Selective Coding (selective + coding)

Distribution by Scientific Domains

Selected Abstracts

Coaching patients to self-care: a primary responsibility of nursing

Julie Pryor BA
Aim., To explore the process nurses use to guide and support patients to actively re-establish self-care. Background., The movement of hospitalized patients from less to more independence is primarily a nursing responsibility. Studies of nursing practice in inpatient rehabilitation settings have begun to shed some light on this, but as yet there is limited understanding of the actual skills nurses use to support patients to re-establish self-care. Method., This study used grounded theory. Microanalysis and constant comparative analysis of data collected during interviews with, and observation of, registered and enrolled nurses during everyday nursing practice in five inpatient rehabilitation units facilitated open, axial and selective coding. Relevant literature was woven into the final theory. Findings., To facilitate patient transition from the role of acute care patient to rehabilitation patient actively reclaiming self-care, nurses engaged in a three-phase process known as coaching patients to self-care. The three phases were: easing patients into rehabilitation, maximizing patient effort and providing graduated assistance. Conclusion., Coaching patients to self-care is a primary activity and technology of rehabilitation nursing. Relevance to clinical practice., Patients in a variety of settings would benefit from nurses incorporating coaching skills into their nurse,patient interactions. [source]

The role of community mental health nurses caring for people with schizophrenia in Taiwan: a substantive grounded theory

Xuan-Yi Huang DNSc
Aim and objectives., The aim was to develop a practice theory that can be used to guide the direction of community nursing practice to help clients with schizophrenia and those who care for them. Design., Substantive grounded theory was developed through use of grounded theory method of Strauss and Corbin. Methods., Two groups of participants in Taiwan were selected using theoretical sampling: one group consisted of community mental health nurses and the other group was clients with schizophrenia and those who cared for them. The number of participants in each group was determined by theoretical saturation. Semi-structured one-to-one in-depth interviews and unstructured non-participant observation were utilized for data collection. Data analysis involved three stages: open, axial and selective coding. During the process of coding and analysis, both inductive and deductive thinking were utilized and the constant comparative analysis process continued until data saturation occurred. To establish trustworthiness, the four criteria of credibility, transferability, dependability and confirmability were followed along with field trial, audit trial, member check and peer debriefing for reliability and validity. Results., A substantive grounded theory, the role of community mental health nurses caring for people with schizophrenia in Taiwan, was developed through utilization of grounded theory method of Strauss and Corbin. Conclusion., In this paper, results and discussion focus on causal conditions, context, intervening conditions, consequences and phenomenon. Relevance to clinical practice., The theory is the first to contribute knowledge about the field of mental health home visiting services in Taiwan to provide guidance for the delivery of quality care to assist people in the community with schizophrenia and their carers. [source]

Patients and nurses' perceptions of ward environmental factors and support systems in the care of suicidal patients

Fan-Ko Sun PhD
Aims., The aims of this paper are to present and discuss the findings that emerged from a qualitative study exploring nurses and patients' views of the acute psychiatric ward (the context) and the type of care received (the intervening conditions). Background., The phenomenon of suicide and the nursing care of people who are suicidal have previously been investigated. However, literature demonstrates that there is a dearth of information exploring the importance of the ward context in the care of suicidal patients and the intervening conditions that are used by professionals in the care of suicidal patients. Method., Qualitative research using the grounded theory approach. Data collection and analysis., Fifteen patients who had either suicidal ideas or had attempted suicide and 15 psychiatric nurses were interviewed and observed. Data were analysed using open, axial and selective coding. Findings., A substantive theory of suicide-nursing care was developed. For the purpose of this paper, the two categories that emerged in the ,context' element of the paradigm model are explored. They were: team working and the psychiatric ward environment. In addition, the four categories from the ,intervening conditions' are discussed. They were: nurses' attitudes and beliefs have an effect on caring, barriers to caring, patients' negative thoughts and feelings about the care provided and support systems. Conclusion., The findings indicated that the context of the ward environment and the intervening conditions used by nurses in the nursing care of suicidal patients helped to define some of the complex dynamics that impacted on the development of a therapeutic relationship within the practice of suicide-nursing care. Relevance to clinical practice., Environmental factors as well as the nurses' knowledge and skills and the type of support patients receive impact on the care of suicidal patients. These findings could help to enhance and advance suicide-nursing care. [source]

Finding the Best Fit: A Grounded Theory of Contraceptive Decision Making in Women

NURSING FORUM, Issue 4 2004
APRN-BC, Joanne Noone PhD
PROBLEM. Half of the pregnancies in the United States that occur annually are unintended, and of these, half occur among women using contraceptives. METHODS. Interviews with 16 women, field notes, and memos were analyzed using constant comparative analysis and the methods of open, axial, and selective coding were used until saturation occurred. FINDINGS. The core category that describes the process of contraceptive decision making in women is "finding the best fit." Women choose a method or methods to prevent pregnancy based on their knowledge, experience, and evaluation of what would be the best fit within the context of their current life situation. CONCLUSIONS. It is important that nurses obtain a thorough contraceptive history, and realize that women may have different perceptions and knowledge level of methods. [source]