UK

    Directory of Open Access Journals (Sweden)

    Zhenmi Liu

    2014-10-01

    Full Text Available The health of older people is a priority in many countries as the world's population ages. Attitudes towards help seeking behaviours in older people remain a largely unexplored field of research. This is particularly true for older minority groups where the place that they have migrated to presents both cultural and structural challenges. The UK, like other countries, has an increasingly aging Chinese population about who relatively little is known. This study used a qualitative grounded theory design following the approach of Glaser (1978. Qualitative data were collected using semi-structured interviews with 33 Chinese elders who were aged between 60 and 84, using purposive and theoretical sampling approaches. Data were analysed using the constant comparative method until data saturation occurred and a substantive theory was generated. “Being healthy” (the core category with four interrelated categories: self-management, normalizing/minimizing, access to health services, and being cured form the theory. The theory was generated around the core explanations provided by participants and Chinese elders’ concerns about health issues they face in their daily life. We also present data about how they direct their health-related activities towards meeting their physical and psychological goals of being healthy. Their differential understanding of diseases and a lack of information about health services were potent predictors of non–help seeking and “self” rather than medical management of their illnesses. This study highlights the need for intervention and health support for Chinese elders.

  9. Promoting survival: A grounded theory study of consequences of modern health practices in Ouramanat region of Iranian Kurdistan.

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    Mohammadpur, Ahmad; Rezaei, Mehdi; Sadeghi, Rasoul

    2010-05-14

    The aim of this qualitative study is to explore the way people using modern health care perceive its consequences in Ouraman-e-Takht region of Iranian Kurdistan. Ouraman-e-Takht is a rural, highly mountainous and dry region located in the southwest Kurdistan province of Iran. Recently, modern health practices have been introduced to the region. The purpose of this study was to investigate, from the Ouramains' point of view, the impact that modern health services and practices have had on the Ouraman traditional way of life. Interview data from respondents were analyzed by using grounded theory. Promoting survival was the core category that explained the impact that modern health practices have had on the Ouraman region. The people of Ouraman interpreted modern health practices as increasing their quality of life and promoting their survival. Results are organized around this core category in a paradigm model consisting of conditions, interactions, and consequences. This model can be used to understand the impact of change from the introduction of modern health on a traditional society.

  10. Treatment expectations of men with ED and their female partners: an exploratory qualitative study based on grounded theory.

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    Henninger, S; Höhn, C; Leiber, C; Berner, M M

    2015-01-01

    Erectile dysfunction (ED) can impair the quality of life and the relationship. An early treatment is necessary to avoid the development of comorbid complaints. To arise the help-seeking behavior and to improve the treatment of affected men, it is necessary to be aware of the treatment expectations. The objective of this study was to investigate the treatment expectations of men with ED and their female partners. This is an explorative qualitative study using semistructured telephone interviews with 12 men with ED and their female partners. Interviews were tape-recorded, transcribed and analyzed on the basis of the grounded theory. We could identify various treatment expectations, which could be differentiated into expectations according to the conditions (for example, low costs and an early access), the handling of the practitioner (for example, showing interest and taking the patient seriously or incorporate the female partner), the treatment itself (for example, clearing the causes and helpful medication) and the treatment outcome (for example, having no ED and more sexual desire). Considering the identified expectations could increase treatment motivation and compliance. We derive five theses from our data, how to implement our findings.

  11. Being healthy: a grounded theory study of help seeking behaviour among Chinese elders living in the UK.

    Science.gov (United States)

    Liu, Zhenmi; Beaver, Kinta; Speed, Shaun

    2014-01-01

    The health of older people is a priority in many countries as the world's population ages. Attitudes towards help seeking behaviours in older people remain a largely unexplored field of research. This is particularly true for older minority groups where the place that they have migrated to presents both cultural and structural challenges. The UK, like other countries, has an increasingly aging Chinese population about who relatively little is known. This study used a qualitative grounded theory design following the approach of Glaser (1978). Qualitative data were collected using semi-structured interviews with 33 Chinese elders who were aged between 60 and 84, using purposive and theoretical sampling approaches. Data were analysed using the constant comparative method until data saturation occurred and a substantive theory was generated. "Being healthy" (the core category) with four interrelated categories: self-management, normalizing/minimizing, access to health services, and being cured form the theory. The theory was generated around the core explanations provided by participants and Chinese elders' concerns about health issues they face in their daily life. We also present data about how they direct their health-related activities towards meeting their physical and psychological goals of being healthy. Their differential understanding of diseases and a lack of information about health services were potent predictors of non-help seeking and "self" rather than medical management of their illnesses. This study highlights the need for intervention and health support for Chinese elders.

  12. A Grounded Theory Study of the Process of Accessing Information on the World Wide Web by People with Mild Traumatic Brain Injury

    Science.gov (United States)

    Blodgett, Cynthia S.

    2008-01-01

    The purpose of this grounded theory study was to examine the process by which people with Mild Traumatic Brain Injury (MTBI) access information on the web. Recent estimates include amateur sports and recreation injuries, non-hospital clinics and treatment facilities, private and public emergency department visits and admissions, providing…

  13. The Impact of Multiple Master Patient Index Records on the Business Performance of Health Care Organizations: A Qualitative Grounded Theory Study

    Science.gov (United States)

    Banton, Cynthia L.

    2014-01-01

    The purpose of this qualitative grounded theory study was to explore and examine the factors that led to the creation of multiple record entries, and present a theory on the impact the problem has on the business performance of health care organizations. A sample of 59 health care professionals across the United States participated in an online…

  14. The Co-Teaching Journey: A Systematic Grounded Theory Study Investigating How Secondary School Teachers Resolve Challenges in Co-Teaching

    Science.gov (United States)

    Gerst, Sharon

    2012-01-01

    The purpose of this systematic grounded theory study was to explain how problems inherent in co-teaching relationships are resolved by secondary school special education and general education teachers at an urban school district in Eastern Iowa. The participants were general and special education secondary school teachers involved in effective…

  15. Alone together : A grounded theory study of experienced burden, coping, and support needs of spouses of persons with a bipolar disorder

    NARCIS (Netherlands)

    van der Voort, Trijntje Y. G.; Goossens, Peter J. J.; van der Bijl, Jaap J.

    2009-01-01

    Bipolar disorder is a chronic and severe mental disorder. Little is known about the experiences of the spouses of such patients. A grounded theory study was undertaken to examine the burden for spouses living with a partner with a bipolar disorder and to explore how they cope and what support they n

  16. Men who batter intimate partners: a grounded theory study of the development of male violence in intimate partner relationships.

    Science.gov (United States)

    Tilley, Donna Scott; Brackley, Margaret

    2005-04-01

    Intimate partner violence is a serious and pervasive problem in U.S. society, with 25% of women and 7.6% of men reporting physical abuse by an intimate partner each year. Understanding the risk factors for development of violence is essential toward the development of interventions to reduce partner violence. Much of the understanding about the development of partner violence is based on research with victims rather than perpetrators. The study was conducted with men convicted of assault on an intimate female partner. Grounded theory was the method used to analyze data from interviews with 16 men participating in a batterers' intervention and prevention program. From the data, the Violent Couples Model was developed. The primary elements of the Violent Couples Model are justifying violence, minimizing violence, childhood exposure to violence, ineffective anger management, childhood experience of violence, and ineffective conflict resolution. Social and familial factors serve as moderating elements. Contextual elements of the model include power and control, social isolation, desensitization, insecure maternal relationships, the view of violence as a private problem, ambivalent intimate relationships, objectification of women, immaturity, lack of awareness about what constitutes violence, mistrust, traditional views of the roles of women, financial issues, and jealousy. Interventions indicated in the model are primary, or preventive, in nature. The model focuses on prevention efforts with the family as a whole, rather than on batterers alone.

  17. Participation a Key Factor for Life Recovery After Disaster: A Grounded Theory Study in an Iranian Context

    Science.gov (United States)

    Nakhaei, Maryam; Khankeh, Hamid Reza; Masoumi, Gholam Reza; Hosseini, Mohammad Ali; Parsa-Yekta, Zohreh

    2016-01-01

    Background Since life recovery after disasters is a subjective and multifaceted construct influenced by different factors, and survivors’ main concerns and experiences are not clear, the researchers intended to explore this process. Materials and Methods This study was conducted in 2011 - 2014 based on the grounded theory approach. Participants were selected by purposeful sampling followed by theoretical sampling to achieve conceptual and theoretical saturation. Data were collected through interviews, observation, focus group discussion, and document reviews. Data were analyzed by Strauss and Corbin’s (2008) recommended approach. Results Transcribed data from 26 interviews (managers, health care providers, and receivers), field notes, and other documents were analyzed, and 1,652 open codes were identified. The codes were categorized, using constant comparative analysis, into five main categories including reactive exposure, subsiding emotions, need for comprehensive health recovery, improvement of normalization (new normality achievement), and contextual factors. The process of life recovery after disaster was also explored. Conclusions The results clarified a deep perception of participants’ experiences after disaster. The path of life recovery after disasters involves participants’ striving to achieve a comprehensive health recovery, which starts with the need for all-inclusive health recovery as a main concern; this is the motivator for a responding strategy. This strategy is participatory, and the process is progressive; achievement of a new normality is the final goal, with new development and levels of empowerment. PMID:27703797

  18. Adolescent girls' experiences of underlying social processes triggering stress in their everyday life: a grounded theory study.

    Science.gov (United States)

    Haraldsson, Katarina; Lindgren, Eva-Carin; Mattsson, Bengt; Fridlund, Bengt; Marklund, Bertil

    2011-04-01

    The aim of this study was to generate a theoretical model of underlying social processes that trigger stress in adolescent girls' everyday life. In-depth interviews regarding the experiences of stress at home, school and during leisure time were conducted with 14 17-year-old schoolgirls. Data were analysed by means of the grounded theory method. Stress was triggered in the interaction between responsibility and the way in which the girls were encountered. Triggered emotional reactions took the form of four dimensions of stress included ambivalence, frustration, despair and downheartedness. These reactions were dependent on whether the girls voluntary assumed responsibility for various situations or whether they were forced, or felt they were being forced, to assume responsibility in interaction with an encounter characterized by closeness or distance. These forms of stress reactions could appear in one dimension and subsequently shift to another. From the public health perspective, the generated stress model can be used in the planning and implementation of future actions to prevent stress and promote well-being related to stress in adolescent girls.

  19. Resourcing the clinical complementary medicine information needs of Australian medical students: Results of a grounded theory study.

    Science.gov (United States)

    Templeman, Kate; Robinson, Anske; McKenna, Lisa

    2016-09-01

    The aim of this study was to identify Australian medical students' complementary medicine information needs. Thirty medical students from 10 medical education faculties across Australian universities were recruited. Data were generated using in-depth semi-structured interviews and constructivist grounded theory method was used to analyze and construct data. Students sought complementary medicine information from a range of inadequate sources, such as pharmacological texts, Internet searches, peer-reviewed medical journals, and drug databases. The students identified that many complementary medicine resources may not be regarded as objective, reliable, differentiated, or comprehensive, leaving much that medical education needs to address. Most students sought succinct, easily accessible, evidence-based information to inform safe and appropriate clinical decisions about complementary medicines. A number of preferred resources were identified that can be recommended and actively promoted to medical students. Therefore, specific, evidence-based complementary medicine databases and secondary resources should be subscribed and recommended to medical schools and students, to assist meeting professional responsibilities regarding complementary medicines. These findings may help inform the development of appropriate medical information resources regarding complementary medicines. © 2016 John Wiley & Sons Australia, Ltd.

  20. A question of finding harmony: a grounded theory study of clinical psychologists' experience of addressing spiritual beliefs in therapy.

    Science.gov (United States)

    Crossley, Jon P; Salter, Denis P

    2005-09-01

    In spite of the increasing emphasis upon spirituality in the psychological literature, research continues to highlight concerns that issues relating to spirituality are regularly overlooked within a therapeutic setting. The aim of the current study was to develop an account of the way in which clinical psychologists understand and address spirituality within therapy. Semi-structured interviews were conducted with eight clinical psychologists. The transcripts were analysed using the qualitative methodology of grounded theory, which also informed the data collection process. Two core categories were developed and termed spirituality as an elusive concept and finding harmony with spiritual beliefs. The diversity of meaning surrounding spirituality and the relative lack of engagement was found to create difficulty for constructing spirituality coherently as a concept. When specifically considering methods for identifying and addressing spiritual beliefs, contrasting approaches were identified. This diversity in understanding and approach has implications for the process and outcome of therapy, which are discussed in detail. Recommendations are suggested for developing spirituality as a more coherent and accessible concept, both within professional dialogue and the therapeutic context.

  1. Participation a Key Factor for Life Recovery After Disaster: A Grounded Theory Study in an Iranian Context.

    Science.gov (United States)

    Nakhaei, Maryam; Khankeh, Hamid Reza; Masoumi, Gholam Reza; Hosseini, Mohammad Ali; Parsa-Yekta, Zohreh

    2016-07-01

    Since life recovery after disasters is a subjective and multifaceted construct influenced by different factors, and survivors' main concerns and experiences are not clear, the researchers intended to explore this process. This study was conducted in 2011 - 2014 based on the grounded theory approach. Participants were selected by purposeful sampling followed by theoretical sampling to achieve conceptual and theoretical saturation. Data were collected through interviews, observation, focus group discussion, and document reviews. Data were analyzed by Strauss and Corbin's (2008) recommended approach. Transcribed data from 26 interviews (managers, health care providers, and receivers), field notes, and other documents were analyzed, and 1,652 open codes were identified. The codes were categorized, using constant comparative analysis, into five main categories including reactive exposure, subsiding emotions, need for comprehensive health recovery, improvement of normalization (new normality achievement), and contextual factors. The process of life recovery after disaster was also explored. The results clarified a deep perception of participants' experiences after disaster. The path of life recovery after disasters involves participants' striving to achieve a comprehensive health recovery, which starts with the need for all-inclusive health recovery as a main concern; this is the motivator for a responding strategy. This strategy is participatory, and the process is progressive; achievement of a new normality is the final goal, with new development and levels of empowerment.

  2. As Pliant as the Bamboo: A Grounded Theory Study of Incarcerated Filipino Elderly People's Sense of Resiliency

    Science.gov (United States)

    de Guzman, Allan B.; Imperial, Marnie Yvette G.; Javier, Rianne Rae L.; Kawasaki, Arisa M.

    2017-01-01

    The impact of prison upon incarcerated individuals is considerably destructive and may lead to low mental health resiliency. Despite a large body of literature on resiliency, little is known about the process that the elderly go through in developing resiliency in the penal setting--hence, this grounded theory investigation. The overall intent of…

  3. Entrepreneurial Orientation of Community College Workforce Divisions and the Impact of Organizational Structure: A Grounded Theory Study

    Science.gov (United States)

    Schiefen, Kathleen M.

    2010-01-01

    This research focused on how organizational structure of community colleges influenced the entrepreneurial orientation of deans, directors, vice presidents, and vice chancellors of workforce units. Using grounded theory methodology, the researcher identified three emergent theories applicable to both integrated and separate workforce units. These…

  4. As Pliant as the Bamboo: A Grounded Theory Study of Incarcerated Filipino Elderly People's Sense of Resiliency

    Science.gov (United States)

    de Guzman, Allan B.; Imperial, Marnie Yvette G.; Javier, Rianne Rae L.; Kawasaki, Arisa M.

    2017-01-01

    The impact of prison upon incarcerated individuals is considerably destructive and may lead to low mental health resiliency. Despite a large body of literature on resiliency, little is known about the process that the elderly go through in developing resiliency in the penal setting--hence, this grounded theory investigation. The overall intent of…

  5. Entrepreneurial Orientation of Community College Workforce Divisions and the Impact of Organizational Structure: A Grounded Theory Study

    Science.gov (United States)

    Schiefen, Kathleen M.

    2010-01-01

    This research focused on how organizational structure of community colleges influenced the entrepreneurial orientation of deans, directors, vice presidents, and vice chancellors of workforce units. Using grounded theory methodology, the researcher identified three emergent theories applicable to both integrated and separate workforce units. These…

  6. Building Grounded Theory in Entrepreneurship Research

    DEFF Research Database (Denmark)

    Mäkelä, Markus; Turcan, Romeo V.

    2007-01-01

    In this chapter we describe the process of building of theory from data (Glaser and Strauss 1967; Strauss and Corbin 1998). We discuss current grounded theory in relation to research in entrepreneurship and point out directions and potential improvements for further research in this field...... our approach to grounded theory, we acknowledge the existence of other approaches and try to locate our approach in relation to them. As an important part of this discussion, we take a stand on how to usefully define ‘grounded theory’ and ‘case study research’. Second, we seek to firmly link our....... The chapter has two goals. First, we wish to provide an explicit paradigmatic positioning of the grounded theory methodology, discussing the most relevant views of ontology and epistemology that can be used as alternative starting points for conducting grounded theory research. While the chapter introduces...

  7. Building Grounded Theory in Entrepreneurship Research

    DEFF Research Database (Denmark)

    Mäkelä, Markus; Turcan, Romeo V.

    2007-01-01

    our approach to grounded theory, we acknowledge the existence of other approaches and try to locate our approach in relation to them. As an important part of this discussion, we take a stand on how to usefully define ‘grounded theory’ and ‘case study research’. Second, we seek to firmly link our......In this chapter we describe the process of building of theory from data (Glaser and Strauss 1967; Strauss and Corbin 1998). We discuss current grounded theory in relation to research in entrepreneurship and point out directions and potential improvements for further research in this field...... discussion to the potential value of grounded theory research to the field of entrepreneurship and thus the need in this field of further grounded theory....

  8. From spouse to caregiver and back: a grounded theory study of post-intensive care unit spousal caregiving.

    Science.gov (United States)

    Ågård, Anne Sophie; Egerod, Ingrid; Tønnesen, Else; Lomborg, Kirsten

    2015-08-01

    To explore the challenges and caring activities of spouses of intensive care unit survivors during the first year of patient recovery. Every year, millions of people globally are discharged from an intensive care unit after critical illness to continue treatment, care and rehabilitation in general hospital wards, rehabilitation facilities and at home. Consequently, millions of spouses become informal caregivers. Little is known, however, about the concrete challenges spouses face in post-intensive care unit everyday life. Explorative, qualitative grounded theory study. Participants were spouses of intensive care unit survivors. The study was undertaken in Denmark in 2009-2010. Data consisted of 35 semi-structured dyad interviews at 3 and 12 months post-intensive care unit discharge, two group interviews with patients and two with spouses. 'Shifting their role from spouse to caregiver and back' was identified as the core category of the study. The role shifts progressed in a dynamic process involving four elements: (1) committing to caregiving; (2) acquiring caregiving skills; (3) negotiating level of caregiving and (4) gradually leaving the caregiver role. Post-ICU caregiving comprised five patient dimensions: observing, assisting, coaching, advocating and managing activities. Spouses play a vital and multifaceted role in post-intensive care unit recovery. The findings can inform healthcare professionals in their efforts to prepare intensive care unit patients' families for the time following intensive care unit and hospital discharge. Hospital staff, rehabilitation experts and primary care professionals must acknowledge spouses' important contribution from intensive care unit admission throughout recovery. © 2015 John Wiley & Sons Ltd.

  9. Experiences of using information and communication technology within the first year after stroke - a grounded theory study.

    Science.gov (United States)

    Gustavsson, Martha; Ytterberg, Charlotte; Nabsen Marwaa, Mille; Tham, Kerstin; Guidetti, Susanne

    2016-12-15

    The purpose of this study was to identify how people 6-12 months after stroke were using and integrating information and communication technology (ICT) in their everyday lives. To capture the participants' experiences, one focus group and 14 individual interviews were carried out in Sweden and Denmark regarding the use of ICT in everyday life. The participants comprised 11 men and seven women aged 41-79 years. A grounded theory approach was used throughout the study and a constant comparative method was used in the analysis. Five categories were identified from the analysis of the interviews with the participants: 1) Using the mobile phone to feel safe, 2) Staying connected with others, 3) Recreating everyday life, 4) A tool for managing everyday life, and 5) Overcoming obstacles for using ICT. From these categories one core category emerged: The drive to integrate ICT in everyday life after stroke. People with stroke had a strong drive to integrate ICT in order to manage and bring meaning to their everyday lives, although sometimes they needed support and adaptations. It is not only possible but also necessary to start using ICT in rehabilitation in order to support people's recovery and promote participation in everyday life after stroke. Implications for rehabilitation People with stroke have a strong drive for using information and communication technology in their everyday lives, although support and adaptations are needed. The recovery process of people with stroke could benefit from the use of ICT in the rehabilitation and ICT could possibly contribute to independence and promote participation in everyday life. Knowledge from this study can be used in the development of an ICT-based stroke rehabilitation model.

  10. Task analysis of patients' medication-taking practice and the role of making sense: a grounded theory study.

    Science.gov (United States)

    Bajcar, Jana

    2006-03-01

    Patients on long-term medications have varied medication-taking practices and complex and often unmet medication information needs. The objective of this qualitative study was to describe from the patient's perspective the medication-taking tasks performed by patients currently receiving long-term medications and then to hypothesize how these tasks relate to patients' medication information needs. In-depth semistructured interviews were conducted with individuals between the ages of 18 and 65, who had a college or university education, and who were on at least one long-term medication. Grounded theory approach was used for data gathering and data analysis. Maximum variation and theoretical sampling were used and the sample size was determined when theoretical saturation was reached in the core category. Interpretive and theoretical validity were ensured through member checking, through the use of the constant comparative method, and by a review of the results by a panel of pharmacists and physicians. Ten participants aged between 41 and 64 years were included in the study sample. The participants had between one and 7 chronic illnesses, duration of these illnesses to date varied from 1 year to 40 years, and each participant was taking between one and 13 medications. A model was developed that consists of 4 thematic categories: (a) making sense of medication taking, (b) medication-taking acts, (c) mediation-taking self-assessment, and (d) context of medication taking. The main category was making sense of medication taking that consisted of 3 subcategories: (a) nonproblematic mode, (b) problematic mode, and (c) stunned mode. The model explains how and why a patients' need for medication-taking education may vary because their medication-taking practices changes. The model also connects each category to medication information that people may need. Findings contribute to our understanding of medication-taking practice of individuals on long-term medication and have

  11. [Barriers and facilitators to the implementation of computerized decision support systems in Italian hospitals: a grounded theory study].

    Science.gov (United States)

    Liberati, Elisa Giulia; Galuppo, Laura; Gorli, Mara; Maraldi, Marco; Ruggiero, Francesca; Capobussi, Matteo; Banzi, Rita; Kwag, Koren; Scaratti, Giuseppe; Nanni, Oriana; Ruggieri, Pietro; Polo Friz, Hernan; Cimminiello, Claudio; Bosio, Marco; Mangia, Massimo; Moja, Lorenzo

    2015-04-01

    Computerized Decision Support Systems (CDSSs) connect health care professionals with high-quality, evidence-based information at the point-of-care to guide clinical decision-making. Current research shows the potential of CDSSs to improve the efficiency and quality of patient care. The mere provision of the technology, however, does not guarantee its uptake. This qualitative study aims to explore the barriers and facilitators to the use of CDSSs as identified by health providers. The study was performed in three Italian hospitals, each characterized by a different level of familiarity with the CDSS technology. We interviewed frontline physicians, nurses, information technology staff, and members of the hospital board of directors (n=24). A grounded theory approach informed our sampling criteria as well as the data collection and analysis. The adoption of CDSSs by health care professionals can be represented as a process that consists of six "positionings," each corresponding to an individual's use and perceived mastery of the technology. In conditions of low mastery, the CDSS is perceived as an object of threat, an unfamiliar tool that is difficult to control. On the other hand, individuals in conditions of high mastery view the CDSS as a helpful tool that can be locally adapted and integrated with clinicians' competences to fulfil their needs. In the first positionings, the uptake of CDSSs is hindered by representational obstacles. The last positionings, alternatively, featured technical obstacles to CDSS uptake. Our model of CDSS adoption can guide hospital administrators interested in the future integration of CDSSs to evaluate their organizational contexts, identify potential challenges to the implementation of the technology, and develop an effective strategy to address them. Our findings also allow reflections concerning the misalignment between most Italian hospitals and the current innovation trends toward the uptake of computerized decision support

  12. The experience of acupuncture care from the perspective of people with chronic low back pain: a grounded theory study.

    Science.gov (United States)

    Stomski, N J; Mackintosh, S F; Stanley, M

    2014-08-01

    To explore the experience of acupuncture care from the perspective of people with chronic low back pain. A grounded theory, qualitative study using indepth interviews was undertaken with 11 people who had received acupuncture care for chronic low back pain. Interviews were audio-recorded and transcribed verbatim. Initial, focused and theoretical coding were used to identify a core category and several other categories. The core category, Reclaiming Control, was related to the sense of well-being experienced by most of the participants as a result of undergoing acupuncture care. The other categories were Gaining Sanctuary, Gaining Trust and Working Together. These categories reflected the processes of participants entering an aesthetically appealing, calm and relaxing space; developing confidence in the acupuncturists' ability to care for them; and negotiating strategies and sharing decision-making with acupuncturists about their care. Clinicians using acupuncture as a management strategy for low back pain may elicit an immediate sense of calmness in patients with subsequent well-being benefits. A sense of calmness may also be enhanced through providing a relaxing physical environment. The transactional and interpersonal processes of establishing trust and rapport, and shared decision-making are important for clients. Shared decision-making can be improved by clinicians carefully considering the explanation of issues and plans to a particular patient, especially by developing an understanding of each patient's worldview and using language that the suits each individual's healthcare orientation. Our findings should be interpreted cautiously as the results may be generalisable only to private practice in affluent countries, and whether the findings are representative beyond this setting remains unclear. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  13. Reclaiming life on one's own terms: a grounded theory study of the process of breast cancer survivorship.

    Science.gov (United States)

    Sherman, Deborah Witt; Rosedale, Mary; Haber, Judith

    2012-05-01

    To develop a substantive theory of the process of breast cancer survivorship. Grounded theory. A LISTSERV announcement posted on the SHARE Web site and purposeful recruitment of women known to be diagnosed and treated for breast cancer. 15 women diagnosed with early-stage breast cancer. Constant comparative analysis. Breast cancer survivorship. The core variable identified was Reclaiming Life on One's Own Terms. The perceptions and experiences of the participants revealed overall that the diagnosis of breast cancer was a turning point in life and the stimulus for change. That was followed by the recognition of breast cancer as now being a part of life, leading to the necessity of learning to live with breast cancer, and finally, creating a new life after breast cancer. Participants revealed that breast cancer survivorship is a process marked and shaped by time, the perception of support, and coming to terms with the trauma of a cancer diagnosis and the aftermath of treatment. The process of survivorship continues by assuming an active role in self-healing, gaining a new perspective and reconciling paradoxes, creating a new mindset and moving to a new normal, developing a new way of being in the world on one's own terms, and experiencing growth through adversity beyond survivorship. The process of survivorship for women with breast cancer is an evolutionary journey with short- and long-term challenges. This study shows the development of an empirically testable theory of survivorship that describes and predicts women's experiences following breast cancer treatment from the initial phase of recovery and beyond. The theory also informs interventions that not only reduce negative outcomes, but promote ongoing healing, adjustment, and resilience over time.

  14. The pathway of obstructed labour as perceived by communities in south-western Uganda: a grounded theory study

    Directory of Open Access Journals (Sweden)

    Jerome K. Kabakyenga

    2011-12-01

    Full Text Available Background : Obstructed labour is still a major cause of maternal and perinatal morbidity and mortality in Uganda, where many women give birth at home alone or assisted by non-skilled birth attendants. Little is known of how the community view obstructed labour, and what actions they take in cases where this complication occurs. Objective : The objective of the study was to explore community members’ understanding of and actions taken in cases of obstructed labour in south-western Uganda. Design : Grounded theory (GT was used to analyse data from 20 focus group discussions (FGDs, 10 with women and 10 with men, which were conducted in eight rural and two urban communities. Results : A conceptual model based on the community members’ understanding of obstructed labour and actions taken in response is presented as a pathway initiated by women's desire to ‘protecting own integrity’ (core category. The pathway consisted of six other categories closely linked to the core category, namely: (1 ‘taking control of own birth process’; (2 ‘reaching the limit – failing to give birth’ (individual level; (3 ‘exhausting traditional options’; 4 ‘partner taking charge’; (5 ‘facing challenging referral conditions’ (community level; and finally (6 ‘enduring a non-responsive healthcare system’ (healthcare system level. Conclusions : There is a need to understand and acknowledge women's reluctance to involve others during childbirth. However, the healthcare system should provide acceptable care and a functional referral system closer to the community, thus supporting the community's ability to seek timely care as a response to obstructed labour. Easy access to mobile phones may improve referral systems. Upgrading of infrastructure in the region requires a multi-sectoral approach. Testing of the conceptual model through a quantitative questionnaire is recommended.

  15. A qualitative study of middle school students' perceptions of factors facilitating the learning of science: Grounded theory and existing theory

    Science.gov (United States)

    Spector, Barbara S.; Gibson, Charles W.

    The purpose of this study was to explore middle school students' perceptions of what factors facilitated their learning of science. Florida's Educational Reform Act of 1983 funded programs providing the state's precollege students with summer learning opportunities in science. mathematics, and computers. The programs were intended to encourage the development of creative approaches to the teaching of these disciplines. Under this program, between 50 and 60 high-achieving middle school students were in residence on the University of South Florida campus for 12 consecutive days of study in the World of Water (WOW) program. There were two sessions per summer involving a total of 572 participants. Eighi specially trained teachers were in residence with the students. Between 50 and 70 experts from the university, government. business, and industry interacted with the students each year in an innovative science/technology/society (STS) program. An assignment toward the close of the program asked students to reflect on their experiences in residence at the university and write an essay comparing learning in the WOW program to learning in their schools. Those essays were the base for this study. This was a qualitative study using a discursive approach to emergent design to generate grounded theory. Document review, participant observation, and open-ended interviews were used to gather and triangulate data in five phases. Some of the factors that middle school students perceived as helpful to learning science were (a) experiencing the situations about which they were learning; (b) having live presentations by professional experts; (c) doing hands-on activities: (d) being active learners; (e) using inductive reasoning to generate new knowledge; (f) exploring transdisciplinary approaches to problem solving; (g) having adult mentors; (h) interacting with peers and adults; (i) establishing networks; (j) having close personal friends who shared their interest in learning; (k

  16. Taiwanese women's experiences of becoming a mother to a very-low-birth-weight preterm infant: a grounded theory study.

    Science.gov (United States)

    Lee, Shu-Nu Chang; Long, Ann; Boore, Jennifer

    2009-03-01

    Significant improvements have occurred in the survival rates of small preterm infants. As more infants survive their preterm birth, the number of parents associated with this experience has also increased. Clearly, the birth of very-low-birth-weight (VLBW) preterm infants poses considerable challenges for all mothers. These challenges are further compounded in Taiwan, where women are traditionally required to practise the cultural ritual (Zuo Yue Zi) which includes confinement to the house with a special balanced diet for the first month postnatally. Moreover, there is a deficit of information on mothers' experiences when their preterm infants are in neonatal intensive care units (NICUs). The aim of this study was to explore Taiwanese mothers' (n=26) parenting experiences when their preterm infants were in NICUs. A qualitative research approach, grounded theory, was used to explore the mothers' lived reality of these experiences. In-depth interviews and participant observations were conducted to gain insight into the experience of parenting. A theoretical model was formulated from the findings delineating Taiwanese mothers' parenting experiences during their preterm infants stay in hospital. The findings indicated that the preterm birth, together with the admission of their infants to a NICU, presented mothers with an unexpected crisis. The particular cultural postnatal ritual posed this group of Taiwanese mothers with an additional difficulty in establishing physical interactions. However, the Taiwanese mothers created alternative channels of contact with their hospitalised infants using emotional connections, while the physical interactions were certainly limited. Despite all the difficulties this group of Taiwanese mothers faced and resolved, they all gradually captured and embraced the parenting role. The finding of this study further indicated that the support the mothers received from the healthcare professionals and the social networks the mothers made

  17. Mechanisms which help explain implementation of evidence-based practice in residential aged care facilities: a grounded theory study.

    Science.gov (United States)

    Masso, Malcolm; McCarthy, Grace; Kitson, Alison

    2014-07-01

    The context for the study was a nation-wide programme in Australia to implement evidence-based practice in residential aged care, in nine areas of practice, using a wide range of implementation strategies and involving 108 facilities. The study drew on the experiences of those involved in the programme to answer the question: what mechanisms influence the implementation of evidence-based practice in residential aged care and how do those mechanisms interact? The methodology used grounded theory from a critical realist perspective, informed by a conceptual framework that differentiates between the context, process and content of change. People were purposively sampled and invited to participate in semi-structured interviews, resulting in 44 interviews involving 51 people during 2009 and 2010. Participants had direct experience of implementation in 87 facilities, across nine areas of practice, in diverse locations. Sampling continued until data saturation was reached. The quality of the research was assessed using four criteria for judging trustworthiness: credibility, transferability, dependability and confirmability. Data analysis resulted in the identification of four mechanisms that accounted for what took place and participants' experiences. The core category that provided the greatest understanding of the data was the mechanism On Common Ground, comprising several constructs that formed a 'common ground' for change to occur. The mechanism Learning by Connecting recognised the ability to connect new knowledge with existing practice and knowledge, and make connections between actions and outcomes. Reconciling Competing Priorities was an ongoing mechanism whereby new practices had to compete with an existing set of constantly shifting priorities. Strategies for reconciling priorities ranged from structured approaches such as care planning to more informal arrangements such as conversations during daily work. The mechanism Exercising Agency bridged the gap between

  18. Social meanings and understandings in patient-nurse interaction in the community practice setting: a grounded theory study.

    Science.gov (United States)

    Stoddart, Kathleen M

    2012-09-05

    The patient-nurse relationship is a traditional concern of healthcare research. However, patient-nurse interaction is under examined from a social perspective. Current research focuses mostly on specific contexts of care delivery and experience related to medical condition or illness, or to nurses' speciality. Consequentially, this paper is about the social meanings and understandings at play within situated patient-nurse interaction in the community practice setting in a transforming healthcare service. Grounded theory methodology was used and the research process was characterised by principles of theoretical sensitivity and constant comparative analysis. The field of study was four health centres in the community. The participants were patients and nurses representative of those attending or working in the health centres and meeting there by scheduled appointment. Data collection methods were observations, informal interviews and semi-structured interviews. Key properties of 'Being a good patient, being a good nurse', 'Institutional experiences' and 'Expectations about healthcare' were associated with the construction of a category entitled 'Experience'. Those key properties captured that in an evolving healthcare environment individuals continually re-constructed their reality of being a patient or nurse as they endeavoured to perform appropriately; articulation of past and present healthcare experiences was important in that process. Modus operandi in role as patient was influenced by past experiences in healthcare and by those in non-healthcare institutions in terms of engagement and involvement (or not) in interaction. Patients' expectations about interaction in healthcare included some uncertainly as they strived to make sense of the changing roles and expertise of nurses and, differentiating between the roles and expertise of nurses and doctors. The importance of social meanings and understandings in patient-nurse interaction is not fully apparent to

  19. Demystifying Theoretical Sampling in Grounded Theory Research

    Directory of Open Access Journals (Sweden)

    Jenna Breckenridge BSc(Hons,Ph.D.Candidate

    2009-06-01

    Full Text Available Theoretical sampling is a central tenet of classic grounded theory and is essential to the development and refinement of a theory that is ‘grounded’ in data. While many authors appear to share concurrent definitions of theoretical sampling, the ways in which the process is actually executed remain largely elusive and inconsistent. As such, employing and describing the theoretical sampling process can present a particular challenge to novice researchers embarking upon their first grounded theory study. This article has been written in response to the challenges faced by the first author whilst writing a grounded theory proposal. It is intended to clarify theoretical sampling for new grounded theory researchers, offering some insight into the practicalities of selecting and employing a theoretical sampling strategy. It demonstrates that the credibility of a theory cannot be dissociated from the process by which it has been generated and seeks to encourage and challenge researchers to approach theoretical sampling in a way that is apposite to the core principles of the classic grounded theory methodology.

  20. [Thoughts regarding researchers utilizing Grounded Theory].

    Science.gov (United States)

    Leite, Joséte Luzia; da Silva, Laura Johanson; de Oliveira, Rosane Mara Pontes; Stipp, Marluci Andrade Conceição

    2012-06-01

    This descriptive-reflexive study was performed with the objective to present the characteristics of researchers who use the Grounded Theory method, and outline the development of aptitudes for the researcher to become a Grounded Theoretician. The theoretical discussion was based on the frameworks of this methodology and supported by the literature. The article presents the main demands of qualitative studies using Grounded Theory, and important behaviors, attitudes and characteristics developed by the researchers. It is concluded that learning about Grounded Theory involves more than operationalizing a group of procedures and techniques. It also involves facing challenges to change one's attitude as a researcher and develop new ways of thinking and researching, gathering knowledge based on data to form a theory.

  1. Book Review: Grounded Theory: A practical guide (Birks & Mills, 2011

    Directory of Open Access Journals (Sweden)

    Astrid Gynnild, Ph.D.

    2011-12-01

    Full Text Available What is grounded theory and how is a grounded theory study carried out? Several recent publications have been trying to answer these questions, building on a literature list on the topic that covers more than 40 years of research and scholarship. According to the authors, this book is aimed at beginner researchers, research students and experienced researchers from a variety of disciplines who are unfamiliar with grounded theory.

  2. Book Review: Grounded Theory: A practical guide (Birks & Mills, 2011)

    OpenAIRE

    Astrid Gynnild, Ph.D.

    2011-01-01

    What is grounded theory and how is a grounded theory study carried out? Several recent publications have been trying to answer these questions, building on a literature list on the topic that covers more than 40 years of research and scholarship. According to the authors, this book is aimed at beginner researchers, research students and experienced researchers from a variety of disciplines who are unfamiliar with grounded theory.

  3. Victimising of School Bullying: A Grounded Theory

    Science.gov (United States)

    Thornberg, Robert; Halldin, Karolina; Bolmsjo, Natalie; Petersson, Annelie

    2013-01-01

    The aim of this study was to investigate how individuals;who had been victims of school bullying; perceived their bullying experiences and how these had affected them; and to generate a grounded theory of being a victim of bullying at school. Twenty-one individuals, who all had prior experiences of being bullied in school for more than one year,…

  4. A Grounded Theory of Adult Student Persistence

    Science.gov (United States)

    Capps, Rosemary

    2010-01-01

    This grounded theory study investigates adult student persistence at a community college. Student persistence in college is a prerequisite for degree achievement, which correlates with higher earnings and overall better quality of life. Persistence rates remain low for adult students, who combine their college endeavors with responsibilities to…

  5. The Process of Parents' Decision-Making to Discharge Their Child against Medical Advice (DAMA: A grounded theory study

    Directory of Open Access Journals (Sweden)

    Nikbakht Nasrabadi Alireza

    2016-05-01

    Full Text Available Discharge against medical advice (DAMA refers to the phenomenon that patient or the patient’s surrogate decides to leave the hospital before the attending physician confirms the patient is discharged. Children are much more vulnerable to such discharges. This process occurs with different mechanisms that identifying them can be helpful in reducing this phenomenon. We aimed to explore the process of parents' decision-making to discharge their child against medical advice. In-depth, semi-structured interviews were conducted with 10 fathers, 10 mothers, 6 nurses and 3 physician assistants and the data were collected to the point of saturation. Grounded theory methodology was adopted for data collection and analysis. The results of qualitative analysis in the field of the parents' decisionmaking on the DAMA revealed 4 main themes: "lack of family-centered care", "disruption of the parenting process", "distrust to the medical team and center" and "psychological strategy of shirk responsibility for child care and treatment ". By providing family-centered care, adopting measures to empowering the families, developing the trust of parents to the health care team and developing a discharge plan from the beginning of children hospitalization with the cooperation of health care team and parents and considering all factors such as child's special health condition and parent's health related perceptions and beliefs, children will not be discharged against medical advice and will experience better outcomes.

  6. Challenges to the practice of evidence-based medicine during residents' surgical training: a qualitative study using grounded theory.

    Science.gov (United States)

    Bhandari, Mohit; Montori, Victor; Devereaux, P J; Dosanjh, Sonia; Sprague, Sheila; Guyatt, Gordon H

    2003-11-01

    To examine surgical trainees' barriers to implementing and adopting evidence-based medicine (EBM) in the day-to-day care of surgical patients. In 2000, 28 surgical residents from various subspecialties at a hospital affiliated with McMaster University Faculty of Health Sciences in Ontario, Canada, participated in a focus group (n = 8) and semistructured interviews (n = 20) to explore their perceptions of barriers to the practice of EBM during their training. Additional themes were explored, such as definitions of EBM and potential strategies to implement EBM during training. The canons and procedures of the grounded theory approach to qualitative research guided the coding and content analysis of the data derived from the focus group and semistructured interviews. Residents identified personal barriers, staff-surgeon barriers, and institutional barriers that limited their ability to apply EBM in their daily activities. Residents perceived their lack of education in EBM, time constraints, lack of priority, and fear of staff disapproval as major challenges to practicing EBM. Moreover, the lack of ready access to surgical EBM resource materials proved to be an important additional factor limiting EBM surgical practice. Residents identified several strategies to overcome these barriers to EBM, including hiring staff surgeons with EBM training, offering coursework in critical appraisal for all staff, improving interdepartmental communication, and providing greater flexibility for EBM training. Surgical residents identified a general lack of education, time constraints, lack of priority, and staff disapproval as important factors limiting incorporation of EBM. Curriculum reform and surgeon education may help overcome these barriers.

