Teoria Fundamentada Construtivista: características e aspectos operacionais para a pesquisa em enfermagem

Metelski, Fernanda Karla; Santos, José Luís Guedes dos; Cechinel-Peiter, Caroline; Fabrizzio, Greici Capellari; Schmitt, Márcia Danieli; Heilemann, MarySue V.

doi:10.1590/s1980-220x2020051103776

Cited by 20 publications

(16 citation statements)

References 20 publications

(52 reference statements)

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“…After reading the contents of the eld notes and conducting semi-structured in-depth interviews, the rst researcher coded the content and developed codebooks based on the repeated reading of eld notes as the initial coding for reliability. This study used the process and concept coding method [22]. Thus, the researcher induced, merged, deleted, and re ned concepts and themes, by going back and forth between the research materials and the initial coding, for axial coding.…”

Section: Discussionmentioning

confidence: 99%

Psychological safety and self-regulated learning through near-peer learning for the sustainability of rural community-based medical education: grounded theory approach

Ohta¹,

Sano

2023

Preprint

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Background Difficulties in improving psychological safety in medical education can be attributed to the hierarchy of medical professionals. Near-peer learning (NPL) can increase learning between students and residents and improve psychological safety. Rural community-based medical education (CBME) can use an NPL framework to improve psychological safety and compensate for the lack of resources, leading to sustainability. This qualitative study aimed to clarify the effects of NPL on the psychological safety and learning of medical trainees in rural CBME. It used a grounded theory approach.Methods Thirty-eight medical students, twelve second-year residents, and eight family medicine residents participated in this study. Purposive sampling was used to address the research purposes of ethnographic and semi-structured interviews.Results Three themes were identified: facilitating learning, change in perception, and change in learning. Rural NPL-based CBME drove learners’ engagement in clinical practice through constant participation and reflection. Respecting and supporting learners’ motivation and participation and effectively accepting them increased their sense of ownership and psychological safety. Furthermore, it supported participants in becoming self-regulated learners.Conclusions Rural CBMEs lack healthcare and educational resources, but implementing NPL could make rural medical education sustainable, increasing the motivation of healthcare students and the number of medical staff working in rural contexts.

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Section: Discussionmentioning

confidence: 99%

Psychological safety and self-regulated learning through near-peer learning for the sustainability of rural community-based medical education: grounded theory approach

Ohta¹,

Sano

2023

Preprint

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“…13 This scientific qualitative research method has been widely used in sociology, psychology, pedagogy, nursing and other fields. [14][15][16] This method usually starts from the field of interest, takes the main concerns of the research population as the core, and presents the core concepts reflecting social phenomena through data collection and inductive analysis. Subsequently, it constructs relevant social theories by analysing the relationships among these concepts to understand social interaction, social process and social change.…”

Section: Methodsmentioning

confidence: 99%

“…Subsequently, it constructs relevant social theories by analysing the relationships among these concepts to understand social interaction, social process and social change. [16][17][18]…”

Section: Methodsmentioning

confidence: 99%

Framework of humanistic care for patients in the ICU: A preliminary study

Zhang

et al. 2022

Nursing in Critical Care

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BackgroundHumanistic care involves caring, concern, paying attention to people's individuality, meeting their needs and respecting their rights, which is the core concept and central task of nursing. Effective care can enhance patients’ ability to deal with stress and promote patient recovery. Implementing humanistic care in the intensive care unit (ICU) is particularly important for health care providers.Aims and objectivesThis study aims to develop a framework of the humanistic care in the ICU.DesignThe qualitative research followed Strauss' procedural grounded theory approach.MethodsPurposive sampling and theoretical sampling were used to select 12 nurses in the Department of Critical Medicine, 16 patients, and eight family members for semi‐structured interviews from October 2020 to April 2021. Results were summarized and analysed through three‐level coding based on grounded principles.ResultsSixteen subcategories and six main categories were extracted after three‐level coding, and the final ICU humanistic care framework was formed with home, activity, visit, environment, nursing and safety (“HAVENS”) as the core.ConclusionThis study provides an explanatory theory of humanistic care in the ICU that can guide nurses' practice in ICU clinical work.Relevance to clinical practiceThis theory provides guidance for nurses to implement humanistic care in critical care practice to improve the ICU stay experience of critically ill patients.

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“…Codes of significance were identified, synthesised, analysed and conceptualised into tentative categories based on theoretic or conceptual similarity, then further refined using grounded theory methods (see Figure 1). 63 This stage provided freedom to compare these tentative categories with large batches of data to test if they explained what was occurring without making premature commitment. 47 Table 1.…”

Section: Recruitment and Samplingmentioning

confidence: 99%

Patients’ experiences of non-conveyance following an Australian ambulance service paramedic response: A constructivist grounded theory exploration

King

Oprescu²,

Lord

et al. 2023

Paramedicine

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Understanding patient experience is associated with quality, safe, and effective healthcare. However, there is a scarcity of knowledge explaining how patients experience non-conveyance, a setting where individuals receive unscheduled ambulance service response and paramedic-led care that results in a decision to not attend a hospital emergency department (ED). This research project aimed to investigate patients’ experiences of non-conveyance within an Australian ambulance service setting. Constructivist Grounded Theory methods were used to generate and analyse data from in-depth, semi-structured interviews with 21 participants who received paramedic-led healthcare from an Australian ambulance service between August 2020 and October 2021 that resulted in non-conveyance. A substantive theory centred on ‘Restoring self-efficacy’ was generated. It comprises three categorical concepts and their interconnected relationships, explaining how patients experience non-conveyance. ‘Losing independence’ conceptualises how a precipitating event forces patients to realise their circumstantial vulnerabilities, motivating action to seek support that leads to ambulance service response. ‘Restoring self-confidence’ emerged as the core concept, central to overall experience and a key influence on patients navigating the non-conveyance decision. When patients perceive that they have received professionally thorough and compassionate healthcare from paramedics, they form a trusting partnership resulting in the interpretation that their circumstances do not require conveyance to ED. With this reconstructed perspective, patients demonstrate increased ability for ‘Self-management’, by continuing to cope with their circumstances on their own after the episode of care. This paper provides a theoretical model for understanding how patients experience non-conveyance. Experience is influenced by dynamic, complex factors associated with restoring self-efficacy in relation to managing a health topic of interest. Restoration of self-efficacy was influenced by the patients’ interpretation of their interactions with paramedics. Future research may consider investigating the impacts of applying this knowledge to paramedic education and practice, and to quality indicators surrounding non-conveyance situations.

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Teoria Fundamentada Construtivista: características e aspectos operacionais para a pesquisa em enfermagem

Cited by 20 publications

References 20 publications

Psychological safety and self-regulated learning through near-peer learning for the sustainability of rural community-based medical education: grounded theory approach

Psychological safety and self-regulated learning through near-peer learning for the sustainability of rural community-based medical education: grounded theory approach

Framework of humanistic care for patients in the ICU: A preliminary study

Patients’ experiences of non-conveyance following an Australian ambulance service paramedic response: A constructivist grounded theory exploration

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