scholarly journals Psychosocial Intervention Use in Long-Stay Dementia Care

2016 ◽  
Vol 26 (14) ◽  
pp. 2024-2034 ◽  
Author(s):  
Andrew Hunter ◽  
John Keady ◽  
Dympna Casey ◽  
Annmarie Grealish ◽  
Kathy Murphy

The objective of this study was to develop a substantive grounded theory of staff psychosocial intervention use with residents with dementia in long-stay care. “Becoming a person again” emerged as the core category accounting for staffs’ psychosocial intervention use within long-stay care. Interview data were collected from participants in nine Irish long-stay settings: 14 residents with dementia, 19 staff nurses, one clinical facilitator, seven nurse managers, 21 nursing assistants, and five relatives. Constant comparative method guided the data collection and analysis. The researcher’s theoretical memos, based on unstructured observation, and applicable extant literature were also included as data. By identifying the mutuality of the participants’ experiences, this classic grounded theory explains staff motivation toward psychosocial intervention use within long-stay care. It also explains how institutional factors interact with those personal factors that incline individuals toward psychosocial intervention use.

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Haakon Halberg ◽  
John Brumo

Kan fortellinger om dyr skape større tverrfaglig engasjement og interesse blant elever på mellomtrinnet? Elever fra tre skoler har gjennomført et litteraturdidaktisk prosjekt om rovdyr. Elevene lyttet til Jacob Breda Bulls fortelling «Ulveslaget» (1892), som er en dramatisk fortelling fra den litterære kulturarven. Problemstillingen er: Hvordan opplever elevene den skjønnlitterære fortellingen «Ulveslaget» i forbindelse med et tverrfaglig undervisningsopplegg om rovdyr? Metodologisk er det gjennomført en case-studie, og dataene er behandlet med en konstant-komparativ metode, en form for Grounded Theory der et åpent forskningsspørsmål besvares gjennom konstante sammenligninger som resulterer i utvikling av en teorigenererende kjernekategori basert på ulike hovedkategorier (Corbin & Strauss, 2015). Resultatene viser at elevene som gruppe engasjeres av fortellingen. Engasjement som kjernekategori forener de fire hovedkategoriene «‘Ulveslaget’ er lett å forstå», «‘Ulveslaget’ skaper følelser», «‘Ulveslaget’ setter i gang aktivitet» og «‘Ulveslaget’ skaper lyst til å lære mer om rovdyr». Utprøvingsprosjektet viser lærings- og opplevelsesmulighetene som ligger i arbeid med skjønnlitteratur i tverrfaglige sammenhenger, med tanke på Fagfornyelsen med ny overordnet del av læreplanen og innføringen av nye læreplaner i fag. Prosjektet viser at innhold og handling i den skjønnlitterære fortellingen er viktig for elevenes engasjement. Nøkkelord: tverrfaglig undervisning, litteraturdidaktikk, elevengasjement, litteraturlesing, konstant-komparativ metode   Impassioned by wolves! Using fiction in interdisciplinary projects at the upper primary level Abstract Can stories about animals create a greater interdisciplinary engagement and interest among middle school students? Students from three schools have completed a project in the didactics of literature dealing with predators. As part of the project, the students have listened to “Ulveslaget” [Battle with wolves] (1892), a classic short story from Norway’s literary canon by Jacob Breda Bull. The study aims to explore how students experience this short story as part of an interdisciplinary project about predators in nature. Methodologically, this is a case study and the data is analyzed with the constant comparative method (Corbin & Strauss, 2015). The method is a variant of Grounded Theory where constant comparison generates a core category based on four sub-categories. The results show that the short story engages the students. The core category “engagement” is recognized by the sub-categories “easy to understand”, “creates emotions”, “triggers activity”, and “triggers interest in learning more about predators”. The case shows the potential for learning by using fictional short stories, especially with regard to the interdisciplinary emphasis in the new national curriculum in Norway. Additionally, the case study shows how the content and the plot of the short story influence the students’ motivation for reading. Keywords: interdisciplinary teaching, literature didactics, student engagement, reading fiction, the constant comparative method


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Lee Anne Siegmund ◽  
Christian Burchill ◽  
Sandra Siedlecki