  7. The Roots of Grounded Theory

    Directory of Open Access Journals (Sweden)

    Barney G Glaser, Ph.D.; Hon Ph.D.

    2006-06-01

    Full Text Available I studied sociology at Stanford 1948 to 1952, which was partially fine but limited in those days. But then I knew I wanted to be a sociologist. Returning to the USA from the army in 1955 to study sociology at Columbia confirmed my goals. I bought the program 100% on doing sociology as my life work. All I do is sociology in every facet of life; work, recreation, family etc. My life is sociology driven and directed.Now let me give you a quote from Barton’s (1955, p.246 article of Paul F. Lazarsfeld [PFL], “Analyzing the logic of research operations to clarify concepts remained a key to PFL’s life”. It has been the key to my life also.“All is data” – that now sloganized tenet of Grounded Theory [GT] – clearly came from PFL per Barton’s words. Robert K. Merton’s [RKM] brief flicker of light – to admit to emergence (see Barton, p. 255 – became the key to GT’s theoretical stance.

  8. Constructing a Grounded Theory of E-Learning Assessment

    Science.gov (United States)

    Alonso-Díaz, Laura; Yuste-Tosina, Rocío

    2015-01-01

    This study traces the development of a grounded theory of assessment in e-learning environments, a field in need of research to establish the parameters of an assessment that is both reliable and worthy of higher learning accreditation. Using grounded theory as a research method, we studied an e-assessment model that does not require physical…

  9. Passing through a rocky way to reach the pick of clinical competency: A grounded theory study on nursing students’ clinical learning

    Science.gov (United States)

    Dadgaran, Seyedeh Ameneh; Parvizy, Soroor; Peyrovi, Hamid

    2012-01-01

    Background: Clinical learning is one of the important issues that helps the perception of nursing students’ practice in a clinical setting and its effect on their professional development. The aim of this study is to describe and state the manner of clinical learning in nursing students. Materials and Methods: This qualitative study was conducted as a grounded theory. The individual semi-structured interviews and participants’ observations were taken into account with a purposive and theoretical sample of 27 participants. The data were analyzed using the grounded theory approach and the constant comparison analysis method. Results: The results showed that students use two approaches of Micro- and Macrolearning. The first includes learning conditions and situations that act like a foundation for the second one (Macrolearning). Macrolearning is a continuous process including all categories of “Facing unfavorable clinical facts”, “Clinical situation and appropriate decision making”, “Bridging the gap between practice and theory”, “Struggle for clinical independence”, and “Dynamism” in a continuum reflecting the struggle to obtain clinical competency (core variable). Conclusions: Through provision of such conditions as students’ gradual acquaintance with real situations, selection of more resistant students, use of mentorship and preceptor ship in clinical learning, enhancement of educational standards in hospitals, handling collaborative learning methods to make a cooperation spirit in internship environment, and so on, students can be helped to obtain clinical competency. PMID:23853644

  10. A model of self-directed learning in internal medicine residency: a qualitative study using grounded theory.

    Science.gov (United States)

    Sawatsky, Adam P; Ratelle, John T; Bonnes, Sara L; Egginton, Jason S; Beckman, Thomas J

    2017-02-02

    Existing theories of self-directed learning (SDL) have emphasized the importance of process, personal, and contextual factors. Previous medical education research has largely focused on the process of SDL. We explored the experience with and perception of SDL among internal medicine residents to gain understanding of the personal and contextual factors of SDL in graduate medical education. Using a constructivist grounded theory approach, we conducted 7 focus group interviews with 46 internal medicine residents at an academic medical center. We processed the data by using open coding and writing analytic memos. Team members organized open codes to create axial codes, which were applied to all transcripts. Guided by a previous model of SDL, we developed a theoretical model that was revised through constant comparison with new data as they were collected, and we refined the theory until it had adequate explanatory power and was appropriately grounded in the experiences of residents. We developed a theoretical model of SDL to explain the process, personal, and contextual factors affecting SDL during residency training. The process of SDL began with a trigger that uncovered a knowledge gap. Residents progressed to formulating learning objectives, using resources, applying knowledge, and evaluating learning. Personal factors included motivations, individual characteristics, and the change in approach to SDL over time. Contextual factors included the need for external guidance, the influence of residency program structure and culture, and the presence of contextual barriers. We developed a theoretical model of SDL in medical education that can be used to promote and assess resident SDL through understanding the process, person, and context of SDL.

  11. Collective Order within Family; An Axial Phenomenon regarding the Effect of Islamic Teachings on the ‎Economic Action of Family: A Study Based on the Grounded Theory

    Directory of Open Access Journals (Sweden)

    ‎ V. Arshadi

    2016-02-01

    Full Text Available The present article aims to identify the intermediate factors regarding the effect of Islamic teachings on family economic action through an interpretative and multifactorial approach. The method is qualitative and is based on grounded theory method”. Due to the interdisciplinary nature of the matter, a semi-structured interview with 16 experts on Islamic economy, Muslim consumer behavior, educational sciences, psychology and sociology and the issue of values and actions has served as the main research tool. The samples were selected through purposive sampling and snowball method, and interviews were conducted to the point of theoretical saturation. Findings of data analysis in this three steps show that factors such as the synergy of the high quality of transfer of teachings from formal and informal education institutes, high quality of the perception of teachings by family members, high quality of family income resources, and faith and belief in the accountability in the Hereafter can create collective order within family based on the subjective value of Islamic economic teaching. The collective order is influenced by "underlying" and "structural" factors and leads to discretion behavior. This paper is also innovative in terms of its profound look into the formation of economic behavior within the family.

  12. "Negotiating, navigating, and networking": three strategies used by nursing leaders to shape the adoption and incorporation of simulation into nursing curricula-a grounded theory study.

    Science.gov (United States)

    Taplay, Karyn; Jack, Susan M; Baxter, Pamela; Eva, Kevin; Martin, Lynn

    2014-01-01

    Background. Implementing simulation requires a substantial commitment of human and financial resources. Despite this, little is known about the strategies used by academic nursing leaders to facilitate the implementation of a simulation program in nursing curricula. Methods. A constructivist grounded theory study was conducted within 13 nursing programs in Ontario, Canada. Perspectives of key stakeholders (n = 27) including nursing administrators (n = 6), simulation leaders (n = 9), and nursing faculty (n = 12) were analyzed using the constant comparison method. Results. Nursing leaders, specifically nursing administrators and simulation leaders who successfully led the adoption and incorporation of simulation into nursing curricula, worked together and utilized negotiating, navigating, and networking strategies that impacted the adoption and incorporation of simulation into nursing curricula. Conclusions. Strategies that were found to be useful when planning and executing the adoption and incorporation of an innovation, specifically simulation, into nursing curricula provide practical approaches that may be helpful to nurse leaders when embarking upon an organizational change.

  13. "Naturalist Inquiry" and Grounded Theory

    Directory of Open Access Journals (Sweden)

    Barney G. Glaser

    2004-01-01

    Full Text Available The world of Qualitative Data Analysis (QDA methodology became quite taken with LINCOLN and GUBA's book "Naturalist Inquiry" (1985. I have no issue with it with respect to its application to QDA; it helped clarify and advance so many QDA issues. However, its application to Grounded Theory (GT has been a major block on GT, as originated, by its cooptation and corruption hence remodeling of GT by default. LINCOLN and GUBA have simply assumed GT is just another QDA method, which it is not. In "The Grounded Theory Perspective II" (GLASER 2002a, Chapter 9 on credibility, I have discussed "Naturalist In­quiry" (NI thought regarding how LINCOLN and GUBA's notion of "trustworthy" data (or worrisome data orientation and how their view of constant comparison can and has remodeled and eroded GT. In this paper I will consider other aspects of NI that remodel GT. URN: urn:nbn:de:0114-fqs040170

  14. Exploring Nurses’, Preschool Teachers’ and Parents’ Perspectives on Information Sharing Using SDQ in a Swedish Setting – A Qualitative Study Using Grounded Theory

    Science.gov (United States)

    Sarkadi, Anna; Fabian, Helena

    2017-01-01

    Evidence-based methods to identify behavioural problems among children are not regularly used within the Swedish Child healthcare. A new procedure was therefore introduced to assess children through parent- and preschool teacher reports using the Strengths and Difficulties Questionnaire (SDQ). This study aims to explore nurses’, preschool teachers’ and parents’ perspectives of this new information sharing model. Using the grounded theory methodology, semi-structured interviews with nurses (n = 10) at child health clinics, preschool teachers (n = 13) and parents (n = 11) of 3-, 4- and 5-year-old children were collected and analysed between March 2014 and June 2014. The analysis was conducted using constant comparative method. The participants were sampled purposively within a larger trial in Sweden. Results indicate that all stakeholders shared a desire to have a complete picture of the child's health. The perceptions that explain why the stakeholders were in favour of the new procedure—the ‘causal conditions’ in a grounded theory model—included: (1) Nurses thought that visits after 18-months were unsatisfactory, (2) Preschool teachers wanted to identify children with difficulties and (3) Parents viewed preschool teachers as being qualified to assess children. However, all stakeholders had doubts as to whether there was a reliable way to assess children’s behaviour. Although nurses found the SDQ to be useful for their clinical evaluation, they noticed that not all parents chose to participate. Both teachers and parents acknowledged benefits of information sharing. However, the former had concerns about parental reactions to their assessments and the latter about how personal information was handled. The theoretical model developed describes that the causal conditions and current context of child healthcare in many respects endorse the introduction of information sharing. However, successful implementation requires considerable work to address

  15. Exploring Nurses', Preschool Teachers' and Parents' Perspectives on Information Sharing Using SDQ in a Swedish Setting - A Qualitative Study Using Grounded Theory.

    Science.gov (United States)

    Fält, Elisabet; Sarkadi, Anna; Fabian, Helena

    2017-01-01

    Evidence-based methods to identify behavioural problems among children are not regularly used within the Swedish Child healthcare. A new procedure was therefore introduced to assess children through parent- and preschool teacher reports using the Strengths and Difficulties Questionnaire (SDQ). This study aims to explore nurses', preschool teachers' and parents' perspectives of this new information sharing model. Using the grounded theory methodology, semi-structured interviews with nurses (n = 10) at child health clinics, preschool teachers (n = 13) and parents (n = 11) of 3-, 4- and 5-year-old children were collected and analysed between March 2014 and June 2014. The analysis was conducted using constant comparative method. The participants were sampled purposively within a larger trial in Sweden. Results indicate that all stakeholders shared a desire to have a complete picture of the child's health. The perceptions that explain why the stakeholders were in favour of the new procedure-the 'causal conditions' in a grounded theory model-included: (1) Nurses thought that visits after 18-months were unsatisfactory, (2) Preschool teachers wanted to identify children with difficulties and (3) Parents viewed preschool teachers as being qualified to assess children. However, all stakeholders had doubts as to whether there was a reliable way to assess children's behaviour. Although nurses found the SDQ to be useful for their clinical evaluation, they noticed that not all parents chose to participate. Both teachers and parents acknowledged benefits of information sharing. However, the former had concerns about parental reactions to their assessments and the latter about how personal information was handled. The theoretical model developed describes that the causal conditions and current context of child healthcare in many respects endorse the introduction of information sharing. However, successful implementation requires considerable work to address barriers: the tension

  16. Nursing communication in nursing care to mastectomized women: a grounded theory study La comunicación de la enfermera em la asistencia de enfermería a la mujer mastectomizada: um estudio de Grounded Theory A comunicação da enfermeira na assistência de enfermagem à mulher mastectomizada: um estudo de Grounded Theory

    Directory of Open Access Journals (Sweden)

    Iliana Maria de Almeida Araújo

    2010-02-01

    Full Text Available The goal was to understand the nurse / patient communication process, emphasizing nursing care to mastectomized women. Symbolic Interactionism and Grounded Theory were used to interview eight nurses from a referral institution in cancer treatment, using the guiding question: how do nurses perceive their communication process with mastectomized women? Data analysis allowed for the creation of a central theory: the meaning of communication in nursing care to women, constituted by three distinct but inter-related phenomena: perceiving communication, the relationship nurse / mastectomized woman and rethinking the communication nurse / mastectomized woman. With a view to satisfactory communication, professionals need to get involved and believe that their presence is as important as the performance of technical procedures that relieve situations of stress.El objetivo fue comprender el proceso de comunicación enfermera/ paciente, con énfasis en la asistencia de enfermería a la mujer mastectomizada. Se utilizó el Interaccionismo Simbólico y la Grounded Theory, para entrevistar ocho enfermeras de una institución con reconocido prestigio en el tratamiento de cáncer, utilizándose la siguiente pregunta: ¿Cómo la enfermera percibe su proceso de comunicación con la mujer mastectomizada? El análisis de los datos permitió la creación de la teoría central: el significado de la comunicación en la atención de enfermería a la mujer; esta se constituye de tres fenómenos diferentes que se interrelacionan: percibiendo la comunicación, la relación enfermera/mujer mastectomizada y repensando la comunicación enfermera/mujer mastectomizada. Así, se comprende que, para que la comunicación se torne satisfactoria, la profesional precisa envolverse y creer que su presencia es tan importante como la realización de procedimientos técnicos y que disminuye situaciones de estrés.Objetivou-se, aqui, compreender o processo de comunicação enfermeira

  17. Grounded theory: methodology and philosophical perspective.

    Science.gov (United States)

    Ghezeljeh, Tahereh Najafi; Emami, Azita

    2009-01-01

    Constructivist grounded theory reshapes the interactive relationship between researcher and participants and provides the reader with a sense of the analytical views through which the researcher examines the data. This paper presents an overview of grounded theory and constructivist grounded theory, exploring the ontological, epistemological and methodological aspects using examples from nursing research.

  18. L'identità percepita: applicare la Grounded Theory in biblioteca Perceived Identity: applying Grounded Theory in Libraries

    Directory of Open Access Journals (Sweden)

    Chiara Faggiolani

    2011-06-01

    Full Text Available L'applicazione della Grounded Theory alle indagini finalizzate ad approfondire l'identità della biblioteca percepita dagli utenti è illustrata attraverso uno studio su quattro biblioteche del sistema bibliotecario comunale di Perugia. Inaugurata alla fine degli anni Sessanta, è una metodologia di ricerca sociale e un insieme di procedure capaci di generare sistematicamente una teoria fondata sui dati. È uno dei metodi interpretativi che mirano a descrivere i significati attribuiti ai fenomeni in esame, risultando particolarmente adatta all’esplorazione dei processi sociali e psicologici sottostanti. I dati passano attraverso le tre fasi di codifica - aperta, assiale, selettiva - e sono spesso elaborati con CAQDAS (Computer Aided Qualitative Data Analysis Software. In biblioteca, la metodologia GT è fondamentale per la piena comprensione dello "scarto" rappresentato da ciò che viene realmente fatto dal bibliotecario e ciò che viene percepito dall'utente. La ricerca nelle biblioteche perugine, condotta attraverso focus group e interviste semi-strutturate, ha portato in primo luogo alla consapevolezza che il concetto che l'utente ha della biblioteca è legato più al "luogo" e allo "spazio" piuttosto che al "servizio". Inoltre, le esigenze riscontrate durante la ricerca riguardano primariamente i campi che si occupano del coinvolgimento dell'utente, del rapporto della biblioteca con la scuola, dell'innovazione, della promozione di collezioni a scaffale aperto, della vivacità culturale, e degli aspetti logistico-architettonici.
    This article presents a reflection on the application of Grounded Theory methodology in a study which aims at understanding how the identity of libraries is perceived by users. The Grounded Theory, elaborated in the sixties by the sociologists, Barney G. Glaser and Anselm L. Strauss, and widely applied today in empirical research in varied disciplines, is a methodology of social research and a combination of

  19. "Naturalist Inquiry" and Grounded Theory

    OpenAIRE

    Barney G. Glaser

    2004-01-01

    Das Buch "Naturalist Inquiry" (NI) von LINCOLN und GUBA (1985) spielt eine wichtige Rolle für die Qualitative Datenanalyse (QDA). Dies ist für das Feld der QDA unproblematisch: NI hat hier wesentlich zur Verdeutlichung und weiteren Entfaltung methodologischer Fragen beigetragen. Bezogen auf die originäre Grounded Theory (GT) hat sich NI jedoch als Hindernis erwiesen durch sukzessive Mitnutzung und "Verfälschung" der ersteren: Für LINCOLN und GUBA ist GT ganz offensichtlich ein QDA-Verfahren (...

  20. "Naturalist Inquiry" und Grounded Theory

    OpenAIRE

    Barney G. Glaser

    2004-01-01

    Das Buch "Naturalist Inquiry" (NI) von LINCOLN und GUBA (1985) spielt eine wichtige Rolle für die Qualitative Datenanalyse (QDA). Dies ist für das Feld der QDA unproblematisch: NI hat hier wesentlich zur Verdeutlichung und weiteren Entfaltung methodologischer Fragen beigetragen. Bezogen auf die originäre Grounded Theory (GT) hat sich NI jedoch als Hindernis erwiesen durch sukzessive Mitnutzung und "Verfälschung" der ersteren: Für LINCOLN und GUBA ist GT ganz offensichtlich ein QDA-Verfahren (...

  1. Stop. Write! Writing Grounded Theory

    Directory of Open Access Journals (Sweden)

    Barney G. Glaser, PhD, Hon. PhD

    2012-06-01

    Full Text Available The message in this book, the dictum in this book, is to stop and write when the Grounded Theory (GT methodology puts you in that ready position. Stop unending conceptualization, unending data coverage, and unending listening to others who would egg you on with additional data, ideas and/or requirements or simply wait too long. I will discuss these ideas in detail. My experience with PhD candidates is that for the few who write when ready, many do not and SHOULD. Simply put, many write-up, but many more should.

  2. Constructing New Theory for Identifying Students with Emotional Disturbance: A Constructivist Approach to Grounded Theory

    OpenAIRE

    2012-01-01

    A grounded theory study that examined how practitioners in a county alternative and correctional education setting identify youth with emotional and behavioral difficulties for special education services provides an exemplar for a constructivist approach to grounded theory methodology. Discussion focuses on how a constructivist orientation to grounded theory methodology informed research decisions, shaped the development of the emergent grounded theory, and prompted a way of thinking about da...

  3. Taking-On: A Grounded Theory of Addressing Barriers in Task Completion

    Science.gov (United States)

    Austinson, Julie Ann

    2011-01-01

    This study of taking-on was conducted using classical grounded theory methodology (Glaser, 1978, 1992, 1998, 2001, 2005; Glaser & Strauss, 1967). Classical grounded theory is inductive, empirical, and naturalistic; it does not utilize manipulation or constrained time frames. Classical grounded theory is a systemic research method used to generate…

  4. Accelerated baccalaureate nursing students use of emotional intelligence in nursing as "caring for a human being": a mixed methods grounded theory study.

    Science.gov (United States)

    Ball, Lisa Sherry

    2013-11-30

    Accelerated nursing students are ideal informants regarding abstract nursing concepts. How emotional intelligence (EI) is used in nursing remains a relatively elusive process that has yet to be empirically modeled. The purpose of this study was to generate a theoretical model that explains how EI is used in nursing by accelerated baccalaureate nursing students. Using a mixed methods grounded theory study design, theoretical sampling of EI scores directed sampling for individual interviews and focus groups. Caring for a human being emerged as the basic social process at the heart of which all other processes--Getting it; Being caring; The essence of professional nurse caring; Doing something to make someone feel better; and Dealing with difficulty--are interconnected. In addition to a theoretical explanation of the use of EI in nursing, this study corroborates findings from other qualitative studies in nursing and contributes a rich description of accelerated baccalaureate nursing students and an example of a mixed methods study design to the small but growing literature in these areas.

  5. Nurses' decision-making in ethically relevant clinical situations using the example of breathlessness: study protocol of a reflexive grounded theory integrating Goffman's framework analysis

    Science.gov (United States)

    Dunger, Christine; Schnell, Martin W; Bausewein, Claudia

    2017-01-01

    Introduction Decision-making (DM) in healthcare can be understood as an interactive process addressing decision makers' reasoning as well as their visible behaviour after the decision is made. Other key elements of DM are ethical aspects and the role as well as the treatment options of the examined professions. Nurses' DM to choose interventions in situations of severe breathlessness is such interactions. They are also ethically relevant regarding the vulnerability of affected patients and possible restrictions or treatment options. The study aims to explore which factors influence nurses' DM to use nursing interventions in situations where patients suffer from severe breathlessness. Methods and analysis Qualitative study including nurses in German hospital wards and hospices. A triangulation of different methods of data collection—participant observation and qualitative expert interviews—and analysis merge in a reflexive grounded theory approach which integrates Goffman's framework analysis. It allows an analysis of nurses' self-statements about DM, their behaviour in relevant clinical situations and its influences. Data collection and analysis will be examined simultaneously. Ethics and dissemination Informed consent will be gained from all participants and the institutional stakeholders. Ongoing consent has to be ensured since observations will take place in healthcare institutions and many patients will be highly vulnerable. The study has been evaluated and approved by the Witten/Herdecke University Ethics Committee, Witten, Germany. Results of the study will be published at congresses and in journal papers.

  6. Investigating the Perceptions of Care Coordinators on Using Behavior Theory-Based Mobile Health Technology With Medicaid Populations: A Grounded Theory Study.

    Science.gov (United States)

    Sigler, Brittany Erika

    2017-03-21

    Medicaid populations are less engaged in their health care than the rest of the population, translating to worse health outcomes and increased health care costs. Since theory-based mobile health (mHealth) interventions have been shown to increase patient engagement, mobile phones may be an optimal strategy to reach this population. With increased development of theory-based mHealth technology, these interventions must now be evaluated with these medically underserved populations in a real-world setting. The aim of our study was to investigate care coordinators' perceived value of using a health behavior theory-based mHealth platform with Medicaid clients. In particular, attention was paid to the perceived impact on patient engagement. This research was conducted using the patient-provider text messaging (short message service, SMS) platform, Sense Health (now Wellpass), which integrates the transtheoretical model (TTM), also called the stages of change model; social cognitive theory (SCT); supportive accountability; and motivational interviewing (MI). Interviews based in grounded theory methodology were conducted with 10 care managers to understand perceptions of the relationship between mHealth and patient engagement. The interviews with care managers yielded a foundation for a grounded theory model, presenting themes that suggested 4 intertwined correlative relationships revolving around patient engagement: (1) A text messaging (short message service, SMS) platform supplements the client-care manager dynamic, which is grounded in high quality, reciprocal-communication to increase patient engagement; (2) Texting enhances the relationship between literacy and access to care for Medicaid patients, increasing low-literacy patients' agency to access services; (3) Texting enhances communication, providing care managers with a new means to support their clients; and (4) Reminders augment client accountability, leading to both increased motivation and readiness to change

  7. Investigating the Perceptions of Care Coordinators on Using Behavior Theory-Based Mobile Health Technology With Medicaid Populations: A Grounded Theory Study

    Science.gov (United States)

    2017-01-01

    Background Medicaid populations are less engaged in their health care than the rest of the population, translating to worse health outcomes and increased health care costs. Since theory-based mobile health (mHealth) interventions have been shown to increase patient engagement, mobile phones may be an optimal strategy to reach this population. With increased development of theory-based mHealth technology, these interventions must now be evaluated with these medically underserved populations in a real-world setting. Objective The aim of our study was to investigate care coordinators’ perceived value of using a health behavior theory-based mHealth platform with Medicaid clients. In particular, attention was paid to the perceived impact on patient engagement. This research was conducted using the patient-provider text messaging (short message service, SMS) platform, Sense Health (now Wellpass), which integrates the transtheoretical model (TTM), also called the stages of change model; social cognitive theory (SCT); supportive accountability; and motivational interviewing (MI). Methods Interviews based in grounded theory methodology were conducted with 10 care managers to understand perceptions of the relationship between mHealth and patient engagement. Results The interviews with care managers yielded a foundation for a grounded theory model, presenting themes that suggested 4 intertwined correlative relationships revolving around patient engagement: (1) A text messaging (short message service, SMS) platform supplements the client-care manager dynamic, which is grounded in high quality, reciprocal-communication to increase patient engagement; (2) Texting enhances the relationship between literacy and access to care for Medicaid patients, increasing low-literacy patients’ agency to access services; (3) Texting enhances communication, providing care managers with a new means to support their clients; and (4) Reminders augment client accountability, leading to both

  8. Struggling for Independence: A Grounded Theory Study on Convalescence of ICU-survivors 12 Months Post ICU Discharge

    DEFF Research Database (Denmark)

    Ågård, Anne Sophie; Egerod, Ingrid; Tønnesen, Else Kirstine

    2012-01-01

    of getting well. Conclusion: The study offers new insight into post-ICU convalescence emphasising patients’ motivation for training to recover. The findings may contribute to defining the best supportive measures and timing of rehabilitation interventions in ICU and post ICU that may help ICU...

  9. A Qualitative Study of the Use of Sand for Counselor Interns in Group Supervision: A Grounded Theory Approach

    Science.gov (United States)

    Andrade, Helena Bohn

    2009-01-01

    The purpose of this study was to explore sandtray as a group supervision method in counselor education programs. The research centered on the personal growth and development of counselor interns as they conceptualized and reflected on cases during group supervision. Research questions guiding the process included: What is the experience of…

  10. A grounded theory of positive youth development through sport based on results from a qualitative meta-study

    Science.gov (United States)

    Holt, Nicholas L.; Neely, Kacey C.; Slater, Linda G.; Camiré, Martin; Côté, Jean; Fraser-Thomas, Jessica; MacDonald, Dany; Strachan, Leisha; Tamminen, Katherine A.

    2017-01-01

    ABSTRACT The overall purpose of this study was to create a model of positive youth development (PYD) through sport grounded in the extant qualitative literature. More specifically, the first objective was to review and evaluate qualitative studies of PYD in sport. The second objective was to analyze and synthesize findings from these studies. Following record identification and screening, 63 articles were retained for analysis. Meta-method analysis revealed strengths of studies were the use of multiple data collection and validity techniques, which produced high-quality data. Weaknesses were limited use of ‘named’ methodologies and inadequate reporting of sampling procedures. Philosophical perspectives were rarely reported, and theory was used sparingly. Results of an inductive meta-data analysis produced three categories: PYD climate (adult relationships, peer relationships, and parental involvement), life skills program focus (life skill building activities and transfer activities), and PYD outcomes (in personal, social, and physical domains). A model that distinguishes between implicit and explicit processes to PYD is presented. PMID:27695511

  11. Nursing staff experiences and responses to violence and aggression in the emergency department: a grounded theory study

    OpenAIRE

    Ferns, Terence James

    2011-01-01

    Aims The aims of the study were to explore how emergency department (ED) nursing staff conceptualise the terms that encompass violence and aggression in the clinical area; to explore the formal reporting practices of nursing staff following such experiences and to explore situational factors at play, relating to the development of violent and aggressive incidents in the ED setting. Background Violence and aggression experienced by ED nursing staff is a well recognised, global phen...

  12. Relatives in older patients' fast-track treatment programme during total hip or knee replacement. A grounded theory study

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher

    was collected between 2010 and 2011 in the orthopaedic wards of two Copenhagen university hospitals, and guided by theoretical sampling. Study I: Seven relatives of patients over 70 years of age participated. Data consisted of 14 non-participant observations, 14 post-observational interviews, and five formal...... interviews. Maintaining Unity emerged as the relatives’ pattern of behaviour, through which they resolved their main concern; preventing the patients from feeling alone. The relatives resolved their main concern through three interchangeable behavioural modes: Protecting mode, by providing loving...

  13. The application of grounded theory and symbolic interactionism.

    Science.gov (United States)

    Jeon, Yun-Hee

    2004-09-01

    This paper describes the methodological and theoretical context and underpinnings of a study that examined community psychiatric nurses' work with family caregivers of older people with depression. The study used grounded theory research methods, with its theoretical foundations drawn from symbolic interactionism. The aims of the study were to describe and conceptualize the processes involved when community nurses work and interact with family caregivers and to develop an explanatory theory of these processes. This paper begins with an explanation of the rationale for using grounded theory as the method of choice, followed by a discussion of the theoretical underpinnings of the study, including a brief summary of the nature and origins of symbolic interactionism. Key premises of symbolic interactionism regarded as central to the study are outlined and an analytical overview of the grounded theory method is provided. The paper concludes with a commentary on some of the issues and debates in the use of grounded theory in nursing research. The main purpose of this paper is to provide a methodical and critical review of symbolic interactionism and grounded theory that can help readers, particularly those who are intending to use grounded theory, better understand the processes involved in applying this method to their research.

  14. Investigating the dimension of time: findings from a modified grounded theory study about clients' experiences and descriptions of temporality or time within music therapy.

    Science.gov (United States)

    Daveson, Barbara; O'Callaghan, Clare

    2011-01-01

    Many references to time or temporality are located within music therapy literature, however little research has been completed regarding this phenomenon. Findings from a modified grounded theory study about clients' experiences and descriptions of time within the context of music therapy are presented here. The study was informed by the constructivist-interpretive paradigm and a grounded-descriptive statement finding resulted. A 2-staged research methodology was used, comprising a deductive-inductive content analysis of information from the public domain, followed by data-mining of information from a minimum of 160 clients and analysis of data from at least 43 of these 160 clients. Information regarding memory experiences, the duration of music therapy effects, recall and retrieval, and experiences of time are identified. Implications for practice are emphasized, in particular the following is stressed (a) the importance of time orientation and temporal connectedness in relation to identity development, (b) temporal strategies within music experience to assist integration, recall, and retrieval of information, and (c) the importance of and the elements involved in time modification. New explanations for music therapy phenomena are shared, and areas for research highlighted. Benefits of using time dynamically to aid therapeutic process are proposed, and it is concluded that temporal experience within the context of music therapy is important in relation to both practice and research.

  15. Exploring the perception of aid organizations' staff about factors affecting management of mass casualty traffic incidents in Iran: a grounded theory study.

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    Bazeli, Javad; Aryankhesal, Aidin; Khorasani-Zavareh, Davoud

    2017-07-01

    Traffic incidents are of main health issues all around the world and cause countless deaths, heavy casualties, and considerable tangible and intangible damage. In this regard, mass casualty traffic incidents are worthy of special attention as, in addition to all losses and damage, they create challenges in the way of providing health services to the victims. The present study is an attempt to explore the challenges and facilitators in management of mass casualty traffic incidents in Iran. This qualitative grounded theory study was carried out with participation of 14 purposively selected experienced managers, paramedics and staff of aid organizations in different provinces of Iran in 2016. Semi-structured interviews were conducted in order to develop the theory. The transcribed interviews were analyzed through open, axial and selective coding. Despite the recent and relatively good improvements in facilities and management procedure of mass casualty traffic incidents in Iran, several problems such as lack of coordination, lack of centralized and integrated command system, large number of organizations participating in operations, duplicate attempts and parallel operations carried out by different organizations, intervention of lay people, and cultural factors halt provision of effective health services to the victims. It is necessary to improve the theoretical and practical knowledge of the relief personnel and paramedics, provide public with education about first aid and improve driving culture, prohibit laypeople from intervening in aid operations, and increase quality and quantity of aid facilities.

  16. Weighing up the costs of seeking health care for dengue symptoms: a grounded theory study of backpackers' decision-making processes.

    Science.gov (United States)

    Vajta, Bálint; Holberg, Mette; Mills, Jane; McBride, William J H

    2015-01-01

    Dengue fever, a mosquito-borne virus, is an ongoing public health issue in North Queensland. Importation of dengue fever by travellers visiting or returning to Australia can lead to epidemics. The mosquito can acquire the virus in the symptomatic viraemic phase, so timely recognition of cases is important to prevent epidemics. There is a gap in the literature about backpackers' knowledge of dengue fever and the decision-making process they use when considering utilising the Australian health-care system. This study uses grounded theory methods to construct a theory that explains the process backpackers use when seeking health care. Fifty semi-structured interviews with backpackers, hostel receptionists, travel agents and pharmacists were analysed, resulting in identification of a core category: 'weighing up the costs of seeking health care'. This core category has three subcategories: 'self-assessment of health status', 'wait-and-see' and 'seek direction'. Findings from this study identified key areas where health promotion material and increased access to health-care professionals could reduce the risk of backpackers spreading dengue fever.

  17. Employees’ Involuntary Non-Use of ICT Influenced by Power Differences: A Case Study with the Grounded Theory Approach

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    Thale Kvernberg Andersen

    2015-07-01

    Full Text Available Power differences affect implementation of information and communication technology (ICT in a way that creates differences in ICT use. Involuntary non-use of new ICT at work occurs when employees want to use the new technology, but are unable to due to factors beyond their control. Findings from an in-depth qualitative study show how involuntary non-use of new ICT can be attributed to power differences between occupational groups in the same organization. The findings suggest that experience is a moderating variable and that closeness to formal power holders as well as closeness to the new technology increases the probability for expert control of the ICT-organization processes. These power differences favor ICT experts over ICT novices and result in a high-quality learning environment for the ICT experts characterized by autonomy, inclusion, and adequate work processes and technological solutions. The ICT novices try to navigate in a learning-hostile work environment characterized by marginalization through expert control, isolation, and inadequate work processes and technological solutions. This led to involuntary non-use by the ICT novices, while the experts became more proficient in ICT use. These findings give managers facing a technological organizational change tools to understand important mechanisms for implementing the change in their own organization, and help them take the right actions to integrate new technology and new organization of work.

  18. ["A Little Bit of Switzerland, a Little Bit of Kosovo". Swiss Immigrants from Former Yugoslavia with Type 2 Diabetes. A Qualitative Study' in Analogy to Grounded Theory].

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    Wenger, A; Mischke, C

    2015-10-01

    Type 2 diabetes is on the increase among the Swiss immigrants. The cultural background of patients presents new linguistic and sociocultural barriers and gains in importance for health care. In order to develop patient-centred care, it is necessary to focus on different sociocultural aspects in everyday life and experiences of immigrants from the former republics of Yugoslavia with diabetes who have rarely been studied in Switzerland. Based on these insights the needs for counselling can be identified and nursing interventions can be designed accordingly. Using the Grounded Theory approach, 5 interviews were analysed according to the Corbin and Strauss coding paradigm. The central phenomenon found is the experience to live in 2 different cultures. The complexity arises from the tension living in 2 cultural backgrounds at the same time. It turns out that in the country of origin the immigrants adjust their disease management. The changing daily rhythm and the more traditional role model affect aspects of their disease management such as diet and/or drug therapy. The different strategies impact the person's roles, emotions, their everyday lives and their families. It provides an insight into the perspective of Swiss immigrants from the former republics of Yugoslavia suffering from diabetes. Many questions are still unanswered and further research will be required. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Women's decision-making about self-protection during sexual activity in the deep south of the USA: a grounded theory study.

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    Konkle-Parker, Deborah; Fouquier, Katherine; Portz, Kaitlin; Wheeless, Linnie; Arnold, Trisha; Harris, Courtney; Turan, Janet

    2017-06-16

    Many women continue to become infected with HIV, particularly in the Southeastern USA, despite widespread knowledge about methods to prevent its sexual transmission. This grounded theory investigation examined the decision-making process women use to guide their use or non-use of self-protective measures when engaging in sexual activity. Participants included women in the Mississippi cohort of the Women's Interagency HIV Study who were infected with or at high risk for HIV. Theoretical sampling was used to recruit a sample of 20 primarily African American women aged between 26 and 56 years, living in rural and urban areas. Data were analysed using constant comparative method to generate a theory of the process that guided women's self-protective decisions. Three key themes were identified: (1) sexual silence, an overall context of silence around sexuality in their communities and relationships; (2) the importance of relationships with male partners, including concepts of 'love and trust', 'filling the void' and 'don't rock the boat'; and (3) perceptions of risk, including 'it never crossed my mind', 'it couldn't happen to me' and 'assumptions about HIV'. These themes impacted on women's understandings of HIV-related risk, making it difficult to put self-protection above other interests and diminishing their motivation to protect themselves.

  20. Grounded theory and feminist inquiry: revitalizing links to the past.

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    Plummer, Marilyn; Young, Lynne E

    2010-04-01

    Grounded theory has served feminist research endeavors since the mid-1990s. Researchers from a variety of disciplines claim methodological compatibility and incorporate feminist principles into their grounded theory studies. This article seeks to demonstrate the epistemological affinity between feminist inquiry and grounded theory. Although this relationship is not necessarily unique, the authors contend that when combined, it loosens the androcentric moorings of the empirical processes underpinning grounded theory, enabling the researchers to design inquiry with greater potential to reveal issues particular to the lives and experiences of marginalized women. The article begins by retracing the roots of grounded theory and feminist inquiry to identify six key areas where the underpinnings of GT are enriched by a feminist perspective when working with women. In addition, the authors draw on the literature and their experience from a 2005 study of peer support and lone mothers' health to demonstrate the advantages of combining these theoretical perspectives. Finally, the authors recommend that nurse researchers draw on feminist principles to guide their use of grounded theory to better serve the interests of women by surfacing issues of gender and power that influence the health experience.

  1. Nurses' decision-making in ethically relevant clinical situations using the example of breathlessness: study protocol of a reflexive grounded theory integrating Goffman's framework analysis.

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    Dunger, Christine; Schnell, Martin W; Bausewein, Claudia

    2017-02-22

    Decision-making (DM) in healthcare can be understood as an interactive process addressing decision makers' reasoning as well as their visible behaviour after the decision is made. Other key elements of DM are ethical aspects and the role as well as the treatment options of the examined professions. Nurses' DM to choose interventions in situations of severe breathlessness is such interactions. They are also ethically relevant regarding the vulnerability of affected patients and possible restrictions or treatment options. The study aims to explore which factors influence nurses' DM to use nursing interventions in situations where patients suffer from severe breathlessness. Qualitative study including nurses in German hospital wards and hospices. A triangulation of different methods of data collection-participant observation and qualitative expert interviews-and analysis merge in a reflexive grounded theory approach which integrates Goffman's framework analysis. It allows an analysis of nurses' self-statements about DM, their behaviour in relevant clinical situations and its influences. Data collection and analysis will be examined simultaneously. Informed consent will be gained from all participants and the institutional stakeholders. Ongoing consent has to be ensured since observations will take place in healthcare institutions and many patients will be highly vulnerable. The study has been evaluated and approved by the Witten/Herdecke University Ethics Committee, Witten, Germany. Results of the study will be published at congresses and in journal papers. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  2. Decision-making experiences of family members of older adults with moderate dementia towards community and residential care home services: a grounded theory study protocol.

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    Le Low, Lisa Pau; Lam, Lai Wah; Fan, Kim Pong

    2017-06-05

    Caring and supporting older people with dementia have become a major public health priority. Recent reports have also revealed a diminishing number of family carers to provide dementia care in the future. Carers who are engaged in the caring role are known to bear significant psychological, practical and economic challenges as the disease advances over time. Seemingly, evidence indicates that the burden of care can be relieved by formal services. This study aims to explore decision-making experiences of family members of older adults with moderate dementia towards the use of community support (CS) and residential care home (RCH) services. A large multi-site constructivist grounded theory in a range of non-government organizations and a private aged home will frame this Hong Kong study. Purposive sampling will begin the recruitment of family members, followed by theoretical sampling. It is estimated that more than 100 family members using CS and RCH services will participate in an interview. The process of successive constant comparative analysis will be undertaken. The final product, a theory, will generate an integrated and comprehensive conceptual understanding which will explain the processes associated with decision-making of family members for dementia sufferers. Deeper understanding of issues including, but not exclusive to, service needs, expectations and hopes among family carers for improving service support to serve dementia sufferers in CS and RCH services will also be revealed. Importantly, this study seeks to illustrate the practical and strategic aspects of the theory and how it may be useful to transfer its applicability to various service settings to better support those who deliver formal and informal care to the dementia population.

  3. Evolving Grounded Theory Methodology: towards a discursive approach.

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    McCreaddie, May; Payne, Sheila

    2010-06-01

    Grounded Theory Methodology (GTM) is a widely cited research approach based upon symbolic interaction with a focus on interaction, action and processes. Relatively recently, Discursive Psychology; a language-based interaction research approach also based on symbolic interaction, emerged. At present Discursive Psychology is principally cited in the social sciences literature. Given Discursive Psychology's symbolic interaction foundations, what relevance does this approach have for evolving GTM? A number of methodological challenges were posed by a study looking at humour in Clinical Nurse Specialist-patient interactions. This paper will use the phenomenon of spontaneous humour in healthcare interactions to illustrate the potential for a new form of GTM drawing on discursive approaches; Discursive GTM. First, the challenges presented by a study looking at spontaneous humour in Clinical Nurse Specialist-patient interactions are presented. Second, the research approach adopted to meet these challenges - Discursive GTM (DGTM) - is explicated and the results of the study are outlined. Third, the different GTM approaches and Discursive Psychology are compared and contrasted in relation to the DGTM approach adopted. Finally, the challenges and tensions of using DGTM as well as the opportunities afforded by the use of naturally occurring data are reviewed. The authors contend that a DGTM approach may be appropriate in analyzing certain phenomena. In particular, we highlight the potential contribution of naturally occurring data as an adjunct to researcher-elicited data. Thus, when exploring particular phenomena, a DGTM approach may address the potentially under-developed symbolic interaction tenet of language.

  4. 'Seeing me through my memories': a grounded theory study on using reminiscence with people with dementia living in long-term care.

