• Title/Summary/Keyword: grounded approach

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Process of Coping with Mastectomy: a Qualitative Study in Iran

  • Fouladi, Nasrin;Pourfarzi, Farhad;Ali-Mohammadi, Hossein;Masumi, Atefeh;Agamohammadi, Masumeh;Mazaheri, Effat
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2079-2084
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    • 2013
  • Background: Breast cancer is the most prevalent cancer among Iranian women and mastectomy comprises 81% of surgeries for treatment of breast cancer. Mastectomy may create feelings such as deformation or impairment in patients, cause body-image disorder, and reduce sexuality and sexual activity which in turn may entail mental disorders. The study aimed to elaborate coping processes. Materials and Methods: A grounded theory method was used in conducting this study. Twenty Iranian participants undergoing mastectomy were recruited with purposive sampling. An open, semi-structured questionnaire were developed. Obtaining consent, conversations were recorded and immediately transcribed after each session. Data analysis was carried out with the constant comparative method using the Strauss Corbin approach. Results: Analyzing the collected data, the study came up with seven main categories which affected the coping process in patients with breast cancer, namely: reactions to mastectomy; loss and death contest; reconstruction of evaluation system; consent for undergoing mastectomy; reactions and troubles after loss; confrontation of loss and health; and reorganization and compatibility with changes. Conclusions: The results of the study indicated: when patients become informed of their breast cancer and the necessity of undergoing mastectomy as the treatment, they probably pass through seven categories to adapt after mastectomy. Having insight about them is likely to contribute medical personnel in leading patients to the highest degree of feeling healthy.

A Qualitative Study on the Self-determination Experience of Youth with Disabilities (장애청소년의 자기결정 경험에 대한 질적 연구)

  • Kim, Kyo-Yeon
    • Korean Journal of Social Welfare
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    • v.63 no.4
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    • pp.5-31
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    • 2011
  • This study explored how young people with disabilities experience self-determination in their lives. This study employed a grounded theory approach involving 10 undergraduate students with cerebral palsy or physical disabilities, in their early 20's, and individual interviews. The experience relating self-determination of the participants seemed to start with "wanting to do things at their will as they grow up". The participants reported experiencing "yearning to attain self-actualization overcoming disabilities" in the context of "disability-related social limitation", "divided opinions between the participants and their parents", and "limitation in financial and psychological resources". The emerging strategies to attain self-actualization included "active coping", "avoiding confrontation", and "conditional acceptance". Intervening conditions to formation of the strategies included ”challenging spirits towards prejudice about disability", "autonomous tendencies", "taking the most of social support" and "parenting attitudes of their parents". In the process of seeking to attain self-actualization, these participants experienced "self-maturation" and "the sense of guilt towards their parents". The findings emerged from the study was that there are three stages in the process young people went through in self-determination. The stages consist of "perceiving their needs and obstacles for self-determination", "problem solving", and "perceiving their growth". In addition, four self-determination patterns are derived from this data: "breaking through", "multi-strategic", "moderate", and "acceptive". This study suggested some theoretical and prctical implications needed to facilitate self-determination of youth with disabilities.

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Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

  • Wang, Linda Dong-Ling;Lam, Wendy Wing Tak;Wu, Joseph;Fielding, Richard
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7679-7686
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    • 2014
  • Background: This study aimed to seek insights into Chinese women's lay beliefs about cervical cancer causal attributions and prevention. Materials and Methods: Twenty-three new immigrant adult women from Mainland China and thirty-five Hong Kong adult women underwent semi-structured in-depth interviews. Interviews were audio taped, transcribed and analyzed using a Grounded Theory approach. Results: This study generated three foci: causal beliefs about cervical cancer, perceived risk of cervical cancer, and beliefs about cervical cancer prevention. Personal risky practices, contaminated food and environment pollution were perceived as the primary causes of cervical cancer. New immigrant women more likely attributed cervical cancer to external factors. Most participants perceived cervical cancer as an important common fatal female cancer with increased risk/prevalence. Many participants, particularly new immigrant women participants, expressed helplessness about cervical cancer prevention due to lack of knowledge of prevention, it being perceived as beyond individual control. Many new immigrant participants had never undergone regular cervical screening while almost all Hong Kong participants had done so. Conclusions: Some Chinese women hold pessimistic beliefs about cervical cancer prevention with inadequate knowledge about risk factors. Future cervical cancer prevention programs should provide more information and include capacity building to increase Chinese women's knowledge and self-efficacy towards cervical cancer prevention.

