scholarly journals Decision-Making Processes for the Self-Management of Persistent Pain: A Grounded Theory Study

2012 ◽  
pp. 1969-1992 ◽  
Author(s):  
Clare Fenwick ◽  
Flinders NT ◽  
Wendy Chaboyer ◽  
Winsome St John
2012 ◽  
Vol 11 (2) ◽  
pp. 102-131 ◽  
Author(s):  
Clarissa Sammut Scerri ◽  
Angela Abela ◽  
Arlene Vetere

This paper attempts to illuminate some of the ethical dilemmas of a clinician/researcher interviewing women about a sensitive topic- their experience of having witnessed domestic violence in the family they grew up in, as part of a grounded theory study. Vignettes are presented to illustrate the self-reflexive process of the researcher and how she understood the effects of the interview process on her and the participants. The authors argue that doing in-depth qualitative research interviewing is an intervention in the life of the participants, especially, but not only, when the researchers are clinically-trained. However, this clinical training may also be an important resource from which to draw from, to act ethically and understand some of the complexity of the interaction between researcher and participants.


2014 ◽  
Vol 24 (11-12) ◽  
pp. 1557-1566 ◽  
Author(s):  
Mercedes Martinez-Marcos ◽  
Carmen De la Cuesta-Benjumea

2020 ◽  
Author(s):  
Carlos Romero-Rivas ◽  
Sara Rodríguez-Cuadrado

The COVID-19 pandemic entails challenging psychological conditions for the population, requiring them to make many decisions under stress. In this study, 641 participants were presented with different moral decision-making tasks, and completed a survey on mental health status and experiences, concerns, behaviors and beliefs related to the COVID-19. Results showed that the pandemic is placing a great psychological burden on the population. Also, that decision-making processes are being affected during the crisis, in a dichotomous way. Altruistic behaviors are promoted when people are suffering with high levels of psychological impact, and when they are concerned about others contracting the disease. However, egoistic behaviors are facilitated when concerns affect the self. Similarly, psychological impact, concerns about the self, and worsened physical health predict more automatic responses to framing problems and moral dilemmas. Nevertheless, when concerns relate to the others, or when people are more informed and/or carefree, more controlled responses emerge.


2020 ◽  
Vol 34 (4) ◽  
pp. 371-388
Author(s):  
Kristy J. Cook ◽  
Kim L. Larson

Background and PurposeGlobally, five million women are affected by opioid use disorder (OUD). Women with OUD are less likely to breastfeed than the general population, increasing risk of neonatal withdrawal. Theoretical frameworks related to breastfeeding did not address women with OUD. The purpose of this study was to develop a conceptual model to better understand breastfeeding disparities among this vulnerable population.MethodsA grounded theory study was conducted from August 2018 to March 2019 to investigate concepts likely to influence breastfeeding decisions in women with OUD. In-depth interviews were conducted in North Carolina with 10 women in recovery who breastfed, and their six identified support persons. Data were analyzed through iterative coding. This article focuses on maternal perspectives of breastfeeding informed by support persons.ResultsThe overarching theme was breastfeeding decision-making in an addiction trajectory. Two antecedent pathways led to the recovery–relapse cycle. This cycle involved seeking, initiating, and maintaining recovery with episodic relapse. Perceived stigma linked the recovery–relapse cycle with breastworks. Breastworks, an emergent concept, was characterized by learning and knowing, good intentions, and health-care provider sensitivity.Implications for PracticeThis grounded theory model may inform clinicians in caring for women with OUD and support breastfeeding and newborn well-being. Strategies to address research and practice may include the development of a mobile application, having women in recovery on the health-care team, and incorporation of breastfeeding guidelines.


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