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    Cooney, Adeline; Hunter, Andrew; Murphy, Kathy; Casey, Dympna; Devane, Declan; Smyth, Siobhan; Dempsey, Laura; Murphy, Edel; Jordan, Fionnuala; O'Shea, Eamon

    2014-12-01

    To understand people with dementia, staff and relatives perspectives on reminiscence, its impact on their lives and experience of care and care giving. The quality of life of people with dementia living in long-term care is an important question for providers and policymakers. Reminiscence is thought to have potential for increasing resident-staff interaction, thereby contributing to enhanced personhood for people with dementia. Relatively little is known about the effects of reminiscence on people with dementia or staff. This is a grounded theory study. This design was chosen because of its focus on understanding people's behaviour, interaction and response to events. In-depth interviews were conducted with residents with dementia (n = 11), relatives (n = 5), healthcare assistants (n = 10), nurses (n = 9) and nurse managers (n = 3). Reminiscence enabled staff to see and know the person beneath the dementia. It acted as … a key revealing the person to staff, enabling them to engage with the person with dementia in a different way. Knowing the person enabled staff to understand (through the lens of the person's past) and sometimes to accommodate the person's current behaviour. The theory of 'seeing me (through my memories)' was generated from the data. This theory explains that through reminiscing and engaging with the person with dementia, staff begin to see the person (their personhood) through the mirror of their memories. This study found that reminiscence enhanced the experience of living in long-term care for residents with dementia and working in long-term care settings for staff. © 2014 John Wiley & Sons Ltd.

  5. Exploring the role of cognitive and structural forms of social capital in HIV/AIDS trends in the Kagera region of Tanzania - a grounded theory study.

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    Frumence, Gasto; Eriksson, Malin; Nystrom, Lennarth; Killewo, Japhet; Emmelin, Maria

    2011-04-01

    The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews were carried out to represent the range of experiences of existing social capital. Both structural and cognitive social capital were active avenues for community members to come together, empower each other, and develop norms, values, trust and reciprocal relations. This empowerment created an enabling environment in which members could adopt protective behaviours against HIV infection. On the one hand, we observed that involvement in formal and informal organisations resulted in a reduction of numbers of sexual partners, led people to demand abstinence from sexual relations until marriage, caused fewer opportunities for casual sex, and gave individuals the agency to demand the use of condoms. On the other hand, strict membership rules and regulations excluded some members, particularly excessive alcohol drinkers and debtors, from becoming members of the social groups, which increased their vulnerability in terms of exposure to HIV. Social gatherings (especially those organised during the night) were also found to increase youths' risk of HIV infection through instances of unsafe sex. We conclude that even though social capital may at times have negative effects on individuals' HIV-prevention efforts, this study provides initial evidence that social capital is largely protective through empowering vulnerable groups such as women and the poor to protect against HIV infection and by promoting protective sexual behaviours.

  6. The critical factors that influence faculty attitudes and perceptions of teaching English as Second Language nursing students: A grounded theory research study.

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    Starkey, Traci J

    2015-05-01

    As the demographics of the United States change, nursing will need to become more ethnically diverse in order to provide culturally responsive healthcare. Enrollment of English as Second Language nursing students is increasing; however, these students often encounter academic difficulties. The increase in English as Second Language nursing students in the classroom and clinical setting has posed challenges for nurse faculty. To explore the critical factors that influence faculty attitudes and perceptions of teaching English as Second Language nursing students. A grounded theory method based on the philosophical underpinnings of symbolic interactionism and pragmatism was used to explore the critical factors that influence faculty attitudes and perceptions of teaching English as Second Language nursing students. The study took place at various schools of nursing in the Southeast Florida area. Educators teaching in an associate, baccalaureate, and/or graduate nursing program at an accredited school of nursing. Semi-structured interviews and a focus group were conducted to collect data from nurse faculty. Data segments from interviews were coded, categorized, and analyzed. Theoretical sampling and a focus group interview were used to validate the concepts, themes, and categories identified during the individual interviews. A substantive level theory was developed. The core category that developed was conscientization. The three dominant categories that emerged from the data were overcoming, coming to know, and facilitating. The theoretical framework of conscientization provided an explanation of the social processes involved in teaching English as Second Language nursing students. The theoretical framework developed from this study can be used to increase the effectiveness of teaching English as Second Language nursing students, improve their chances of success, and enhance diversity in the nursing profession. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Pressure and judgement within a dichotomous landscape of infant feeding: a grounded theory study to explore why breastfeeding women do not access peer support provision.

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    Hunt, Louise; Thomson, Gill

    2016-04-01

    Lack of support is reported as a key reason for early breastfeeding cessation. While breastfeeding peer support (BPS) is a recommended intervention to increase breastfeeding rates, a number of studies identify that engagement with BPS is problematic. Due to paucity of research in this area, this study explores why breastfeeding women do not access BPS in South-West England. Utilising a constructionist grounded theory approach, 33 participants (women (n = 13), health professionals (n = 6) and peer supporters (n = 14)) participated in a semi-structured interview (n = 22) or focus group (n = 11). Analysis involved open coding, constant comparisons and focussed coding. One core category and three main themes explicating non-access were identified. The core category concerns women's experiences of pressure and judgement around their feeding decisions within a dichotomous landscape of infant feeding language and support. Theme one, 'place and space of support', describes the contrast between perceived pressure to breastfeed and a lack of adequate and appropriate support. Theme two, 'one way or no way', outlines the rules-based approach to breastfeeding adopted by some health professionals and how women avoided BPS due to anticipating a similar approach. Theme three, 'it must be me', concerns how lack of embodied insights could lead to 'breastfeeding failure' identities. A background of dichotomised language, pressure and moral judgement, combined with the organisation of post-natal care and the model of breastfeeding adopted by health professionals, may inhibit women's access to BPS. A socio-cultural model of breastfeeding support providing clear messages regarding the value and purpose of BPS should be adopted.

  8. Recovery of Sleep or Recovery of Self? A Grounded Theory Study of Residents' Decision Making Regarding How to Spend Their Nonclinical Postcall Time.

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    Taylor, Taryn S; Nisker, Jeff; Teunissen, Pim W; Dornan, Tim; Lingard, Lorelei

    2016-03-01

    As resident work hours policies evolve, residents' off-duty time remains poorly understood. Despite assumptions about how residents should be using their postcall, off-duty time, there is little research on how residents actually use this time and the reasoning underpinning their activities. This study sought to understand residents' nonclinical postcall activities when they leave the hospital, their decision-making processes, and their perspectives on the relationship between these activities and their well-being or recovery. The study took place at a Liaison Committee on Medical Education-accredited Canadian medical school from 2012 to 2014. The authors recruited a purposive and convenience sample of postgraduate year 1-5 residents from six surgical and nonsurgical specialties at three hospitals affiliated with the medical school. Using a constructivist grounded theory approach, semistructured interviews were conducted, audio-taped, transcribed, anonymized, and combined with field notes. The authors analyzed interview transcripts using constant comparative analysis and performed post hoc member checking. Twenty-four residents participated. Residents characterized their predominant approach to postcall decision making as one of making trade-offs between multiple, competing, seemingly incompatible, but equally valuable, activities. Participants exhibited two different trade-off orientations: being oriented toward maintaining a normal life or toward mitigating fatigue. The authors' findings on residents' trade-off orientations suggest a dual recovery model with postcall trade-offs motivated by the recovery of sleep or of self. This model challenges the dominant viewpoint in the current duty hours literature and suggests that the duty hours discussion must be broadened to include other recovery processes.

  9. Linking Symbolic Interactionism and Grounded Theory Methods in a Research Design

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    Jennifer Chamberlain-Salaun

    2013-09-01

    Full Text Available This article focuses on Corbin and Strauss’ evolved version of grounded theory. In the third edition of their seminal text, Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, the authors present 16 assumptions that underpin their conception of grounded theory methodology. The assumptions stem from a symbolic interactionism perspective of social life, including the themes of meaning, action and interaction, self and perspectives. As research design incorporates both methodology and methods, the authors aim to expose the linkages between the 16 assumptions and essential grounded theory methods, highlighting the application of the latter in light of the former. Analyzing the links between symbolic interactionism and essential grounded theory methods provides novice researchers and researchers new to grounded theory with a foundation from which to design an evolved grounded theory research study.

  10. The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition.

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    Van de Velde, Dominique; Devisch, Ignaas; De Vriendt, Patricia

    2016-08-01

    Purpose To explore the perspectives of male clients in a neurological rehabilitation setting with regard to the occupational therapy they have received and the client-centred approach. Method This study involved a qualitative research design based on the grounded theory tradition. Individual in-depth interviews were used to collect data. Data were analysed using a constant comparative method. Seven male participants from an inpatient neurological setting were included using a theoretical sampling technique. Results Three themes emerged to describe the approach of the therapists to client-centred practice: (a) a shared biomedical focus as the start of the rehabilitation process, (b) the un-simultaneous shift from a biomedical towards a psycho-social focus and (c) formal versus informal nature of gathering client information. Conclusion A client-centred approach entails a shift from the therapist focussing on recovery from the short-term neurological issues towards the long-term consequences of the disease. According to the client, this shift in reasoning must occur at a specific and highly subjective moment during the rehabilitation process. Identifying this moment could strengthen the client-centred approach. Implications for Rehabilitation Client-centred practice entails a shift from recovering the short-term neurological issues towards the long-term psycho-social consequences of the disease. To be effective in client-centred practice, the clients expect from the professional to be an authority with regard to biomedical issues and to be partner with regard to psycho-social issues. Client-centred practice is most likely to be successful when client is susceptible to discuss his psycho-social issues and finding this moment is a challenge for the professional. Using formal methods for goal setting do not necessarily cover all the information needed for a client-centred therapy programme. Rather, using informal methods could lead to a more valid image of the client.

  11. Grounded Theory Methodology: Positivism, Hermeneutics, and Pragmatism

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    Age, Lars-Johan

    2011-01-01

    Glaserian grounded theory methodology, which has been widely adopted as a scientific methodology in recent decades, has been variously characterised as "hermeneutic" and "positivist." This commentary therefore takes a different approach to characterising grounded theory by undertaking a comprehensive analysis of: (a) the philosophical paradigms of…

  12. Threat of the feminine identity: The emerging structure in exploring the process of women's empowerment for menopause management: A grounded theory study

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    Mansoureh Yazdkhasti

    2016-11-01

    Full Text Available Women empowerment in different spheres of life especially menopause is among the key elements of health promotion in all communities. However there is no realistic images of empowering women in menopausal symptoms management. The present survey aimed to explain the process of women's empowerment for menopausal symptoms management. This qualitative study is part of a larger project which was conducted using Grounded Theory between 2013 and 2015. The article's main focus was to explore the underlying conditions and factors affecting the process of women's empowerment. Using a purposive and theoretical sampling method, 25 participants were interviewed 28 times. Data was collected through some in-depth, semi-structural and open ended interviews with the participant and also memoing and field notes. The interviews were conducted in Neighborhoods House affiliated to Tehran municipality and two gynecological clinics affiliated to Tehran University of Medical Sciences. Data analysis was applied through Strauss and Corbin approach (2008 using MAXQDA10 software. Threat of the feminine identity has been noted as the women's most common concern to being empowered in menopause management. The key theme emerged in the present study (threat of the feminine identity included four main categories (consciousness about the likelihood of femininity decline, negative attitude towards herself, inadequate supportive context, latent opportunity, two subcategories and 109 first-level codes. There is a logical, coherent and integrated relationship between all these concepts and the theme of feminine identity threat. This theme is considered as an underlying social problem and a major concern for postmenopausal women in the context of this group of women's empowerment. The factors (barriers and facilitators affecting women's empowerment in menopause management are associated with social context, intensity and origin of each society. Evaluation of Iranian women

  13. Family physicians' effort to stay in charge of the medical treatment when patients have home care by district nurses. A grounded theory study

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    Hylander Ingrid

    2009-06-01

    Full Text Available Abstract Background District nurses (DNs provide home care for old persons with a mixture of chronic diseases, symptoms and reduced functional ability. Family physicians (FPs have been criticised for their lack of involvement in this care. The aim of this study was to obtain increased knowledge concerning the FP's experience of providing medical treatment for patients with home care provided by DNs by developing a theoretical model that elucidates how FPs handle the problems they encounter regarding the individual patients and their conditions. Methods Semi-structured interviews were conducted with 13 Swedish FPs concerning one of their registered patients with home care by a DN, and the treatment of this patient. Grounded theory methodology (GTM was used in the analyses. Results The core category was the effort to stay in charge of the medical treatment. This involved three types of problems: gaining sufficient insight, making adequate decisions, and maintaining appropriate medical treatment. For three categories of patients, the FPs had problems staying in charge. Patients with reduced functional ability had problems providing information and maintaining treatment. Patients who were "fixed in their ways" did not provide information and did not comply with recommendations, and for patients with complex conditions, making adequate decisions could be problematic. To overcome the problems, four different strategies were used: relying on information from others, supporting close observation and follow-up by others, being constantly ready to change the goal of the treatment, and relying on others to provide treatment. Conclusion The patients in this study differed from most other patients seen at the healthcare centre as the consultation with the patient could not provide the usual foundation for decisions concerning medical treatment. Information from and collaboration with the DN and other home care providers was essential for the FP's effort to

  14. Moral Distress Model Reconstructed Using Grounded Theory.

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    Ko, Hsun-Kuei; Chin, Chi-Chun; Hsu, Min-Tao

    2016-12-29

    The problems of nurse burnout and manpower shortage relate to moral distress. Thus, having a good understanding of moral distress is critical to developing strategies that effectively improve the clinical ethical climate and improve nursing retention in Taiwan. The aim of this study was to reconstruct the model of moral distress using the grounded theory. Twenty-five staff nurses at work units who attend to the needs of adult, pediatric, acute, and critical disease or end-of-life-care patients were recruited as participants using theoretical sampling from three teaching hospitals in Taiwan. Data were collected using intensive, 2- to 3-hour interviews with each participant. Audio recordings of the interviews were made and then converted into transcripts. The data were analyzed using the grounded theory. In the clinical setting, the perspective that nurses take toward clinical moral events reflects their moral values, which trigger moral cognition, provocation, and appraisal. The moral barriers that form when moral events that occur in clinical settings contradict personal moral values may later develop into moral distress. In handling moral barriers in the clinical environment, nurses make moral judgments and determine what is morally correct. Influenced by moral efficacy, the consequence may either be a moral action or an expression of personal emotion. Wasting National Health Insurance resources and Chinese culture are key sources of moral distress for nurses in Taiwan. The role of self-confidence in promoting moral efficacy and the role of heterodox skills in promoting moral actions represent findings that are unique to this study. The moral distress model was used in this study to facilitate the development of future nursing theories. On the basis of our findings, we suggested that nursing students be encouraged to use case studies to establish proper moral values, improve moral cognition and judgment capabilities, and promote moral actions to better handle the

  15. Grounded Theory as a General Research Methodology

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    Judith A. Holton, Ph.D.

    2008-06-01

    Full Text Available Since its inception over forty years ago, grounded theory has achieved canonical status in the research world (Locke, 2001, p.1. Qualitative researchers, in particular, have embraced grounded theory although often without sufficient scholarship in the methodology (Partington, 2000, p.93; 2002, p.136. The embrace renders many researchers unable to perceive grounded theory as a general methodology and an alternative to the dominant qualitative and quantitative research paradigms. The result is methodological confusion and an often unconscious remodelling of the original methodology (Glaser, 2003. Given the various interpretations and approaches that have been popularised under the rubric of grounded theory, this paper addresses the important distinction between grounded theory as a general methodology and its popularisation as a qualitative research method. The paper begins with a brief overview of grounded theory’s origins and its philosophical foundations then continues by addressing the basic distinction between abstract conceptualisation as employed in classic grounded theory and the conceptual description approach as adopted by many qualitative researchers. The paper continues with a brief overview of the criteria for judging the quality of classic grounded theory and concludes by detailing its methodological principles.

  16. Grounded theory in nursing research: Part 1--Methodology.

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    McCann, Terence V; Clark, Eileen

    2003-01-01

    The epistemological underpinnings of grounded theory make it valuable in the study of nursing, which is premised on an interpersonal process between nurses and clients. Further, it is a useful style of research when there is little prior information about a topic. In this article (Part 1), Terence McCann and Eileen Clark outline the key features of this methodology. In the follow-up article (Part 2, McCann and Clark 2003a), a critique is provided of grounded theory and the two main approaches to this methodology. In the final article in the series (Part 3, McCann and Clark 2003b), the authors illustrate how grounded theory can be applied to nursing research with examples from McCann's Australian study (McCann and Baker 2001) of how community mental health nurses promote wellness with clients who are experiencing an early episode of psychotic illness.

  17. Grounded theory as feminist research methodology.

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    Keddy, B; Sims, S L; Stern, P N

    1996-03-01

    Feminist research is evolving, and with it new methods of doing science. In this feminist post-positivist era, grounded theory, while less inclusive and descriptive than ethnography, allows for complex analysis of complex questions. While Glaser & Strauss (the originators of this methodology) have written about grounded theory in an esoteric way, others have written extensively about this method in a much clearer and less rigid fashion. In this paper we discuss how grounded theory could be used in a creative and constantly evolving manner for feminist research.

  18. The making of a grounded theory: after death communication.

    Science.gov (United States)

    Devers, Edie; Robinson, Katherine Morton

    2002-04-01

    Qualitative research provides understanding of phenomena with a depth and richness that cannot be generated through quantitative approaches. Qualitative methods, however, can often appear difficult, if not confusing. In this article, the authors take the reader through the grounded theory process using Devers's research, Experiencing the Deceased: Reconciling the Extraordinary (1994), a study of after death communication (ADC), to illustrate the use of this particular qualitative method. The authors hope that this article will leave the reader with a better understanding of grounded theory method and stimulate an interest in using it for studying other death-related topics.

  19. The Validity of Divergent Grounded Theory Method

    Directory of Open Access Journals (Sweden)

    Martin Nils Amsteus PhD

    2014-02-01

    Full Text Available The purpose of this article is to assess whether divergence of grounded theory method may be considered valid. A review of literature provides a basis for understanding and evaluating grounded theory. The principles and nature of grounded theory are synthesized along with theoretical and practical implications. It is deduced that for a theory to be truly grounded in empirical data, the method resulting in the theory should be the equivalent of pure induction. Therefore, detailed, specified, stepwise a priori procedures may be seen as unbidden or arbitrary. It is concluded that divergent grounded theory can be considered valid. The author argues that securing methodological transparency through the description of the actual principles and procedures employed, as well as tailoring them to the particular circumstances, is more important than adhering to predetermined stepwise procedures. A theoretical foundation is provided from which diverse theoretical developments and methodological procedures may be developed, judged, and refined based on their own merits.

  20. Doing Formal Grounded Theory: A review

    Directory of Open Access Journals (Sweden)

    Tom Andrews PhD

    2007-06-01

    Full Text Available This is the latest in a family of Grounded Theory books by Glaser that continue to build on previous work and make the methodology much more explicit. Its purpose is quite simply to provide Grounded Theory researchers with a set of procedures that can be followed to generate a Formal Grounded Theory (FGT. Despite several chapters in previous books that deal with generating formal grounded theory it has been given scant attention by researchers and this book aims to reverse this. It brings together and synthesises these previous writings in one book and seeks to specify much more clearly what is meant by a formal grounded theory. As with other more recent books by Glaser, this one is based on data in that the procedures outlined are come from previously generated formal grounded theories. However, Glaser cautions that this is based on limited data since not many FGTs exist yet and as more are generated, the method will become more explicit. The book has been eagerly anticipated by grounded theorists and it does not disappoint.

  1. Year 7 Students, Information Literacy, and Transfer: A Grounded Theory

    Science.gov (United States)

    Herring, James E.

    2011-01-01

    This study examined the views of year 7 students, teacher librarians, and teachers in three state secondary schools in rural New South Wales, Australia, on information literacy and transfer. The aims of the study included the development of a grounded theory in relation to information literacy and transfer in these schools. The study's perspective…

  2. Health as expanding consciousness: a nursing perspective for grounded theory research.

    Science.gov (United States)

    Brown, Janet Witucki

    2011-07-01

    Margaret Newman's theory of health as expanding consciousness provides an excellent nursing perspective for nursing grounded theory research studies. Application of this nursing theory to grounded theory research provides a unitary-transformative paradigm perspective to the sociological underpinnings of grounded theory methodology. The fit between this particular nursing theory and grounded theory methodology is apparent when purpose, timing, process, and health outcomes of the two are compared. In this column, the theory of health as expanding consciousness is described and the theory's research as praxis methodology is compared to grounded theory methodology. This is followed by a description of how the theory of health as expanding consciousness can be utilized as a perspective for nursing grounded theory research.

  3. 品牌=人?--品牌拟人化的扎根研究%Brand as Person? A Grounded Theory Study on Brand Personification

    Institute of Scientific and Technical Information of China (English)

    汪涛; 谢志鹏; 周玲; 周南

    2014-01-01

    The new media has now become the topic of the day.It has revealed new possibilities for the firms to market their brands.One of the most interesting ways of brand promotion is brand personification,which refers to a multi-dimensional firm effort to make their brands perceived by the consumers as human-being rather than business entity.Up till now, the concept of brand personification is contested. The goal of this paper is two-fold: what is brand personification,and what should the firms do.This study adopts grounded theory,which is ideal for determining new concepts.The researcher conducted 57 in-depth interviews,combined with a pre-study using data from online forums and official brand websites to form the conceptual framework of brand personification.The result of the study coincides with social presence theory.This paper also provides guideline for firms to conduct brand personification.%拟人化作为新兴的营销课题,在以往的研究中曾经从特定角度对这个概念进行过考察,比如拟人化广告的效果,拟人化产品设计对消费者感知的影响等。但是时至今日,仍未有学者从品牌角度对拟人化整体概念进行检验和归纳。因此,本文的目的在于提出品牌拟人化的结构模型,填补了已有文献的空缺。基于扎根理论以及二手数据收集,本文对品牌拟人化的机制进行了探索性的研究。基于扎根理论研究结果,本文提出了品牌拟人化的理论框架:企业可以通过拟人印象及社会交互两大层面的拟人化操作来进行品牌的塑造和传播,以此获得消费者的情感偏好及品牌联系。接下来,作者使用社会存在感理论对理论框架进行了进一步的理论验证与阐释,并为希望通过品牌拟人来增加品牌价值、提升品牌评价的企业提供了参考。

  4. Reactions to Reading 'Remaining Consistent with Method? An Analysis of Grounded Theory Research in Accounting': A Comment on Gurd

    OpenAIRE

    2008-01-01

    Purpose: This paper is a comment on Gurd's paper published in QRAM 5(2) on the use of grounded theory in interpretive accounting research. Methodology: Like Gurd, we conducted a bibliographic study on prior pieces of research claiming the use of grounded theory. Findings: We found a large diversity of ways of doing grounded theory. There are as many ways as articles. Consistent with the spirit of grounded theory, the field suggested the research questions, methods and verifiability criteria. ...

  5. Educational Administrative Inservice Training: An Outline of a Grounded Theory.

    Science.gov (United States)

    Krysinski, Patricia R.

    This outline of a grounded theory of educational administrative inservice training demonstrates the organizational characteristics and outcomes for participants as the results of a qualitative study. Focusing on high school principals, this study addresses two questions: What are the organizational characteristics of inservice training for school…

  6. Constructing New Theory for Identifying Students with Emotional Disturbance: A Constructivist Approach to Grounded Theory

    Directory of Open Access Journals (Sweden)

    Dori Barnett

    2012-06-01

    Full Text Available A grounded theory study that examined how practitioners in a county alternative and correctional education setting identify youth with emotional and behavioral difficulties for special education services provides an exemplar for a constructivist approach to grounded theory methodology. Discussion focuses on how a constructivist orientation to grounded theory methodology informed research decisions, shaped the development of the emergent grounded theory, and prompted a way of thinking about data collection and analysis. Implications for future research directions and policy and practice in the field of special and alternative education are discussed.

  7. On Utilizing Grounded Theory in Business Doctoral Research: Guidance on the Research Design, Procedures, and Challenges

    Directory of Open Access Journals (Sweden)

    Mark Boadu

    2015-05-01

    Full Text Available Grounded theory is a powerful and rigorous theory building methodology that has attracted considerable interest in business research; however, it is a challenging endeavour especially for novice researchers and in particular at the doctoral level. Although several researchers have attempted to clarify the cannons of various grounded theory approaches, still there is a shortage in guidance for doctoral students who wish to apply grounded theory for their studies. Using an example from a grounded theory business doctoral thesis, this paper provides a guide on the research design and utilisation of the Straussian grounded theory at doctoral level. In doing so, the paper discusses the rationale, features, and benefits of grounded theory. Using an example from corporate governance research, the paper illustrates how the procedures of data analysis (coding, theoretical memoing, and theoretical sampling are applied to systematically generate a grounded theory. Finally, the paper discusses major challenges to utilising grounded theory and how these can be addressed by doctoral researchers. This paper provides a clear and pragmatic exposition that can be useful to guide doctoral researchers who are interested in utilizing the Straussian approach of grounded theory in their studies.

  8. "Ah Mom, What's Happened to You?!" A Grounded Theory-Study about Repositioning in the Relationship Between Elderly Parents and Their Adult, Care-Giving Children

    Directory of Open Access Journals (Sweden)

    Barbara Dieris

    2006-05-01

    Full Text Available When elderly people can no longer lead independent lives their adult daughters and sons often take on an important role as caregivers. The adoption of new tasks and roles changes the parent-child relationship. This does not lead, however, to a complete role-reversal, some characteristics of the relationship and roles remain unchanged. This contribution reconstructs the changes of the parent-child relationship from the perspective of caring adult children. The methodological approach is based on Grounded Theory. I have developed a theoretical model of filial repositioning. Different change levels of acting and of relationship are described. Strategies used by parents and children are presented. Context factors concerning relationships and health status affect the process of repositioning and the strategies of parents and children. URN: urn:nbn:de:0114-fqs0603253

  9. Maintaining Healthy Behaviors Following Weight Loss: A Grounded Theory Approach

    Science.gov (United States)

    Zunker, Christie; Cox, Tiffany L.; Ard, Jamy D.; Ivankova, Nataliya V.; Rutt, Candace D.; Baskin, Monica L.

    2011-01-01

    This study explored the process of how women maintained their healthy behaviors after a weight management program using a grounded theory approach. We conducted 2 focus groups and 23 interviews with a purposeful sample of African American and Caucasian women aged 30 and older who lost greater than 5% of their body weight during a weight management…

  10. Empowerment in School Nursing Practice: A Grounded Theory Approach

    Science.gov (United States)

    Broussard, Lisa

    2007-01-01

    Professional empowerment is vital to nurses' productivity and job satisfaction. A grounded theory study was conducted to describe the basic social process experienced by school nurses in relation to professional empowerment. Interviews with 10 school nurses led to the development of a situation-specific theory of school nurse empowerment,…

  11. University Students' Experiences of Nonmarital Breakups: A Grounded Theory

    Science.gov (United States)

    Hebert, Sarah; Popadiuk, Natalee

    2008-01-01

    Prior nonmarital breakup research has been focused on negative outcomes, rarely examining the personal growth aspects of this experience. In this study, we used a qualitative grounded theory methodology to explore the changes that university students reported experiencing as a result of a heterosexual nonmarital breakup and how those changes…

  12. Reconceptualising Moderation in Asynchronous Online Discussions Using Grounded Theory

    Science.gov (United States)

    Vlachopoulos, Panos; Cowan, John

    2010-01-01

    This article reports a grounded theory study of the moderation of asynchronous online discussions, to explore the processes by which tutors in higher education decide when and how to moderate. It aims to construct a theory of e-moderation based on some key factors which appear to influence e-moderation. It discusses previous research on the…

  13. A Grounded Theory of Counseling Students Who Report Problematic Peers

    Science.gov (United States)

    Parker, Lindy K.; Chang, Catherine Y.; Corthell, Kimere K.; Walsh, Maggie E.; Brack, Greg; Grubbs, Natalie K.

    2014-01-01

    All counselors, including students, are responsible for intervening when a colleague shows signs of impairment. This grounded theory study investigated experiences of 12 counseling students who reported problematic peers. An emergent theory of the peer reporting process is presented, along with implications for counselor educators and suggestions…

  14. Reflecting on E-Recruiting Research Using Grounded Theory

    NARCIS (Netherlands)

    Wolfswinkel, Joost; Furtmüller, Elfi; Wilderom, Celeste

    2010-01-01

    This paper presents a systematic review of the e-Recruiting literature through a grounded theory lens. The large number of publications and the increasing diversity of publications on e-Recruiting research, as the most studied area within e-HRM (Electronic Human Resource Management), calls for a syn

  15. Infusing Participants' Voices into Grounded Theory Research: A Poetic Anthology

    Science.gov (United States)

    Kennedy, Brianna L.

    2009-01-01

    This article augments the author's grounded theory study of student and teacher interactions in alternative education classrooms by presenting poetic transcription as a way to portray the essences and experiences of the participants. The author builds on the experimental writing traditions of other researchers to embrace her own experiences as a…

  16. La Teoría Fundamentada: un estudio bibliométrico de la enfermería brasileña The Grounded Theory: a bibliometric study of Brasilian nursing

    Directory of Open Access Journals (Sweden)

    Gabriela Marcellino de Melo Lanzoni

    2011-09-01

    Full Text Available El objetivo fue identificar las disertaciones y tesis en enfermería brasileña que usaron el método Teoría Fundamentada en Dados (TFD. Estudio bibliométrico de tesis y disertaciones de enfermería defendidas hasta 2009, disponible en: Banco de las tesis de la Coordinación de Perfeccionamiento de la Educación Superior, Colección de la Asociación Brasileña de Enfermería, Biblioteca Digital Brasileña de Tesis y Disertaciones y sitios institucionales. Para la búsqueda de los datos se utilizaron las palabras clave: "Grounded Theory" y "Teoría fundamentada" de forma individual junto a la "Enfermería". Se encontraron 124 estudios, 63 de maestría y 61 de doctorado, provenientes principalmente del sur y sureste del Brasil. El referencial teórico utilizado predominantemente fue el Interaccionismo Simbólico (71,77%. El uso de la TFD en las tesis y disertaciones de enfermería está creciendo y se demuestra que se puede aplicar en el nivel stricto senso de la formación para la elaboración de constructos teóricos.The aim of this study was to identify brazilian nursing dissertations and theses who used the methodological Grounded Theory (GT. The metodology used was bibliometric study of nursing theses and dissertations defended until 2009, available on theses database of the Coordination of Improvement of Higher Education (CAPES, the achievements of the Brazilian Nursing Association (CEPEn, the Brazilian Digital Library of Theses and Dissertations (BDTD and institutional sites. For search of the data we used the keywords: "Grounded Theory" and "Grounded Theory" coupled individually to "Nursing". We found 124 studies, 63 (50,81% of masters and 61 (49,19% of doctors, coming mainly from South and Southeast of Brazil. The theoretical framework used was predominantly Symbolic Interaction (71,77%. The use of PDT in theses and dissertations in nursing is growing and it is shown that can be applied at both levels of training in the strict sense

  17. How does an increase in undergraduate teaching load affect GP teacher motivation? A grounded theory study using data from a new medical school.

    Science.gov (United States)

    Harding, Alex; Sweeney, Grace

    2013-07-01

    The opening of a new medical school is a cause for celebration. Starting with a clean slate often gives the opportunity to adopt more modern teaching practices. However, encouraging large numbers of clinicians to start teaching and to adopt these new methods brings its own set of challenges. During the expansion phase of a new medical school, it was often noted that new teachers seemed to have considerable difficulties, and often expressed these as negativity towards student placements. This did not chime with much of the work from established schools, which seemed to evaluate expansion of teaching more positively. We wanted to better understand the issues involved. Semi-structured interviews were conducted involving GPs who had received medical students over the first four years of a newly established medical school. The aims were to assess the impact of the students on the new teachers, and to try to better understand why some teachers were experiencing difficulties. We collected qualitative and quantitative data at the interviews. The qualitative data were analysed using grounded theory which aims to link emerging themes together. The findings suggest that as the quantity of teaching medical students increases, the enjoyment and commitment to teaching may decrease. Concerns over the administration of teaching may begin to predominate. Two factors may help to reduce this: 1 Adequate investment in manpower and premises to reduce time and space constraints on teaching. 2 Practices considering themselves as teaching practices where education is a part of the practice identity.

  18. Grounded Theory as a "Family of Methods": A Genealogical Analysis to Guide Research

    Science.gov (United States)

    Babchuk, Wayne A.

    2011-01-01

    This study traces the evolution of grounded theory from a nuclear to an extended family of methods and considers the implications that decision-making based on informed choices throughout all phases of the research process has for realizing the potential of grounded theory for advancing adult education theory and practice. [This paper was…

  19. A Novel Method of Enhancing Grounded Theory Memos with Voice Recording

    Science.gov (United States)

    Stocker, Rachel; Close, Helen

    2013-01-01

    In this article the authors present the recent discovery of a novel method of supplementing written grounded theory memos with voice recording, the combination of which may provide significant analytical advantages over solely the traditional written method. Memo writing is an essential component of a grounded theory study, however it is often…

  20. Straussian Grounded-Theory Method: An Illustration

    Science.gov (United States)

    Thai, Mai Thi Thanh; Chong, Li Choy; Agrawal, Narendra M.

    2012-01-01

    This paper demonstrates the benefits and application of Straussian Grounded Theory method in conducting research in complex settings where parameters are poorly defined. It provides a detailed illustration on how this method can be used to build an internationalization theory. To be specific, this paper exposes readers to the behind-the-scene work…

  1. Finding common ground to achieve a “good death”: family physicians working with substitute decision-makers of dying patients. A qualitative grounded theory study

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    Tan Amy

    2013-01-01

    Full Text Available Abstract Background Substitute decision-makers are integral to the care of dying patients and make many healthcare decisions for patients. Unfortunately, conflict between physicians and surrogate decision-makers is not uncommon in end-of-life care and this could contribute to a “bad death” experience for the patient and family. We aim to describe Canadian family physicians’ experiences of conflict with substitute decision-makers of dying patients to identify factors that may facilitate or hinder the end-of-life decision-making process. This insight will help determine how to best manage these complex situations, ultimately improving the overall care of dying patients. Methods Grounded Theory methodology was used with semi-structured interviews of family physicians in Edmonton, Canada, who experienced conflict with substitute decision-makers of dying patients. Purposeful sampling included maximum variation and theoretical sampling strategies. Interviews were audio-taped, and transcribed verbatim. Transcripts, field notes and memos were coded using the constant-comparative method to identify key concepts until saturation was achieved and a theoretical framework emerged. Results Eleven family physicians with a range of 3 to 40 years in clinical practice participated. The family physicians expressed a desire to achieve a “good death” and described their role in positively influencing the experience of death. Finding Common Ground to Achieve a “Good Death” for the Patient emerged as an important process which includes 1 Building Mutual Trust and Rapport through identifying key players and delivering manageable amounts of information, 2 Understanding One Another through active listening and ultimately, and 3 Making Informed, Shared Decisions. Facilitators and barriers to achieving Common Ground were identified. Barriers were linked to conflict. The inability to resolve an overt conflict may lead to an impasse at any point. A process for

  2. Finding common ground to achieve a "good death": family physicians working with substitute decision-makers of dying patients. A qualitative grounded theory study.

    Science.gov (United States)

    Tan, Amy; Manca, Donna

    2013-01-22

    Substitute decision-makers are integral to the care of dying patients and make many healthcare decisions for patients. Unfortunately, conflict between physicians and surrogate decision-makers is not uncommon in end-of-life care and this could contribute to a "bad death" experience for the patient and family. We aim to describe Canadian family physicians' experiences of conflict with substitute decision-makers of dying patients to identify factors that may facilitate or hinder the end-of-life decision-making process. This insight will help determine how to best manage these complex situations, ultimately improving the overall care of dying patients. Grounded Theory methodology was used with semi-structured interviews of family physicians in Edmonton, Canada, who experienced conflict with substitute decision-makers of dying patients. Purposeful sampling included maximum variation and theoretical sampling strategies. Interviews were audio-taped, and transcribed verbatim. Transcripts, field notes and memos were coded using the constant-comparative method to identify key concepts until saturation was achieved and a theoretical framework emerged. Eleven family physicians with a range of 3 to 40 years in clinical practice participated.The family physicians expressed a desire to achieve a "good death" and described their role in positively influencing the experience of death.Finding Common Ground to Achieve a "Good Death" for the Patient emerged as an important process which includes 1) Building Mutual Trust and Rapport through identifying key players and delivering manageable amounts of information, 2) Understanding One Another through active listening and ultimately, and 3) Making Informed, Shared Decisions. Facilitators and barriers to achieving Common Ground were identified. Barriers were linked to conflict. The inability to resolve an overt conflict may lead to an impasse at any point. A process for Resolving an Impasse is described. A novel framework for developing

  3. Dynasting Theory: Lessons in learning grounded theory

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    Johnben Teik-Cheok Loy, MBA, MTS, Ph.D.

    2011-06-01

    Full Text Available This article captures the key learning lessons gleaned from the author’s experience learning and developing a grounded theory for his doctoral dissertation using the classic methodology as conceived by Barney Glaser. The theory was developed through data gathered on founders and successors of Malaysian Chinese family-own businesses. The main concern for Malaysian Chinese family businesses emerged as dynasting . the building, maintaining, and growing the power and resources of the business within the family lineage. The core category emerged as dynasting across cultures, where founders and successors struggle to transition from traditional Chinese to hybrid cultural and modernized forms of family business from one generation to the next. The key learning lessons were categorized under five headings: (a sorting through different versions of grounded theory, (b educating and managing research stakeholders, (c embracing experiential learning, (d discovering the core category: grounded intuition, and (e recognizing limitations and possibilities.Keywords: grounded theory, learning, dynasting, family business, Chinese

  4. Classic Grounded Theory to Analyse Secondary Data: Reality and Reflections

    Directory of Open Access Journals (Sweden)

    Lorraine Andrews

    2012-06-01

    Full Text Available This paper draws on the experiences of two researchers and discusses how they conducted a secondary data analysis using classic grounded theory. The aim of the primary study was to explore first-time parents’ postnatal educational needs. A subset of the data from the primary study (eight transcripts from interviews with fathers was used for the secondary data analysis. The objectives of the secondary data analysis were to identify the challenges of using classic grounded theory with secondary data and to explore whether the re-analysis of primary data using a different methodology would yield a different outcome. Through the process of re-analysis a tentative theory emerged on ‘developing competency as a father’. Challenges encountered during this re-analysis included the small dataset, the pre-framed data, and limited ability for theoretical sampling. This re-analysis proved to be a very useful learning tool for author 1(LA, who was a novice with classic grounded theory.

  5. Stealing minutes: a tri-study of reconstructing self-care for mental health professionals using research as daily practice, case study, and grounded theory

    NARCIS (Netherlands)

    Coppola, John Lafayette Granger

    2016-01-01

    The majority of approaches to self-care in the mental health field revolve around activities that take place outside of the work environment or on supervision and policy level approaches. Using social constructionist and narrative principles, I created, implemented, and studied a series of workshops

  6. Reinventing Grounded Theory: Some Questions about Theory, Ground and Discovery

    Science.gov (United States)

    Thomas, Gary; James, David

    2006-01-01

    Grounded theory's popularity persists after three decades of broad-ranging critique. In this article three problematic notions are discussed--"theory," "ground" and "discovery"--which linger in the continuing use and development of grounded theory procedures. It is argued that far from providing the epistemic security promised by grounded theory,…

  7. The Postmodern Turn: Shall Classic Grounded Theory Take That Detour? A Review Essay

    OpenAIRE

    2006-01-01

    Adherents to classic grounded theory have gotten used to spotting the pretenders working under the grounded theory banner. Some of these faux-GT researchers have worked in a fog, misunderstanding fundamentals of the method; these are the studies that leave us shaking our heads and wondering about the doctoral committee and peer reviewers who did not bother to find out more about the method they were evaluating. More infuriating are the authors who are claiming to improve on grounded theory, t...

  8. Reactions to reading “Remaining consistent with method? An analysis of grounded theory research in accounting”: A comment on Gurd

    OpenAIRE

    2008-01-01

    Purpose: The present paper is a comment on Gurd's paper published in QRAM on the use of grounded theory in interpretive accounting research. Methodology: Like Gurd, we conducted a bibliographic study on prior pieces of research claiming the use of grounded theory. Findings: We found a large diversity of ways of doing grounded theory. There are as many ways as articles. Consistent with the spirit of grounded theory, the field suggested the research questions, methods and verifiability criteria...

  9. Reactions to reading “Remaining consistent with method? An analysis of grounded theory research in accounting”: A comment on Gurd

    OpenAIRE

    2008-01-01

    Purpose: The present paper is a comment on Gurd’s paper published in QRAM on the use of grounded theory in interpretive accounting research. Methodology: Like Gurd, we conducted a bibliographic study on prior pieces of research claiming the use of grounded theory. Findings: We found a large diversity of ways of doing grounded theory. There are as many ways as articles. Consistent with the spirit of grounded theory, the field suggested the research questions, methods and verifiability criteria...