Clinical Nursing Competency for New Graduate Nurses - A Grounded Theory Approach - (신규 임상간호사에게 요구되는 임상실무수행능력)

  • Byeon Young-Soon;Lim Nan-Young;Kang Kyu-Sook;Sung Myung-Sook;Won Jong-Soon;Ko Il-Sun;Chang Sung-Ok;Jang Hee-Jung;Yang Sun-Hee;Kim Hwa-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.1
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    • pp.47-56
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    • 2003
  • Purpose: This study was done to provide information about issues of clinical competency from the perspective of new graduate nurses and to make suggestions for improving undergraduate education programmes. It was also done to clarify learning experiences between fundamentals of nursing and the other major areas of nursing. Method: For this study, 7 new graduates and 8 experienced nurses participated. The data were collected through in-depth interviews and analysed in terms of Strauss and Corbin's grounded theory methodology. Result: Core category and main categories, were delineated. Clinical nursing competency was found to be a dynamic process with each participant actively engaged in acquiring problem solving ability in diverse clinical settings. These findings have value in understanding the embedded meaning of clinical nursing competency. Conclusion: Therefore, the educational programs reflecting the experience of new nursing staff should be developed.

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Qualitative study on the scaling experience through the application of comprehensive dental hygiene care : A grounded theory approach (포괄치위생관리 과정을 적용한 스케일링 수행 경험에 관한 질적 연구 : 근거이론적 접근)

  • Park, Seon-Mi;Moon, Sang-Eun;Kim, Yun-Jeong;Kim, Seon-Yeong;Cho, Hye-Eun;Kang, Hyun-Joo
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.4
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    • pp.395-408
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    • 2020
  • Objectives: This study was performed in order to provide evidence-based data for the expected professional impact of dental hygienists, and to apply and disclose the comprehensive dental hygiene care process through an in-depth analysis of their scaling experience and investigation of the importance of an evidence-based scaling work performance. Methods: The data were collected from June 3, 2019 to October 3, 2019 by conducting in-depth individual interviews on 10 dental hygienists who are working in dental clinics and hospitals by region. The data were analyzed by using the grounded theory methodology, which is a field of qualitative research method. Results: Study results showed that the core category derived from the paradigm model and change process in this study was 'a process of becoming a mature professional outside practical work'. Conclusions: In this study, the participants were able to gain a sense of occupational accomplishment as dental hygienists by performing scaling based on the comprehensive dental hygiene care (CDHC) process, and to advance into professionals through continuous efforts and research in order to enhance their job competencies.

North Koreans' Lives in the United States (미국으로 간 탈북자들의 정착과 적응에 관한 질적 연구)

  • Jun, Myung Hee
    • Korean Journal of Social Welfare
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    • v.64 no.4
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    • pp.89-111
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    • 2012
  • Since the U.S. government officially accepted North Korean(NK) as refugees starting in 2006, about 120 North Koreans have come to and been living in the United States. However, little is known in regard to what the North Korean refugees need for a qualify life. This study aims to explore the essential experiences of North Korean defectors who have settled in the United States after escaping North Korea. Research inquiries are why North Korean refugees have chosen the United States for their settlement, and how they are living in the United States. Data were collected from in-depth interviews with eight NK refugees. For data analysis, grounded theory approach by Strauss and Corbin(1998) was employed. The data analysis identified the central phenomenon, protective and risk factors, and core actions and consequences of NK refugees' adjustment in the U.S. The central phenomenon was "voluntary choose to come to the U.S." The core action and consequences in the process of their adjustment were 'searching for the meaning of life,' and 'achieving acculturation.' The findings may provide deeper understanding on the situation of North Korean refugees in the U.S. and implications for how to help them adjust well in the society.