Research demonstrates that cardiac rehabilitation (CR) programs improve cardiac outcomes and decrease mortality. However, less than 20% of referred women attend CR programs. Of those studies we found, most researchers studied men or barriers to participation. Little is known about factors that motivate or facilitate women to participate in CR. The purpose of this study is to address that gap. A grounded theory (GT) design was used to develop a theoretical understanding of the decision-making process employed by women who attended 25 or more CR sessions. We sought to identify factors that facilitated CR participation. Grounded theory is theory generating, not theory testing; no research questions or hypotheses are appropriate. Digitally recorded interview data from 12 women and 2 men (contrary cases) from a single Phase II CR program at a large healthcare system was reviewed by the research team. Data collection and analysis occurred simultaneously (constant comparative method) and open, axial and selective coding was used to develop the theoretical framework. Data analysis revealed three requisite conditions (catalysts, expectations, reinforcers) for participation in CR by women. Initially, participation was predicated by a cardiac event (catalyst) and CR recommendation. Then women participated because they believed CR would be effective (expectations). Finally, friendliness, reassurance, and validation from the CR team plus feeling better (reinforcers) were the factors that kept them coming back week after week. Unlike previous studies, factors such as transportation and financial resources did not impact the decision to participate in CR. These factors were perceived by the women interviewed to be nice but not necessarily critical to their decision to participate in CR. It was interesting to note that of all reinforcing factors, the relationship between the participant and the CR staff was the most important factor that facilitated continued participation. Previous research and interventions have been directed toward removing barriers to participation. This is the first study to explore factors that facilitate rather than impede participation and to identify requisite factors specific to women. Findings from this study provide a theoretical foundation for understanding ways to improve CR participation by women.


2021 ◽  
pp. 1-21
Author(s):  
Julian C. Hughes ◽  
Jordan Baseman ◽  
Catherine Hearne ◽  
Mabel Leng Sim Lie ◽  
Dominic Smith ◽  
...  

Abstract This paper reports on a study which examined the notions of authenticity and citizenship for people living with cognitive impairment or dementia in a care home in the North-East of England. We demonstrated that both notions were present and were encouraged by engagement with an artist, where this involved audio and visual recordings and the creation of a film. The artist's interactions were observed by a non-participant observer using ethnographic techniques, including interviews with the residents, their families and the staff of the care home. The data were analysed using grounded theory and the constant comparative method of qualitative analysis. Our findings suggest that participatory art might help to maintain and encourage authenticity and citizenship in people living with dementia in a care home. Certainly, authenticity and citizenship are notions worth pursuing in the context of dementia generally, but especially in care homes.