  10. A Critique of the Capacity of Strauss Grounded Theory for Prediction, Change, and Control in Organisational Strategy via a Grounded Theorisation of Leisure and Cultural Strategy

    Science.gov (United States)

    Bakir, Ali; Bakir, Vian

    2006-01-01

    In this paper we critique grounded theory's ability to fulfil its aim of offering a practical vehicle for prediction, change, and control as stipulated in grounded theory's original formulation by Glaser and Strauss, and later developed by Strauss. We do this through a case study approach, whereby we develop a grounded theory of leisure and…

  11. 基于扎根理论的本科护理学专业学生学习适应性研究%The study of the academic adjustment of graduate nursing students based on grounded theory

    Institute of Scientific and Technical Information of China (English)

    徐志晶; 章雅青; 李丽; 沈亮

    2013-01-01

    Objective To explore the academic adjustment of Chinese undergraduate nursing students.Methods Based on grounded theory,in-depth interviews and practical analysis of the data were used to collect dates.Data collection and analysis were carried out simultaneously.Open coding,axial coding and selective coding.Throughout the course of the study,researcher adheres to write Notes.Results The study has in-depth interviews with 16 students,who met the inclusion criteria,of whom 13 students provide their practical information.The study formatted 22 open codes,6 axial codes and 3 selective codes.In the conceptual model,the academic adjustment of Chinese undergraduate nursing students was emerged as based on the learning environment and self-adjusting process,including 3 dimensions:the transition of perception,faith support and behavioral responses.Conclusions The grounded theory methodology is established on the basis of empirical data,the results of this study is more precise and more suitable for guiding the latecomers.%目的 对我国高校护理学专业学生的学习适应进行深入地、动态地、全景式地探索.方法 以扎根理论方法论为指导,采用深度访谈和实物分析的方法收集资料.资料的收集和分析同步进行.每一次访谈结束后及时把访谈录音逐字逐句地转化为文字资料,并逐步进行开放式编码、关联式编码和选择式编码.整个研究过程中研究者坚持写备忘录.结果 按照资料收集原则,共访谈了16位符合纳入标准的学生,同时获得其中13位学生的实物资料.研究形成22个开放式码号、6个关联式码号和3个核心类属,形成本科护理学专业学生学习适应理论.结论 通过扎根理论方法论得到的结果距离学生更近、更确切,也更加适合了解和指导学生.

  12. Growing Open: The transition from QDA to Grounded Theory

    Directory of Open Access Journals (Sweden)

    Astrid Gynnild, Ph.D

    2006-11-01

    Full Text Available Doing a PhD can principally be carried out in three ways; firstly by applying existing theories on new data, secondly by theoretically comparing existing theories and thirdly by generating a new theory. Choice of approach of course depends on awareness and accessibility of alternatives. In essence, most PhD studies are exploratory journeys in a jungle of descriptive methodologies based on very uniform data. In this paper, the author elaborates the exploratory research process that subconsciously, and later consciously, required a shift from the initial QDA approach to grounded theory. The cutting point was discovering the multifaceted implications of the all-is-data dictum in GT.

  13. Qualitative research in healthcare: an introduction to grounded theory using thematic analysis.

    Science.gov (United States)

    Chapman, A L; Hadfield, M; Chapman, C J

    2015-01-01

    In today's NHS, qualitative research is increasingly important as a method of assessing and improving quality of care. Grounded theory has developed as an analytical approach to qualitative data over the last 40 years. It is primarily an inductive process whereby theoretical insights are generated from data, in contrast to deductive research where theoretical hypotheses are tested via data collection. Grounded theory has been one of the main contributors to the acceptance of qualitative methods in a wide range of applied social sciences. The influence of grounded theory as an approach is, in part, based on its provision of an explicit framework for analysis and theory generation. Furthermore the stress upon grounding research in the reality of participants has also given it credence in healthcare research. As with all analytical approaches, grounded theory has drawbacks and limitations. It is important to have an understanding of these in order to assess the applicability of this approach to healthcare research. In this review we outline the principles of grounded theory, and focus on thematic analysis as the analytical approach used most frequently in grounded theory studies, with the aim of providing clinicians with the skills to critically review studies using this methodology.

  14. The Postmodern Turn: Shall Classic Grounded Theory Take That Detour? A Review Essay

    Directory of Open Access Journals (Sweden)

    Vivian B. Martin, PhD

    2006-06-01

    Full Text Available Adherents to classic grounded theory have gotten used to spotting the pretenders working under the grounded theory banner. Some of these faux-GT researchers have worked in a fog, misunderstanding fundamentals of the method; these are the studies that leave us shaking our heads and wondering about the doctoral committee and peer reviewers who did not bother to find out more about the method they were evaluating. More infuriating are the authors who are claiming to improve on grounded theory, to reground it, to quote one notable British author who, lack of handson grounded theory experience aside, manages a booklength critique of the method. Two recent books in the“remaking grounded theory” genre are from sociologists with some years of grounded theory projects behind them. Adele E. Clarke, author of Situational Analysis, was a student and colleague of Anselm L. Strauss at the University of California San Francisco. Kathy Charmaz, author of Constructing Grounded Theory, is among the few grounded theorists who studied with Barney G. Glaser and Strauss at UCSF.

  15. Developing the Art of Becoming a Couple: A Grounded Theory Study of the Positive Influence of "Married and Loving It!"[R

    Science.gov (United States)

    Petty, Barbara D.

    2010-01-01

    Couples can improve their marriages by implementing relationship building skills they learn while participating in a marriage education program. This study addresses how marriages improved as a result of participating in the marriage education program, Married and Loving It![R] and what specific components of the learning experience facilitated…

  16. Review Essay: Eine Reise durch die Grounded Theory

    OpenAIRE

    2007-01-01

    In "Constructing Grounded Theory" begleitet Kathy CHARMAZ die Leser(innen) durch den Forschungsprozess. Ausgehend von einem historischen Rückblick auf die Entwicklung der Grounded Theory Methodologie führt sie die Lesenden von der Datenerfassung über das Kodieren zum Schreiben von Memos und schließlich zum ersten Entwurf der eigenen Grounded Theory. Durch die zahlreichen Beispiele aus ihrer eigenen Forschung erhalten Lesende jedoch mehr als einen theoretischen Überblick; sie haben vielmehr di...

  17. Grounded theory, feminist theory, critical theory: toward theoretical triangulation.

    Science.gov (United States)

    Kushner, Kaysi Eastlick; Morrow, Raymond

    2003-01-01

    Nursing and social science scholars have examined the compatibility between feminist and grounded theory traditions in scientific knowledge generation, concluding that they are complementary, yet not without certain tensions. This line of inquiry is extended to propose a critical feminist grounded theory methodology. The construction of symbolic interactionist, feminist, and critical feminist variants of grounded theory methodology is examined in terms of the presuppositions of each tradition and their interplay as a process of theoretical triangulation.

  18. A Grounded Theory for Identifying Students with Emotional Disturbance: Promising Practices for Assessment, Intervention, and Service Delivery

    Science.gov (United States)

    Barnett, Dori

    2012-01-01

    A qualitative grounded theory study examined how practicing professionals involved in the ED identification process reconstructed the category of "emotional disturbance" as it applied to students in an alternative educational setting. A grounded theory integrates six emergent themes and essentially reframes the existing ED criteria in contemporary…

  19. PENGALAMAN MAHASISWA DALAM MELAKUKAN WIRAUSAHA INFORMASI: SEBUAH PENELITIAN GROUNDED THEORY

    Directory of Open Access Journals (Sweden)

    Afdini Rihlatul Mahmudah

    2016-11-01

    Full Text Available The main focus of this paper is to explore students’ understanding of information entrepreneurship. This is a qualitative study using grounded theory. Selection of the method is based on research conducted purpose, namely to build a theory based on the views of respondents. The steps taken to obtain the data are interviews, observation, and document review. The data is analyzed based on data analysis model constructivism form of transcription of data and interpretation of data through open coding, axial coding, and selective coding. Because that’s grounded theory meant to know in depth understanding of information entrepreneurship is mainly done by the students. The study also covers entrepreneurship and entrepreneurial activity information extracted information from the perspective of students. The conclusion of this study is an entrepreneur information definition. That defi nition is work in the fi eld of information that can be done independently or in groups, with flexibility in the time and place of the work, in the form of search activity information, creating web and library systems, consulting libraries, teachers, and librarians to make money, add experience and knowledge, as well as develop social activities.

  20. Grounded theory: building a middle-range theory in nursing

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    Maria João Fernandes

    2015-03-01

    Full Text Available The development of nursing as a discipline results from a boom of investigations underway for nearly a century, and of the construction of theories that have arisen during the 1950’s, with greater relevance since the 1960’s. Giving continuation to the production of knowledge in nursing and seeking to contribute to the increase in the number of explanatory theories of the functional content of nurses, there is interest in answering the question: how can a middle-range theory in nursing be built that explains the nurse-elderly interaction in a successful aging process? As well, we address the goal of describing the process of building a middle-range theory in nursing. Middle-range theory refers to a qualitative paradigm study of inductive thinking, developed in the context of primary health care. The information was collected through participant observation and interviews. Method of analysis grounded theory by Corbin and Strauss(1 was followed, utilizing the triangulation of data and theoretical sampling. Grounded theory has become a method of analysis which facilitates the understanding and explanation of the phenomenon under study. By making clear the nature and process of the nurse-elderly interaction in the selected context and within the context of successful aging, a middle-range theory proposal emerged.

  1. Examining Philosophy of Technology Using Grounded Theory Methods

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    Mark David Webster

    2016-03-01

    Full Text Available A qualitative study was conducted to examine the philosophy of technology of K-12 technology leaders, and explore the influence of their thinking on technology decision making. The research design aligned with CORBIN and STRAUSS grounded theory methods, and I proceeded from a research paradigm of critical realism. The subjects were school technology directors and instructional technology specialists, and data collection consisted of interviews and a written questionnaire. Data analysis involved the use of grounded theory methods including memo writing, open and axial coding, constant comparison, the use of purposive and theoretical sampling, and theoretical saturation of categories. Three broad philosophy of technology views were widely held by participants: an instrumental view of technology, technological optimism, and a technological determinist perspective that saw technological change as inevitable. Technology leaders were guided by two main approaches to technology decision making, represented by the categories Educational goals and curriculum should drive technology, and Keep up with technology (or be left behind. The core category and central phenomenon that emerged was that technology leaders approached technology leadership by placing greater emphasis on keeping up with technology, being influenced by an ideological orientation to technological change, and being concerned about preparing students for a technological future. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs160252

  2. The Identification of Factors Affecting the Development and Practice of School-Based Counseling in Different National Contexts: A Grounded Theory Study Using a Worldwide Sample of Descriptive Journal Articles and Book Chapters

    Science.gov (United States)

    Martin, Ian; Lauterbach, Alexandra; Carey, John

    2015-01-01

    A grounded theory methodology was used to analyze articles and book chapters describing the development and practice of school-based counseling in 25 different countries in order to identify the factors that affect development and practice. An 11-factor analytic framework was developed. Factors include: Cultural Factors, National Needs, Larger…

  3. Using grounded theory as a method for rigorously reviewing literature

    NARCIS (Netherlands)

    Wolfswinkel, J.; Furtmueller, E.; Wilderom, C.P.M.

    2013-01-01

    This paper offers guidance to conducting a rigorous literature review. We present this in the form of a five-stage process in which we use Grounded Theory as a method. We first probe the guidelines explicated by Webster and Watson, and then we show the added value of Grounded Theory for rigorously a

  4. Grounded Theory in Practice: Is It Inherently a Mixed Method?

    Science.gov (United States)

    Johnson, R. B.; McGowan, M. W.; Turner, L. A.

    2010-01-01

    We address 2 key points of contention in this article. First, we engage the debate concerning whether particular methods are necessarily linked to particular research paradigms. Second, we briefly describe a mixed methods version of grounded theory (MM-GT). Grounded theory can be tailored to work well in any of the 3 major forms of mixed methods…

  5. Getting grounded: using Glaserian grounded theory to conduct nursing research.

    Science.gov (United States)

    Hernandez, Cheri Ann

    2010-03-01

    Glaserian grounded theory is a powerful research methodology for understanding client behaviour in a particular area. It is therefore especially relevant for nurse researchers. Nurse researchers use grounded theory more frequently than other qualitative analysis research methods because of its ability to provide insight into clients' experiences and to make a positive impact. However, there is much confusion about the use of grounded theory.The author delineates key components of grounded theory methodology, areas of concern, and the resulting implications for nursing knowledge development. Knowledge gained from Glaserian grounded theory research can be used to institute measures for enhancing client-nurse relationships, improving quality of care, and ultimately improving client quality of life. In addition, it can serve to expand disciplinary knowledge in nursing because the resulting substantive theory is a middle-range theory that can be subjected to later quantitative testing.

  6. Book Review: Essentials of Accessible Grounded Theory (Stern & Porr, 2011

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    Odis E. Simmons, Ph.D.

    2011-12-01

    Full Text Available Although Porr is a relative newcomer to grounded theory, Stern has been at it for many years (she received her PhD under Glaser and Strauss in 1977. She has been instrumental in introducing many students to grounded theory, particularly in the nursing field, as well as making notable contributions to grounded theory literature. As Stern’s (1994 observations and insights suggested, constructivist versions of grounded theory emerged and spread in part because grounded theory was often being taught by teachers who themselves had a superficial, distorted understanding of the methodology, because they had learned it “minus mentor.” Given her observations, insights, and writings, when I began reading Essentials, my expectations were high. But, after reading it, I concluded that, in some important ways, it falls short. Given Stern’s considerable experience and previous contributions to grounded theory, it is ironic that Essentials contains more confusing and subtly inaccurate content than a book written for neophyte grounded theorists should. Although I think it is a noble effort with useful information, it contains material that is at variance with classic grounded theory, yet this isn’t made clear to the reader. Because Stern and Porr failed to make a clear distinction between classic and other forms of grounded theory, many readers, particularly neophytes, will of course expect that what they present in this book accurately represents essential canons of all types of grounded theory, including classic. Readers will carry the understandings and misunderstandings gained from the book into their research and discussions with other neophytes and individuals who express interest in grounded theory.

  7. Applying Grounded Theory in the Determinants Study of Compulsory Citizenship Behavior%基于扎根理论的强制性公民行为影响因素研究

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    赵红丹; 彭正龙

    2012-01-01

    Mining determinants of compulsory citizenship behavior(CCB) and their mutual relations is quite helpful for us to expand related theories and guide business practices.Using the grounded theory approach,this paper conducts an exploratory study,and eventually develops a conceptual model of the CCB determinants.More specifically,according to the conceptual model,the determinants of CCB can be induced into three categories: individual factors,objective factors,and environmental factors.The results also show that,individual factors may play an intermediary or a regulatory role on the effects of objective factors or environmental factors on CCB,while interactive effect between objective factors and environmental factors on CCB may also exist.%探索强制性公民行为的影响因素,对于拓展相关理论和指导管理实践都十分有益。以扎根理论为主导工具进行研究,对强制性公民行为影响因素的概念模型进行了探索性研究,并得出了强制性公民行为影响因素的三大类属:个体因素、客体因素以及环境因素。研究结果还表明,个体因素在客体因素或环境因素对强制性公民行为的影响路径中起中介或调节作用;客体因素和环境因素对强制性公民行为的交互效应存在。

  8. A Grounded Theory of Political Intelligentizing in Business Administration

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    Annabel-Mauve Adjognon

    2014-12-01

    Full Text Available This study focuses on the substantive area of business administration using the classic grounded theory method. Business administration is mostly driven by political games between top-level corporate managers. The main concern of the managers I met was that they wanted to be more politically successful. For them, success meant being able to change regularly the course of decisions and action within their firm. The study led to the emergence of a core variable called political intelligentizing. Political intelligentizing explains the recurrent main concern that these managers have to resolve, and it explains the competences managers have to combine to succeed regularly in organisational politics. They resolve their main problem through political intelligentizing which consists in acquiring, developing and combining six specific skills: time matching, rhetorical fitting, silence juggling, strategic forward-thinking, strategic interacting and relationing.

  9. Research report: a grounded theory description of pastoral counseling.

    Science.gov (United States)

    Townsend, Loren L

    2011-01-01

    Historically, clerical paradigms of ordained ministry have defined pastoral counseling. However, these fail to describe pastoral counselors in the complex social, theological and medical contexts in which they now work. This study asks the question: How do pastoral counselors in clinical practice describe what is uniquely "pastoral" about the counseling they offer clients? Grounded theory was used to propose a preliminary description and an intermediate theory of how pastoral counselors interpret "pastoral." Eighty-five pastoral counselors were selected for the study over a four year period using criteria to assure maximum variation. Interviews and pastoral identity statements were collected and coded, and theoretical models were organized using NVIVO, a computer assisted qualitative design and analysis software (CAQDAS) package. Results suggest that pastoral counselors share some common ideas regarding "pastoral identity" and clinical practice. How pastoral counselors interpret "pastoral" is highly context sensitive and varies widely.

  10. Self-criticism in therapist training: A grounded theory analysis.

    Science.gov (United States)

    Kannan, Divya; Levitt, Heidi M

    2017-03-01

    The primary objective of this study is to engender an understanding of how therapists-in-training experience and cope with self-criticism in the context of their clinical training and therapy experiences. In this study, trainees were interviewed about their experience of self-criticism related to psychotherapy practice and these interviews were subjected to a grounded theory analysis generating a core self-critical process. The analysis highlighted the vulnerability of self-criticism in therapists' training experiences, especially when they related to balancing the "expert" role while maintaining authentic interactions with their clients. The results also described ways in which self-criticism is mitigated by a sense of interpersonal safety and the provision of clinical freedom and flexibility in therapists' training. The implications for future psychotherapy research and clinical training within clinical training environments are discussed.

  11. Making sense of grounded theory in medical education.

    Science.gov (United States)

    Kennedy, Tara J T; Lingard, Lorelei A

    2006-02-01

    Grounded theory is a research methodology designed to develop, through collection and analysis of data that is primarily (but not exclusively) qualitative, a well-integrated set of concepts that provide a theoretical explanation of a social phenomenon. This paper aims to provide an introduction to key features of grounded theory methodology within the context of medical education research. In this paper we include a discussion of the origins of grounded theory, a description of key methodological processes, a comment on pitfalls encountered commonly in the application of grounded theory research, and a summary of the strengths of grounded theory methodology with illustrations from the medical education domain. The significant strengths of grounded theory that have resulted in its enduring prominence in qualitative research include its clearly articulated analytical process and its emphasis on the generation of pragmatic theory that is grounded in the data of experience. When applied properly and thoughtfully, grounded theory can address research questions of significant relevance to the domain of medical education.

  12. Becoming Selfless: A Grounded Theory of Commitment to Service

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    Roland Nino L. Agoncillo

    2014-05-01

    Full Text Available This study focuses on the substantive area of commitment to service in the community of educational partners in the Philippines. Educational partners are lay people who assist religious organizations in the field of education, and in the Philippines, about 96 percent of educational partners are in Lasallian schools and organizations. Educational partners are young professionals, volunteers between the ages of 24-39 who strive to live the teachings of St. John Baptist De La Salle. The volunteers aim to generate a spirit of service, a sense of mission to the youth. By using a classic Grounded Theory approach, the theory of becoming selfless was generated. The theory explains the stages educational partners undergo when resolving their organizational commitment to service. Organizational commitment is the psychological attachment, involvement and identification of the individual to the organization. Becoming selfless provides a theoretical focal point to better understand the complexity of commitment.

  13. Analysis of English Complex Sentences based on Figure-Ground Theory

    Institute of Scientific and Technical Information of China (English)

    侯皓

    2015-01-01

    English is a language featuring its complex sentences composed of main and sub-ordinate clauses. The subordinate clause conveys the unifnished messages in main clause and it becomes quite complicated. English complex sentence is a fair impor-tant sentence type and also of importance in English teaching. Analyzing complex sentence based on Figure-Ground Theory, especially the Adverbial Clause, is help-ful to learn English and translate it. The Figure-Ground Theory originated in psychol-ogy studies and it was introduced in cognitive linguistics to explain some language phenomena. From Figure-Ground perspective, the essay studies attributive clause, adverbial clause and nominal clause and some critical sentence types have been analyzed carefully and the major ifnding is Figure-Ground Theory is dynamic not static.

  14. A Grounded Theory Approach in a Branding Context: Challenges and lessons learnt during the research process

    Directory of Open Access Journals (Sweden)

    Anne Rindell, PhD.

    2009-06-01

    Full Text Available The purpose of this paper is to discuss challenges and lessons learnt when conducting a classic grounded theory study in a marketing context. The paper focuses on two specific challenges that were met during a specific research process. The first challenge related to positioning the study, namely, specifying“what the study is a study of”. The second challenge concerned the choice between formal or substantive theory. Both challenges were accentuated as the emerged core category concerned a phenomenon that has caught less attention in marketing, that is, the temporal dimension in corporate images. By the temporal dimension in corporate images we mean that corporate images often have roots in earlier times through consumer memories. In other words, consumers are not tabula rasa, that is, blank sheets of paper on which communication messages can be printed. Rather, consumers have a pre-understanding of the company that works as an interpretation framework for company actions in the present. The lessons learnt from this research process can be summarized as “stay faithful to the data”, “write memos on issues you reflect upon although they might be in another substantial field” as they might become useful later, and, “look into thinking in other disciplines” as disciplines do not develop equally.

  15. Qualitative data analysis using the n Vivo programe and the application of the methodology of grounded theory procedures

    Directory of Open Access Journals (Sweden)

    Niedbalski Jakub

    2012-02-01

    Full Text Available The main aim of the article is to identify the capabilities and constraints of using CAQDAS (Computer-Assisted Qualitative Data Analysis Software programs in qualitative data analysis. Our considerations are based on the personal experiences gained while conducting the research projects using the methodology of grounded theory (GT and the NVivo 8 program. In presented article we focusedon relations between the methodological principles of grounded theory and the technical possibilities of NVivo 8. The paper presents our opinion about the most important options available in NVivo 8 and their application in the studies based on the methodology of grounded theory.

  16. Grounded theory and leadership research: A critical realist perspective

    OpenAIRE

    2011-01-01

    The methodology of grounded theory has great potential to contribute to our understanding of leadership within particular substantive contexts. However, our notions of good science might constrain these contributions. We argue that for grounded theorists a tension might exist between a desire to create a contextualised theory of leadership and a desire for scientifically justified issues of validity and generalizable theory. We also explore how the outcome of grounded theory research can crea...

  17. “焦点/背景”理论与悬疑类英语电影语篇连贯研究%The Figure-Ground Theory and the Study of English Suspense Movies Discourse Coherence

    Institute of Scientific and Technical Information of China (English)

    李太珠; 潘乐

    2016-01-01

    The application of the Figure-Ground theory of Cognitive Linguistics to the study of English Suspense Movies Discourse coherence can help the audience to establish a mental contact between different parts of a text, thus forming a coherent discourse. In the audience's cognition of this kind of discourse, a key clue often becomes prominent as an important Cognitive Figure, while the whole film space context, including various entities and elements becomes a Reference Point or Ground. This Cognitive Figure can play the role of activating the next Cognitive Figure or Cognitive Target, but it itself is hidden, becoming the Reference Point or Ground of the latter. This cognitive method or approach can be repeated, making the text continue to move forward, and ultimately lead the audience to understand the truth and successfuly achieve the interpretation of the text.%利用认知语言学的“焦点/背景”理论来研究悬疑类英语电影语篇的连贯,有利于帮助观众在前后文之间建立起心智上的联系,从而形成前后连贯的语篇。在观众对该类语篇的认知中,某个关键的线索往往获得凸显,成为重要的认知焦点,而整个电影空间语境,包括各种实体和要素变成了参照点或背景。这个认知焦点可以发挥激活下一个认知焦点或认知目标的作用,而自己却隐去,成为后者的参照点或背景。这一认知方法或途径可以不断重复,使语篇继续推进下去,最终引导观众弄清事实真相,成功实现对语篇的解读。

  18. Study on the Motive of Virtual Enterprises'Materialization Based on the Classical Grounded Theory%基于经典扎根理论的虚拟企业实体化动因研究

    Institute of Scientific and Technical Information of China (English)

    贾旭东; 衡量

    2016-01-01

    With the development of VE ,we find that some companies even began materialization after many years of virtual opera‐tion ,it's a very interesting phenomenon .Applying the classical grounded theory methodology ,the paper takes two typical virtual enterprises as researching cases to study the VE's materialization phenomenon and the motive of it .It finds that the motive of VE's materialization is the VE leader's intending to enhance the supply chain's controlling force .With the virtue of findings ,the con‐ception of supply chain's controlling force is supported .And then ,it finds that supply chain's controlling force is composed of six factors including quality controlling force ,time controlling force ,technique controlling force ,information controlling force ,cost controlling force and channel controlling force .Finally ,it constructs a model of ball bearing model of supply chain's controlling force ,and lays the foundation of further theoretical research of enterprises'virtualization and materialization .%虚拟企业具有快速整合资源响应市场需求的优势,已在企业界得到广泛应用。近年来,随着企业经营方式的改变,一些虚拟企业开始进行实体经营,呈现虚拟企业实体化现象。运用经典扎根理论研究方法,以1家中国本土的典型企业为案例展开研究,发现盟主企业试图提高其对供应链的控制能力是该现象产生的根本动因,据此提出了“供应链控制力”的概念。进一步研究发现,供应链控制力受到质量控制力、技术控制力、信息控制力、成本控制力、时间控制力、渠道控制力6个方面因素的影响,最后,构建了“供应链控制力的轴承模型”,并初步提出了供应链控制力的量化测评公式。

  19. Teachers' Perceived Influences on Technology Integration Decisions: A Grounded Theory on Instructional Decisions after Professional Development

    Science.gov (United States)

    Greenhaus, Karen Larsen

    2014-01-01

    This qualitative grounded theory study explored teachers' instructional decisions around planning and practice for technology integration after participation in professional development. The purpose of this study was to determine how a long-term hybrid professional development experience influenced, if at all, math teachers' instructional…

  20. Using Grounded Theory to Understand Resiliency in Pre-Teen Children of High-Conflict Families

    Science.gov (United States)

    Pomrenke, Marlene

    2007-01-01

    Using grounded theory, this study identified factors that contributed to children's ability to utilize their resilient attributes. Children between the ages of 9 and 12 from high-conflict separated or divorced families participated in a study that examined how family and community interactions promote resilient behaviour. Substantive-level theory…

  1. Teachers' Perceived Influences on Technology Integration Decisions: A Grounded Theory on Instructional Decisions after Professional Development

    Science.gov (United States)

    Greenhaus, Karen Larsen

    2014-01-01

    This qualitative grounded theory study explored teachers' instructional decisions around planning and practice for technology integration after participation in professional development. The purpose of this study was to determine how a long-term hybrid professional development experience influenced, if at all, math teachers' instructional…

  2. Residents' Interaction with Their College Living-Learning Peer Mentor: A Grounded Theory

    Science.gov (United States)

    Wylie, Jonathan Patrick

    2012-01-01

    This study used Strauss and Corbin's (1998) grounded theory model to describe and explain the stories of residents' interactions with their peer mentor, in a health, education, and human development living-learning community (LLC). The question answered in this study was: What is the impact of the interaction between a peer mentor and…

  3. A Grounded Theory of Collaborative Synchronizing in Relation to Challenging Students

    Science.gov (United States)

    Thornberg, Robert

    2012-01-01

    The aim of this study was to investigate multiprofessional collaboration as well as collaboration between professionals and challenging students and their parents in which the focus for these collaborations was on handling the challenging students' academic and social behavior. A grounded theory study of collaboration between a prereferral…

  4. The dynamics of international information systems anatomy of a grounded theory investigation

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    Lehmann, Hans

    2010-01-01

    This work probes the efficacy of using the Grounded Theory method to study the factors that lead to failure or success in the creation and ongoing management of IIS within the global enterprises. It details case studies of three large transnational companies.

  5. Parochial Dissonance: A Grounded Theory of Wisconsin's New North Response to the Employability Skills Gap

    Science.gov (United States)

    Baneck, Timothy M.

    2012-01-01

    The purpose of this study was to generate a theory that explained the beliefs and behaviors of participants from business, not-for-profit business, education, and government sectors when resolving the employability skills gap. Classical grounded theory was the inductive methodology applied to this study. The New North, an 18 county region located…

  6. The First-Year University Experience for Sexual Minority Students: A Grounded Theory Exploration

    Science.gov (United States)

    Alessi, Edward J.; Sapiro, Beth; Kahn, Sarilee; Craig, Shelley L.

    2017-01-01

    This exploratory study used grounded theory to understand the role of minority stress on the first-year experience of lesbian, gay, bisexual, queer, and questioning emerging adults attending a university in the Northeastern part of the United States. Twenty-one lesbian, gay, bisexual, queer, and questioning sophomores participated in focus groups…

  7. "Putting My Man Face on": A Grounded Theory of College Men's Gender Identity Development

    Science.gov (United States)

    Edwards, Keith E.; Jones, Susan R.

    2009-01-01

    The theory that emerged from this constructivist grounded theory study of 10 college men's experiences depicts their gender identity as developed through constant interaction with society's expectations of them as men. In order to try to meet these perceived expectations, participants described putting on a performance that was like wearing a mask…

  8. How Robotics Programs Influence Young Women's Career Choices: A Grounded Theory Model

    Science.gov (United States)

    Craig, Cecilia Dosh-Bluhm

    2014-01-01

    The fields of engineering, computer science, and physics have a paucity of women despite decades of intervention by universities and organizations. Women's graduation rates in these fields continue to stagnate, posing a critical problem for society. This qualitative grounded theory (GT) study sought to understand how robotics programs influenced…

  9. The Process of Social Identity Development in Adolescent High School Choral Singers: A Grounded Theory

    Science.gov (United States)

    Parker, Elizabeth Cassidy

    2014-01-01

    The purpose of this grounded theory study was to describe the process of adolescent choral singers' social identity development within three midsized, midwestern high school mixed choirs. Forty-nine interviews were conducted with 36 different participants. Secondary data sources included memoing, observations, and interviews with the choir…

  10. The First-Year University Experience for Sexual Minority Students: A Grounded Theory Exploration

    Science.gov (United States)

    Alessi, Edward J.; Sapiro, Beth; Kahn, Sarilee; Craig, Shelley L.

    2017-01-01

    This exploratory study used grounded theory to understand the role of minority stress on the first-year experience of lesbian, gay, bisexual, queer, and questioning emerging adults attending a university in the Northeastern part of the United States. Twenty-one lesbian, gay, bisexual, queer, and questioning sophomores participated in focus groups…

  11. How Robotics Programs Influence Young Women's Career Choices: A Grounded Theory Model

    Science.gov (United States)

    Craig, Cecilia Dosh-Bluhm

    2014-01-01

    The fields of engineering, computer science, and physics have a paucity of women despite decades of intervention by universities and organizations. Women's graduation rates in these fields continue to stagnate, posing a critical problem for society. This qualitative grounded theory (GT) study sought to understand how robotics programs influenced…

  12. Executive Function and Reading Aptitude: A Grounded Theory Analysis of Teacher Perspectives

    Science.gov (United States)

    Nordman, Jenny

    2013-01-01

    This qualitative, grounded theory study investigated teacher perspectives on the relationship between executive function and reading aptitude. The influence of executive function may be underestimated in terms of its impact on reading aptitude, which could have significant implications on how reading aptitude is currently defined. The foundational…

  13. A Grounded Theory of Text Revision Processes Used by Young Adolescents Who Are Deaf

    Science.gov (United States)

    Yuknis, Christina

    2014-01-01

    This study examined the revising processes used by 8 middle school students who are deaf or hard-of-hearing as they composed essays for their English classes. Using grounded theory, interviews with students and teachers in one middle school, observations of the students engaging in essay creation, and writing samples were collected for analysis.…

  14. Theorizing Teachers' Perspectives on an EFL Textbook for Public High Schools of Iran: A Grounded Theory

    Science.gov (United States)

    Namaghi, Seyyed Ali Ostovar; Moghaddam, Mohammad Reza Saboor; Tajzad, Maryam

    2014-01-01

    The purpose of this study is to explore language teachers' perspectives on Iranian third grade senior high school EFL textbook, which is prescribed by the Ministry of Education. In data collection and analysis, the researchers used theoretical sampling and the coding schemes presented in grounded theory. Final analysis yielded "Negative…

  15. Leading Effective Educational Technology in K-12 School Districts: A Grounded Theory

    Science.gov (United States)

    Hill, Lara Gillian C.

    2011-01-01

    A systematic grounded theory qualitative study was conducted investigating the process of effectively leading educational technology in New Jersey public K-12 school districts. Data were collected from educational technology district leaders (whether formal or non-formal administrators) and central administrators through a semi-structured online…

  16. The Process of Social Identity Development in Adolescent High School Choral Singers: A Grounded Theory

    Science.gov (United States)

    Parker, Elizabeth Cassidy

    2014-01-01

    The purpose of this grounded theory study was to describe the process of adolescent choral singers' social identity development within three midsized, midwestern high school mixed choirs. Forty-nine interviews were conducted with 36 different participants. Secondary data sources included memoing, observations, and interviews with the choir…

  17. A Grounded Theory of Counselor Educators Integrating Social Justice into Their Pedagogy

    Science.gov (United States)

    Odegard, Melissa A.; Vereen, Linwood G.

    2010-01-01

    The topic of social justice has received considerable attention in the counseling literature; however, little empirical research exists. This grounded theory study examined 4 counselor educators' process of integrating social justice constructs into their pedagogy. Data analysis revealed 4 primary experiences that emerged in the participants'…

  18. Reading Comprehension Profiles of High-Functioning Students on the Autism Spectrum: A Grounded Theory

    Science.gov (United States)

    Williamson, Pamela; Carnahan, Christina R.; Jacobs, Jennifer A.

    2012-01-01

    Using a constructivist grounded theory approach, this study sought to understand what influences reading comprehension and how meaning is made from text among high-functioning individuals with autism spectrum disorder (ASD). Using a think-aloud procedure, 13 individuals ages 7-13 with ASD read 16 passages at their instructional reading level.…

  19. Perspectives on the Aetiology of ODD and CD: A Grounded Theory Approach

    Science.gov (United States)

    McFarland, Patrick; Sanders, James; Hagen, Bradley

    2016-01-01

    Antisocial disorders, such as oppositional defiant disorder (ODD) and conduct disorder (CD), are common reasons for youth to be seen for clinical intervention. The intent of this constructivist grounded theory study was to evaluate clinicians' perspectives on the aetiology of antisocial disorders. Six professionals from various professional…

  20. A Grounded Theory of Connectivity and Persistence in a Limited Residency Doctoral Program

    Science.gov (United States)

    Terrell, Steven R.; Snyder, Martha M.; Dringus, Laurie P.; Maddrey, Elizabeth

    2012-01-01

    Limited-residency and online doctoral programs have an attrition rate significantly higher than traditional programs. This grounded-theory study focused on issues pertaining to communication between students, their peers and faculty and how interpersonal communication may affect persistence. Data were collected from 17 students actively working on…

  1. Identifying Barriers in Implementing Outcomes-Based Assessment Program Review: A Grounded Theory Analysis

    Science.gov (United States)

    Bresciani, Marilee J.

    2011-01-01

    The purpose of this grounded theory study was to identify the typical barriers encountered by faculty and administrators when implementing outcomes-based assessment program review. An analysis of interviews with faculty and administrators at nine institutions revealed a theory that faculty and administrators' promotion, tenure (if applicable),…

  2. Executive Function and Reading Aptitude: A Grounded Theory Analysis of Teacher Perspectives

    Science.gov (United States)

    Nordman, Jenny

    2013-01-01

    This qualitative, grounded theory study investigated teacher perspectives on the relationship between executive function and reading aptitude. The influence of executive function may be underestimated in terms of its impact on reading aptitude, which could have significant implications on how reading aptitude is currently defined. The foundational…

  3. Adjustment with Climate Change: Application of Grounded Theory

    Directory of Open Access Journals (Sweden)

    Taher Azizi-Khalkheili

    2014-11-01

    The study place is Marvdasht in Fars Province that is one of the leading regions in the agriculture sector and is confronted with serious drought as well as reducing the precipitation in recent years. This qualitative study used grounded theory principles to collect and analyze data and provide a paradigmatic model. Research sample includes two villages, which were selected purposefully: Esmaeilabad with highest climate changes and Chamesohrabkhani with lowest climate changes in Marvdasht. In order to gather the required data field observations and in depth focus group interviews were used. Nine farmers in Esmaeilabad as well as eight farmers in Chamsohrabkhani attended in interview sessions. Questions were grouped into 4 categories: 1 Farmers’ perceptions about climate changes, the situation of agriculture and their properties; 2 farmers’ behavior toward adaptation, their future decisions and existed problems and obstacles; 3 farmers’ resources for climate information and consultation to farm management decisions; and 4 farmers’ perception about future of agriculture sector in this region. Discussion of Results & Conclusions The analytical process in grounded theory involves coding strategies: Open coding is the process of breaking down interviews, observations and other forms of appropriate data into distinct units of meaning which are labeled to generate concepts. The focus of axial coding is to create a model that details the specific conditions of phenomenon’s occurrence. Selective coding is the process of selecting the central or core category, systematically relating it to other categories, validating those relationships, and complete categories that need further refinement and development. Some major research results in this study according to the above coding system include: Farmers' perception about reduction in precipitation and warmer environment, decreasing in quantity and quality of crops, increasing crop pests and diseases, reduction of

  4. From Darwin to constructivism: the evolution of grounded theory.

    Science.gov (United States)

    Hall, Helen; Griffiths, Debra; McKenna, Lisa

    2013-01-01

    To explore the evolution of grounded theory and equip the reader with a greater understanding of the diverse conceptual positioning that is evident in the methodology. Grounded theory was developed during the modernist phase of research to develop theories that are derived from data and explain human interaction. Its philosophical foundations derive from symbolic interactionism and were influenced by a range of scholars including Charles Darwin and George Mead. Rather than a rigid set of rules and procedures, grounded theory is a way of conceptualising data. Researchers demonstrate a range of perspectives and there is significant variation in the way the methodology is interpreted and executed. Some grounded theorists continue to align closely with the original post-positivist view, while others take a more constructivist approach. Although the diverse interpretations accommodate flexibility, they may also result in confusion. The grounded theory approach enables researchers to align to their own particular world view and use methods that are flexible and practical. With an appreciation of the diverse philosophical approaches to grounded theory, researchers are enabled to use and appraise the methodology more effectively.

  5. A Multiple Case Study Research on Building a Business Model Structure:A Grounded Theory Method%基于跨案例扎根分析的商业模式结构模型研究

    Institute of Scientific and Technical Information of China (English)

    郑称德; 许爱林; 赵佳英

    2011-01-01

    The purpose of this paper is to develop a business model structure through coding 75 business model innovating cases by grounded theory approach which proposed by Strauss. The process of conducing this work goes through three stages. On stage of open coding, an iterative procedure is used to name, conceptualize and catagorize the varibles that describe business models in cases in order to formulate those catorigies, properities and dimensions that are related to business models. On stage of axial coding, according to their properities, those categories are distributed to six causal levels of paradigm model. On stage 3, the properties in each level are clustered into different components of business model. Eventually, a two-dimensional business modelstructure consisting of six levels and fifteen components has been established and its application has been illustrated through applying the structure to analyze the business model of a real company in detail. The results show that the business model structure not only improves the weakness of the existing model study on component detailing, construct comprehensiveness and model openness effectively, but also pertains to explanatory model and formal theory. Thus, the structure can be applied to business model description, assessment and the summarization of the model's innovation strategies across contexts. Specially, the structure can serve as a solid foundation to facilitate the probing of complicated issues relevant to business model, as well as a guideline for entrepreneur innovation and business model improvement.%以75个实际企业商业模式成功案例为样本,应用扎根理论的Strauss三阶段编码方法进行跨案例分析,构建商业模式结构模型.以迭代式开放性编码对案例中描述商业模式的变量进行概念化和类属化,依据主轴编码的典范模式将各类属按性质分布于具有因果关系的6个层次,将每个层次的类属性质聚类为具有三级结构的商

  6. A Grounded Theory Study on Chinese Private Enterprises' Entrepreneurial Team Division%基于扎根理论的中国民营企业创业团队分裂研究

    Institute of Scientific and Technical Information of China (English)

    贾旭东

    2013-01-01

    This paper use classic grounded theory methodology,makes two typical Chinese private enterprise as cases,researches the problem of theirs entrepreneurial team division,preliminary induces the four main procedures,a directly drive and four indirectly drives of Chinese private enterprises' entrepreneurial team division.%运用经典扎根理论研究方法,以2家典型的中国民营企业为案例,对其创业团队的分裂问题进行了研究,初步归纳出了中国民营企业创业团队分裂过程的4个主要阶段、1个直接动因与4个间接动因.

  7. A Discussion with Prof Kathy Charmaz on Grounded Theory

    OpenAIRE

    2015-01-01

    Interviewed by Graham R Gibbs at the BPS Qualitative Social Psychology Conference, University of Huddersfield, UK\\ud September 14-16 2013\\ud The discussion focusses on ideas from her book, Constructing Grounded Theory of which a second edition was published in March 2014, a few months after this interview. This second edition elaborates many of the points covered in the discussion.\\ud Charmaz, K (2014) Constructing Grounded Theory. London, Thousand Oaks, New Delhi: SAGE.\\ud http://www.uk.sage...

