Suchergebnisse

Continuous positive airway pressure (CPAP) treatment for sleep apnoea can be challenging for patients to master. Given limited evidence on this topic, we used constructionist grounded theory methodology to explore experiences of living with CPAP from participants' perspectives. Adults (n=16) were recruited through a main-center respiratory service in New Zealand and participated in semi-structured interviews. Data were analyzed until theoretical saturation was achieved.In this article, we present the newly constructed grounded theory of bargaining and balancing life with CPAP, which explains how participants made a series of personal decisions about whether to use and how to master CPAP. To situate, support and provide explanatory power the new theory is discussed in the context of change and decision theories to illustrate the varying phases of readiness experienced by persons preparing to engage with CPAP and the decision-making process required for effective management of CPAP at home.This study provides valuable CPAP-user centered information for the development of interventions to optimize CPAP use. Acknowledging individuals' abilities to make reasoned healthcare decisions and providing clinical environments that support the active process of bargaining and balancing may increase uptake of CPAP, and potentially other long-term therapies.

In 2002 a UK Government initiative enabled the fostering of links between UK school children and school children in Low and Middle Income Countries through the shared Just Like You project about health and rights. This manuscript reports English children's perspectives on the lives of their peers in Kenya, whose school link began in 2007. Data were gathered and analysed in 2014 via six focus groups with 132 children. The result was a constructed grounded theory of respectful reflection that represents a basic social process. Respectful reflection comprises three categories; being similar, living differently and finding the strengths.

PurposeThis article aims to explore the meanings of positionality and demonstrate how reflective memos can illustrate positionality in a constructivist grounded theory (CGT) study.Design/methodology/approachAcknowledging the positionality of the researcher through a reflective approach is an essential element of CGT studies. The first author (IS) used reflective memoing in her CGT study on Indian immigrant children's asthma to practice reflexivity and make her positionality explicit. Through memos, IS acknowledges her knowledge, beliefs, practices, experience and pre-existing assumptions about the research topic. This article is a compilation of the reflective memos that IS wrote during the initial phase of her research and draws on her motivations as they relate to the topic under study in the context of current literature.FindingsThe reflective accounts of a researcher's background and experience can act as a lens for understanding the research question and the choice of methodology.Practical implicationsThis article may be useful to novice qualitative researchers who are struggling to define and establish their own positionality. John Dewey's and David Schon's works on reflective thinking serve as valuable tools to practice reflexivity. Philosophically underpinned reflections in the form of memos, employed from the outset and throughout the study, can enhance the study rigour by making research decisions transparent.Originality/valueThis article provides practical guidance on how to outline positionality at the outset of a CGT study.

Der symbolische Interaktionismus (SI), eine Perspektive zum Verständnis menschlichen Verhaltens, wird gemeinhin als Grundlage für die Grounded-Theory-Methodologie (GTM) angesehen. Der Zweck der GTM besteht jedoch darin, aus Daten eine substanzielle, erklärende Sozialtheorie zu erstellen, ohne sich auf vorherige Annahmen zu stützen. Daher argumentieren einige, dass SI eine unnötige theoretische Einschränkung des Hauptziels der GTM - der freien Konzeptualisierung von Daten - darstelle. In diesem Artikel verwenden wir Beispiele aus einer laufenden konstruktivistischen Grounded-Theory-Studie über die Aushandlung der Rollen von Krankenschwestern in der Allgemeinmedizin in Neuseeland, um zu zeigen, was SI in Bezug auf die konzeptionelle Entwicklung und das Verständnis des Kontextes beitragen kann. Wir argumentieren, dass durch das Stellen von drei Fragen aus einer symbolisch-interaktionistischen Perspektive in jeder Phase des Forschungsprozesses die Freiheit der Konzeptualisierung erhöht und das Bewusstsein für kontextuelle Belange gefördert werden kann, um eine bessere Brücke zwischen den Weltsichten zu schlagen.

In grounded theory research it is commonly discouraged to conduct a literature review before data collection and analysis. Engaging with the literature about the researched area in that stage of the research is described as a constraining exercise rather than a guiding one. This can be a puzzling notion for the researcher engaging with grounded theory methodology (GTM), particularly when she/he is expected to produce a literature review in early stages of the research process, e.g., by ethics committees and/or funding bodies. The current article examines this controversial issue by exploring the different stances taken on the subject by the founders of the methodology, as well as the one introduced by constructivist GTM. The different approaches towards the potential impact of a literature review conducted before data collection and analysis are introduced not only as a methodological issue, but also, and more importantly, as an epistemological one. Reflexivity is described as a key element in ensuring the groundedness of a theory in constructivist GTM and various reflexive strategies are presented. It is suggested that the researcher's epistemological framework should be explicitly explored and acknowledged in early stages of the research. (author's abstract)