Other Titles
Grounded theory in nursing
Abstract
Session presented on Sunday, July 24, 2016:
Purpose: People sharing stories of their encounters with nurses in critical care environments revealed that a few nurses were perceived to have distinctive qualities that influenced a care encounter in a positive way. The care encounters with these nurses were spoken of as being somehow 'different and better' with these particular nurses described as being able to connect with people in a manner that transcended the combination of knowledge and competence alone. My intention in this study was to explore the nature of 'different and better' nursing practice with people who had engaged with critical care nurses in order to articulate an explanation of how people come to recognise this 'different and better' nursing practice.
Methods: Constructivist Grounded Theory methodology was used as the most appropriate way of articulating an explanation of 'different and better' nursing practice. Purposive and theoretical sampling processes resulted in ten participants drawn from patients' significant others, nurses and medical colleagues in critical care environments. Data generation began with participants contributing through in-depth unstructured individual interviews and creating naive sketches. A focused literature review conducted once the categories had formed from the participants' contributions provided a mesh through which the emergent grounded theory became assimilated and situated. The data set was analysed using method processes of concurrent data collection and analysis, with coding through constant comparative analysis. Memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation were applied to enable the core category to emerge from but remain grounded in the participants' data.
Results: An inductively derived explanation was formed and shaped to produce a substantive grounded theory articulating how 'better and different' nursing is recognised from the point of view of those who use the nursing ability of critical care nurses. The core concern 'being at ease' develops through four categories, namely 'knowing self', 'skilled being', 'connecting with intention' and 'anchoring'.
Conclusion: 'Being at ease' speaks to a personal feeling of composure and strength that a person develops as a consequence of a trusting partnership created with a nurse; within this space a person feels able to retain their own identity, assert their power and feel in control of their life despite the chaotic or unbearable situation playing out around them. Being at Ease adds to our practice narrative through this explanation of how tacit qualities of 'different and better' nursing are located as discrete elements within the complex nature of specialist clinical practice.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Grounded Theory
Research Approach
Qualitative Research
Keywords:
Grounded Theory methodology, different and better nursing practice, critical care
Recommended Citation
Bell, Janet, "Using grounded theory to explain "different and better" nursing practice" (2016). INRC (Congress). 64.
https://www.sigmarepository.org/inrc/2016/presentations_2016/64
Conference Name
27th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Cape Town, South Africa
Conference Year
2016
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Using grounded theory to explain "different and better" nursing practice
Cape Town, South Africa
Session presented on Sunday, July 24, 2016:
Purpose: People sharing stories of their encounters with nurses in critical care environments revealed that a few nurses were perceived to have distinctive qualities that influenced a care encounter in a positive way. The care encounters with these nurses were spoken of as being somehow 'different and better' with these particular nurses described as being able to connect with people in a manner that transcended the combination of knowledge and competence alone. My intention in this study was to explore the nature of 'different and better' nursing practice with people who had engaged with critical care nurses in order to articulate an explanation of how people come to recognise this 'different and better' nursing practice.
Methods: Constructivist Grounded Theory methodology was used as the most appropriate way of articulating an explanation of 'different and better' nursing practice. Purposive and theoretical sampling processes resulted in ten participants drawn from patients' significant others, nurses and medical colleagues in critical care environments. Data generation began with participants contributing through in-depth unstructured individual interviews and creating naive sketches. A focused literature review conducted once the categories had formed from the participants' contributions provided a mesh through which the emergent grounded theory became assimilated and situated. The data set was analysed using method processes of concurrent data collection and analysis, with coding through constant comparative analysis. Memo-writing, theoretical sampling, theoretical sensitivity and theoretical saturation were applied to enable the core category to emerge from but remain grounded in the participants' data.
Results: An inductively derived explanation was formed and shaped to produce a substantive grounded theory articulating how 'better and different' nursing is recognised from the point of view of those who use the nursing ability of critical care nurses. The core concern 'being at ease' develops through four categories, namely 'knowing self', 'skilled being', 'connecting with intention' and 'anchoring'.
Conclusion: 'Being at ease' speaks to a personal feeling of composure and strength that a person develops as a consequence of a trusting partnership created with a nurse; within this space a person feels able to retain their own identity, assert their power and feel in control of their life despite the chaotic or unbearable situation playing out around them. Being at Ease adds to our practice narrative through this explanation of how tacit qualities of 'different and better' nursing are located as discrete elements within the complex nature of specialist clinical practice.