  8. A grounded theory of abstraction in artificial intelligence.

    Science.gov (United States)

    Zucker, Jean-Daniel

    2003-07-29

    In artificial intelligence, abstraction is commonly used to account for the use of various levels of details in a given representation language or the ability to change from one level to another while preserving useful properties. Abstraction has been mainly studied in problem solving, theorem proving, knowledge representation (in particular for spatial and temporal reasoning) and machine learning. In such contexts, abstraction is defined as a mapping between formalisms that reduces the computational complexity of the task at stake. By analysing the notion of abstraction from an information quantity point of view, we pinpoint the differences and the complementary role of reformulation and abstraction in any representation change. We contribute to extending the existing semantic theories of abstraction to be grounded on perception, where the notion of information quantity is easier to characterize formally. In the author's view, abstraction is best represented using abstraction operators, as they provide semantics for classifying different abstractions and support the automation of representation changes. The usefulness of a grounded theory of abstraction in the cartography domain is illustrated. Finally, the importance of explicitly representing abstraction for designing more autonomous and adaptive systems is discussed.

  9. The Process of Patient's Privacy: A Grounded Theory

    Directory of Open Access Journals (Sweden)

    Heidari

    2011-12-01

    Full Text Available Introduction: Ethics, customs, and divine and human values in all scientific and non-academic issues are accepted among all human societies in different eras. The purpose of this study was to understand the experiences of nursing professionals about the patient's privacy. Methods: 21 participants were selected by theoretical sampling which was guided by emerging categories. All participants were interviewed individually. Subjects were interviewed in a private setting and transcription was done after each interview. In-depth interviews and semi-structured questions were used for data collection. Corbin and Strauss’ Ground theory methodology was applied in order to explain the process of patient's privacy. Data analysis was an ongoing process which was started during data collection. Data analysis method included a three-step coding process including open coding, axial and selective coding through repeated line by line reading of transcripts. Results: Four central categories were identified from transcripts' constant comparative analysis: weakness of system, actors with serious effort, trying to maintain privacy and tension creation. Conclusion: Familiarity with how nurses deal with patient’s privacy can improve professional development, client satisfaction and observation of their rights. Nurses with sensitivity to patient’s privacy can manage their expectations respectfully.

  10. [A Grounded Theory Approach on Nurses' Experience with Workplace Bullying].

    Science.gov (United States)

    Kang, Jiyeon; Yun, Seonyoung

    2016-04-01

    The purpose of this qualitative study was to explore the workplace bullying experience of Korean nurses. Participants were twenty current or former hospital nurses who had experienced workplace bullying. Data were collected through focus group and individual in-depth interviews from February to May, 2015. Theoretical sampling method was applied to the point of theoretical saturation. Transcribed interview contents were analyzed using Corbin and Strauss's grounded theory method. A total of 110 concepts, 48 sub-categories, and 17 categories were identified through the open coding process. As a result of axial coding based on the paradigm model, the central phenomenon of nurses' workplace bullying experience was revealed as 'teaching that has become bullying', and the core category was extracted as 'surviving in love-hate teaching' consisting of a four-step process: confronting reality, trial and error, relationship formation, and settlement. The relationship formation was considered to be the key phase to proceed to the positive settlement phase, and the participants utilized various strategies such as having an open mind, developing human relationships, understanding each other in this phase. The in-depth understanding of the workplace bullying experience has highlighted the importance of effective communication for cultivating desirable human relationships between nurses.

  11. Analyzing Literacy Practice: Grounded Theory to Model

    Science.gov (United States)

    Purcell-Gates, Victoria; Perry, Kristen H.; Briseno, Adriana

    2011-01-01

    In this methodological and theoretical article, we address the need for more cross-case work on studies of literacy in use within different social and cultural contexts. The Cultural Practices of Literacy Study (CPLS) project has been working on a methodology for cross-case analyses that are principled in that the qualitative nature of each case,…

  12. A Grounded Theory of Future Talk.

    Science.gov (United States)

    Mikesh, Coleen

    A study examined the ways that people talk to policy and decision makers about the future and constructed a model of future talk. Specifically, speeches given to government policy makers about science and technology were analyzed in order to discover how people communicate information about the future. Each incident was reviewed and assigned a…

  13. A Grounded Theory of Master's-Level Counselor Research Identity

    Science.gov (United States)

    Jorgensen, Maribeth F.; Duncan, Kelly

    2015-01-01

    A grounded theory approach was used to examine the research identity of 17 master's-level counseling trainees and practitioners. The emergent theory gave an understanding to sources of variation in the process and outcome of research identity. The authors provide recommendations for counselor educators to use with current and former students.

  14. The Constant Comparative Analysis Method Outside of Grounded Theory

    Science.gov (United States)

    Fram, Sheila M.

    2013-01-01

    This commentary addresses the gap in the literature regarding discussion of the legitimate use of Constant Comparative Analysis Method (CCA) outside of Grounded Theory. The purpose is to show the strength of using CCA to maintain the emic perspective and how theoretical frameworks can maintain the etic perspective throughout the analysis. My…

  15. Study on Semantics-Pragmatics Interface of Engl ish Delexical Construction Under Grounding Theory%入场理论框架下英语乏词义构式的语义-语用接口研究

    Institute of Scientific and Technical Information of China (English)

    徐佳

    2016-01-01

    The grounding theory proposed by Langacker mainly represents the contextual relations between cognitive events and verbal processes.As a special construction in English,delexical construction refers to a kind of structure in English,in which the delexical verbs do not take up any semantic meanings but convey the entire process of action through collocating with its following obj ects.This paper,based on the grounding theory,investigated the representation of delexical construction of semantics-pragmatics interface.The research findings are as follows:syntax structure of delexical construction,semantics event and pragmatics situation can be depicted at the same time in cognition situation;delexical construction gives priority to mutual proj ections between focus and secondary focus during depicting the event;delexical construction not only highlights the event obj ect during various cognitive pragmatic situations,but also reflects pragmatic mitigation function,contextual correlation function and rhetorical persuasion function according to the variation of cognitive situations;It is argued that the grounding theory provides strong explanatory power for the cognitive mechanism of delexical construction.It contributes to disclosing the cognitive universality of overt structures towards language as well as generation of language structures.%Langacker的入场理论表征认知事件与言语过程之间语境关系。作为英语中的特殊构式,乏词义构式指动词自身不占语义,要与其后宾语共同构成完整动作过程的结构。基于入场理论,本文讨论乏词义构式的语义-语用接口表征。研究发现:认知场景中乏词义构式句法架构、语义事件和语用情境可同时勾画出来;在勾画事件时乏词义构式更注重焦点和次焦点的相互投射;不同认知语用场景中乏词义构式将突显事件宾语,并依据境域变化体现语用缓和功能、语境关联功能或修辞劝说功能。

  16. A Grounded Theory Approach to Physical Activity and Advanced Cancer

    Directory of Open Access Journals (Sweden)

    Sonya S. Lowe

    2015-11-01

    Full Text Available Background: Physical activity has demonstrated benefits in cancer-related fatigue and physical functioning in early-stage cancer patients, however the role of physical activity at the end stage of cancer has not been established. To challenge positivist–empiricist assumptions, I am seeking to develop a new theoretical framework that is grounded in the advanced cancer patient’s experience of activity. Aim: To gain an in-depth understanding of the experience of activity and quality of life in advanced cancer patients. Objectives: (1 To explore the meaning of activity for advanced cancer patients in the context of their day-to-day life, (2 to elicit advanced cancer patients’ perceptions of activity with respect to their quality of life, and (3 to elicit advanced cancer patients’ views of barriers and facilitators to activity in the context of their day-to-day life. Study Design: A two-phase, cross-sectional, qualitative study will be conducted through the postpositivist lens of subtle realism and informed by the principles of grounded theory methods. Study Methods: Advanced cancer patients will be recruited through the outpatient department of a tertiary cancer center. For Phase one, participants will wear an activPAL™ activity monitor and fill out a daily record sheet for seven days duration. For Phase two, the activity monitor output and daily record sheets will be used as qualitative probes for face-to-face, semistructured interviews. Concurrent coding, constant comparative analysis, and theoretical sampling will continue with the aim of achieving as close as possible to theoretical saturation. Ethics and Discussion: Ethical and scientific approval will be obtained by all local institutional review boards prior to study commencement. The findings will generate new mid-level theory about the experience of activity and quality of life in advanced cancer patients and aid in the development of a new theoretical framework for designing

  17. Quality of life in schizophrenia: A grounded theory approach

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    Jackson Mike

    2003-08-01

    Full Text Available Abstract Background Research into health related quality of life (HRQoL in schizophrenia has predominantly been conducted using lengthy interviewer administered questionnaires, many of which have not been validated for use with schizophrenic samples. The present study seeks to address the dearth of qualitative research by conducting a small-scale qualitative exploration of the impact of schizophrenia on HRQoL. Method The study was conducted using the qualitative approach of grounded theory. Six individuals with a diagnosis of schizophrenia participated (3 men, 3 women. Mean age of participants was 33.3 years (range 20–55, mean length of illness was 12 years (range 2–38 years and average length of interviews was 47 minutes (range 20–70. Results Ten HRQoL domains were identified as being important: (1 barriers placed on relationships; (2 reduced control of behaviours and actions; (3 loss of opportunity to fulfil occupational roles; (4 financial constraints on activities and plans; (5 subjective experience of psychotic symptoms; (6 side effects and attitudes to medication; (7 psychological responses to living with schizophrenia; (8 labelling and attitudes from others; (9 concerns for the future and (10 positive outcomes from experiences. Conclusions Domains identified by participants encompassed a wide range of factors that may be expected to contribute generally to engaging in a positive quality of life. Participants identified that it was the loss of these things as a direct consequence of having schizophrenia that influenced their HRQoL. It would appear that in the main, factors that are secondary to the experience of schizophrenia are of most importance to participants. Suggestions are also made in the discussion for future research.

  18. Being, knowing, and doing: a phronetic approach to constructing grounded theory with Aboriginal Australian partners.

    Science.gov (United States)

    Bainbridge, Roxanne; Whiteside, Mary; McCalman, Janya

    2013-02-01

    Researchers working with Aboriginal Australian partners are confronted with an array of historical, social, and political complexities which make it difficult to come to theoretical and methodological decisions. In this article, we describe a culturally safe and respectful framework that maintains the intellectual and theoretical rigor expected of academic research. As an Aboriginal woman and two non-Aboriginal women, we discuss the arguments and some of the challenges of using grounded theory methods in Aboriginal Australian contexts, giving examples from our studies of Aboriginal empowerment processes. We argue that the ethics of care and responsibility embedded in Aboriginal research methodologies fit well with grounded theory studies of Aboriginal social processes. We maintain that theory development grounded in data provides useful insights into the processes for raising the health, well-being, and prosperity of Aboriginal Australians.

  19. 扎根理论方法分析行为问题儿童沙盘特征%Study on sandtray topic features for children with behavior problems based on the grounded theory method

    Institute of Scientific and Technical Information of China (English)

    程华; 章小雷; 黄钢

    2011-01-01

    Objective To analyze the sandtray topics of the children with behavior problems according to the grounded theory method.Methods Collected and described children' s sandtray topics of different types of behavior problems,age and gender.And analyzed them base on a 3 levels coding list compiling according to the ground theory method.Results The frequency of “negative theme” (3.33 ± 1.25 ) was higher than “positive theme” (0.81 ± 1.25 ) with significant difference (P<0.01) in feature level 1.Age factor had significant effect upon the frequency of “positive theme” in feature level 1 (P < 0.05 ).And also had impact on “harmony”,“ development” in features level 2 (F =3.039,P < 0.05 ).Gender factor,interaction of gender and age had significant effects on frequency of “negative theme” in feature level 1 (F =5.395,P < 0.05 ; F =4.222,P < 0.05 ).Conclusion The characteristics of the children' s sandtay with behavioral problems mainly are “negative theme”.And it shows different features in children with different gender or age.%目的 根据扎根理论编制沙盘主题分析编码表分析行为问题儿童的沙盘主题特征.方法 以自编沙盘主题三级编码表为分析工具,收集儿童初始沙盘各级编码数据,采取分层、随机分组,描述分析不同类型行为问题、不同年龄、性别的沙盘主题特点.结果 行为问题儿童初始沙盘主题特征:一级编码“负向主题”频数[(3.33±1.25)分]高于“正向主题”频数[(0.81±1.25)分],差异具有统计学意义(P<0.01);年龄因素对一级编码“正向主题”(P<0.05),对二级编码“和谐”、“发展”主题特征有统计学意义影响(F=3.039,P<0.05);性别、性别和年龄的交互作用对一级编码“负向主题”频数有统计学意义影响(F=5.395,P<0.05; F=4.222,P<0.05).结论 行为问题儿童初始沙盘主题特征以负性主题特征为主,不同性别、年龄的儿童表现出不同主题特征的沙盘.

  20. Doing Quantitative Grounded Theory: A theory of trapped travel consumption

    Directory of Open Access Journals (Sweden)

    Mark S. Rosenbaum, Ph.D.

    2008-11-01

    Full Text Available All is data. Grounded theorists employ this sentence in their quest to create original theoretical frameworks. Yet researchers typically interpret the word gdatah to mean qualitative data or, more specifically, interview data collected from respondents. This is not to say that qualitative data is deficient; however, grounded theorists may be missing vast opportunities to create pioneering theories from quantitative data. Indeed, Glaser and Strauss (1967 argued that researchers would use qualitative and/or quantitative data to fashion original frameworks and related hypotheses, and Glaserfs (2008 recently published book, titledDoing Quantitative Grounded Theory, is an attempt to help researchers understand how to use quantitative data for grounded theory (GT.

  1. Teaching Theory Construction With Initial Grounded Theory Tools: A Reflection on Lessons and Learning.

    Science.gov (United States)

    Charmaz, Kathy

    2015-12-01

    This article addresses criticisms of qualitative research for spawning studies that lack analytic development and theoretical import. It focuses on teaching initial grounded theory tools while interviewing, coding, and writing memos for the purpose of scaling up the analytic level of students' research and advancing theory construction. Adopting these tools can improve teaching qualitative methods at all levels although doctoral education is emphasized here. What teachers cover in qualitative methods courses matters. The pedagogy presented here requires a supportive environment and relies on demonstration, collective participation, measured tasks, progressive analytic complexity, and accountability. Lessons learned from using initial grounded theory tools are exemplified in a doctoral student's coding and memo-writing excerpts that demonstrate progressive analytic development. The conclusion calls for increasing the number and depth of qualitative methods courses and for creating a cadre of expert qualitative methodologists.

  2. A Grounded Theory of Moral Reckoning in Nursing

    Directory of Open Access Journals (Sweden)

    Alvita K. Nathaniel, DSN, APRN, BC

    2004-11-01

    Full Text Available Moral distress is a pervasive problem in nursing, contributing to nurses’ emotional and physical health problems, loss of nurses’ ethical integrity,dissatisfaction with the work of nursing, and loss of nurses from the workforce. The purpose of this research was twofold: 1 to further elucidate the experiences and consequences of professional nurses’ moral distress and 2 to formulate a logical, systematic, and explanatory theory of moral distress and its consequences. METHOD: This Glaserian grounded theory study utilizedvolunteer and purposive sampling to recruit 21 registered nurses. Analysis of the data resulted in an original substantive theory of moral reckoning in nursing, which reaches further than the concept of moral distress, identifying a critical juncture in nurses’ lives and better explaining a process that affects nurses and the health care that they deliver. Results: Moral reckoning in nursing consists of a three-stage process. After a novice period, the nurse experiences a Stage of Ease in which there is comfort in the workplace and congruence of internal and external values. Unexpectedly, a situational bind occurs in which the nurse’s core beliefs come into irreconcilable conflict with social norms. This forces the nurse out of the Stage of Ease into the Stage of Resolution, in which the nurseeither gives up or makes a stand. The nurse then moves into the Stage of Reflection in which beliefs, values, and actions are iteratively examined. The nurse tries to make sense of experiences through remembering, telling the story, examining conflicts, and living with the consequences. Implications: In today’s complex health care system, nurses find themselves faced with morally troubling situations which if not resolved can lead to serious consequences for nurses, patients, and the health care system as a whole. This study sets the stage for further investigation on the human consequences of moral distress. Further, since moral

  3. Struggling with and for: A Grounded Theory of Parents Managing Life with Hard-to-Treat ADHD Teenagers

    Directory of Open Access Journals (Sweden)

    Berit Støre Brinchmann

    2014-06-01

    Full Text Available The aim of this study was to develop a grounded theory of being a parent of hard-to- treat teenagers with the diagnosis of ADHD. Caretakers of 11 adolescents with ADHD were interviewed and analyzed according to the principles of classic grounded theory. The parents’ main concern was how to handle everyday challenges with the teenagers and how to get the help they needed and required. Struggling with and for is the core category in our findings. In addition, we identified four sub-categories: good “mothering”, advocating, seeking support, and giving up. The meeting with the helping services causes just as many problems as the relationship with the teenagers. Professionals should be able to identify family strengths and capabilities. In that way, professional support can be built upon coping strategies with which a family is already familiar. Keywords: ADHD, coping strategies, grounded theory, parents, professional services, teenagers

  4. Grounded theory for radiotherapy practitioners: Informing clinical practice

    Energy Technology Data Exchange (ETDEWEB)

    Walsh, N.A., E-mail: Nadia.Walsh@gstt.nhs.u [Medical Physics Department, Guy' s and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London SE1 7EH (United Kingdom)

    2010-08-15

    Radiotherapy practitioners may be best placed to undertake qualitative research within the context of cancer, due to specialist knowledge of radiation treatment and sensitivity to radiotherapy patient's needs. The grounded theory approach to data collection and analysis is a unique method of identifying a theory directly based on data collected within a clinical context. Research for radiotherapy practitioners is integral to role expansion within the government's directive for evidence-based practice. Due to the paucity of information on qualitative research undertaken by radiotherapy radiographers, this article aims to assess the potential impact of qualitative research on radiotherapy patient and service outcomes.

  5. Parochial Dissonance: A Grounded Theory of Wisconsin's New North Response to the Employability Skills Gap

    Science.gov (United States)

    Baneck, Timothy M.

    2012-01-01

    The purpose of this study was to generate a theory that explained the beliefs and behaviors of participants from business, not-for-profit business, education, and government sectors when resolving the employability skills gap. Classical grounded theory was the inductive methodology applied to this study. The New North, an 18 county region located…

  6. A Grounded Theory Analysis of Introductory Computer Science Pedagogy

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    Jonathan Wellons

    2011-12-01

    Full Text Available Planning is a critical, early step on the path to successful program writing and a skill that is often lacking in novice programmers. As practitioners we are continually searching for or creating interventions to help our students, particularly those who struggle in the early stages of their computer science education. In this paper we report on our ongoing research of novice programming skills that utilizes the qualitative research method of grounded theory to develop theories and inform the construction of these interventions. We describe how grounded theory, a popular research method in the social sciences since the 1960’s, can lend formality and structure to the common practice of simply asking students what they did and why they did it. Further, we aim to inform the reader not only about our emerging theories on interventions for planning but also how they might collect and analyze their own data in this and other areas that trouble novice programmers. In this way those who lecture and design CS1 interventions can do so from a more informed perspective.

  7. A Grounded Theory on Helping Behavior and Its Shaping Factors

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    A Grounded Theory on Helping Behavior and Its Shaping Factors

    2006-06-01

    Full Text Available In social psychology, the attribution model of helping behavior suggests that beliefs of the helping target’s responsibility for the need for help evoke affective motivators such as feelings of pity, sympathy, or anger. The affective motivation leads to helping or not helping the target. The current emergent theory is an enhancement of this theory by incorporating other personal and situational variables.Through the use of classic grounded theory, I interviewed 80 participants from different De La Salle Schools in the Philippines. This yielded over 1300 individual incidents that were compared and contrasted to form codes, categories and subcategories. A theory on the decision making process of helping emerged that incorporates the helper’s personal conviction, and rational deliberations of the situation. The desire to help is based on the helper’s rationalemotive beliefs (philosophical ideals and values that nurture helping and the knowledge of the nature of risk/problem and relational-emotive ties (with the one who needs help and with a social group that nurtures helping. The desire to help undergoes a process of rationalpragmatic-deliberations on the appropriateness of the recipients need of help, the cost of helping, the helper’s capability of helping, and the logistics of helping before the actual helping occurs. The theory has implications for current social psychological theories of helping, and the use of classic grounded theory research.

  8. Jargonizing: The use of the grounded theory vocabulary

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    Barney G. Glaser, Ph.D., Hon. Ph.D.

    2009-03-01

    Full Text Available When in doubt, jargonize.When you wish to belong, network, be collegial or be ‘a part of’,jargonize.When you want to sound knowledgeable, jargonize.When you wish to sound experienced, jargonize.Jargonizing is normal. All people, all human kind, jargonize in their lives to some degree or other. We use the vocabulary (jargon of the area in which we act and talk. Jargon is a vocabulary of action by which to talk about what is going on. Most fields have their jargon. Few do not. Jargonizing cannot be stopped. It is needed. It can be very meaningful, properly so, for a field. In this book, however, I am writing about jargoning as just words with little or no real meaning, but sounding good and knowledgeable when talking about an area that one knows little or nothing about. In this way, jargonizing continually regenerates the GT (grounded theory vocabulary wrongly as it is being applied to QDA (qualitative data analysis concerns. Grounded theory is the buzzword in academic circles doing QDA research.

  9. Book Review: Glaser, B.G. (2007. Doing Formal Grounded Theory: A Proposal

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    Alvita K. Nathaniel, PhD, APRN, BC

    2007-06-01

    Full Text Available Forty years after developing the classic grounded theory method with Anselm Strauss, Barney Glaser has published the long-anticipated follow-up monograph that details the method for generating formal grounded theory. Through the years, Glaser continued writing about substantive grounded theory, but formal grounded theory remained in the background, lacking a clear definition and distinctive method. Although his previous monographs offer hints about formal grounded theory, this is the first definitive guide for researcher-theorists. It is Glaser’s aim that this monograph will provide the inspiration and direction needed by researcher-theorists who will then generate formal grounded theory. The intended audience for this book is grounded theorists who have previous experience developing substantive grounded theories.

  10. School Counselors' Strategies for Social Justice Change: A Grounded Theory of What Works in the Real World

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    Singh, Anneliese A.; Urbano, Alessandra; Haston, Meg; McMahon, Eleanor

    2010-01-01

    A qualitative study used a grounded theory methodology to explore the strategies that 16 school counselors who self-identified as social justice agents used to advocate for systemic change within their school communities. Findings included seven overarching themes: (a) using political savvy to navigate power structures, (b) consciousness raising,…

  11. Exploring the Complexities of Learning Motivation in Pre-Service Teacher Education Students: A Grounded Theory Approach

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    Grosskopf, Kristin

    2009-01-01

    This qualitative, grounded-theory study investigated learning motivation differences among three achievement groupings of undergraduate students enrolled in the College of Education and Human Sciences at the University of Nebraska-Lincoln. Nine students participated in in-depth interviews that explored their reasons for pursuing their degree,…

  12. A Grounded Theory of Behavior Management Strategy Selection, Implementation, and Perceived Effectiveness Reported by First-Year Elementary Teachers

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    Smart, Julie B.; Igo, L. Brent

    2010-01-01

    In this grounded theory study, 19 teachers were interviewed and then, in constant comparative fashion, the interview data were analyzed. The theoretical model that emerged from the data describes novice teachers' tendencies to select and implement differing strategies related to the severity of student behavior. When confronting mild student…

  13. A Grounded Theory of Behavior Management Strategy Selection, Implementation, and Perceived Effectiveness Reported by First-Year Elementary Teachers

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    Smart, Julie B.; Igo, L. Brent

    2010-01-01

    In this grounded theory study, 19 teachers were interviewed and then, in constant comparative fashion, the interview data were analyzed. The theoretical model that emerged from the data describes novice teachers' tendencies to select and implement differing strategies related to the severity of student behavior. When confronting mild student…

  14. Cope and Grow: A Grounded Theory Approach to Early College Entrants' Lived Experiences and Changes in a STEM Program

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    Dai, David Yun; Steenbergen-Hu, Saiying; Zhou, Yehan

    2015-01-01

    In this grounded theory qualitative study, we interviewed 34 graduates from one cohort of 51 students from a prestigious early college entrance program in China. Based on the interview data, we identified distinct convergent and divergent patterns of lived experiences and changes. We found several dominant themes, including peers' mutual…

  15. Exploring the use of grounded theory as a methodological approach to examine the 'black box' of network leadership in the national quality forum.

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    Hoflund, A Bryce

    2013-01-01

    This paper describes how grounded theory was used to investigate the "black box" of network leadership in the creation of the National Quality Forum. Scholars are beginning to recognize the importance of network organizations and are in the embryonic stages of collecting and analyzing data about network leadership processes. Grounded theory, with its focus on deriving theory from empirical data, offers researchers a distinctive way of studying little-known phenomena and is therefore well suited to exploring network leadership processes. Specifically, this paper provides an overview of grounded theory, a discussion of the appropriateness of grounded theory to investigating network phenomena, a description of how the research was conducted, and a discussion of the limitations and lessons learned from using this approach.

  16. Workplace bullying in emergency nursing: Development of a grounded theory using situational analysis.

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    Wolf, Lisa A; Perhats, Cydne; Clark, Paul R; Moon, Michael D; Zavotsky, Kathleen Evanovich

    2017-09-22

    The Institute of Medicine recognizes that the workplace environment is a crucial factor in the ability of nurses to provide safe and effective care, and thus interactions that affect the quality and safety of the work environment require exploration. The purpose of this study was to use situational analysis to develop a grounded theory of workplace bullying as it manifests specifically in the emergency care setting. This study used a grounded theory methodology called situational analysis. 44 emergency RNs were recruited to participate in one of 4 focus group sessions, which were transcribed in their entirety, and, along with field notes, served as the dataset. This grounded theory describes the characteristics of human actors and their reactions to conditions in the practice environment that lead to greater or lesser levels of bullying, and the responses to bullying as it occurs in U.S. emergency departments. Workplace bullying is a significant factor in the dynamics of patient care, nursing work culture, and nursing retention. The impact on patient care cannot be overestimated, both in terms of errors, substandard care, and the negative effects of high turnover of experienced RNs who leave, compounded by the inexperience of newly hired RNs. An assessment of hospital work environments should include nurse perceptions of workplace bullying, and interventions should focus on effective managerial processes for handling workplace bullying. Future research should include testing of the theoretical coherence of the model, and the testing of bullying interventions to determine the effect on workplace environment, nursing intent to leave/retention, and patient outcomes. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. The Grounded Theory Perspective: Its Origins and Growth

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    Barney G. Glaser

    2016-06-01

    Full Text Available The book is about the origins and growth of grounded theory (GT as developed and written by Barney G. Glaser. It is not written to compete or compare with other QDA methods. The competition with other perspectives is up to the reader to write up, if he so desires. My goal in this paper is to write up the GT perspective clearly and historically to date so it can be used by others in research and the rhetorical wrestle between different perspectives. As GT spreads throughout the world a clear view of the GT perspective is constantly needed and requested from me by researchers for doing GT and for trying to explain the method to others, particularly supervisors and peer reviewers.

  18. Grounded Theory Method: Sociology's Quest for Exclusive Items of Inquiry

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    Edward Tolhurst

    2012-09-01

    Full Text Available The genesis and development of grounded theory method (GTM is evaluated with reference to sociology's attempt to demarcate exclusive referents of inquiry. The links of objectivist GTM to positivistic terminology and to the natural scientific distinction from "common sense" are explored. It is then considered how the biological sciences have prompted reorientation towards constructivist GTM, underpinned by the metaphysics of social constructionism. GTM has been shaped by the endeavor to attain the sense of exactitude associated with positivism, whilst also seeking exclusive referents of inquiry that are distinct from the empirical realm of the natural sciences. This has generated complex research techniques underpinned by tortuous methodological debate: eschewing the perceived requirement to define and defend an academic niche could help to facilitate the development of a more useful and pragmatic orientation to qualitative social research. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1203261

  19. Are There Two Methods of Grounded Theory? Demystifying the Methodological Debate

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    Cheri Ann Hernandez, RN, Ph.D., CDE

    2008-06-01

    Full Text Available Grounded theory is an inductive research method for the generation of substantive or formal theory, using qualitative or quantitative data generated from research interviews, observation, or written sources, or some combination thereof (Glaser & Strauss, 1967. In recent years there has been much controversy over the etiology of its discovery, as well as, the exact way in which grounded theory research is to be operationalized. Unfortunately, this situation has resulted in much confusion, particularly among novice researchers who wish to utilize this research method. In this article, the historical, methodological and philosophical roots of grounded theory are delineated in a beginning effort to demystify this methodological debate. Grounded theory variants such as feminist grounded theory (Wuest, 1995 or constructivist grounded theory (Charmaz, 1990 are beyond the scope of this discussion.

  20. Adopting a Grounded Theory Approach to Cultural-Historical Research: Conflicting Methodologies or Complementary Methods?

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    Jayson Seaman PhD

    2008-03-01

    Full Text Available Grounded theory has long been regarded as a valuable way to conduct social and educational research. However, recent constructivist and postmodern insights are challenging long-standing assumptions, most notably by suggesting that grounded theory can be flexibly integrated with existing theories. This move hinges on repositioning grounded theory from a methodology with positivist underpinnings to an approach that can be used within different theoretical frameworks. In this article the author reviews this recent transformation of grounded theory, engages in the project of repositioning it as an approach by using cultural historical activity theory as a test case, and outlines several practical methods implied by the joint use of grounded theory as an approach and activity theory as a methodology. One implication is the adoption of a dialectic, as opposed to a constructivist or objectivist, stance toward grounded theory inquiry, a stance that helps move past the problem of emergence versus forcing.

  1. Clarifying Analysis and Interpretation in Grounded Theory: Using a Conditional Relationship Guide and Reflective Coding Matrix

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    Karen Wilson Scott PhD

    2008-06-01

    Full Text Available Although qualitative methods, grounded theory included, cannot be reduced to formulaic procedures, research tools can clarify the process. The authors discuss two instruments supporting grounded theory analysis and interpretation using two examples from doctoral students. The conditional relationship guide contextualizes the central phenomenon and relates categories linking structure with process. The reflective coding matrix serves as a bridge to the final phase of grounded theory analysis, selective coding and interpretation, and, ultimately, to substantive theory generation.

  2. CTE Teachers' Perspectives on the Process of CTE and Science Content Integration: A Grounded Theory

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    Spindler, Matthew Kenneth

    The integration of career and technical education (CTE) and academic curricular content that capitalizes on natural and inherent connections represents a challenge for CTE professionals. The research question that was used to guide the current study was: What are CTE teachers' perspectives of and experiences with the process of CTE and science content integration? And more specifically, to generate a grounded theory which explicates the process of CTE and science content integration from the perspective of CTE teachers. The CTE teachers expressed that the process of CTE and science content integration was a process of evolutionizing. From the perspective of the CTE teachers involved integrating CTE and science content resulted in their programs of study being adapted into something different than they were before the process of integration was begun. The CTE teachers revealed that the evolutions in their programs of study and themselves were associated with three other categories within the grounded theory: (a) connecting; (b) enacting; and (c) futuring. The process of CTE and science content integration represents a deep and complex episode for CTE teachers. The process of CTE and science content integration requires connecting to others, putting ideas into action, and an orienting towards the future.

  3. Applying Grounded Theory to Investigating Change Management in the Nonprofit Sector

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    David Rosenbaum

    2016-11-01

    Full Text Available Grounded theory is well supported as a qualitative research method that historically responded to the epistemological challenges of defining knowledge and determining how it has been acquired. While its historical and unique methodological underpinnings remain consistent, its ongoing application and methods of execution continue to expand its use. The consideration of using grounded theory by researchers embodies the need to explore the methodology and thereafter seek to develop the method that reflects the researcher’s skills, the research setting, and the research aims. This article sets out a particular method of applying it to the study of change management using a rich single case study in the nonprofit sector. Key findings are that nonprofit specific change management models may need to incorporate a focus on formal reflection for change agents and change recipients, development of trust and confidence in the organization prior to the actual change, focusing on the individual experience of change, and recognizing the sequencing of events from a planning perspective.

  4. 'Veiling sexualities': a grounded theory of mental health nurses responses to issues of sexuality.

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    Higgins, Agnes; Barker, Phil; Begley, Cecily M

    2008-05-01

    This paper is a report of a study to develop a grounded theory explaining how mental health nurses respond to issues of sexuality in clinical practice. The history of sexuality and people with mental health problems has largely been a history shrouded in misunderstanding, stigma, myth and negativity. However, individuals with mental health problems may experience sexuality and relationship difficulties related to their life experiences, mental illness, or its treatment. Grounded theory was the methodology used for the study. Interviews were conducted in 2005-2006 with 27 mental health nurses working an urban area in the Republic of Ireland. Data were analysed using the concurrent processes of constant comparative analysis, data collection, theoretical sampling and memo writing. The core category to emerge from the data was 'veiling sexualities'. This refers to participants' accounts of how they responded to the sexuality dimension of clients' lives. Participants' main concerns about sexuality were related to feelings of personal and professional vulnerability, due to a lack of competence, comfort and confidence in this area. The theory highlights the manner in which nurses perpetuate practices that marginalize, discriminate and socially exclude clients as 'sexual citizens'. The theory of Veiled Sexualities may facilitate acknowledgement of the presence of sexuality in all nurse-client encounters, and promote a discourse on the sexual rights of people experiencing mental distress among mental health nurses and all involved in the delivery of mental health services.

  5. Exodus of clergy: A practical theological grounded theory exploration of Hatfield Training Centre trained pastors

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    Shaun Joynt

    2013-01-01

    Full Text Available There is a shortage of clergy, at least in the Roman Catholic Church. Protestant churches in general are experiencing more of a distribution or placement challenge than a shortage. The two greatest hindrances to addressing the Protestant clergy distribution challenge are a lack of adequate compensation for clergy and the undesirable geographical location of a number of churches, as perceived by clergy. Influences such as secularisation, duality of vocation, time management, change in type of ministry, family issues, congregational and denominational conflict, burnout, sexual misconduct, divorce or marital problems, and suicide, affect clergy. Studies on the shortage of clergy have been conducted mostly in the USA and Europe and not in South Africa. This article focuses on the research gap by means of a practical theological grounded theory exploration of the exodus of clergy. Grounded theory methodology is used to identify the reasons why clergy trained at a Bible college of a Protestant charismatic mega church leave full-time pastoral ministry. Findings correspond to previous studies with two reasons appearing more frequently than others: responding to a call and leadership related issues. Firstly, respondents differed in their replies with respect to reconciling their exit from full-time pastoral ministry with their call. The replies included not being called, a dual call, or called but left anyway. Secondly, respondents indicated that leadership influence was mostly negative with regard to affirming their call.

  6. A grounded theory: seeking relief from flatus as relevant client-nurse action and interaction.

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    Annells, Merilyn

    2007-01-01

    Flatus problems are not uncommon among gastroenterological clients and those in other care settings. Yet what clients and nurses do productively about those problems in regard to their actions and interactions and why they do so has not previously been the focus of research. Holistic health management requires trustworthy qualitative evidence to guide best practice in this regard. This study systematically developed a substantive grounded theory that details and explains the trajectory of the basic social process: seeking relief from being discommoded (inconvenienced, troubled) by flatus in the situational context of client-nurse interactions. In the theory, there is also a focus on the context of nursing care situations, possible constraints, and likely outcomes. Grounded theory method was applied. Data were collected through semistructured individual interviews, nonparticipant observation, and document analysis regarding incidents and situations involving 38 participants-clients and registered nurses. The results show that clients, when trying to do something about the situation, can be severely discommoded by flatus problems and are hampered by embarrassment and the social taboo about admitting that one is bothered by flatus. The individual may or may not disclose the problem to a nurse, and nurses may or may not be attuned to these problems. There are ways for nurses to be helpful in these situations and possible remedies are identified in this article.

  7. Integrating Software in the Teaching of Grounded Theory Methodology

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    Agnes Mühlmeyer-Mentzel

    2011-09-01

    Full Text Available The implementation of our hands-on seminar is based on the understanding of grounded theory methodology (GTM as a craft that can be taught to a great extent. The successful learning process requires knowing, understanding and practising the procedural steps of this craft. It is also important to open up spaces for the development of reflexive and analytical competences. Having an orientation toward a research project within the teaching-learning process assists in deepening the understanding of GTM and provides a scope for practise and reflection at the same time. It is important for us to retain the student-centred nature of the teaching-learning process to enable active and praxis-oriented student engagement instead of focusing on the transmission of factual knowledge. The structural fit that exists between GTM and ATLAS.ti allows students to experience the software as a support in the analyses of their own data. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1103171

  8. Staying theoretically sensitive when conducting grounded theory research.

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    Reay, Gudrun; Bouchal, Shelley Raffin; A Rankin, James

    2016-09-01

    Background Grounded theory (GT) is founded on the premise that underlying social patterns can be discovered and conceptualised into theories. The method and need for theoretical sensitivity are best understood in the historical context in which GT was developed. Theoretical sensitivity entails entering the field with no preconceptions, so as to remain open to the data and the emerging theory. Investigators also read literature from other fields to understand various ways to construct theories. Aim To explore the concept of theoretical sensitivity from a classical GT perspective, and discuss the ontological and epistemological foundations of GT. Discussion Difficulties in remaining theoretically sensitive throughout research are discussed and illustrated with examples. Emergence - the idea that theory and substance will emerge from the process of comparing data - and staying open to the data are emphasised. Conclusion Understanding theoretical sensitivity as an underlying guiding principle of GT helps the researcher make sense of important concepts, such as delaying the literature review, emergence and the constant comparative method (simultaneous collection, coding and analysis of data). Implications for practice Theoretical sensitivity and adherence to the GT research method allow researchers to discover theories that can bridge the gap between theory and practice.

  9. A Brush with Research: Teaching Grounded Theory in the Art and Design Classroom

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    Compton, Mike; Barrett, Sean

    2016-01-01

    Grounded Theory is a systematic approach to social research that allows for new concepts and theories to emerge from gathered data, as opposed to relying on either established theory or personal conjecture to interpret social processes. Although Grounded Theory is a well-known method within social science literature, it is relatively unknown in…

  10. Grounded Theory in media research and the use of the computer

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    Hijmans, E.J.S.; Peters, V.A.M.

    2000-01-01

    This article offers, from a perspective of Grounded Theory, a comprehensive summary of general procedures for qualitative analysis and the advantages of the use of the computer. The Grounded Theory Approach is one of the most elaborated methods in the field of interpretive analysis within which anal

  11. Grounded Theory: Managing the Challenge for Those Facing Institutional Review Board Oversight

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    O'Connor, Mary Katherine; Netting, F. Ellen; Thomas, M. Lori

    2008-01-01

    The authors examine one of the earliest systematic forms of qualitative inquiry to identify some of the boundaries needed in grounded theory designs to provide a small corner of clarity in the discourse about what is acceptable science from the Institutional Review Board (IRB) perspective. Beginning with an overview of grounded theory research as…

  12. Surviving Grounded Theory Research Method in an Academic World: Proposal Writing and Theoretical Frameworks

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    Naomi Elliott

    2012-12-01

    Full Text Available Grounded theory research students are frequently faced with the challenge of writing a research proposal and using a theoretical framework as part of the academic requirements for a degree programme. Drawing from personal experiences of two PhD graduates who used classic grounded theory in two different universities, this paper highlights key lessons learnt which may help future students who are setting out to use grounded theory method. It identifies key discussion points that students may find useful when engaging with critical audiences, and defending their grounded theory thesis at final examination. Key discussion points included are: the difference between inductive and deductive inquiry; how grounded theory method of data gathering and analysis provide researchers with a viable means of generating new theory; the primacy of the questions used in data gathering and data analysis; and, the research-theory link as opposed to the theory-research link.

  13. Grounded Theory and Pragmatism: The Curious Case of Anselm Strauss

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    Antony Bryant

    2009-07-01

    Full Text Available Sir Arthur CONAN DOYLE's stories featuring Sherlock Holmes are justly famous the world over. In The Memoirs of Sherlock Holmes (1993 one story entitled Silver Blaze contains an exchange between Holmes and a Scotland Yard detective as follows: Gregory (Scotland Yard detective: "Is there any other point to which you would wish to draw my attention?" Holmes: "To the curious incident of the dog in the night-time." Gregory: "The dog did nothing in the night-time." Holmes: "That was the curious incident." In similar fashion I wish to draw attention to the curious case of Anselm STRAUSS: There is already a good deal of work pointing to the continuities between the Grounded Theory Method (GTM and the Pragmatism of John DEWEY and Charles PEIRCE. This has usually focused on Anselm STRAUSS with his Chicago-influenced Pragmatist background, although STRAUSS himself never articulated the way in which Pragmatism informed or could be brought to bear on the method as it evolved from the 1960s onwards. This paper argues that many of the contentious issues surrounding GTM can be resolved if they are understood against the context of some of the core tenets of Pragmatism, particularly the ways in which some of the more recent Pragmatists such as Richard RORTY have brought them back as a focus of attention. In so doing is raises the question of why, given his intellectual background and formation, Anselm STRAUSS did so little to bring Pragmatist ideas into GTM in its later embodiments and extended statements. That is the "curious incident" to which specific attention is drawn at several points in what follows; it remains a perplexing one, with perhaps no convincing solution, unlike the Sherlock Holmes mystery alluded to above. URN: urn:nbn:de:0114-fqs090325

  14. Investigating Agile User-Centered Design in Practice: A Grounded Theory Perspective

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    Hussain, Zahid; Slany, Wolfgang; Holzinger, Andreas

    This paper investigates how the integration of agile methods and User-Centered Design (UCD) is carried out in practice. For this study, we have applied grounded theory as a suitable qualitative approach to determine what is happening in actual practice. The data was collected by semi-structured interviews with professionals who have already worked with an integrated agile UCD methodology. Further data was collected by observing these professionals in their working context, and by studying their documents, where possible. The emerging themes that the study found show that there is an increasing realization of the importance of usability in software development among agile team members. The requirements are emerging; and both low and high fidelity prototypes based usability tests are highly used in agile teams. There is an appreciation of each other's work from both UCD professionals and developers and both sides can learn from each other.