2017 ◽  
Author(s):  
Ιωάννα Μπακιρτζή

Η παρούσα διατριβή πραγματεύεται τρόπους προώθησης της Συμπεριληπτικής Εκπαίδευσης στην Πρωτοβάθμια Εκπαίδευση στην Ελλάδα. Ειδικότερα προτείνει την εφαρμογή της Καθολικής Σχεδίασης για Μάθηση και της Ολικής Ποιότητας στην Εκπαίδευση ως ένα δομημένο πλαίσιο στο οποίο προάγεται η φιλοσοφία της συμπερίληψης και οι αρχές της. Η μέθοδος που ακολουθήθηκε για τη διεξαγωγή της έρευνας εντάσσεται στους κόλπους της ποιοτικής ερευνητικής μεθόδου και συγκεκριμένα της έρευνας – δράσης. Επιπρόσθετα, αξιοποιήθηκαν στοιχεία της θεμελιωμένης θεωρίας (grounded theory), στην οποία βασίστηκε η ανάλυση και επεξεργασία των δεδομένων, που έγινε μέσω της συνεχούς συγκριτικής μεθόδου (constant comparative method). Όσον αφορά στη μεθοδολογία, έγινε χρήση του photovoice, της παρατήρησης, της συνέντευξης καθώς και του αναστοχαστικού ημερολογίου. Για την επίτευξη της εμπιστευσιμότητας εφαρμόστηκε μία πληθώρα στρατηγικών, η οποία στόχευε στην αξία της αλήθειας, στη μεταφερσιμότητα, στην αληθοφάνεια και την επιβεβαιωσιμότητα. Η έρευνα διεξήχθη σε ένα ελληνικό δημόσιο δημοτικό σχολείο και συμμετέχοντές της ήταν μαθητές του σχολείου, οι γονείς τους, οι εκπαιδευτικοί των αντίστοιχων τάξεων και η διευθύντρια.Η έρευνα χωρίστηκε σε τρία στάδια, με το καθένα να προκύπτει λόγω αναγκαιότητας από το προηγούμενο. Έτσι, διαμορφώθηκε το στάδιο της αρχικής αξιολόγησης της υπάρχουσας κατάστασης στο σχολείο με στόχο τη διερεύνηση του βαθμού ανάπτυξης της συμπεριληπτικής εκπαίδευσης, το στάδιο της παρέμβασης με βάση τις αρχές των φιλοσοφιών της καθολικής σχεδίασης για μάθηση και της ολικής ποιότητας και αυτό της τελικής αξιολόγησης της παρέμβασης.Τα αποτελέσματα φανέρωσαν τη δυναμική των δύο παραπάνω φιλοσοφιών για την προώθηση της συμπεριληπτικής εκπαίδευση. Η κάθε μία ξεχωριστά αλλά και σε συνδυασμό με την άλλη οδήγησαν στην εξάλειψη φαινομένων περιθωριοποίησης των μαθητών, στην αύξηση της συμμετοχής τους στο καθημερινό μάθημα και τις σχολικές δραστηριότητες, στην υπερπήδηση των εμποδίων και στην απόδοση ισότιμων ευκαιριών προς όλους. Θετικό αντίκτυπο είχε η παρέμβαση και προς τους γονείς οι οποίοι ήρθαν πιο κοντά στο σχολείο και είδαν τις ανάγκες τους να ικανοποιούνται, όπως και προς τους εκπαιδευτικούς, που ανέπτυξαν σχέσεις συνεργασίας και είδαν την αλλαγή τόσο στους μαθητές τους όσο και στο σύνολο του σχολείου.


Author(s):  
Mayckel da Silva Barreto ◽  
Bruna Sodré Simon ◽  
Veronica Francisqueti Marquete ◽  
Rebeca Rosa de Souza ◽  
Nara Marilene Oliveira Girardon-Perlini ◽  
...  

ABSTRACT Objetive: Describing the theoretical sampling process in the development of a Grounded Theory based on the Straussian strand. The objective of the field research, used as an example, was to develop a substantive theory, based on the theoretical framework of Symbolic Interactionism, about the perceptions and experiences of patients, family members, and health professionals regarding the presence of the family during emergency care. Method: In the theoretical sampling, 42 participants were recruited, divided into nine sample groups, constituted based on the constant comparative method. Results: The description of this example allowed to identify how theoretical sampling guided data collection, which occurred through the in-depth study of concepts and the search for answers to questions arising from the data. Final Considerations: It is expected that the readers find subsidies to understand how theoretical sampling is conducted in a Grounded Theory study, based on the Straussian strand, and thus be able to apply it.


2016 ◽  
Vol 6 (3) ◽  
pp. 185-190
Author(s):  
Ann Karin Helgesen

BackgroundResearch to date indicates that most nursing homes offer various kinds of activities for their residents, but that these are seldom tailored to each individual person. In respect of activities, it is reasonable to assume that male residents are at particular risk of not receiving person-centred care as they inhabit a largely ‘female domain’, where the majority of personnel and often also of residents are female. Few studies to date have focused on activities for men in nursing homes.AimThe aim of this study was to explore male residents’ experiences of an activity programme in a nursing home in Norway.DesignThe study had an explorative Grounded Theory (GT) design. Data were collected by means of interviews with nine residents. All of the men were offered an activity at least once a week as part of a project over the preceding year.According to the basic principles of grounded theory sampling, data collection and analysis are carried out simultaneously using constant comparison.Findings The core category showed that there was ‘a change in the men’s everyday lives’ after the special activity programme – for men only –  was offered. Their own influence on the content of the conversations and on the activity itself was described as limited. This was not important for them, as the most essential issues were ‘being together’ and ‘getting away’. Conditions relating to the men themselves, the place where the activities were held and the nursing personnel had an impact on how important the activity programme was for them.ConclusionsA more person-centred approach in future activity programmes will enhance the residents’ integrity and well-being, and allow them a degree of self-determination even while resident in a nursing home.       