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Re-entry Experiences to Socialization of Female Ex-Offender : Based on Grounded Theory Methodology (여성출소자의 사회재진입 경험에 관한 근거이론 연구)

  • Lee, A-Reum;Kim, Mi-Hyun;Lee, Dong-Hun
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.388-409
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    • 2017
  • This study was to explore experiences of Female Ex-offender's re-entry process to socialization. For this, 9 female ex-offenders who receive housing support by the Korea Rehabilitation Agency were interviewed and the Strauss and Corbin's ground theory is used to approach to the data. In open coding, 88 concepts, 33 subcategories, and 15categories emerged from the data. In axial coding, central phenomenon were 'indulge in self pity', 'being isolated female ex-offender'. Intervention condition was 'human cooperation system'. Strategies were 'increase the receptiveness', 'establish the foundation'. Consequences were 'finding the stability in the life', 'changing the life direction'. In selective coding, main theme was 'overcome social stigma through changing life-direction and acclimate to society', and four phases were derived from the data. Based upon this results outcome, need of female ex-offender in the process of social transition and their experience were discussed.

Factors Influencing Geriatric Nursing Performance among Clinical Nurses (임상간호사의 노인간호수행에 영향을 미치는 요인)

  • Hong, Ye Ji;Lee, Youngjin;Bae, Sun Hyoung;Kang, Minkyung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.31 no.1
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    • pp.89-98
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    • 2024
  • Purpose: This descriptive research study is intended to develop practical strategies for enhancing the quality of elderly care by evaluating the levels of ageism and compassion competence among clinical nurses and their impact on geriatric nursing performance. Methods: This study involved 162 nurses who provided direct care to elderly patients in a department with many such patients. Of the 161 returned questionnaires, 150 were analyzed, excluding 11 that had insincere or missing responses. To analyze the data, a comprehensive approach was employed using the IBM SPSS 27.0 program that included calculations of frequency and percentage, mean, and standard deviation, as well as more complex statistical tests such as the independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical linear regression analysis. Results: Compassion competence was significantly positively correlated with elderly care and negatively correlated with ageism. This study conclusively demonstrates that compassion competence among nurses in geriatric nursing situations plays a crucial role in provision of quality nursing grounded in understanding and respect for the elderly. Consequently, it is imperative to develop educational strategies tailored to each career stage of nursing practice to further enhance effective elderly care. Conclusion: This study conclusively demonstrates that compassion competence in geriatric nursing situations plays a crucial role in provision of quality nursing grounded in understanding and respect for the elderly. Consequently, it is imperative to develop educational strategies tailored to each career stage of nursing practice to further enhance effective elderly care.

Harmony through Holistic Engagement: An Emic Model of Greater East Asian Regionalism

  • von Feigenblatt, Otto F.
    • Journal of Contemporary Eastern Asia
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    • v.12 no.2
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    • pp.61-87
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    • 2013
  • This study applies grounded theory to develop an emic substantive theory of regional integration in Greater East Asia. The role of norms and policies is explored through discursive content analysis of a wide theoretical sample of official elite policy statements dealing with regionalism and related policy areas. A resulting model of regional integration titled "Harmony through Holistic Engagement" is then discussed in relation to the etic consensus on the phenomenon. The study concludes that the etic consensus on the nature of regional integration in Greater East Asia greatly differs from the results of an emic approach and thus reflects a normative consensus rather than a descriptive reality.

Future Plan of Environmental Policy in Korea

  • Kim, Yoon-Shin
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2005.12a
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    • pp.45-48
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    • 2005
  • In 2005, the KMOE and an advisory members for environmental health policy are exploring new environmental policy directions in the 21st century by suggesting a 10-year plan of environmental health policy with its specific goals, grounded on four basic principles: preemptive environmental control instead of post hoc facto control of environmental contaminants or discharged substances, receptor-centered approach, priority on protection of the people vulnerable and sensitive to environmental contamination, and warranty of citizens' rights to be engaged and informed. Such new policy challenges in the area of environmental health, which must be significant of important policy shift for environmental health in the 21t century, is expected to conduct to improvement of environmental health in Korea and Northeast Asian Regions as well.

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