  15. A Coding Scheme Development Methodology Using Grounded Theory For Qualitative Analysis Of Pair Programming

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    Stephan Salinger

    2008-01-01

    Full Text Available A number of quantitative studies of pair programming (the practice of two programmers working together using just one computer have partially conflicting results. Qualitative studies are needed to explain what is really going on. We support such studies by taking a grounded theory (GT approach for deriving a coding scheme for the objective conceptual description of specific pair programming sessions independent of a particular research goal. The present article explains why our initial attempts at using GT failed and describes how to avoid these difficulties by a predetermined perspective on the data, concept naming rules, an analysis results metamodel, and pair coding. These practices may be helpful in all GT situations, particularly those involving very rich data such as video data. We illustrate the operation and usefulness of these practices by real examples derived from our coding work and present a few preliminary hypotheses regarding pair programming that have surfaced.

  16. [Nursing care systematization according to the nurses' view: a methodological approach based on grounded theory].

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    de Medeiros, Ana Lúcia; dos Santos, Sérgio Ribeiro; de Cabral, Rômulo Wanderley Lima

    2012-09-01

    This study was aimed at understanding, from the nurses' perspective, the experience of going through the Systematization of nursing care (SNC) in an obstetric service unit. We used grounded theory as the theoretical and methodological framework. The subjects of this study consisted of thirteen nurses from a public hospital in the city of João Pessoa, in the state of Paraíba. The data analysis resulted in the following phenomenon. "perceiving SNC as a working method that organizes, directs and improves the quality of care by bringing visibility and providing security for the nursing staff" The nurses expressed the extent of knowledge about the SNC experienced in obstetrics as well as considered the nursing process as a decision-making process, which guides the reasoning of nurses in the planning of nursing care in obstetrics. It was concluded that nurses perceive the SNC as an instrument of theoretical-practical articulation leading to personalized assistance.

  17. Complementary medicines in medicine: Conceptualising terminology among Australian medical students using a constructivist grounded theory approach.

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    Templeman, Kate; Robinson, Anske; McKenna, Lisa

    2015-02-01

    Terminology around the use of complementary medicines (CM) within medical discourse is ambiguous. Clear collective discourse within the medical context is required. This study reports the findings of a Constructivist Grounded Theory Method study used to explore medical students' conceptualisation of terminology and associated value components around CMs as evidenced within their discourse community. The results show that terminology surrounding CMs within medicine is politically charged and fraught with value judgements. Terms used to describe CMs were considered, many of which were deemed problematic. Categorisation of specific medicines was also deemed inappropriate in certain contexts. Conceptualisation of CM terminology, categorisation and value implications, discriminated between levels of evidence for CMs and provided insights into the social change of medicine towards emergence of an evidence-based integrative approach. The results show that terminology surrounding CM is a social construct consistent with fluid conceptualisation and operationalisation in different social contexts.

  18. Revisiting Symbolic Interactionism as a Theoretical Framework Beyond the Grounded Theory Tradition.

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    Handberg, Charlotte; Thorne, Sally; Midtgaard, Julie; Nielsen, Claus Vinther; Lomborg, Kirsten

    2015-08-01

    The tight bond between grounded theory (GT) and symbolic interactionism (SI) is well known within the qualitative health research field. We aimed to disentangle this connection through critical reflection on the conditions under which it might add value as an underpinning to studies outside the GT tradition. Drawing on an examination of the central tenets of SI, we illustrate with a field study using interpretive description as methodology how SI can be applied as a theoretical lens through which layers of socially constructed meaning can help surface the subjective world of patients. We demonstrate how SI can function as a powerful framework for human health behavior research through its capacity to orient questions, inform design options, and refine analytic directions. We conclude that using SI as a lens can serve as a translation mechanism in our quest to interpret the subjective world underlying patients' health and illness behavior.

  19. Effect of music therapy on oncologic staff bystanders: a substantive grounded theory.

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    O'Callaghan, Clare; Magill, Lucanne

    2009-06-01

    Oncologic work can be satisfying but also stressful, as staff support patients and families through harsh treatment effects, uncertain illness trajectories, and occasional death. Although formal support programs are available, no research on the effects of staff witnessing patients' supportive therapies exists. This research examines staff responses to witnessing patient-focused music therapy (MT) programs in two comprehensive cancer centers. In Study 1, staff were invited to anonymously complete an open-ended questionnaire asking about the relevance of a music therapy program for patients and visitors (what it does; whether it helps). In Study 2, staff were theoretically sampled and interviewed regarding the personal effects of witnessing patient-centered music therapy. Data from each study were comparatively analyzed according to grounded theory procedures. Positive and negative cases were evident and data saturation arguably achieved. In Study 1, 38 staff unexpectedly described personally helpful emotional, cognitive, and team effects and consequent improved patient care. In Study 2, 62 staff described 197 multiple personal benefits and elicited patient care improvements. Respondents were mostly nursing (57) and medical (13) staff. Only three intrusive effects were reported: audibility, initial suspicion, and relaxation causing slowing of work pace. A substantive grounded theory emerged applicable to the two cancer centers: Staff witnessing MT can experience personally helpful emotions, moods, self-awarenesses, and teamwork and thus perceive improved patient care. Intrusive effects are uncommon. Music therapy's benefits for staff are attributed to the presence of live music, the human presence of the music therapist, and the observed positive effects in patients and families. Patient-centered oncologic music therapy in two cancer centers is an incidental supportive care modality for staff, which can reduce their stress and improve work environments and perceived

  20. Ação e estrutura social em Grounded Theory: Reflexões sobre uma psicologia social sociológica

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    Bruno Felix von Borell de Araujo

    2011-01-01

    Full Text Available The objective of this study was to propose ideas for the study of topics involving the interdependence between social contexts and individual action with Grounded Theory. We adopted two strategies: identifying approaches in sociological social psychology that offer ideas about how to study interdependence between social structure and individual action and highlight practical alternatives presented by Grounded Theory theorists to overcome the problem in question. We proposed: a the adoption of the approaches of Stryker, Giddens, Elias and Bourdieu as sensitizing for developing grounded theories; b the use and creation of maps or matrices for coding; and c the confrontation of the substantive theory created with the contributions of the cited theorists in order to situate the theory within the contributions of the scientific community.

  1. Maintaining the balance: New Zealand secondary school nurses' perceptions of skin infections in young people--a grounded theory.

    Science.gov (United States)

    Lambe, Catherine I; Hoare, Karen J

    2016-01-01

    The objective of this study was to explore the perceptions of New Zealand secondary school nurses regarding skin infections in young people aged 14-18 years. A constructivist grounded theory method was adopted. Ten non-structured interviews were conducted with secondary school nurses working in Auckland, New Zealand, between January and July 2013. Interviews were audiotaped, transcribed and analysed using all tenets of grounded theory that included writing memos, theoretical sampling and the constant comparative method. Analysis revealed the core category Maintaining the balance, which is presented as a grounded theory model. It represents the constant state of balancing the school nurse undergoes in trying to counter the risk to the student. The nurse attempts to tip the balance in favour of action, by reducing barriers to healthcare, providing youth-friendly, affordable and accessible healthcare, and following up until resolution is achieved. The nurse is aware that failing to monitor until resolution can again tip the fulcrum back to inaction, placing the young person at risk again. It is concluded that nurses are knowledgeable about the risks present in the communities they serve and are innovative in the methods they employ to ensure satisfactory outcomes for young people experiencing skin infections. School nursing is an evolving model for delivering primary healthcare to young people in New Zealand. The grounded theory model 'Maintaining the balance' describes a model of care where nursing services are delivered where young people spend time, and the nurse is immersed in the community. This model of care may be transferable to other healthcare situations. © 2015 John Wiley & Sons Ltd.

  2. The experience of women in male-dominated occupations: A constructivist grounded theory inquiry

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    Phiona Martin

    2013-03-01

    Full Text Available Orientation: Women in male-dominated occupations face unique challenges and use distinct coping strategies affecting their motivation and retention in these occupations.Research purpose: The purpose was to explore the experiences of women working in maledominated occupations to clarify the challenges they face and identify coping strategies that enable them to continue on their career paths.Motivation for the study: Many women who choose male-dominated careers soon change in favour of more female-dominated or gender-balanced career paths. An understanding of women’s experiences may facilitate strategies geared towards their motivation and retention in male-dominated occupations.Research design, approach and method: The authors conducted this exploratory qualitative study from a constructivist grounded theory perspective. They used a purposive sample of five women and conducted in-depth unstructured interviews. They analysed data using a constructivist grounded theory methodology.Main findings: The authors found that formal and covert organisational practices, which upheld gender discrimination and bias, were the main challenges that women face. These practices included the inadequate accommodation of women’s unique physical, identity and work-life balance needs. Elements of women’s resilience included the use of femininity, adopting male characteristics, mentorship and intrinsic motivational factors. Practical/managerial implications: The findings may guide organisations to develop and implement policies, strategies and initiatives geared towards attracting, integrating, retaining, supporting and motivating women who are, or wish to be, employed in historically maledominated occupations.Contribution/value-add: This study contributes to an evolving body of knowledge aimed at understanding how to integrate and retain women in male-dominated occupations better.

  3. How parents manage the risk of child sexual abuse: a grounded theory.

    Science.gov (United States)

    Babatsikos, Georgia; Miles, Debra

    2015-01-01

    The aim of this study is to understand how parents manage the risk of child sexual abuse, including prevention as well as early intervention and detection strategies. Using a social constructivist theoretical foundation and grounded theory methods, qualitative in-depth interviews were conducted with Australian parents between 2006 and 2008. Based on the data, a balance theory was developed, which explains how parents attempt to balance the type of information given to children in order to protect their children from sexual abuse without scaring them as well as how parents manage sexual boundary crossing incidents experienced by their children in the context of complex social relationships. Implications for prevention programs as well as reporting of child sexual abuse are discussed.

  4. Music Therapists’ Conceptualization of Clients’ Experience of Healing: Grounded Theory Analysis

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    Eun-Young Hwang

    2016-03-01

    Full Text Available This study analyzed the meaning, distinctive features, and process of therapists’ perception of their clients’ experience related to healing in music therapy. Twenty Korean music therapists who work with a variety of clients were recruited to participate through purposive sampling. Corbin and Strauss’s (2008 grounded theory qualitative analysis method was used. Ten categories and nineteen subcategories were obtained. The central phenomenon was active participation in music therapy, which was influenced by client’s readiness. Clients’ experiences lead to healing through awareness of inner self, expression of emotions, and solving problems. These changes were related to the therapists’ interventions, professionalism and qualifications, and their use of music. It was concluded that the clients experienced four types of healing in their music therapy sessions: physical, emotional, social, and transformative.

  5. Integration of Qualitative and Quantitative Methods: Building and Interpreting Clusters from Grounded Theory and Discourse Analysis

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    Aldo Merlino

    2007-01-01

    Full Text Available Qualitative methods present a wide spectrum of application possibilities as well as opportunities for combining qualitative and quantitative methods. In the social sciences fruitful theoretical discussions and a great deal of empirical research have taken place. This article introduces an empirical investigation which demonstrates the logic of combining methodologies as well as the collection and interpretation, both sequential as simultaneous, of qualitative and quantitative data. Specifically, the investigation process will be described, beginning with a grounded theory methodology and its combination with the techniques of structural semiotics discourse analysis to generate—in a first phase—an instrument for quantitative measuring and to understand—in a second phase—clusters obtained by quantitative analysis. This work illustrates how qualitative methods allow for the comprehension of the discursive and behavioral elements under study, and how they function as support making sense of and giving meaning to quantitative data. URN: urn:nbn:de:0114-fqs0701219

  6. The Frustrations of Reader Generalizability and Grounded Theory: Alternative Considerations for Transferability

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    Thomas Misco

    2007-01-01

    Full Text Available In this paper I convey a recurring problem and possible solution that arose during my doctoral research on the topic of cross-cultural Holocaust curriculum development for Latvian schools. Specifically, as I devised the methodology for my research, I experienced a number of frustrations concerning the issue of transferability and the limitations of both reader generalizability and grounded theory. Ultimately, I found a more appropriate goal for the external applicability of this and other highly contextual research studies in the form of "grounded understandings," which are tentative apprehensions of the importance or significance of phenomena and conceptualizations that hold meaning and explanatory power, but are only embryonic in their potential to generate theory.

  7. Health effects of digital textbooks on school-age children: a grounded theory approach.

    Science.gov (United States)

    Seomun, Gyeongae; Lee, Jung-Ah; Kim, Eun-Young; Im, Meeyoung; Kim, Miran; Park, Sun-A; Lee, Youngjin

    2013-10-01

    This qualitative study used the grounded theory approach to analyze digital textbook-related health experiences of school-age children. In-depth interviews were held with 40 elementary school students who had used digital textbooks for at least a year. Data analysis revealed a total of 56 concepts, 20 subcategories, and 11 categories related to digital textbook health issues, the central phenomena being "health-related experiences." Students' health-related experiences were classified into "physical" and "psychological" symptoms. Adverse health effects related to digital textbook usage were addressed via both "student-led" and "instructor-led" coping strategies. Students' coping strategies were often inefficient, but instructor-led strategies seemed to prevent health problems. When health issues were well managed, students tended to accept digital textbooks as educational tools. Our findings suggest that students can form healthy computer habits if digital textbook usage is directed in a positive manner.

  8. Fascination and isolation: a grounded theory exploration of unusual sensory experiences in adults with Asperger syndrome.

    Science.gov (United States)

    Smith, Richard S; Sharp, Jonathan

    2013-04-01

    Unusual sensory experiences are commonly seen in people with Asperger syndrome (AS). They correlate with functional impairments and cause distress. The current study investigates how these experiences have affected nine adults with AS's lives, as well as the coping strategies utilised. Semi-structured interviews were conducted using Instant Messaging software. Data were analysed using Grounded Theory. A number of inter-related categories and focused codes were identified. The categories included heightened senses, sensory stress, the stress avalanche, moderating factors, coping strategies, other people, self-acceptance, fascination, and isolation. A model was constructed as to how these categories and codes interact. How these findings link with previous research into autism spectrum disorders is discussed. Implications for services and future research are also made.

  9. Rationalising Transgression: A Grounded Theory Explaining how Emergency Department Registered Nurses Rationalise Erroneous Behaviour

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    Tracy Flenady

    2016-12-01

    Full Text Available Abstract The aim of this classic grounded theory study was to unearth the main concern of emergency department (ED registered nurses (RN when they perform respiratory rate observations to generate a substantive theory that explicates how the identified problem is resolved. Analysis of data collected from 79 registered nurses revealed that health sector forced compliance in recording observations meant that ED RNs are more than likely to record a respiratory rate without actually counting respirations. This erroneous behaviour provokes varying degrees of emotional discomfort as the nurses’ actions are often incongruent with their professional values and beliefs. The theory Rationalising Transgression explains how nurses continually resolve this issue by compensating, minimalizing, or trivialising to titrate the level of emotional discomfort associated with erroneous behaviour, consequently facilitating the rationalisation of transgression.

  10. From Fantasy to Reality: A Grounded Theory of Experiences in the Swinging Lifestyle.

    Science.gov (United States)

    Kimberly, Claire; Hans, Jason D

    2015-11-23

    Swinger couples-committed couples who consensually engage in extra-relational sex for recreational purposes-are difficult for researchers to access due to the social stigma associated with swinging. This study builds upon the limited research on swinger couples by examining personal experiences with swinging. Specifically, 32 semi-structured interviews with swingers (16 husband-wife dyads, interviewed separately) were analyzed using grounded theory methods to understand the process of transitioning into and maintaining marital satisfaction in the swinging lifestyle. The model formed included (a) antecedent steps taken to enter into the lifestyle, (b) types of desires fulfilled, (c) stated benefits of being in the lifestyle, and (d) rules that guided couples throughout the process. Although variations were found across couples, the effective use of verbal and non-verbal communication to increase sexual and marital satisfaction within these non-monogamous couples was paramount to their experiences.

  11. A Grounded Theory of Sexual Minority Women and Transgender Individuals' Social Justice Activism.

    Science.gov (United States)

    Hagen, Whitney B; Hoover, Stephanie M; Morrow, Susan L

    2017-08-21

    Psychosocial benefits of activism include increased empowerment, social connectedness, and resilience. Yet sexual minority women (SMW) and transgender individuals with multiple oppressed statuses and identities are especially prone to oppression-based experiences, even within minority activist communities. This study sought to develop an empirical model to explain the diverse meanings of social justice activism situated in SMW and transgender individuals' social identities, values, and experiences of oppression and privilege. Using a grounded theory design, 20 SMW and transgender individuals participated in initial, follow-up, and feedback interviews. The most frequent demographic identities were queer or bisexual, White, middle-class women with advanced degrees. The results indicated that social justice activism was intensely relational, replete with multiple benefits, yet rife with experiences of oppression from within and outside of activist communities. The empirically derived model shows the complexity of SMW and transgender individuals' experiences, meanings, and benefits of social justice activism.

  12. Reading Fluency Techniques from the Bottom-up: A Grounded Theory

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    Seyyed Ali Ostovar-Namaghi

    2015-09-01

    Full Text Available In many EFL contexts, including language education milieu in Iran, reading fluency is usually taken for granted since language education in public high schools mainly focuses on reading comprehension. Taking the detrimental effect of fluency deficiency into account, some practitioners foreground reading fluency and try to develop it early on. To give voice to their theories of practice, this qualitative study interviewed teachers who were willing to share their experience with the researchers. In line with grounded theory, the iterative process of data collection and analysis continued until the conceptualization of fluency development techniques was saturated. The techniques emerged are conducive to fluency development and as such the findings have clear implications for practitioners and policy makers nation-wide. Keywords: reading theory, reading fluency, reading techniques

  13. Collective Inclusioning: A Grounded Theory of a Bottom-Up Approach to Innovation and Leading

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    Michal Lysek

    2016-06-01

    Full Text Available This paper is a grounded theory study of how leaders (e.g., entrepreneurs, managers, etc. engage people in challenging undertakings (e.g., innovation that require everyone’s commitment to such a degree that they would have to go beyond what could be reasonably expected in order to succeed. Company leaders sometimes wonder why their employees no longer show the same responsibility towards their work, and why they are more concerned with internal politics than solving customer problems. It is because company leaders no longer apply collective inclusioning to the same extent as they did in the past. Collective inclusioning can be applied in four ways by convincing, afinitizing, goal congruencing, and engaging. It can lead to fostering strong units of people for taking on challenging undertakings. Collective inclusioning is a complementing theory to other strategic management and leading theories. It offers a new perspective on how to implement a bottom-up approach to innovation.

  14. From Pathological Dependence to Healthy Independence: An emergent grounded theory of facilitating independent living

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    Liz Jamieson, Ph.D

    2006-11-01

    Full Text Available People with mental disorder are admitted to high security hospitals because of perceived risk of serious harm to others. Outcome studies generally focus on adverse events, especially reoffending,reflecting public and government anxieties. There is no theoretical model to provide a better basis for measurement. There have been no studies examining discharge from the perspectives of those involved in the process. This paper begins to fill this gap by generating a grounded theory of the main concerns of those involved in decisions to discharge from such hospitals. Data were collected by semi-structured interviews with staff of various clinical and non-clinical disciplines, some with a primary duty of care to the patient, while mindful of public safety, and some with a primary duty to the public, while mindful of patients’ rights. The data were analysed using a grounded theory approach. Their main concern was ‘pathological dependence’ and that was resolved through the process of‘facilitating independent living’. Clinicians and non-clinicians alike managed this by ‘paving the way’ and ‘testing out’. The former begins on hospital admission, intensifies during residency, and lessens after discharge. Testing out overlaps, but happens to a greater extent outside high security. Factors within the patient and/or within the external environment could be enhancers or barriers to movement along a dependence-independence continuum. A barrier appearing after some progress along the continuum and ending independence gained was called a‘terminator’. Bad outcomes were continuing or resumed dependency, with ‘terminators’, such as death, re-offending or readmission,modelled as explanations rather than outcomes per se. Good outcomes were attainment and maintenance of community living with unconstrained choice of professional and/or social supports. Although this work was done in relation to high security hospital patients, it is likely that

  15. Understanding psychological distress among mothers in rural Nepal: a qualitative grounded theory exploration

    Science.gov (United States)

    2014-01-01

    Background There is a large burden of psychological distress in low and middle-income countries, and culturally relevant interventions must be developed to address it. This requires an understanding of how distress is experienced. We conducted a qualitative grounded theory study to understand how mothers experience and manage distress in Dhanusha, a low-resource setting in rural Nepal. We also explored how distressed mothers interact with their families and the wider community. Methods Participants were identified during a cluster-randomised controlled trial in which mothers were screened for psychological distress using the 12-item General Health Questionnaire (GHQ-12). We conducted 22 semi-structured interviews with distressed mothers (GHQ-12 score ≥5) and one with a traditional healer (dhami), as well as 12 focus group discussions with community members. Data were analysed using grounded theory methods and a model was developed to explain psychological distress in this setting. Results We found that distress was termed tension by participants and mainly described in terms of physical symptoms. Key perceived causes of distress were poor health, lack of sons, and fertility problems. Tension developed in a context of limited autonomy for women and perceived duty towards the family. Distressed mothers discussed several strategies to alleviate tension, including seeking treatment for perceived physical health problems and tension from doctors or dhamis, having repeated pregnancies until a son was delivered, manipulating social circumstances in the household, and deciding to accept their fate. Their ability to implement these strategies depended on whether they were able to negotiate with their in-laws or husbands for resources. Conclusions Vulnerability, as a consequence of gender and social disadvantage, manifests as psychological distress among mothers in Dhanusha. Screening tools incorporating physical symptoms of tension should be envisaged, along with

  16. Thematic Review and Analysis of Grounded Theory Application in Software Engineering

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    Omar Badreddin

    2013-01-01

    Full Text Available We present metacodes, a new concept to guide grounded theory (GT research in software engineering. Metacodes are high level codes that can help software engineering researchers guide the data coding process. Metacodes are constructed in the course of analyzing software engineering papers that use grounded theory as a research methodology. We performed a high level analysis to discover common themes in such papers and discovered that GT had been applied primarily in three software engineering disciplines: agile development processes, geographically distributed software development, and requirements engineering. For each category, we collected and analyzed all grounded theory codes and created, following a GT analysis process, what we call metacodes that can be used to drive further theory building. This paper surveys the use of grounded theory in software engineering and presents an overview of successes and challenges of applying this research methodology.

  17. The Grounded Theory Method: Deconstruction and Reconstruction in a Human Patient Simulation Context

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    Brian Parker PhD

    2011-03-01

    Full Text Available Certain modes of qualitative inquiry, such as grounded theory, can serve to uncover the abstract processes and broad conceptual themes influencing the personal experiences of undergraduate nursing students encountering clinical scenarios utilizing human patient simulators (HPS. To date insufficient research has been conducted to uncover the basic social-psychological processes encountered by students as they engage in a HPS-based clinical scenario. The authors assert that HPS-based learning experiences are in reality social endeavors that lead to the creation of socially negotiated knowledge and meanings relevant to the adult learner. To understand how grounded theory is suited to deriving answers to these questions, an analysis of the theoretical and philosophical foundations of grounded theory is undertaken. This critical analysis concludes with a discussion of specific considerations to be reflected upon by researchers when applying the inductively derived method of grounded theory in uncovering the social processes that occur within HPS-based clinical scenarios.

  18. Business analysis methodology in telecommunication industry - the research based on the grounded theory

    National Research Council Canada - National Science Library

    Hana Nenickova

    2013-01-01

      The objective of this article is to present the grounded theory using in the qualitative research as a basis to build a business analysis methodology for the implementation of information systems...

  19. Safeguarding Self-Governance: A Grounded Theory of Older Patients’ Pattern of Behavior in Relation to their Relatives in Fast-track Programs

    DEFF Research Database (Denmark)

    Berthelsen, Connie B.; Frederiksen, Kirsten; Lindhardt Damsgaard, Tove

    2014-01-01

    Abstract The aim of this study was to generate a grounded theory of older patients’ pattern of behavior in relation to their relatives’ involvement in fast-track programs during total joint replacement. Sixteen patients were recruited in orthopedic wards. Data collection included 11 interviews......-governance emerged in the analysis as the core category of our theory and pattern of behavior of the older patients in relation to their relatives. The older patients’ main concern was to complete the fast-track program while maintaining autonomy, which they resolved through four strategies of actions: embracing......, shielding, distancing, and masking. Keywords: Fast-track program, grounded theory, older patients, relatives, total joint replacement....

  20. Navigating cancer using online communities: a grounded theory of survivor and family experiences.

    Science.gov (United States)

    Harkin, Lydia Jo; Beaver, Kinta; Dey, Paola; Choong, Kartina

    2017-05-03

    People affected by cancer often have unmet emotional and social support needs. Online cancer communities are a convenient channel for connecting cancer survivors, allowing them to support one another. However, it is unclear whether online community use makes a meaningful contribution to cancer survivorship, as little previous research has examined the experience of using contemporary cancer communities. We aimed to explore the experiences of visitors to online cancer communities. Twenty-three in-depth interviews were conducted with online cancer community visitors, including cancer survivors (n = 18), family members (n = 2), and individuals who were both a survivor and family member (n = 3). Interviews were analysed using a grounded theory approach. A theory developed explaining how individuals 'navigated' the experience of cancer using online cancer communities. Online advice and information led participants on a 'journey to become informed'. Online friendships normalised survivorship and cast participants on a 'journey to recreate identity'. Participants navigated a 'journey through different worlds' as they discovered relevant and hidden communities. This theory highlights virtual paths people affected by cancer can take to self-manage their experience of the disease. Online community experiences can be improved by promoting online evaluation skills and signposting visitors to bereavement support. Cancer survivors can benefit through both lurking and posting in online communities. However, individuals risk becoming distressed when they befriend individuals who may soon die. Additionally, people affected by rarer cancers can struggle to find shared experiences online and may need to look elsewhere for support.

  1. Mixing a Grounded Theory Approach with a Randomized Controlled Trial Related to Intimate Partner Violence: What Challenges Arise for Mixed Methods Research?

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    Cristina Catallo

    2013-01-01

    Full Text Available Little is known about how to systematically integrate complex qualitative studies within the context of randomized controlled trials. A two-phase sequential explanatory mixed methods study was conducted in Canada to understand how women decide to disclose intimate partner violence in emergency department settings. Mixing a RCT (with a subanalysis of data with a grounded theory approach required methodological modifications to maintain the overall rigour of this mixed methods study. Modifications were made to the following areas of the grounded theory approach to support the overall integrity of the mixed methods study design: recruitment of participants, maximum variation and negative case sampling, data collection, and analysis methods. Recommendations for future studies include: (1 planning at the outset to incorporate a qualitative approach with a RCT and to determine logical points during the RCT to integrate the qualitative component and (2 consideration for the time needed to carry out a RCT and a grounded theory approach, especially to support recruitment, data collection, and analysis. Data mixing strategies should be considered during early stages of the study, so that appropriate measures can be developed and used in the RCT to support initial coding structures and data analysis needs of the grounded theory phase.

  2. Mixing a Grounded Theory Approach with a Randomized Controlled Trial Related to Intimate Partner Violence: What Challenges Arise for Mixed Methods Research?

    Science.gov (United States)

    Catallo, Cristina; Jack, Susan M.; Ciliska, Donna; MacMillan, Harriet L.

    2013-01-01

    Little is known about how to systematically integrate complex qualitative studies within the context of randomized controlled trials. A two-phase sequential explanatory mixed methods study was conducted in Canada to understand how women decide to disclose intimate partner violence in emergency department settings. Mixing a RCT (with a subanalysis of data) with a grounded theory approach required methodological modifications to maintain the overall rigour of this mixed methods study. Modifications were made to the following areas of the grounded theory approach to support the overall integrity of the mixed methods study design: recruitment of participants, maximum variation and negative case sampling, data collection, and analysis methods. Recommendations for future studies include: (1) planning at the outset to incorporate a qualitative approach with a RCT and to determine logical points during the RCT to integrate the qualitative component and (2) consideration for the time needed to carry out a RCT and a grounded theory approach, especially to support recruitment, data collection, and analysis. Data mixing strategies should be considered during early stages of the study, so that appropriate measures can be developed and used in the RCT to support initial coding structures and data analysis needs of the grounded theory phase. PMID:23577245

  3. Mixing a grounded theory approach with a randomized controlled trial related to intimate partner violence: what challenges arise for mixed methods research?

    Science.gov (United States)

    Catallo, Cristina; Jack, Susan M; Ciliska, Donna; Macmillan, Harriet L

    2013-01-01

    Little is known about how to systematically integrate complex qualitative studies within the context of randomized controlled trials. A two-phase sequential explanatory mixed methods study was conducted in Canada to understand how women decide to disclose intimate partner violence in emergency department settings. Mixing a RCT (with a subanalysis of data) with a grounded theory approach required methodological modifications to maintain the overall rigour of this mixed methods study. Modifications were made to the following areas of the grounded theory approach to support the overall integrity of the mixed methods study design: recruitment of participants, maximum variation and negative case sampling, data collection, and analysis methods. Recommendations for future studies include: (1) planning at the outset to incorporate a qualitative approach with a RCT and to determine logical points during the RCT to integrate the qualitative component and (2) consideration for the time needed to carry out a RCT and a grounded theory approach, especially to support recruitment, data collection, and analysis. Data mixing strategies should be considered during early stages of the study, so that appropriate measures can be developed and used in the RCT to support initial coding structures and data analysis needs of the grounded theory phase.

  4. Minimizing the dysfunctional interplay between activity and recovery: A grounded theory on living with fibromyalgia

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    Lillemor R.-M. Hallberg

    2011-06-01

    Full Text Available The aim of this study was to generate a substantive theory, based on interviews with women with fibromyalgia, explaining how they manage their main concerns in daily life. The study has an inductive approach in line with classic grounded theory (Glaser, 1992. Twenty-three women living in the southwest region of Sweden were interviewed in-depth about their daily living with fibromyalgia and problems related to this. Probing and follow-up questions were asked by the interviewers when relevant. The interviews were transcribed verbatim and consecutively analysed in line with guidelines for grounded theory. The results showed that the main concern for women with fibromyalgia was to reach a balance in daily life. This concern was resolved by them using different strategies aimed at minimizing the dysfunctional interplay between activity and recovery (core category. This imbalance includes that the women are forcing themselves to live a fast-paced life and thereby tax or exceed their physical and psychological abilities and limits. Generally, the fibromyalgia symptoms vary and are most often unpredictable to the women. Pain and fatigue are the most prominent symptoms. However, pain-free periods occur, often related to intense engagement in some activity, relaxation or joy, but mainly the “pain gaps” are unpredictable. To reach a balance in daily life and manage the dysfunctional interplay between activity and recovery the women use several strategies. They are avoiding unnecessary stress, utilizing good days, paying the price for allowing oneself too much activity, planning activities in advance, distracting oneself from the pain, engaging in alleviating physical activities, and ignoring pain sensations. Distracting from the pain seems to be an especially helpful strategy as it may lead to “pain gaps”. This strategy, meaning to divert attention from the pain, is possible to learn, or improve, in health promoting courses based on principles of

  5. Reconciling professional identity: A grounded theory of nurse academics' role modelling for undergraduate students.

    Science.gov (United States)

    Baldwin, A; Mills, J; Birks, M; Budden, L

    2017-09-05

    Role modelling by experienced nurses, including nurse academics, is a key factor in the process of preparing undergraduate nursing students for practice, and may contribute to longevity in the workforce. A grounded theory study was undertaken to investigate the phenomenon of nurse academics' role modelling for undergraduate students. The study sought to answer the research question: how do nurse academics role model positive professional behaviours for undergraduate students? The aims of this study were to: theorise a process of nurse academic role modelling for undergraduate students; describe the elements that support positive role modelling by nurse academics; and explain the factors that influence the implementation of academic role modelling. The study sample included five second year nursing students and sixteen nurse academics from Australia and the United Kingdom. Data was collected from observation, focus groups and individual interviews. This study found that in order for nurse academics to role model professional behaviours for nursing students, they must reconcile their own professional identity. This paper introduces the theory of reconciling professional identity and discusses the three categories that comprise the theory, creating a context for learning, creating a context for authentic rehearsal and mirroring identity. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. A path of perpetual resilience: exploring the experience of a diabetes-related amputation through grounded theory.

    Science.gov (United States)

    Livingstone, Wendy; Mortel, Thea F van de; Taylor, Beverly

    2011-08-01

    Little research has been done on the experience of diabetes-related amputation. The aim of this study was to allow amputees to describe their experiences of amputation and to generate grounded theory that will lead health professionals towards a more comprehensive understanding of the realities of post-amputation life. Unstructured interviews were conducted with five participants with a diabetes-related amputation living in a rural setting, and their respective carers. The interviews were analysed using Grounded Theory methods. Data analysis revealed three categories: 'imposed powerlessness', 'adaptive functionality' and 'endurance'. The impact of participant's amputations were influenced by continuing limb problems post-amputation and co-existing complications affecting their physical function. Medical errors and lack of awareness of the risks for diabetic amputations resulted in uncertainty and fear. The participants' sense of grief, loss and shock post operatively continued later as they came to terms with their awkwardness of movement, yet they moved forward developing their own sense of hope through a coping process that revealed remarkable ability to endure and exert control over lives that seemed to be at the whim of an ongoing disease process. The substantive theory resulting from this grounded theory study was conceptualised as 'A Path of Perpetual Resilience'. It is important that psychosocial and not just physical adjustment is considered an indicator for determining outcomes for these people, and that future care involves strategies to promote this. A greater sample size is required to determine if these findings are transferable to the general diabetes-related amputation population.

  7. What helps people with bipolar affective disorder succeed in employment: a grounded theory approach.

    Science.gov (United States)

    Tse, Samson; Yeats, Mike

    2002-01-01

    The present study used a qualitative research design to unfold those contextual factors which influence vocational outcomes amongst people with bipolar disorder (BD). The data for this qualitative study was collated using a grounded theory approach because of its particular relevance to the study's aims i.e., to propose a theory grounded in the data that provided an account of the vocational integration process people with BD go through. The emerging theory consists of two over-arching principles that determine an individual's readiness to join the workforce: i) recovery from an acute phase of BD and ii) goodness of fit between the individual, support, job and wider contextual components. The emerging theory is in general agreement with those issues discussed in the literature. The present study also highlights the importance of maintaining a sense of hope and how self-determination may help individuals achieve their vocational goals. The credibility of these findings was strengthened by the method of triangulation of data interpretation and sources.

  8. Exploring student nurse anesthetist stressors and coping using grounded theory methodology.

    Science.gov (United States)

    Phillips, Joy Kieffer

    2010-12-01

    The purpose of this qualitative study was to examine the challenges that recent graduates of nurse anesthesia programs coped with during their anesthesia curriculum from their perspective. The initial research questions for this study were: From the graduates'perspective, what were the stressors that they encountered during their nurse anesthesia program? And how did they successfully negotiate those stressors in order to graduate from their program? This phenomenon was studied using grounded theory methodology. The data were collected by individual, semistructured, in-depth interviews with 12 recent nurse anesthesia program graduates, from 5 different nurse anesthesia programs, who have been out of school for less than 2 years. This exploration into student nurse anesthetist stress and coping articulates 3 phases of development as these students progressed through their program. The phases are transitioning in (first 9 months of program), finding their way (9 to 18 months into program), and transitioning out (18 to 28 months into program). Coping mechanisms employed by the participants were problem focused, emotion focused, and a combination of the 2. Recommendations for action and future research are discussed.

  9. Review: Günter Mey & Katja Mruck (Eds. (2007. Grounded Theory Reader

    Directory of Open Access Journals (Sweden)

    Adrian Schmidtke

    2009-07-01

    Full Text Available The volume was published to mark the 40th anniversary of the publication of "The Discovery of Grounded Theory." The first part describes the emergence and fundamental positions of grounded theory methodology (GTM in methodological and theoretical terms; the second part focuses on research practices. The "Grounded Theory Reader" is an excellent compilation that doesn’t claim to be a standard textbook for newcomers to GTM. Rather, it is a reflection of the state of the art in GTM and enables insights in complex research practices. A basic understanding of GTM is recommended in order to get the most from the book. URN: urn:nbn:de:0114-fqs0903286

  10. Book Review: Grounded Theory in Perspective: A Lifetime’s Work

    Directory of Open Access Journals (Sweden)

    Helen Scott

    2017-06-01

    Full Text Available The grounded theory general method of research was Glaser and Strauss’ response to the problem of “superthink”: the generation of hypotheses in the field of sociology without recourse to data. Glaser and Strauss observed that since such hypotheses were of little relevance, pursuing them wasted resources and had fateful impact on young researchers’ careers. Glaser and Strauss preferred to ground their hypotheses in data that was from the field and was of relevance to their participants. The resultant development of the grounded theory method to maturity has taken decades of dedicated, scholarly endeavour. Glaser explains and examples how this has been achieved in his new book: The grounded theory perspective: Its origins and growth.

  11. Management Research and Grounded Theory: A review of grounded theorybuilding approach in organisational and management research.

    Directory of Open Access Journals (Sweden)

    Graham J.J. Kenealy, Ph.D.

    2008-06-01

    Full Text Available Grounded theory is a systematic methodology for the collection and analysis of data which was discovered by Glaser and Strauss in the 1960’s. The discovery of this method was first presented to the academic community in their book ‘The Discovery of Grounded Theory’ (1967 which still remains a primary point of reference for those undertaking qualitative research and grounded theory in particular. This powerful research method has become very popular in some research domains; whilst increasing in popularity it is still less prevalent in the field of organisational and management research particularly in its original form. This self reflexive paper sets out to explore the possibilities for this imbalance which takes the discussion onto the areas of methodological adaptation and training. It also enters the debate about access to research subjects and provides a succinct argument supporting the notion that grounded theory should simply be viewed as a method that develops empirically grounded conceptual theory.

  12. Utilizing grounded theory to explore the information-seeking behavior of senior nursing students.

    Science.gov (United States)

    Duncan, Vicky; Holtslander, Lorraine

    2012-01-01

    The ability to find and retrieve information efficiently is an important skill for undergraduate nursing students. Yet a number of studies reveal that nursing students are not confident in their library searching skills and encounter barriers to retrieving relevant information for assignments. This grounded theory study examined strategies used by students to locate information for class assignments and identified barriers to their success. Purposive sampling was used to recruit eleven students, who were asked to record their searching processes while completing a class assignment, and semi-structured, open-ended, audiotaped interviews took place to discuss the students' journals and solicit additional data. Methods of information seeking, strategies used to find information, and barriers to searching were identified. Students' main concern was frustration caused by the challenge of choosing appropriate words or phrases to query databases. The central theme that united all categories and explained most of the variation among the data was "discovering vocabulary." Teaching strategies to identify possible words and phrases to use when querying information sources should be emphasized more in the information literacy training of undergraduate nursing students.

  13. The evolutionary development of the scientific mind: A grounded theory of adventuring

    Science.gov (United States)

    Maloney, Katrina Martin

    Teaching and learning science is hard, and the cognitive skills needed to be successful in science are complex. Science educators have explored a number of different ways to teach and learn science that impacts the widest variety of learners in a classroom. The grounded theory of adventuring explains both why scientific thinking is an evolutionarily important trait and illustrates a common thread throughout a variety of teaching and learning behaviors. Adventuring incorporates the dimensions of exploring, mavericking, and acquiring and applying skills that are the hallmarks of positive science education. The disciplines of psychology, sociology, biology, and ecology are connected in this study in order to fully illustrate the complexities of the subject. By exploring the psychology/sociology of teachers teaching science and students learning science, and connecting that to the biology of the hardware, this study explains how we could be teaching and learning science in a way for which our brains are best suited, and in ways that reach all learners.

  14. Why risk professional fulfilment: a grounded theory of physician engagement in healthcare development.

    Science.gov (United States)

    Lindgren, Åsa; Bååthe, Fredrik; Dellve, Lotta

    2013-01-01

    The need for trans-professional collaboration when developing healthcare has been stressed by practitioners and researchers. Because physicians have considerable impact on this process, their willingness to become involved is central to this issue. This study aims to gain a deeper understanding of how physicians view their engagement in healthcare development. Using a grounded theory approach, the study developed a conceptual model based on empirical data from qualitative interviews with physicians working at a hospital (n = 25). A continual striving for experiences of usefulness and progress, conceptualized as 'striving for professional fulfilment' (the core category), emerged as a central motivational drive for physician engagement in healthcare development. Such experiences were gained when achieving meaningful results, having impact, learning to see the greater context and fulfilling the perceived doctor role. Reinforcing organizational preconditions that facilitated physician engagement in healthcare development were workplace continuity, effective strategies and procedures, role clarity regarding participation in development and opportunities to gain knowledge about organization and development. Two opposite role-taking tendencies emerged: upholding a traditional doctor role with high autonomy in relation to organization and management, clinical work serving as the main source of fulfilment, or approaching a more complete 'employeeship' role in which organizational engagement also provides a sense of fulfilment. Experiencing professional fulfilment from participation in healthcare development is crucial for sustainable physician engagement in such activities. Copyright © 2012 John Wiley & Sons, Ltd.