2019 ◽  
Vol 33 (6) ◽  
pp. 676-684 ◽  
Author(s):  
Martina Sinta Kristanti ◽  
Christantie Effendy ◽  
Adi Utarini ◽  
Myrra Vernooij-Dassen ◽  
Yvonne Engels

Background: Strong family bonds are part of the Indonesian culture. Family members of patients with cancer are intensively involved in caring, also in hospitals. This is considered “normal”: a societal and religious obligation. The values underpinning this might influence families’ perception of it. Aim: To explore and model experiences of family caregivers of patients with cancer in Indonesia in performing caregiving tasks. Design: A grounded theory approach was applied. The constant comparative method was used for data analysis and a paradigm scheme was employed for developing a theoretical model. Setting/participants: The study was conducted in three hospitals in Indonesia. The participants were family caregivers of patients with cancer. Results: A total of 24 family caregivers participated. “Belief in caregiving” appeared to be the core phenomenon. This reflects the caregivers’ conviction that providing care is an important value, which becomes the will power and source of their strength. It is a combination of spiritual and religious, value and motivation to care, and is influenced by contextual factors. It influences actions: coping mechanisms, sharing tasks, and making sacrifices. Social support influences the process of the core phenomenon and the actions of the caregivers. Both positive and negative experiences were identified. Conclusion: We developed a model of family caregivers’ experiences from a country where caregiving is deeply rooted in religion and culture. The model might also be useful in other cultural contexts. Our model shows that the spiritual domain, not only for the patient but also for the family caregivers, should be structurally addressed by professional caregivers.


Author(s):  
Leyla Alilu ◽  
Vahid Zamanzadeh ◽  
Leila Valizadeh ◽  
Hosein Habibzadeh ◽  
Mark Gillespie

ABSTRACT Objective: this study explores the process of the development of an intention to leave bedside nursing. Method: 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. Results: 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. Conclusion: 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.


2017 ◽  
Vol 32 (2) ◽  
pp. 202-232 ◽  
Author(s):  
Joshua M. Bentley

Many scholars have studied the role of organizational apologies in crisis communication, but they have defined and operationalized apologies inconsistently. This study uses a grounded theory approach to explore what constitutes an effective organizational apology from the perspective of organizational stakeholders. One hundred participants were asked to imagine being the victims of a data breach at an online retailer and to write the kind of apology they would like to receive from the organization. One hundred more participants were asked to write suggestion lists for how the organization could make its apology effective. These data were analyzed using a constant comparative method. Fifteen apology elements were identified and organized along two dimensions: (a) whether the element involved primarily words or behavior and (b) whether the element focused on fixing the problem or rebuilding relationships. Based on the data, these elements must be combined to make an apology effective with stakeholders.


Author(s):  
Paul Sebastian Ruppel ◽  
Günter Mey

Grounded theory methodology is one of the most widely used approaches to collect and analyze data within qualitative research. It can be characterized as a framework for study design, data collection, and analysis, which aims at the development of middle-range theories. The final result of such a study is called a “grounded theory,” and it consists of categories that are related to each other. Health and risk message design researchers working with grounded theory methodology are explicitly invited to use any kind of data they consider suitable for a particular project. Grounded theory methodology studies were originally based on intense fieldwork data, but in the meantime, interviews have become the most widely used type of data. In addition, there is a growing interest in using visual data such as pictures or film. Grounded theory methodology originated from sociology, but has since been applied in many different disciplines. This widened application went along with modifications, new developments, and innovations, and led to several current variants of grounded theory methodology. Basic features of grounded theory methodology include theoretical sampling, specific coding procedures with a comparative approach to analysis, and memo writing. The strategy of theoretical sampling requires that theoretical insights gained from the analysis of initially collected data guide subsequent data collection. Hence, during the research process data collection and analysis alternate and interact. For data analysis, different ways of coding enable the researcher to develop increasingly abstract conceptual ideas and reflections, first embodied in codes, later in categories. This analytical process allows for a step-by-step development of categories that are grounded in data. Category development entails comparisons at all stages, for example, of different cases during sampling, of different data pieces, and of different codes and categories during analysis. As a result, grounded theory methodology is also known as the constant comparative method. Throughout the research process the researcher writes memos and keeps track of the development of conceptual ideas, methodological reflections, and practical to-dos. Today, many researchers use software specifically developed to assist the process of qualitative data analysis.


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