How Grounded Theory Can Improve Nursing Care Quality

Nathaniel, Alvita K.; Andrews, Tom

doi:10.1097/01.ncq.0000290417.27393.91

Cited by 16 publications

(11 citation statements)

References 8 publications

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“…1 Recognition of patterns is important to prevent chaos and provide structure for processes that are required to deliver safe care. 5 Our study findings on aligning care processes to pattern recognition/identified risk for pressure ulcers are similar to those of another study. 2 That study reported that out of the 31 near-miss incidents involving recovery processes, most took the form of detection followed by countermeasures.…”

Section: Discussionsupporting

confidence: 91%

“…Moreover, those strategies are primarily enacted by nurses, as part of their surveillance role of practice; nurses detect potential complications and subsequently prevent adverse patient outcomes from pressure ulcers. 4,5,8 Although there is growing evidence on the role of nursing in near misses [9][10][11][12] and error recovery, 4 no studies were found that explored the surveillance of pressure ulcers as a near-miss process. Insight gained from such an inquiry is posited to add to both (1) the evolving patient safety science knowledge base on near misses as recovery processes and (2) the surveillance role of nurses in detecting and minimizing risk and error.…”

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confidence: 99%

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Leveraging Safer Nursing Care by Conceptualizing Near Misses as Recovery Processes

Jeffs

MacMillan

2009

Journal of Nursing Care Quality

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The purpose of this study was to elicit perceptions and experiences of nurses associated with a recovery process (near miss) intervention (wound care management). From the content analysis of interview data involving 12 registered nurses, 2 key themes emerged. Both themes illuminated the links among pattern recognition, alignment of care processes and practice guidelines, and nurses' accountability for safe pressure ulcer care.

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Section: Discussionsupporting

confidence: 91%

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confidence: 99%

Leveraging Safer Nursing Care by Conceptualizing Near Misses as Recovery Processes

Jeffs

MacMillan

2009

Journal of Nursing Care Quality

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“…Grounded theory was first proposed by the sociologists Glaser and Strauss in 1967 [22,23]. Since then, it has been enthusiastically adopted by health scientists, especially from the nursing discipline [24,25]. Grounded theory is a set of methods that enables an inductive, systematic and iterative data gathering and analysis process [26].…”

Section: Methodsmentioning

confidence: 99%

Socio-anthropological methods to study the feasibility and acceptability of the minimally invasive autopsy from the perspective of local communities: lessons learnt from a large multi-centre study

Maixenchs

Anselmo

Pérez

et al. 2019

Global Health Action

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The minimally invasive autopsy (MIA), an innovative approach for obtaining post-mortem samples of key organs, is increasingly being recognized as a robust methodology for cause of death (CoD) investigation, albeit so far limited to pilot studies and research projects. A better understanding of the real causes of death in middle- and low-income countries, where underlying causes of death are seldom determined, would allow improved health planning, more targeted prioritization of available resources and the implementation of coherent public health policies. This paper discusses lessons learnt from the implementation of a Feasibility and Acceptability (F&A) study evaluating the MIA approach in five countries: Gabon, Kenya, Mali, Mozambique and Pakistan. This article reports the methodological choices made to document sociocultural and religious norms around death, to examine community and relatives’ attitudes and perceptions towards MIA, and to identify factors motivating the MIA’s acceptance and refusal. We used ethnography, grounded theory and framework method approaches. In-depth and semi-structured interviews and focus group discussions with key informants, including next of kin of deceased individuals and healthcare providers, were conducted. Participant observation and direct observation of procedures and ceremonies around death were organized in all study sites. In Mozambique, MIA procedures were observed and case studies conducted. The implementation of this F&A protocol has provided critical lessons that could facilitate the future implementation of post-mortem procedures for CoD investigation. These include the need for early community engagement, staff training and preparedness, flexibility to adapt the protocol, gathering qualitative data from diverse sources, and triangulation of the data. We have applied a rigorous, effective and culturally sensitive methodological approach to assess the F&A of MIA in resource-constrained settings. We strongly recommend that such an approach is applied in settings where MIAs or similar post-mortem sensitive procedures are to be introduced.

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“…Each grounded theorist uses slightly different terminology for the analysis, which can be confusing for those unfamiliar with the method (Stern 2016). Nathaniel and Andrews (2007) provide one of the clearest discussions. In grounded theory the main findings of the study are described as 'concepts' or 'categories'.…”

Section: Discussionmentioning

confidence: 99%

Carrying Hope; Pre-Registration Nursing Students’ Understanding and Awareness of Their Spiritual Needs from Their Experiences in Practice: A Grounded Theory Study

Wigley

2017

Religions

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Spirituality is integral to health and wellbeing and a fundamental element of nursing care. Nonetheless, evidence suggests that spirituality is a frequently ignored aspect of nursing education and care. From 2008 to 2010 a Glaserian grounded theory design was used to explore and explain pre-registration nursing students' personal understanding of their own spirituality and the relationship between experiences in clinical practice and spiritual awareness. While there is evidence that examines relevance of providing spiritual care to service users, at that time, minimal research has been undertaken to examine spiritual needs in pre-registration nursing students. A theory of carrying hope emerged from the findings to explain how pre-registration nursing students resolve clinical experiences with spiritual awareness. The findings identified that pre-registration nursing students' awareness of spirituality can be explained in three main Basic Social Processes (BSPs): struggling, safeguarding and seeking. This study highlights the extreme personal challenge pre-registration nursing students experience as a result of their experiences in clinical practice and the impact this has upon their spiritual awareness. Recommendations from this study include the implementation of a model of pastoral care for tutors to support spiritual needs of during transition from student to registration.

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How Grounded Theory Can Improve Nursing Care Quality

Cited by 16 publications

References 8 publications

Leveraging Safer Nursing Care by Conceptualizing Near Misses as Recovery Processes

Leveraging Safer Nursing Care by Conceptualizing Near Misses as Recovery Processes

Socio-anthropological methods to study the feasibility and acceptability of the minimally invasive autopsy from the perspective of local communities: lessons learnt from a large multi-centre study

Carrying Hope; Pre-Registration Nursing Students’ Understanding and Awareness of Their Spiritual Needs from Their Experiences in Practice: A Grounded Theory Study

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