  15. A discussion of differences in preparation, performance and postreflections in participant observations within two grounded theory approaches

    DEFF Research Database (Denmark)

    Berthelsen, Connie Bøttcher; Lindhardt Damsgaard, Tove; Frederiksen, Kirsten

    2016-01-01

    researchers to experience activities and interactions directly in situ. However, using participant observations as a data collection method can be done in many ways, depending on the chosen grounded theory methodology, and may produce different results. This discussion shows that how the differences between......This paper presents a discussion of the differences in using participant observation as a data collection method by comparing the classic grounded theory methodology of Barney Glaser with the constructivist grounded theory methodology by Kathy Charmaz. Participant observations allow nursing...... using participant observations in classic and constructivist grounded theory can be considerable and that grounded theory researchers should adhere to the method descriptions of performing participant observations according to the selected grounded theory methodology to enhance the quality of research....

  16. A discussion of differences in preparation, performance and postreflections in participant observations within two grounded theory approaches.

    Science.gov (United States)

    Berthelsen, Connie Bøttcher; Lindhardt, Tove; Frederiksen, Kirsten

    2016-05-10

    This paper presents a discussion of the differences in using participant observation as a data collection method by comparing the classic grounded theory methodology of Barney Glaser with the constructivist grounded theory methodology by Kathy Charmaz. Participant observations allow nursing researchers to experience activities and interactions directly in situ. However, using participant observations as a data collection method can be done in many ways, depending on the chosen grounded theory methodology, and may produce different results. This discussion shows that how the differences between using participant observations in classic and constructivist grounded theory can be considerable and that grounded theory researchers should adhere to the method descriptions of performing participant observations according to the selected grounded theory methodology to enhance the quality of research.

  17. How parents process child health and nutrition information: A grounded theory model.

    Science.gov (United States)

    Lovell, Jennifer L

    2016-02-01

    The aim of the present study was to investigate low-income parents' experiences receiving, making meaning of, and applying sociocultural messages about childhood health and nutrition. Semi-structured interviews were conducted with parents from 16 low-income Early Head Start families. Verbatim interview transcripts, observations, field notes, documentary evidence, and follow-up participant checks were used during grounded theory analysis of the data. Data yielded a potential theoretical model of parental movement toward action involving (a) the culture and context influencing parents, (b) parents' sources of social and cultural messages, (c) parental values and engagement, (d) parental motivation for action, (e) intervening conditions impacting motivation and application, and (f) parent action taken on the individual and social levels. Parent characteristics greatly impacted the ways in which parents understood and applied health and nutrition information. Among other implications, it is recommended that educators and providers focus on a parent's beliefs, values, and cultural preferences regarding food and health behaviors as well as his/her personal/family definition of "health" when framing recommendations and developing interventions.

  18. Keeping vigil over the profession: a grounded theory of the context of nurse anaesthesia practice

    Directory of Open Access Journals (Sweden)

    MacDonald Marjorie A

    2010-07-01

    Full Text Available Abstract Background Nurse anaesthetists in the US have faced continued, repeated challenges to their profession. Regardless, they have met these challenges and have established themselves as major anaesthesia care providers. In this paper we address the research question: How do certified registered nurse anaesthetists (CRNAs manage the socio-political context in which they provide care for their patients? Methods Grounded theory was used to explore how nurse anaesthetists protect and promote their profession. Purposive, snowball, and theoretical sampling was used and data were collected through participant observation and interviews conducted at a conference of the professional association, an educational program, by telephone, email exchanges, and time spent in operating rooms and an outpatient surgical clinic. Analysis included coding at increasingly abstract levels and constant comparison. Results The basic social process identified was Keeping Vigil Over the Profession, which explains how nurse anaesthetists protect and promote their profession. It is comprised of three contextual categories: Establishing Public Credibility through regulatory and educational standards, Political Vigilance and taking action in governmental and policy arenas, and Tending the Flock through a continuous information loop between local and administrative/political levels. Conclusions From our study of the context of nurse anaesthesia practice, it is clear that CRNAs are dedicated to protecting their ability to provide high quality patient care by maintaining constant vigilance over their profession.

  19. Making things right: nurses' experiences with workplace bullying-a grounded theory.

    Science.gov (United States)

    Gaffney, Donna A; Demarco, Rosanna F; Hofmeyer, Anne; Vessey, Judith A; Budin, Wendy C

    2012-01-01

    While bullying in the healthcare workplace has been recognized internationally, there is still a culture of silence in many institutions in the United States, perpetuating underreporting and insufficient and unproven interventions. The deliberate, repetitive, and aggressive behaviors of bullying can cause psychological and/or physical harm among professionals, disrupt nursing care, and threaten patient safety and quality outcomes. Much of the literature focuses on categories of bullying behaviors and nurse responses. This qualitative study reports on the experiences of nurses confronting workplace bullying. We collected data from the narratives of 99 nurses who completed an open-ended question embedded in an online survey in 2007. A constructivist grounded theory approach was used to analyze the data and shape a theory of how nurses make things right when confronted with bullying. In a four-step process, nurses place bullying in context, assess the situation, take action, and judge the outcomes of their actions. While many nurses do engage in a number of effective yet untested strategies, two additional concerns remain: inadequate support among nursing colleagues and silence and inaction by nurse administrators. Qualitative inquiry has the potential to guide researchers to a greater understanding of the complexities of bullying in the workplace.

  20. Making Things Right: Nurses' Experiences with Workplace Bullying—A Grounded Theory

    Science.gov (United States)

    Gaffney, Donna A.; DeMarco, Rosanna F.; Hofmeyer, Anne; Vessey, Judith A.; Budin, Wendy C.

    2012-01-01

    While bullying in the healthcare workplace has been recognized internationally, there is still a culture of silence in many institutions in the United States, perpetuating underreporting and insufficient and unproven interventions. The deliberate, repetitive, and aggressive behaviors of bullying can cause psychological and/or physical harm among professionals, disrupt nursing care, and threaten patient safety and quality outcomes. Much of the literature focuses on categories of bullying behaviors and nurse responses. This qualitative study reports on the experiences of nurses confronting workplace bullying. We collected data from the narratives of 99 nurses who completed an open-ended question embedded in an online survey in 2007. A constructivist grounded theory approach was used to analyze the data and shape a theory of how nurses make things right when confronted with bullying. In a four-step process, nurses place bullying in context, assess the situation, take action, and judge the outcomes of their actions. While many nurses do engage in a number of effective yet untested strategies, two additional concerns remain: inadequate support among nursing colleagues and silence and inaction by nurse administrators. Qualitative inquiry has the potential to guide researchers to a greater understanding of the complexities of bullying in the workplace. PMID:22567223

  1. Making Things Right: Nurses' Experiences with Workplace Bullying—A Grounded Theory

    Directory of Open Access Journals (Sweden)

    Donna A. Gaffney

    2012-01-01

    Full Text Available While bullying in the healthcare workplace has been recognized internationally, there is still a culture of silence in many institutions in the United States, perpetuating underreporting and insufficient and unproven interventions. The deliberate, repetitive, and aggressive behaviors of bullying can cause psychological and/or physical harm among professionals, disrupt nursing care, and threaten patient safety and quality outcomes. Much of the literature focuses on categories of bullying behaviors and nurse responses. This qualitative study reports on the experiences of nurses confronting workplace bullying. We collected data from the narratives of 99 nurses who completed an open-ended question embedded in an online survey in 2007. A constructivist grounded theory approach was used to analyze the data and shape a theory of how nurses make things right when confronted with bullying. In a four-step process, nurses place bullying in context, assess the situation, take action, and judge the outcomes of their actions. While many nurses do engage in a number of effective yet untested strategies, two additional concerns remain: inadequate support among nursing colleagues and silence and inaction by nurse administrators. Qualitative inquiry has the potential to guide researchers to a greater understanding of the complexities of bullying in the workplace.

  2. The isolating and insulating effects of hepatitis C: a substantive grounded theory.

    Science.gov (United States)

    McCreaddie, May; Lyons, Imogen; Horsburgh, Dorothy; Miller, Margot; Frew, Jeff

    2011-01-01

    Hepatitis C has a global prevalence of 3%, causing chronic infection in 75% of cases, and is currently the main cause of liver transplant in the United Kingdom. This study reviewed patients' and service providers' perspectives on hepatitis C as an enduring condition, using a constructivist grounded theory approach. A constant comparative approach to data collection and analyses incorporating a coding paradigm was applied to semistructured interviews, focus groups, and memos. Sixteen patients and three focus groups of staff (n = 17) were recruited via purposive theoretical sampling (February through August 2008). A negative synergistic relationship between the condition hepatitis C, patients, and service providers that creates isolating and insulating effects for the relevant parties emerged from the data as a middle-range theory. Stigma and contagion create a "real" or perceived sense of isolation for hepatitis C comorbid and itinerant patients, who require the right support at the right time. Healthcare staff adhere to professional demarcation lines to manage potentially untenable patient caseloads. In turn, patients and professionals perceive that a crisis may be required to bring about successful therapeutic intervention. A service that incorporates seamless outreach services and facilitates interdisciplinary working is needed to manage complex patients with this enduring condition.

  3. How Adolescent Girls Understand and Manage Depression Within Their Peer Group: A Grounded Theory Investigation.

    Science.gov (United States)

    Pinto-Foltz, Melissa D; Hines-Martin, Vicki; Logsdon, M Cynthia

    2010-03-01

    Depression is prevalent among adolescent girls, but few receive mental health treatment. Adolescent girls often forgo needed mental health treatment because they fear responses of peers about depression. Understanding the processes of how adolescent girls respond to peers with depression is an important first step to improve access to mental health treatment. This qualitative study describes the knowledge, perceptions, and behaviors of adolescent girls about depression and mental health treatment within their peer group. The investigators conducted two focus groups, with adolescent girls (n=21), in a public high school in the southern U.S. Grounded theory methods were utilized to identify a beginning substantive theory about perceptions and behaviors of adolescent girls related to depression in their peers. Participants cognitively processed mental health concepts similarly to adults. However, their affective responses to peers with mental illness fluctuated between adult and child perspectives. Participants expressed concerns about individuals with depression that have previously been identified in adults, but expressed unique perspectives that reflect their transitional stage of development. Findings provide new information about how adolescent girls respond to peers with depression, define areas for further investigation, provide directions for constructing developmentally appropriate mental health educational interventions for adolescent girls, and elucidate the need to provide guidance to women with whom adolescent girls have sustained contact.

  4. Family, state, class and solidarity: re-conceptualising intergenerational solidarity through the grounded theory approach.

    Science.gov (United States)

    Timonen, Virpi; Conlon, Catherine; Scharf, Thomas; Carney, Gemma

    2013-09-01

    The relationship between class and intergenerational solidarities in the public and private spheres calls for further conceptual and theoretical development. This article discusses the findings from the first wave of a qualitative longitudinal study entitled Changing Generations, conducted in Ireland in 2011-2012, comprising 100 in-depth interviews with men and women across the age and socioeconomic spectrums. Constructivist grounded theory analysis of the data gives rise to the following postulates: (1) intergenerational solidarity at the family level is strongly contoured by socioeconomic status (SES); (2) intergenerational solidarity evolves as family generations observe each others' practices and adjust their expectations accordingly; (3) intergenerational solidarity within families is also shaped by the public sphere (the welfare state) that generates varying expectations and levels of solidarity regarding State supports for different age groups, again largely dependent on SES; (4) the liberal welfare state context, especially at a time of economic crisis, enhances the significance of intergenerational solidarity within families. We conclude by calling for research that is attuned to age/generation, gender and class, and how these operate across the family and societal levels.

  5. Seniors’ self-preservation by maintaining established self and defying deterioration – A grounded theory

    Directory of Open Access Journals (Sweden)

    Jeanette Källstrand Eriksson

    2016-05-01

    Full Text Available The purpose of this classic grounded theory study was to understand how seniors who are living independently resolve issues influenced by visual impairment and high fall risk. We interviewed and observed 13 seniors with visual impairment in their homes. We also interviewed six visual instructors with experience from many hundreds of relevant incidents from the same group of seniors. We found that the seniors are resolving their main concern of “remaining themselves as who they used to be” by self-preservation. Within this category, the strategies maintaining the established self and defying deterioration emerged as the most prominent in our data. The theme maintaining the established self is mostly guided by change inertia and includes living the past (retaining past activities, reminiscing, and keeping the home intact and facading (hiding impairment, leading to avoidance of becoming a burden and to risk juggling. Defying deterioration is a proactive scheme and involves moving (by exercising, adapting activities, using walking aids, driving, adapting (by finding new ways, and networking by sustaining old support networks or finding new networks. Self-preservation is generic human behavior and modifying this theory to other fields may therefore be worthwhile. In addition, health care providers may have use for the theory in fall preventive planning.

  6. Momentary fitting in a fluid environment: A grounded theory of triage nurse decision making.

    Science.gov (United States)

    Reay, Gudrun; Rankin, James A; Then, Karen L

    2016-05-01

    Triage nurses control access to the Emergency Department (ED) and make decisions about patient acuity, patient priority, and placement of the patient in the ED. Understanding the processes and strategies that triage nurses use to make decisions is therefore vital for patient safety and the operation of the ED. The aim of the current study was to generate a substantive grounded theory (GT) of decision making by emergency triage Registered Nurses (RNs). Data collection consisted of seven observations of the triage environment at three tertiary care hospitals where RNs conducted triage and twelve interviews with triage RNs. The data were analyzed by constant comparison in accordance with the classical GT method. In the resultant theory, Momentary Fitting in a Fluid Environment, triage is conceptualized as a process consisting of four categories, determining acuity, anticipating needs, managing space, and creating space. The findings indicate that triage RNs continually strive to achieve fit, while simultaneously considering the individual patient and the ED as a whole entity. Triage RNs require appropriately designed triage environments and computer technology that enable them to secure real time knowledge of the ED to maintain situation awareness. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Seniors' self-preservation by maintaining established self and defying deterioration - A grounded theory.

    Science.gov (United States)

    Eriksson, Jeanette Källstrand; Hildingh, Cathrine; Buer, Nina; Thulesius, Hans

    2016-01-01

    The purpose of this classic grounded theory study was to understand how seniors who are living independently resolve issues influenced by visual impairment and high fall risk. We interviewed and observed 13 seniors with visual impairment in their homes. We also interviewed six visual instructors with experience from many hundreds of relevant incidents from the same group of seniors. We found that the seniors are resolving their main concern of "remaining themselves as who they used to be" by self-preservation. Within this category, the strategies maintaining the established self and defying deterioration emerged as the most prominent in our data. The theme maintaining the established self is mostly guided by change inertia and includes living the past (retaining past activities, reminiscing, and keeping the home intact) and facading (hiding impairment, leading to avoidance of becoming a burden and to risk juggling). Defying deterioration is a proactive scheme and involves moving (by exercising, adapting activities, using walking aids, driving), adapting (by finding new ways), and networking by sustaining old support networks or finding new networks. Self-preservation is generic human behavior and modifying this theory to other fields may therefore be worthwhile. In addition, health care providers may have use for the theory in fall preventive planning.

  8. Aspects on McCallin’s paper, “Grappling with the literature in a grounded theory study”

    Directory of Open Access Journals (Sweden)

    Helene Ekström, MD, Ph.D.

    2006-06-01

    Full Text Available I read Antoinette McCallin’s paper with interest and I have learned that there are problems which I have foreseen perhaps because I am, as many medical doctors are, unaware of the many “theories” or different perspectives that one can chose in undertaking a study. Kirsti Malterud, Professor of General Practice in Bergen, Norway, used to say that we are theoretically ignorant and instead focus on the pragmatic issues of how to survive the day and help the “sick” in an appropriate way. However, even if I feel like a real novice, I have some remarks about literature and grounded theory studies.A literature review as part of, for instance, a research proposal and one that is undertaken when actually performing a grounded theory study are two different issues in my opinion. When writing a research proposal or an application for research funding, the issue is (which I personally learned the hard way…. to follow the rules of the committees or funding agencies whether or not the review demanded is appropriate for what you plan to study. Here the discussion in the first part of McCallin’s paper is appropriate because when you write a research proposal or the like perhaps (although not necessarily a discussion is needed of the different “GT methods”, their requirements, historical development, different opinions among researchers and so on as well as why you have chosen a particular approach.

  9. Influencing Factors and Implementation Path of Government Data Open and Utilization:A Qualitative Study Based on Grounded Theory%我国政府数据开放利用的影响因素与实现路径*--一项基于扎根理论的质性研究

    Institute of Scientific and Technical Information of China (English)

    王法硕; 王翔

    2016-01-01

    [目的/意义]开放政府数据将产生巨大价值,而开放的目的在于利用。探索如何有效利用政府数据改进公共管理和服务具有较强现实意义。[方法/过程]通过深度访谈获得原始数据,应用扎根理论进行开放式编码、主轴编码、选择性编码,形成概念与范畴,研究政府数据开放利用的影响因素与实现路径。[结果/结论]研究发现社会经济全面转型、提高政府绩效、提升企业竞争力、资源互补依赖与政企战略合作五个主范畴对政府数据开放利用产生显著影响。经济社会全面转型是情境因素,提高政府绩效与提升企业竞争力是驱动因素,资源互补依赖是中介条件,政企战略合作是行动策略。在此基础上建构了我国政府数据开放利用影响因素与实现路径模型。对推进和深化政府数据开放利用提供政策思路与实践路径。%Purpose/Significance] Opening government data is of great value and the purpose of opening is to utilize it to the full. Ex-ploring how to effectively use the government data to improve public administration and service has a strong practical significance. [ Meth-od/Process] The original data was obtained through in-depth interviews. According to the grounded theory of open coding, axial coding and selective coding to form concepts and categories, this paper discussed the influencing factors and the implementation path of govern-ment data open and utilization. [ Result/Conclusion] The study finds that comprehensive economic and social transformation, improving government performance, promoting enterprise competitiveness, resource complementation and dependence and government-enterprise strategic cooperation are the five key factors influencing government data open and utilization, in which comprehensive economic and social transformation is situational factor, improving government performance and promoting enterprise competitiveness are

  10. Practical Reasoning of University Teachers’Understanding of Being a“Good Teacher”:The Process of a Grounded Theory Study and Its Reflection%大学教师对“好老师”之理解的实践推理--一项扎根理论研究的过程及其反思

    Institute of Scientific and Technical Information of China (English)

    李方安; 陈向明

    2016-01-01

    In educational activities,university teachers often encounter difficult problems and moral di-lemmas.In these circumstances,how do university teachers make value judgments and behavior choices?What kind of decisions do they think that a “good teacher”should make?How do they interpret their un-derstanding of being a “good teacher”in practice?These are actually what happen in a teacher’s reasoning practice,which gives rationale for the teacher’s action and the reasoning of being a “good teacher”means that he/she will act towards good education practice.Through individual interviews and a focus group with several university teachers,the study investigated the issue using ground theory approach with three levels of coding of the data.It is found that,in the face of moral dilemmas,university teachers will take reason as the destination,while integrating emotion,reason and law in their pursuit of the practical reasonable-ness of education practice.This is also the basis of the image of a “good teacher”in their eyes.These find-ings relied on the researcher’s analysis of teacher’s action decision and practical reasoning in the dilemmas, not only a description of the static characteristics of a “good teacher”.%大学教师在教育活动中时常会陷入两难困境,此时他们是如何进行价值判断并做出行动抉择的?他们认为什么是“好老师”应该做的?他们是如何在实践中诠释自己对“好老师”的理解的?这实际上是一个教师进行实践推理的过程,实践推理赋予教师行动以合理性解释,有关什么是“好老师”的实践推理意味着他们的行动会努力朝向好的教育实践。采用扎根理论的研究取向,对数位大学教师进行个别访谈和焦点团体座谈,通过三级编码步骤,对上述问题进行了探究。研究发现,以理为依归,情、理、法交至,追求教育实践合理性,是这些教师

  11. Design for human factors (DfHF): a grounded theory for integrating human factors into production design processes.

    Science.gov (United States)

    Village, Judy; Searcy, Cory; Salustri, Filipo; Patrick Neumann, W

    2015-01-01

    The 'design for human factors' grounded theory explains 'how' human factors (HF) went from a reactive, after-injury programme in safety, to being proactively integrated into each step of the production design process. In this longitudinal case study collaboration with engineers and HF Specialists in a large electronics manufacturer, qualitative data (e.g. meetings, interviews, observations and reflections) were analysed using a grounded theory methodology. The central tenet in the theory is that when HF Specialists acclimated to the engineering process, language and tools, and strategically aligned HF to the design and business goals of the organisation, HF became a means to improve business performance. This led to engineers 'pulling' HF Specialists onto their team. HF targets were adopted into engineering tools to communicate HF concerns quantitatively, drive continuous improvement, visibly demonstrate change and lead to benchmarking. Senior management held engineers accountable for HF as a key performance indicator, thus integrating HF into the production design process. Practitioner Summary: Research and practice lack explanations about how HF can be integrated early in design of production systems. This three-year case study and the theory derived demonstrate how ergonomists changed their focus to align with design and business goals to integrate HF into the design process.

  12. Why (and how) they decide to leave: A grounded theory analysis of STEM attrition at a large public research university

    Science.gov (United States)

    Minutello, Michael F.

    A grounded theory investigation of STEM attrition was conducted that describes and explains why undergraduates at a large Mid-Atlantic research university decided to leave their initial STEM majors to pursue non-STEM courses of study. Participants ultimately decided to leave their initial STEM majors because they were able to locate preferable non-STEM courses of study that did not present the same kinds of obstacles they had encountered in their original STEM majors. Grounded theory data analysis revealed participants initially enrolled in STEM majors with tenuous motivation that did not withstand the various obstacles that were present in introductory STEM coursework. Obstacles that acted as demotivating influences and prompted participants to locate alternative academic pathways include the following: (1.) disengaging curricula; (2.) competitive culture; (3.) disappointing grades; (4.) demanding time commitments; and (5.) unappealing career options. Once discouraged from continuing along their initial STEM pathways, participants then employed various strategies to discover suitable non-STEM majors that would allow them to realize their intrinsic interests and extrinsic goals. Participants were largely satisfied with their decisions to leave STEM and have achieved measures of personal satisfaction and professional success.

  13. School District Superintendents' Response to Ethical Dilemmas: A Grounded Theory

    Science.gov (United States)

    Sprouse, Fay Simpson

    2009-01-01

    Ethical dilemmas, situations involving a conflict between values or principles, often arise when employees of school districts violate laws or professional codes of behavior. Ethical dilemmas also occur when there are inequities in educational programming, resulting in missed opportunities for students. This qualitative study, conducted with the…

  14. School District Superintendents' Response to Ethical Dilemmas: A Grounded Theory

    Science.gov (United States)

    Sprouse, Fay Simpson

    2009-01-01

    Ethical dilemmas, situations involving a conflict between values or principles, often arise when employees of school districts violate laws or professional codes of behavior. Ethical dilemmas also occur when there are inequities in educational programming, resulting in missed opportunities for students. This qualitative study, conducted with the…

  15. A Grounded Theory of the Development of Noble Youth Purpose

    Science.gov (United States)

    Bronk, Kendall Cotton

    2012-01-01

    Having a noble purpose in life is an important component of positive youth development; however, little is known about how noble purposes develop over time. Therefore, using three waves of interviews over a 5-year period with 9 adolescents (N = 9) who demonstrated intense commitments to various noble purposes, the present study developed a…

  16. A Lifespan Perspective on Cooperative Education Learning: A Grounded Theory

    Science.gov (United States)

    Linn, Patricia

    2015-01-01

    This qualitative study sits at the intersection of two trends in vocational education. The first trend is a narrative approach to understanding cooperative education learning; the second is a movement away from career development theories toward the view that individuals use work experiences to help construct their lives. Both trends view learning…

  17. Construction of a Conceptualization of Personal Knowledge within a Knowledge Management Perspective Using Grounded Theory Methodology

    Science.gov (United States)

    Straw, Eric M.

    2013-01-01

    The current research used grounded theory methodology (GTM) to construct a conceptualization of personal knowledge within a knowledge management (KM) perspective. The need for the current research was based on the use of just two categories of knowledge, explicit and tacit, within KM literature to explain diverse characteristics of personal…

  18. Using Grounded Theory to Analyze Qualitative Observational Data that is Obtained by Video Recording

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    Colin Griffiths

    2013-06-01

    Full Text Available This paper presents a method for the collection and analysis of qualitative data that is derived by observation and that may be used to generate a grounded theory. Video recordings were made of the verbal and non-verbal interactions of people with severe and complex disabilities and the staff who work with them. Three dyads composed of a student/teacher or carer and a person with a severe or profound intellectual disability were observed in a variety of different activities that took place in a school. Two of these recordings yielded 25 minutes of video, which was transcribed into narrative format. The nature of the qualitative micro data that was captured is described and the fit between such data and classic grounded theory is discussed. The strengths and weaknesses of the use of video as a tool to collect data that is amenable to analysis using grounded theory are considered. The paper concludes by suggesting that using classic grounded theory to analyze qualitative data that is collected using video offers a method that has the potential to uncover and explain patterns of non-verbal interactions that were not previously evident.

  19. Linking the Intercultural and Grounded Theory: Methodological Issues in Migration Research

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    Vera Sheridan

    2009-01-01

    Full Text Available Connecting intercultural research with Grounded Theory was advocated in the early history of intercultural theorising and includes the development of researchers' intercultural competencies. Such competency comes to the fore where intercultural theory places an equal emphasis on home and host cultures in migration research. In this context we have found a Grounded Theory approach particularly suitable for disentangling complex interlinkings within migration experiences and their individual outcomes. Grounded Theory allows for the exploration of various theories in different fields and the emergence of new or deeper interpretations of intercultural experiences, including where research has not engaged deeply with or avoided intercultural contexts. The use of software, based on Grounded Theory, provides the resource for systematically exploring the inter-related nature of data. In addition, engaging in intercultural research, in particular, raises questions around our practice as social science researchers: adherence to ethics guidelines, for instance, can be in some conflict with the relations we build with members of communities whose cultural values, for instance around friendship or trust, impact on the norms of both our own and institutional expectations. This leads to reflection on the relationship with research participants in terms of our own intercultural experiences and position. URN: urn:nbn:de:0114-fqs0901363

  20. Recognizing Social Class in the Psychotherapy Relationship: A Grounded Theory Exploration of Low-Income Clients

    Science.gov (United States)

    Thompson, Mindi N.; Cole, Odessa D.; Nitzarim, Rachel S.

    2012-01-01

    The process of psychotherapy among 16 low-income clients was explored using grounded theory (Charmaz, 2006; Glaser & Strauss, 1967) in order to understand and identify their unique experiences and needs. Semistructured interviews were conducted with 12 women and 4 men who had attended at least 6 sessions of psychotherapy within 6 months of the…

  1. Using Popular Media and a Collaborative Approach to Teaching Grounded Theory Research Methods

    Science.gov (United States)

    Creamer, Elizabeth G.; Ghoston, Michelle R.; Drape, Tiffany; Ruff, Chloe; Mukuni, Joseph

    2012-01-01

    Popular movies were used in a doctoral-level qualitative research methods course as a way to help students learn about how to collect and analyze qualitative observational data in order to develop a grounded theory. The course was designed in such a way that collaboration was central to the generation of knowledge. Using media depictions had the…

  2. Phenomenography and Grounded Theory as Research Methods in Computing Education Research Field

    Science.gov (United States)

    Kinnunen, Paivi; Simon, Beth

    2012-01-01

    This paper discusses two qualitative research methods, phenomenography and grounded theory. We introduce both methods' data collection and analysis processes and the type or results you may get at the end by using examples from computing education research. We highlight some of the similarities and differences between the aim, data collection and…

  3. Getting Clean in a Drug Rehabilitation Program in Prison: A Grounded Theory Analysis

    Science.gov (United States)

    Smith, Sharon; Ferguson, Neil

    2005-01-01

    High-risk drug use is prevalent among UK prison populations (Lipton, 1995) while recovery in prison is both complex and variable. Grounded theory methodology was employed to gain a greater understanding of the perceptions and conceptualisations of "risk," "need" and "motivation" in relation to prisoner drug abusing practices, criminal practices,…

  4. A Grounded Theory of Western-Trained Asian Group Leaders Leading Groups in Asia

    Science.gov (United States)

    Taephant, Nattasuda; Rubel, Deborah; Champe, Julia

    2015-01-01

    This grounded theory research explored the experiences of Western-trained Asian group leaders leading groups in Asia. A total of 6 participants from Japan, Taiwan, and Thailand were interviewed 3 times over 9 months. The recursive process of data collection and analysis yielded substantive theory describing the participants' process of reconciling…

  5. A Grounded Theory of Western-Trained Asian Group Leaders Leading Groups in Asia

    Science.gov (United States)

    Taephant, Nattasuda; Rubel, Deborah; Champe, Julia

    2015-01-01

    This grounded theory research explored the experiences of Western-trained Asian group leaders leading groups in Asia. A total of 6 participants from Japan, Taiwan, and Thailand were interviewed 3 times over 9 months. The recursive process of data collection and analysis yielded substantive theory describing the participants' process of reconciling…

  6. Phenomenography and Grounded Theory as Research Methods in Computing Education Research Field

    Science.gov (United States)

    Kinnunen, Paivi; Simon, Beth

    2012-01-01

    This paper discusses two qualitative research methods, phenomenography and grounded theory. We introduce both methods' data collection and analysis processes and the type or results you may get at the end by using examples from computing education research. We highlight some of the similarities and differences between the aim, data collection and…

  7. The Conflicts between Grounded Theory Requirements and Institutional Requirements for Scientific Research

    Science.gov (United States)

    Luckerhoff, Jason; Guillemette, Francois

    2011-01-01

    The authors examined the conflicts between grounded theory (GT) requirements and institutional requirements for scientific research such as they were experienced by researchers and students. The overview of how GT was originally conceived served as background to the analysis of the problems GT users often faced when they submitted research…

  8. Action Learning and Constructivist Grounded Theory: Powerfully Overlapping Fields of Practice

    Science.gov (United States)

    Rand, Jane

    2013-01-01

    This paper considers the shared characteristics between action learning (AL) and the research methodology constructivist grounded theory (CGT). Mirroring Edmonstone's [2011. "Action Learning and Organisation Development: Overlapping Fields of Practice." "Action Learning: Research and Practice" 8 (2): 93-102] article, which…

  9. Philosophical Roots of Classical Grounded Theory: Its Foundations in Symbolic Interactionism

    Science.gov (United States)

    Aldiabat, Khaldoun M.; Le Navenec, Carole-Lynne

    2011-01-01

    Although many researchers have discussed the historical relationship between the Grounded Theory methodology and Symbolic Interactionism, they have not clearly articulated the congruency of their salient concepts and assumptions. The purpose of this paper is to provide a thorough discussion of this congruency. A hypothetical example about smoking…

  10. Construction of a Conceptualization of Personal Knowledge within a Knowledge Management Perspective Using Grounded Theory Methodology

    Science.gov (United States)

    Straw, Eric M.

    2013-01-01

    The current research used grounded theory methodology (GTM) to construct a conceptualization of personal knowledge within a knowledge management (KM) perspective. The need for the current research was based on the use of just two categories of knowledge, explicit and tacit, within KM literature to explain diverse characteristics of personal…

  11. Clarification of the Blurred Boundaries between Grounded Theory and Ethnography: Differences and Similarities

    Science.gov (United States)

    Aldiabat, Khaldoun; Le Navenec, Carol-Lynne

    2011-01-01

    There is confusion among graduate students about how to select the qualitative methodology that best fits their research question. Often this confusion arises in regard to making a choice between a grounded theory methodology and an ethnographic methodology. This difficulty may stem from the fact that these students do not have a clear…

  12. Professional Identity Development: A Grounded Theory of Transformational Tasks of New Counselors

    Science.gov (United States)

    Gibson, Donna M.; Dollarhide, Colette T.; Moss, Julie M.

    2010-01-01

    Professional identity development is an important professional issue. Examining the lived experiences of counselors-in-training (CITs), the authors used grounded theory methodology to describe the transformational tasks that are required for professional identity development. Tasks include finding a personal definition of counseling, internalizing…

  13. Student Affairs Professionals Supporting Students with Disabilities: A Grounded Theory Model

    Science.gov (United States)

    Kimball, Ezekiel; Vaccaro, Annemarie; Vargas, Nadia

    2016-01-01

    In an action-based grounded theory project, the authors collected data from 31 student affairs professionals. During seven focus groups, practitioners described feeling unknowledgeable about disability law, accommodations, and diagnoses. However, they drew upon their core values and transferrable skills to support individual students. Participants…

  14. A Grounded Theory of Western-Trained Asian Group Leaders Leading Groups in Asia

    Science.gov (United States)

    Taephant, Nattasuda; Rubel, Deborah; Champe, Julia

    2015-01-01

    This grounded theory research explored the experiences of Western-trained Asian group leaders leading groups in Asia. A total of 6 participants from Japan, Taiwan, and Thailand were interviewed 3 times over 9 months. The recursive process of data collection and analysis yielded substantive theory describing the participants' process of…

  15. Becoming Selfless: A Grounded Theory of Commitment to Service

    OpenAIRE

    Roland Nino L. Agoncillo; Roberto T. Borromeo

    2014-01-01

    This study focuses on the substantive area of commitment to service in the community of educational partners in the Philippines. Educational partners are lay people who assist religious organizations in the field of education, and in the Philippines, about 96 percent of educational partners are in Lasallian schools and organizations. Educational partners are young professionals, volunteers between the ages of 24-39 who strive to live the teachings of St. John Baptist De La Salle. The voluntee...

  16. "Emergence" vs. "Forcing" of Empirical Data? A Crucial Problem of "Grounded Theory" Reconsidered

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    Udo Kelle

    2005-05-01

    Full Text Available Since the late 1960s Barney GLASER and Anselm STRAUSS, developers of the methodology of "Grounded Theory" have made several attempts to explicate, clarify and reconceptualise some of the basic tenets of their methodological approach. Diverging concepts and understandings of Grounded Theory have arisen from these attempts which have led to a split between its founders. Much of the explication and reworking of Grounded Theory surrounds the relation between data and theory and the role of previous theoretical assumptions. The book which initially established the popularity of GLASER's and STRAUSS' methodological ideas, "The Discovery of Grounded Theory", contains two conflicting understandings of the relation between data and theory—the concept of "emergence" on the one hand and the concept of "theoretical sensitivity" on the other hand. Much of the later developments of Grounded Theory can be seen as attempts to reconcile these prima facie diverging concepts. Thereby GLASER recommends to draw on a variety of "coding families" while STRAUSS proposes the use of a general theory of action to build an axis for an emerging theory. This paper first summarises the most important developments within "Grounded Theory" concerning the understanding of the relation between empirical data and theoretical statements. Thereby special emphasis will be laid on differences between GLASER's and STRAUSS' concepts and on GLASER's current critique that the concepts of "coding paradigm" and "axial coding" described by STRAUSS and Juliet CORBIN lead to the "forcing" of data. It will be argued that GLASER's critique points out some existing weaknesses of STRAUSS' concepts but vastly exaggerates the risks of the STRAUSSian approach. A main argument of this paper is that basic problems of empirically grounded theory construction can be treated much more effectively if one draws on certain results of contemporary philosophical and epistemological discussions and on widely

  17. Doing Best for Children: An emerging grounded theory of parents’ policing strategies to regulate between-meal snacking

    Directory of Open Access Journals (Sweden)

    Ruth Freeman, Ph.D.

    2005-06-01

    Full Text Available Changes in children’s lifestyle from structured family meals to unstructured between meal sugar snacking has been recognised as a risk factor in childhood obesity. Parental insights into children’s between meal snacking and their experiences of regulation are important if an understanding of sugar snacking is to be gained in the field of childhood obesity. The aim of this study was to use grounded theory techniques to analyze the qualitative data obtained from participants and to generate an emerging theory of snack regulation. A series of focus groups with parents and their children were conducted. Data were analysed using grounded theory techniques. The core category that emerged from the data was ‘doing best’. Parents used the behavioural strategy of policing as a consequence of doing best. Parents had to balance time availability, disposable income, energy levels, parental working patterns and family life with the child’s food wishes and social needs. Balancing such contextual constraints influenced the style of policing.

  18. Scanning The Business Environment For Information: a Grounded Theory approach

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    Zita Correia

    1997-01-01

    Full Text Available This paper summarizes the principal findings of research that sought to provide a comprehensive understanding of the environmental scanning process. The methodology used was of major importance in obtaining data that are grounded largely in the personal experience of managers, but also in documentary evidence and in direct observation by the researcher. The purpose of the study was to investigate how managers in the Portuguese chemical industry scan their environment for information, what are the contextual factors that affect this activity, and also how managers' perceptions of environmental change affect the strategic change they implement.

  19. Communication and general concern criterion prior to activation of the rapid response team: a grounded theory.

    Science.gov (United States)

    Martland, Jarrad; Chamberlain, Diane; Hutton, Alison; Smigielski, Michael

    2015-11-30

    Objective Patients commonly show signs and symptoms of deterioration for hours or days before cardiorespiratory arrest. Rapid response teams (RRT) were created to improve recognition and response to patient deterioration in these situations. Activation criteria include vital signs or 'general concern' by a clinician or family member. The general concern criterion for RRT activation accounts for nearly one-third of all RRT activity, and although it is well established that communication deficits between staff can contribute to poorer outcomes for patients, there is little evidence pertaining to communication and its effects on the general concern RRT activation. Thus, the aim of the present study was to develop a substantive grounded theory related to the communication process between clinicians that preceded the activation of an RRT when general concern criterion was used.Methods Qualitative grounded theory involved collection of three types of data details namely personal notes from participants in focus groups with white board notes from discussions and audio recordings of the focus groups sessions. Focus groups were conducted with participants exploring issues associated with clinician communication and how it related to the activation of an RRT using the general concern criterion.Results The three main phases of coding (i.e. open, axial and selective coding) analysis identified 322 separate open codes. The strongest theme contributed to a theory of ineffective communication and decreased psychological safety, namely that 'In the absence of effective communication there is a subsequent increase in anxiety, fear or concern that can be directly attributed to the activation of an RRT using the 'general concern' criterion'. The RRT filled cultural and process deficiencies in the compliance with an escalation protocol. Issues such as 'not for resuscitation documentation' and 'inability to establish communication with and between medical or nursing personnel' rated

  20. How Iranian Medical Trainees Approach their Responsibilities in Clinical Settings; A Grounded Theory Research

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    Omid Asemani

    2015-09-01

    Full Text Available Background: It seems we are now experiencing “responsibility problems” among medical trainees (MTs and some of those recently graduated from medical schools in Iran. Training responsible professionals have always been one of the main concerns of medical educators. Nevertheless, there is a dearth of research in the literature on “responsibility” especially from the medical education point of view. Therefore, the present study was carried out with the aim of presenting a theoretical based framework for understanding how MTs approach their responsibilities in educational settings. Method: This qualitative study was conducted at Shiraz University of Medical Sciences (SUMS using the grounded theory methodology. 15 MTs and 10 clinical experts and professional nurses were purposefully chosen as participants. Data was analyzed using the methodology suggested by Corbin and Strauss, 1998. Results: “Try to find acceptance toward expectations”, “try to be committed to meet the expectations” and “try to cope with unacceptable expectations” were three main categories extracted based on the research data. Abstractly, the main objective for using these processes was “to preserve the integrity of student identity” which was the core category of this research too. Moreover, it was also found that practically, “responsibility” is considerably influenced by lots of positive and negative contextual and intervening conditions. Conclusion: “Acceptance” was the most decisive variable highly effective in MTs’ responsibility. Therefore, investigating the “process of acceptance” regarding the involved contextual and intervening conditions might help medical educators correctly identify and effectively control negative factors and reinforce the constructive ones that affect the concept of responsibility in MTs.

  1. New graduate nurses as knowledge brokers in general practice in New Zealand: a constructivist grounded theory.

    Science.gov (United States)

    Hoare, Karen J; Mills, Jane; Francis, Karen

    2013-07-01

    Practice nursing in New Zealand is not well described in the literature. One survey illustrated that most of the New Zealand practice nurses sampled did not know of the country's two premier evidence-based health websites. A recent review compared general practice in the UK, New Zealand and Australia and found that whereas there had been significant developments in empowering the practice nurse workforce to run nurse-led clinics in the UK, New Zealand and Australia lagged behind. The aim of this reported constructivist grounded theory study was to investigate practice nurses' use of information. Conducted in Auckland, New Zealand, data were collected through ethnographic techniques in one general practice between September 2009 and January 2010 to enhance theoretical sensitivity to the area of information use. Subsequently, six experienced practice nurses (one twice after moving jobs) and five new graduate nurses from five different general practices were interviewed, using open-ended questions, between January 2010 and August 2011. Concurrent data collection and analysis occurred throughout the study period. The use of memos, the constant comparative method, data categorisation and finally, data abstraction resulted in the final theory of reciprocal role modelling. Experienced practice nurses role modelled clinical skills to new graduate nurses. Unexpectedly, new graduate nurses were unconscious experts at sourcing information and role modelled this skill to experienced practice nurses. Once this attribute was acknowledged by the experienced practice nurse, mutual learning occurred that enabled both groups of nurses to become better practitioners. Graduate nurses of the millennial generation were identified as a resource for experienced practice nurses who belong to the baby boomer generation and generation X. © 2013 John Wiley & Sons Ltd.

  2. Managing uncertainty: a grounded theory of stigma in transgender health care encounters.

    Science.gov (United States)

    Poteat, Tonia; German, Danielle; Kerrigan, Deanna

    2013-05-01

    A growing body of literature supports stigma and discrimination as fundamental causes of health disparities. Stigma and discrimination experienced by transgender people have been associated with increased risk for depression, suicide, and HIV. Transgender stigma and discrimination experienced in health care influence transgender people's health care access and utilization. Thus, understanding how stigma and discrimination manifest and function in health care encounters is critical to addressing health disparities for transgender people. A qualitative, grounded theory approach was taken to this study of stigma in health care interactions. Between January and July 2011, fifty-five transgender people and twelve medical providers participated in one-time in-depth interviews about stigma, discrimination, and health care interactions between providers and transgender patients. Due to the social and institutional stigma against transgender people, their care is excluded from medical training. Therefore, providers approach medical encounters with transgender patients with ambivalence and uncertainty. Transgender people anticipate that providers will not know how to meet their needs. This uncertainty and ambivalence in the medical encounter upsets the normal balance of power in provider-patient relationships. Interpersonal stigma functions to reinforce the power and authority of the medical provider during these interactions. Functional theories of stigma posit that we hold stigmatizing attitudes because they serve specific psychological functions. However, these theories ignore how hierarchies of power in social relationships serve to maintain and reinforce inequalities. The findings of this study suggest that interpersonal stigma also functions to reinforce medical power and authority in the face of provider uncertainty. Within functional theories of stigma, it is important to acknowledge the role of power and to understand how stigmatizing attitudes function to maintain

  3. Entrevista reflexiva e grounded-theory: estratégias metodológicas para compreensão da resiliência em famílias

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    Maria Angela Mattar Yunes

    2005-01-01

    Full Text Available The study of the phenomenon of resilience in families is a new domain in Psychology and therefore requires further investigation, either from the conceptual or methodological point of view. The present article presents a critical think about the quantitative studies on resilience in individuals and considers that the complexity of this construct suggests new methodologies to study the phenomenon in families. As a possible methodological solution we propose the association of two qualitative strategies: the reflexive interview and grounded-theory. The reflexive interview is an interactive and dynamic method to obtain information and the grounded-theory presents principles of analysis that complement and subside this type of collection allowing the concepts to emerge from the data rather than being imposed on it

  4. Processo Orçamentário: uma aplicação da análise substantiva com utilização da grounded theory [Budgeting: substantive analysis using grounded theory

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    Tânia Regina Sordi Relvas

    2011-09-01

    Full Text Available Diante da constatação de que os estudos sobre o orçamento exploram o fenômeno de forma reducionista, este artigo tem por objetivo propor uma teoria substantiva abrangente e fundamentada em dados empíricos para a análise do orçamento. Essa abordagem considera seus elementos constituintes e suas interdependências. Isso foi feito por meio da aplicação da abordagem indutiva fundamentada nos dados empíricos (grounded theory, sob o paradigma qualitativo. O foco de análise foi uma instituição financeira de grande porte e o trabalho de campo foi desenvolvido ao longo de dois anos, envolvendo vários níveis gerenciais. A contribuição do trabalho advém da disponibilização de framework para o tratamento do tema em um contexto amplo, o que permitiu entender aspectos que deixariam de ser considerados com uma abordagem de análise mais restrita e menos abrangente. Como produto da teoria substantiva, cinco proposições foram desenvolvidas com a perspectiva de serem aplicadas nas organizações. --- Budgeting: substantive analysis using grounded theory --- Abstract --- Considering the fact that studies into budgeting basically use a reductionist approach, this paper proposes a comprehensive substantive theory based on empirical data to be used in budget analysis. This approach takes into consideration its elements and interdependence by applying the inductive approach based on empirical data (grounded theory on a qualitative paradigm. The focus was an in-depth two-year study of a large Brazilian financial institution involving several management levels. The main contribution of the study is as a framework that treats all elements of the budget process in a comprehensive and coherent fashion, otherwise impossible using a reductionist approach. As products of the substantive theory, five propositions were developed to be applied in organizations.

  5. Negotiating a Place in the Family-A Grounded Theory Exploration of Stepgrandmothers' Enactment of Roles.

    Science.gov (United States)

    Chapman, Ashton; Ganong, Lawrence; Coleman, Marilyn; Kang, Youngjin; Sanner, Caroline; Russell, Luke T

    2016-08-12

    Stepgrandparents are becoming more common, and they can, and often do, provide affective and instrumental support to families. Little is known, however, about how they negotiate and enact their roles within families, especially with stepgrandchildren. Stepgrandmothers warrant special attention because researchers have found that women experience more challenges than men in stepfamilies. Guided by symbolic interactionism, the purposes of our study were: (a) to explore stepgrandmothers' role enactment and (b) to explore the intrapersonal, interpersonal, and contextual factors that contribute to role enactment in intergenerational steprelationships. Eighteen stepgrandmothers participated in semi-structured interviews, discussing their relationships with 94 stepgrandchildren. Consistent with grounded theory methods, data collection and analysis occurred simultaneously. Interviews with stepgrandmothers revealed that they spend considerable time and energy defining their roles with stepgrandchildren. Stepgrandmothers' role enactment is a complex, reflexive process. A few perceived that their roles were shaped by their own dispositions, desires, and expectations (evidence for role-making), but most stepgrandmothers described their roles as reflecting the dispositions, desires, and expectations of others (evidence for role-taking). Stepgrandmothers reflected on their roles as a delicate balance of intra- and inter-personal negotiations, operating within cultural expectations. Findings draw attention to the complex nature of role-taking, role-making, and gendered, relational processes in multigenerational stepfamilies. We discuss implications for research and theory related to stepgrandmotherhood as an incomplete institution. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. Reflections on the Use of Grounded Theory to Uncover Patterns of Exclusion in an Online Discussion Forum at an Institution of Higher Education

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    Louise Postma PhD

    2013-02-01

    Full Text Available This article reports on an example of grounded theory methodology used in a case study to describe power inequalities among participants in an online forum at a higher education institution in South Africa. Critical poststructuralist theory informs the study as it investigates how hegemony influences the strategic interaction of participants. An interpretive analysis through coding procedures uncovered elements of intensified exclusion, inequality, and oppression. This took place within a virtual space which is theoretically idealized as an equalizer and promoter of freedom of speech. The process involved in the eliciting of voices and in the analysing and interpreting of subjective accounts is described to give an account of disillusioned experiences with a potentially liberating form of technology. The article contributes to qualitative methodology in applying the generic paradigmatic conditions within grounded theory and illustrates both the interrelatedness and the cyclic nature of the conditions within the specific paradigms of participants.

  7. Business analysis methodology in telecommunication industry – the research based on the grounded theory

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    Hana Nenickova

    2013-10-01

    Full Text Available The objective of this article is to present the grounded theory using in the qualitative research as a basis to build a business analysis methodology for the implementation of information systems in telecommunication enterprises in Czech Republic. In the preparation of the methodology I have used the current needs of telecommunications companies, which are characterized mainly by high dependence on information systems. Besides that, this industry is characterized by high flexibility and competition and compressing of the corporate strategy timeline. The grounded theory of business analysis defines the specifics of the telecommunications industry, focusing on the very specific description of the procedure for collecting the business requirements and following the business strategy.

  8. A grounded theory como alternativa metodológica para pesquisa em enfermagem

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    Sérgio Ribeiro dos Santos

    2002-10-01

    Full Text Available O presente estudo apresenta um método de pesquisa interpretativo e sistemático para desenvolvimento de pesquisa em enfermagem chamado grounded theory, cujo suporte teórico é o interacionismo simbólico. O propósito é descrever a grounded theory como alternativa metodológica para construção do conhecimento em enfermagem. O estudo destaca: princípio fundamental, conceitos básicos, trajetória do método e processo de análise dos dados. Concluímos que a sistematização dos dados e sua interpretação, a partir da experiência vivenciada pelos atores sociais, constituem ricos subsídios para gerar teorias através desta ferramenta de pesquisa.

  9. Vom Text zum Bild – Überlegungen zu einer visuellen Grounded-Theory-Methodologie

    Directory of Open Access Journals (Sweden)

    Günter Mey

    2016-04-01

    Full Text Available Ausgehend von der für die Grounded-Theory-Methodologie (GTM zentralen Prämisse des "all is data" und vor dem Hintergrund zunehmender Beschäftigung mit visuellen Daten in der qualitativen Forschung, bietet der Beitrag einen orientierenden Rahmen für eine visuelle Grounded-Theory-Methodologie. Aufbauend auf Überlegungen aus der objektiven Hermeneutik, der dokumentarischen Methode, der Segmentanalyse sowie GTM-internen Perspektiven wird gezeigt, wie dieser traditionell textorientierte Ansatz auf visuelle Daten bezogen werden kann. Im Zentrum steht dabei die (Re- Formulierung der Verfahrensschritte Inventarisierung, Segmentierung, Kodierung/Kategorienbildung inkl. Memowriting sowie Sampling zur Untersuchung von Bildern im Sinne einer GTM-Logik. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs160225

  10. Etnografia e grounded theory na pesquisa de marketing de relacionamento no mercado consumidor: uma proposta metodológica.

    Directory of Open Access Journals (Sweden)

    Patrícia Aparecida Ferreira

    2008-10-01

    Full Text Available Studies on the interaction between company and consumer during the processof purchase involve complex situations that are too diffi cult to be understood byquantitative research. As a result, qualitative approach has gained a growingspace in recent marketing research. A good example of it is ethnography, anapproach that has been used in the studies about consumer behaviour. Hence,the objective of this study is to discuss ethnography along with another qualitativeapproach, grounded theory, as methodologies of research in relationship marketing in the consumer market (RMC capable of grasping the internal dynamicsof this phenomenon. The discussion is on how the use of these approachescan contribute for the scientifi c advancement of the RMC area and the conclusionis that its use is adequate as these research approaches, by focusing on subjectiveaspects, have the potential of revelling why consumers and companiesinvolve themselves in exchange relationships.

  11. Evolution of Unmanned Aerial Warfare: A Historical Look at Remote Airpower - A Case Study in Innovation

    Science.gov (United States)

    2016-06-10

    EVOLUTION OF UNMANNED AERIAL WARFARE: A HISTORICAL LOOK AT REMOTE AIRPOWER—A CASE STUDY IN INNOVATION A thesis presented to...JUN 2016 4. TITLE AND SUBTITLE Evolution of Unmanned Aerial Warfare: A Historical Look at Remote Airpower—A Case Study in Innovation 5a...Warfare: A Historical Look at Remote Airpower—A Case Study in Innovation Approved by: , Thesis Committee Chair John T. Kuehn, Ph.D

  12. Reflecting on the role of literature in qualitative public administration research:learning from grounded theory

    OpenAIRE

    2012-01-01

    textabstractWhen undertaking qualitative research, public administration scholars must walk a thin line between being theoretically sensitive and imposing preconceived ideas on their work. This article identifies opportunities and pitfalls in using literature in qualitative public administration research. Whereas the opportunities are already well known within the discipline, the pitfalls remain underexposed. We identify potential pitfalls by using insights from the grounded theory approach. ...

  13. Feeling like me again: a grounded theory of the role of breast reconstruction surgery in self-image.

    Science.gov (United States)

    McKean, L N; Newman, E F; Adair, P

    2013-07-01

    The present study aimed to develop a theoretical understanding of the role of breast reconstruction in women's self-image. Semi-structured interviews were conducted with 10 women from breast cancer support groups who had undergone breast reconstruction surgery. A grounded theory methodology was used to explore their experiences. The study generated a model of 'breast cancer, breast reconstruction and self-image', with a core category entitled 'feeling like me again' and two principal categories of 'normal appearance' and 'normal life'. A further two main categories, 'moving on' and 'image of sick person' were generated. The results indicated a role of breast reconstruction in several aspects of self-image including the restoration of pre-surgery persona, which further promoted adjustment.

  14. 基于扎根理论的“互联网+”商业模式创新路径研究--以滴滴出行为例%Research on Innovation Paths of Business Model under“Internet +” Formats Based on Ground Theory---A Case Study of DiDi Taxi

    Institute of Scientific and Technical Information of China (English)

    刘建刚; 马德清; 陈昌杰; 余婷婷

    2016-01-01

    This paper took“DiDi Taxi” as the example and used grounded theory to code, compard and refined the collect-ed data, gradually refined concepts, the initial category, main category and core category. By researching and exploring the business model innovation path of“DiDi Taxi”, it concluded that“DiDi Taxi” has realized business model innovation in in-formation symmetry, marketing strategy, products and services and enterprise value chain. In the end, it analyzed business model innovation paths of “DiDi Taxi”.%以滴滴出行为例,运用扎根理论三级编码对现有资料进行研究,逐步提炼出概念、初始范畴、主范畴、核心范畴,研究和探索滴滴出行的商业模式创新路径,得出滴滴出行在信息对称、营销策略、产品与服务、企业价值链等方面实现的商业模式创新,在此基础上提出了“互联网+”环境下商业模式创新路径对策与建议。

  15. Becoming willing to role model. Reciprocity between new graduate nurses and experienced practice nurses in general practice in New Zealand: a constructivist grounded theory.

    Science.gov (United States)

    Hoarea, Karen J; Millsc, Jane; Francis, Karen

    2013-01-01

    Graduate nurses in general practice became a feature of New Zealand's health care system in 2008 following an expansion of the New Entrant to Practice Programme. General practice in New Zealand comprises general practitioner business owners who employ nursing and administration staff. Practice nurses are an ageing workforce in New Zealand, it is imperative therefore to attract younger nurses into general practice. This paper reports a section of the findings from a constructivist grounded theory study which examines the use of information by practice nurses in New Zealand. Initially data were collected using the ethnographic technique of observation and field notations in one general practice. Theoretical sensitivity to the value of role models was heightened by this first phase of data collection. A total of eleven practice nurses were interviewed from six general practices. One practice nurse agreed to a second interview; five of the interviewees were new graduate nurses and the other six were experienced practice nurses. The grounded theory constructed from this research was reciprocal role modelling which comprises the following three categories, becoming willing, realising potential and becoming a better practitioner. Graduate nurses and experienced practice nurses enter into a relationship of reciprocal role modelling. Becoming willing, the first core category of this grounded theory features three sub-categories: building respectful relationships, proving yourself and discerning decision making which are reported in this paper. Findings from this study may address the reported phenomenon of 'transition shock' of newly graduated nurses in the work place.

  16. What's on the therapist's mind? A grounded theory analysis of family therapist reflections during individual therapy sessions.

    Science.gov (United States)

    Rober, Peter; Elliott, Robert; Buysse, Ann; Loots, Gerrit; De Corte, Kim

    2008-01-01

    The authors used a videotape-assisted recall procedure to study the content of family therapists' inner conversations during individual sessions with a standardized client. Grounded theory was used to analyze therapists' reflections, resulting in a taxonomy of 282 different codes in a hierarchical tree structure of six levels, organized into four general domains: attending to client process; processing the client's story; focusing on therapists' own experience; and managing the therapeutic process. In addition to providing a descriptive model of therapists' inner conversation, this research led to an appreciation of the wealth of therapists' inner conversation. In particular, the authors found that therapists work hard to create an intersubjective space within which to talk by trying to be in tune with their clients and by using clients as a guide.

  17. Divorce and Childhood Chronic Illness: A Grounded Theory of Trust, Gender, and Third-Party Care Providers.

    Science.gov (United States)

    Russell, Luke T; Coleman, Marilyn; Ganong, Lawrence H; Gayer, Debra

    2016-05-01

    Divorced parents face distinct challenges in providing care for chronically ill children. Children's residence in two households necessitates the development of family-specific strategies to ensure coparents' supervision of regimen adherence and the management of children's health care. Utilizing a risk and resilience perspective, a grounded theory study was conducted with 14 divorced parents of children with chronic illnesses. The importance of trust, gender, and relationships with third-party care providers emerged as key themes related to the development of effective coparenting relationships for maintaining children's health. Divorced parents were best able to support the management of their children's chronic conditions when care providers operated as neutral third parties and intermediaries. Collaborative family care may require health care practitioners to avoid being drawn into contentious inter-parental conflicts. © The Author(s) 2016.

  18. What Employment Competitiveness Should Graduates of Primary Education(Undergraduate)Major Possess---A Qualitative Study Based on the Grounded Theory%小学教育专业(本科)毕业生应具备的就业竞争力--基于扎根理论的质性研究

    Institute of Scientific and Technical Information of China (English)

    曹艳彬; 杨启光

    2016-01-01

    As the competition in the employment market for normal university students is becoming in-creasingly fierce,it is a crucial issue concerned by society and normal colleges about how to improve the employment competitiveness of graduates of primary education(undergraduate)majors.Adopting a qualitative method based on the Grounded Theory,this article conducts an overall and systematical analysis on the framework content and features of the employment competitiveness required for prima-ry education(undergraduate)major graduates,which composes of basic competitiveness,core com-petitiveness and environmental competitiveness.In order to further optimize the employment competi-tiveness,colleges should attach great importance to the practice orientation,enhance the students’a-bility of teaching all subjects and cultivate students’improvement ability so as to help them become qualified primary school teachers.%面对师范生就业市场的激烈竞争,如何提高小学教育专业(本科)毕业生的就业竞争力,日益成为社会与高等院校教师教育专业重点建设的问题。基于质性研究的扎根理论,全面、系统分析小学教育专业(本科)毕业生基础竞争力、核心竞争力与环境竞争力的框架内容与表现特征,进一步优化与提升小学教育专业(本科)毕业生就业竞争力,重点突出小学教育专业人才培养的实践取向,提升小学教育专业学生的全科型素养和拓展能力。

  19. Considerations in Grounded Theory Research Method: A reflection on the lessons learned

    OpenAIRE

    Mavetera, Nehemiah; Kroeze, Jan H

    2010-01-01

    This paper is a discussion on the practical issues faced by Information Systems (IS) professionals when they employ Grounded Theory Method (GTM) in Information Systems research. Various strands of GTM are in use, all of which are derivatives of the grand GTM proposed by Barney G. Glaser and Anselm G. Strauss in 1967. Starting with the dicta proposed by these two authors in 1967 on the use of GTM, the paper explores several variants of the method that have surfaced and are currently in use....

  20. Qualitative research: Data analysis framework generating grounded theory applicable to the crisis in science education

    Science.gov (United States)

    Spector, Barbara S.

    The shortage of qualified teachers, and the quality and quantity of the science taught in precollege institutions are two focal issues in today's national crisis in science education. This article delineates aspects of qualitative research having the potential of providing guidance to change agents in designing effective strategies to mitigate the crisis. A discursive approach to qualitative research involving the method of collecting and simultaneously analyzing data known as grounded theory is described. Role theory and schools as organizations composed of interactive subsystems are defined as suitable frameworks within which to analyze data.

  1. Phenomenography and grounded theory as research methods in computing education research field

    Science.gov (United States)

    Kinnunen, Päivi; Simon, Beth

    2012-06-01

    This paper discusses two qualitative research methods, phenomenography and grounded theory. We introduce both methods' data collection and analysis processes and the type or results you may get at the end by using examples from computing education research. We highlight some of the similarities and differences between the aim, data collection and analysis phases and the type of resulting outcomes of these methods. We also discuss the challenges and threats the both methods may pose to the researcher. We conclude that while aimed at tackling different types of research questions, both of these methods provide computing education researchers a useful tool in their research method toolbox.

  2. A STUDY BASED ON GROUNDED THEORY FOR AIDS RELATED HIGH-RISK BEHAVIORS AMONG FEMALE COMMERCIAL SEX WORKERS IN ZIGONG CITY%自贡市暗娼艾滋病相关高危行为基于扎根理论的研究

    Institute of Scientific and Technical Information of China (English)

    陈颖; 刘鹏; 范双凤; 董利民; 钟明良; 栾荣生

    2011-01-01

    [Objective] To explore AIDS related high-risk behaviors and determinants among Female Commercial Sex Workers (FCSWs) in Zigong city. [Methods] Qualitative research methods based on Grounded Theory was used and supple mented with quantitative survey. [ Results ] Knowledge for HIV/AIDS was insufficient and was mentioned little in daily life a mong FCSWs. Intention to use condom was high, but right and consistent use was far from enough. Negotiation on condom use was existed exactly between FSCWs and their clients. STD prevention had become an important part of life among FCSWs, who generally chose private clinics for treatment while suffered from STD. [Conclusion] Knowledge about safe sex, preventive be havior and standardized STD/AIDS treatment among FCSWs need to be further improved. To use condom rightly and consistently need to be focused on intervention for FCSWs in the future.%[目的]了解自贡市暗娼艾滋病相关高危行为的现状及影响因素.[方法]以基于扎根理论的定性研究方法为主,辅以定量调查.[结果]暗娼对艾滋病仍处于一知半解,相互间关于艾滋病的谈论较少;暗娼使用安全套的意向普遍较高,但不能坚持正确使用安全套;暗娼与嫖客间存在关于安全套使用的谈判过程;性病预防已成为暗娼日常生活的重要组成部分,暗娼患性病时常到个体诊所治疗.[结论]暗娼艾滋病相关高危行为的认识和预防措施有待改善,求医方式需加以规范,坚持、正确和全程的安全套使用是今后安全套推广的重点.

  3. Usos e Aplicações da Grounded Theory em Administração

    Directory of Open Access Journals (Sweden)

    Eliane Maria Pires Giavina Bianchi

    2008-01-01

    Full Text Available This paper discusses the usage and application of grounded theory in the administration area.Grounded theory is a research tool under the qualitative paradigm that, since its beginning in 1967raised some debates in the academic arena. Its original authors, Barney Glaser & Anselm Strauss,developed, throughout their academic trajectories,distinct thoughts regarding the process of datacollection and data analysis, the researcher attitude and the way of attainment the researchresults: theory grounded on empirical data. In spite of that, the history on the evolution of theresearch method, the research method working process clarification and an analysis of someapplications in the administrative area are discussed in this paper to support reflections ongrounded theory applicability and potentiality in administration. The purpose of this paper is tocontribute with researchers by bringing relevant information to support the processes of choice ofthis research method and its proper execution in their research. The conclusion is that groundedtheory is complex, rich, and powerful being applicable in administration as part of the social science

  4. Gli insegnanti si raccontano. Il metodo della Grounded Theory nella comprensione fenomenologica

    Directory of Open Access Journals (Sweden)

    Caterina Merola

    2012-12-01

    Full Text Available - The teachers tell their story. The method of Grounded Theory in the phenomenological understanding - The research topic is focused on the difficulties of teachers (through the narration of their experiences and how put in place by themselves to overcome it.The method of Grounded Theory was the thread that led to the exploration of the phenomenon through categories that have presented a structured dimension of the phenomenon to arrive at a conceptual description in their mutual relations. In the process of analysis protocols transcription of the interviews, I identified the categories (such as sets of conceptual tools of the method, with a different degree of generalization or amplitude in the conceptual description of the phenomenon, so I came gradually to a higher degree of conceptual abstraction. The construction methodological widens upwards, is an inductive process, from small (concept labels or codes, in what is intermediate (categories or families queues, to what is the next highest level (macro categories, up to higher level in the conceptualization (core category with the same generative nucleus that has a subtle primordial structure develops its essence, takes shape, grows up, goes back to his seminal nature and generative.

  5. ARTICULANDO A ETNOGRAFIA E A GROUNDED THEORY NA PESQUISA DO CONSUMIDOR

    Directory of Open Access Journals (Sweden)

    Marcelo de Rezende Pinto

    Full Text Available Este trabalho tem por objetivo relatar a experiência de campo de um pesquisador que buscou articular em um mesmo desenho de pesquisa a utilização da grounded theory (em sua vertente construtivista e a etnografia. Para isso, buscou-se dividir o trabalho em três partes distintas. Na primeira parte, foram apresentadas de forma sucinta as duas metodologias de uma maneira ampla, introduzindo alguns dos seus princípios fundamentais. Na segunda parte, foram descritos os principais pontos do trabalho de campo que foi realizado com o objetivo de investigar a forma como os consumidores brasileiros oriundos das classes mais populares vivenciam suas experiências de consumo de produtos eletrônicos. Essa parte do artigo destaca algumas reflexões acerca das exigências práticas para a "operacionalização" de pesquisas comprometidas com "espírito" da etnografia e da grounded theory, explora os pontos de aderência, bem como joga luz sobre algumas questões desafiadoras que ainda exigem uma reflexão maior acerca da conjugação entre as duas metodologias. Por fim, de forma breve, tentou-se esboçar, à guisa de uma conclusão, as possíveis contribuições para a pesquisa do consumidor da articulação entre as metodologias.

  6. Degree of value alignment - a grounded theory of rural nurse resignations.

    Science.gov (United States)

    Bragg, S M; Bonner, A

    2014-01-01

    The shortage of nurses willing to work in rural Australian healthcare settings continues to worsen. Australian rural areas have a lower retention rate of nurses than metropolitan counterparts, with more remote communities experiencing an even higher turnover of nursing staff. When retention rates are lower, patient outcomes are known to be poorer. This article reports a study that sought to explore the reasons why registered nurses resign from rural hospitals in the state of New South Wales, Australia. Using grounded theory methods, this study explored the reasons why registered nurses resigned from New South Wales rural hospitals. Data were collected from 12 participants using semi-structured interviews; each participant was a registered nurse who had resigned from a rural hospital. Nurses who had resigned due to retirement, relocation or maternity leave were excluded. Interviews were transcribed verbatim and imported into NVivo software. The constant comparative method of data collection and analysis was followed until a core category emerged. Nurses resigned from rural hospitals when their personal value of how nursing should occur conflicted with the hospital's organisational values driving the practice of nursing. These conflicting values led to a change in the degree of value alignment between the nurse and hospital. The degree of value alignment occurred in three dynamic stages that nurses moved through prior to resigning. The first stage, sharing values, was a time when a nurse and a hospital shared similar values. The second stage was conceding values where, due to perceived changes in a hospital's values, a nurse felt that patient care became compromised and this led to a divergence of values. The final stage was resigning, a stage where a nurse 'gave up' as they felt that their professional integrity was severely compromised. The findings revealed that when a nurse and organisational values were not aligned, conflict was created for a nurse about how

  7. Talking or Keeping Silent About Parental Mental Health Problems-A Grounded Theory of Parents' Decision Making and Experiences with Their Children.

    Science.gov (United States)

    Nolte, Lizette; Wren, Bernadette

    2016-10-01

    This grounded theory study explored parents' experiences of responding to their children's need for understanding parental mental health concerns. Fifteen parents with severe and enduring mental health difficulties participated in the study. The findings suggest four main social processes that influence parents' talk with their children about parental mental health issues, namely "Protecting and being protected," "Responding to children's search for understanding," "Prioritizing family life," and "Relating to others." Implications of the findings for clinical practice and future research are considered. In particular, the need for more family-orientated services where parents experience parental mental health problems is highlighted.

  8. The Mutual Relationship Between Immigrants' Disrupted Everyday Activities and Their Health: A Grounded Theory of Experiences of Korean Immigrants Settling in New Zealand.

    Science.gov (United States)

    Kim, Hagyun; Hocking, Clare

    2016-01-01

    For Asian immigrants, immigration has the potential to disrupt all familiar routines. That is a threat to their health and well-being. This grounded theory study explored how immigrants adjust to a new environment by analyzing the experiences of 25 Korean immigrants in New Zealand. The findings suggest that immigration is a stress-inducing phenomenon that requires adjustment of valued activities and adversely affects their health. In response, participants worked on regaining control over disrupted activities by opting for two world perspectives. The study helps social workers to develop effective interventions and services for immigrants to better handle health problems.

  9. Business Model Evolution of Haier in Dynamic Perspective:Based on Grounded Theory%海尔集团商业模式演进案例研究":因时而变"的企业

    Institute of Scientific and Technical Information of China (English)

    王水莲; 刘莎莎

    2016-01-01

    基于扎根理论,以动态视角,纵观海尔集团自建立以来30年的商业模式演进过程,探讨了商业模式演进机理这一问题.经过扎根理论分析,得出了商业模式演进的机理模型,并详细探讨了商业模式演进动力——外部环境、顾客需求、企业家精神之间的关系,确定了商业模式演进载体的具体内容,包括组织结构、管理手段、运营机制、企业战略和关系资本,以及商业模式演进结果.并提出商业模式演进过程中随着企业的成长,其动力、载体及结果的侧重点会有所不同,进一步完善了商业模式演进相关理论.企业应认识到企业家精神在商业模式演进中的发挥作用的机制,并保持控制与创新的平衡以及各个演进载体之间的耦合,因时而变,以保持企业持续的成长.%Based on the grounded theory, this paper looked through the business model evolution of Haier Group for 30 years to explore the mechanism of the evolution with the dynamic perspective. After the analysis of grounded theory, we got the model for the evolution mechanism of business model and discussed in detail about the relationship among driving force, the external environment, the demand of customers and entrepreneurship. Al-so we confirmed the carriers for the evolution, including organization and structure, management methods, opera-tion mechanism, strategy and relationship capital as well as the results of business model evolution. And we found that with the development of the enterprise, it would focus on different part of the driving forces, carriers and results. Therefore, this study improved the theory of business model evolution. This research showed the impli-cations for the management: the role of entrepreneurship played in the mechanism for evolution was important;kept the balance between control and innovation; being a coupled system and changed over time.

  10. Health psychology and discourse: personal accounts as social texts in grounded theory.

    Science.gov (United States)

    Schou, K C; Hewison, J

    1998-07-01

    Traditional social psychology has largely located the origins of the social in the mental and emotional processes of individuals. Interview and questionnaire approaches have focused on the personal account as a route to cognitive processes and personality structures. In contrast, qualitative approaches like grounded theory have highlighted the importance of discourse in the constitution of the social world, and the function of talk and text in the construction of meaning. It is argued here that the use of such approaches, informed by insights from discourse analysis and current thinking on textuality, can enable analysts to read the personal account as a socially constructed, and constructing, text. This article uses examples from psychosocial oncology and from original research on the treatment experiences of a group of cancer patients to discuss new ways of reading personal accounts as social texts.

  11. Grounded Theory sebagai Metode Riset “Realitas Tertambah” di Museum Fatahillah

    Directory of Open Access Journals (Sweden)

    Leonardo Widya

    2014-03-01

    Full Text Available Augmented Reality (AR is part of the science of visual communication design/graphic design through theaddition of images on the real world with virtual information to enhance one’s senses with the help of “smart glasses”with three general characteristics: 1. The combination of real environment with virtual objects, 2. Interactivedisplay, 3. Display in 3D. Qualitative research methods and grounded theory approach in the real environmentin the area of Jakarta Fatahillah museum, discovered a new theory as a basis the idea that Visual PrototypingAugmented Reality technique with image manipulation-image nuanced Kota Tua as Jakarta Icon. The idea ofexploiting foreign tourists enriching way to learn more about Indonesia through social networking in a virtual worldstrategies to increase tourism.

  12. Pushing For Privileged Passage: A grounded theory of guardians to middle level mathematics students

    Directory of Open Access Journals (Sweden)

    Tina L. Johnston, Ph.D.

    2008-03-01

    Full Text Available This grounded theory research identified conflict over decisions about placement into high ability mathematics classes. A theory termed pushing for privileged passage emerged from data collected from parents and educators in the Northwest United States as well as international literature. Pushing occurs following a break down of trust among parents and/or educators over various facets of the school and over student abilitygrouping decisions in mathematics specifically. Subsequently they try to circumvent the system to gain advantaged placement for specific students. Those who push use investing strategies to insure a child’s future success. They use pressuring techniques on decision-makers to garner advanced mathematics access. Finally, those who push use strategic lobbying for program changes.

  13. The Temporal Sensitivity of Enforced Accelerated Work Pace: A grounded theory building approach

    Directory of Open Access Journals (Sweden)

    Graham John James Kenealy, BA (Hons, Ph.D. Candidate

    Full Text Available This research explores how a large national UK government organisation copes with radical structural change over time and provides an insight into the temporal effects of ‘Enforced Accelerated Work Pace’ on behaviour and receptivity within an organisational context. The stages of ‘Acceptance’, ‘Reaction’ and‘Withdrawal’ capture the essence of the ‘Coping Reflex Actions relating to Enforced Accelerated Work Pace’, all sensitive to the effects of time. ‘Temporal Sensitivity’; the duration of the changes to work patterns played a large part in the behavioural responses. The underlying logic of this research is grounded theory building, a general method that works well with qualitative data collection approaches and involves inducting insights from field based, case data (Glaser, 1998. A methodology discovered and developed by Glaser and Strauss (1967, negating all others.

  14. Negotiated reorienting: a grounded theory of nurses' end-of-life decision-making in the intensive care unit.

    Science.gov (United States)

    Gallagher, Ann; Bousso, Regina Szylit; McCarthy, Joan; Kohlen, Helen; Andrews, Tom; Paganini, Maria Cristina; Abu-El-Noor, Nasser Ibrahim; Cox, Anna; Haas, Margit; Arber, Anne; Abu-El-Noor, Mysoon Khalil; Baliza, Michelle Freire; Padilha, Katia Grillo

    2015-04-01

    Intensive care units (ICUs) focus on treatment for those who are critically ill and interventions to prolong life. Ethical issues arise when decisions have to be made regarding the withdrawal and withholding of life-sustaining treatment and the shift to comfort and palliative care. These issues are particularly challenging for nurses when there are varying degrees of uncertainty regarding prognosis. Little is known about nurses' end-of-life (EoL) decision-making practice across cultures. To understand nurses' EoL decision-making practices in ICUs in different cultural contexts. We collected and analysed qualitative data using Grounded Theory. Interviews were conducted with experienced ICU nurses in university or hospital premises in five countries: Brazil, England, Germany, Ireland and Palestine. Semi-structured interviews were conducted with 51 nurses (10 in Brazil, 9 in England, 10 in Germany, 10 in Ireland and 12 nurses in Palestine). They were purposefully and theoretically selected to include nurses having a variety of characteristics and experiences concerning end-of-life (EoL) decision-making. The study used grounded theory to inform data collection and analysis. Interviews were facilitated by using key questions. The comparative analysis of the data within and across data generated by the different research teams enabled researchers to develop a deeper understanding of EoL decision-making practices in the ICU. Ethical approval was granted in each of the participating countries and voluntary informed consent obtained from each participant. The core category that emerged was 'negotiated reorienting'. Whilst nurses do not make the 'ultimate' EoL decisions, they engage in two core practices: consensus seeking (involving coaxing, information cuing and voice enabling); and emotional holding (creating time-space and comfort giving). There was consensus regarding the core concept and core practices employed by nurses in the ICUs in the five countries. However

  15. 'Intensive care unit survivorship' - a constructivist grounded theory of surviving critical illness.

    Science.gov (United States)

    Kean, Susanne; Salisbury, Lisa G; Rattray, Janice; Walsh, Timothy S; Huby, Guro; Ramsay, Pamela

    2017-10-01

    To theorise intensive care unit survivorship after a critical illness based on longitudinal qualitative data. Increasingly, patients survive episodes of critical illness. However, the short- and long-term impact of critical illness includes physical, psychological, social and economic challenges long after hospital discharge. An appreciation is emerging that care needs to extend beyond critical illness to enable patients to reclaim their lives postdischarge with the term 'survivorship' being increasingly used in this context. What constitutes critical illness survivorship has, to date, not been theoretically explored. Longitudinal qualitative and constructivist grounded theory. Interviews (n = 46) with 17 participants were conducted at four time points: (1) before discharge from hospital, (2) four to six weeks postdischarge, (3) six months and (4) 12 months postdischarge across two adult intensive care unit setting. Individual face-to-face interviews. Data analysis followed the principles of Charmaz's constructivist grounded theory. 'Intensive care unit survivorship' emerged as the core category and was theorised using concepts such as status passages, liminality and temporality to understand the various transitions participants made postcritical illness. Intensive care unit survivorship describes the unscheduled status passage of falling critically ill and being taken to the threshold of life and the journey to a life postcritical illness. Surviving critical illness goes beyond recovery; surviving means 'moving on' to life postcritical illness. 'Moving on' incorporates a redefinition of self that incorporates any lingering intensive care unit legacies and being in control of one's life again. For healthcare professionals and policymakers, it is important to realise that recovery and transitioning through to survivorship happen within an individual's time frame, not a schedule imposed by the healthcare system. Currently, there are no care pathways or policies in

  16. Generating or developing grounded theory: methods to understand health and illness.

    Science.gov (United States)

    Woods, Phillip; Gapp, Rod; King, Michelle A

    2016-06-01

    Grounded theory is a qualitative research methodology that aims to explain social phenomena, e.g. why particular motivations or patterns of behaviour occur, at a conceptual level. Developed in the 1960s by Glaser and Strauss, the methodology has been reinterpreted by Strauss and Corbin in more recent times, resulting in different schools of thought. Differences arise from different philosophical perspectives concerning knowledge (epistemology) and the nature of reality (ontology), demanding that researchers make clear theoretical choices at the commencement of their research when choosing this methodology. Compared to other qualitative methods it has ability to achieve understanding of, rather than simply describing, a social phenomenon. Achieving understanding however, requires theoretical sampling to choose interviewees that can contribute most to the research and understanding of the phenomenon, and constant comparison of interviews to evaluate the same event or process in different settings or situations. Sampling continues until conceptual saturation is reached, i.e. when no new concepts emerge from the data. Data analysis focusses on categorising data (finding the main elements of what is occurring and why), and describing those categories in terms of properties (conceptual characteristics that define the category and give meaning) and dimensions (the variations within properties which produce specificity and range). Ultimately a core category which theoretically explains how all other categories are linked together is developed from the data. While achieving theoretical abstraction in the core category, it should be logical and capture all of the variation within the data. Theory development requires understanding of the methodology not just working through a set of procedures. This article provides a basic overview, set in the literature surrounding grounded theory, for those wanting to increase their understanding and quality of research output.

  17. An Inclusive School Choir for Children with Autism in Israel: Using Grounded Theory to Explore the Perceived Benefits and Challenges

    Directory of Open Access Journals (Sweden)

    Yael Eilat

    2016-03-01

    Full Text Available This study examined the role and place of an inclusive children’s choir in Israel for children with autism and neurotypical children. 16 individuals participated in the study, including ten staff members from a school for children with autism, four staff members from a mainstream school, two eleven-year old girls from the mainstream school who sang in the choir, and four parents from both schools whose children sang in the choir. The study utilized grounded theory with purposive sampling and semi-structured interviews. Categorical analysis of the data was used. The description of the results demonstrates that the programme filled six major roles: musical, social, educational, cultural, emotional, and inclusive; although there were challenges to this inclusive music making opportunity. In addition, we found that an inclusive choir can change its participants’ social perceptions of the “other”. Its success is dependent on the administration’s positive attitude, cooperation of educational staff from both schools – mainstream and special education – and the sensitivity of the choir’s conductor.

  18. The timing of the literature review in grounded theory research: an open mind versus an empty head.

    Science.gov (United States)

    Giles, Tracey; King, Lindy; de Lacey, Sheryl

    2013-01-01

    The timing of the literature review in grounded theory has been debated for decades, with previous recommendations to delay the review now under question. Mounting evidence suggests that a preliminary review can enhance theoretical sensitivity and rigor and may lead to innovative insights. However, researchers must acknowledge the influence of prior knowledge during data analysis and theory development to avoid bias. This article critically examines the ongoing debate and recommends that we should not seek to avoid preconceptions but ensure that they are well grounded in evidence and always subject to further investigation, revision, and refutation. If used reflexively, a preliminary literature review may well enhance grounded theory research.

  19. A grounded theory of female adolescents' dating experiences and factors influencing safety: the dynamics of the Circle

    Directory of Open Access Journals (Sweden)

    Toscano Sharyl E

    2007-09-01

    Full Text Available Abstract Background This paper describes the nature and characteristics of the dating relationships of adolescent females, including any of their experiences of abuse. Methods A grounded theory approach was used with 22 theoretically sampled female adolescents ages 15–18. Results Several important themes emerged: Seven stages of dating consistently described the relationships of female adolescents. A circle consisting of two interacting same sex peer groups provided structure for each teen as they navigated the dating course. The circle was the central factor affecting a female adolescent's potential for risk or harm in dating relationships. Teens defined abuse as an act where the intention is to hurt. Having once succumbed to sexual pressure, teens felt unable to refuse sex in subsequent situations. Conclusion An awareness of both the stages of dating and the dynamics of the circle will assist health care providers to plan and implement interventions in the female adolescent population. Study findings on factors and influences that support non-abusive versus abusive relationship might help identify female teens at risk and/or support interventions aimed at preventing dating violence.

  20. The social ecology of resolving family conflict among West African immigrants in New York: a grounded theory approach.

    Science.gov (United States)

    Rasmussen, Andrew; Chu, Tracy; Akinsulure-Smith, Adeyinka M; Keatley, Eva

    2013-09-01

    The current study employs a grounded theory approach to examine West African immigrants' resolution of parent-child conflict and intimate partner conflict. Data from 59 participants present an interactive social ecological framework, where a lack of resolution at one level results in attempts to resolve problems at higher levels. Four levels are identified within West African immigrants' problem solving ecology, each with specific actors in positions of authority: individual/dyadic (parents and spouses), extended family (which includes distant relatives and relatives living in home countries), community leadership (non-family elders and religious leaders), and state authorities. From participants' descriptions of family challenges emerged a picture of a social ecology in flux, with traditional, socially conservative modes of resolving family conflict transposed across migration into the more liberal and state-oriented familial context of the United States. This transposition results in a loss spiral for the traditional social ecology, differentially affecting individual actors within families. Implications for helping professionals working with new immigrant communities include identifying variability in openness to adapting structures that are not working well (e.g., patriarchal protection of abusive husbands) and supporting structures known to be associated with well being (e.g., collective monitoring of youth).