ABSTRACT
Influenza is a contagious respiratory virus that causes high rates of morbidity and mortality and is associated with life-threatening complications. Despite the wide availability of a highly effective influenza vaccine, nurses are reluctant to receive influenza vaccination and vaccination rates among them are low. The purpose of this study was to generate a substantive theory/theoretical model regarding the phenomenon of influenza vaccination uptake by registered nurses (RNs). The study used grounded theory to develop a deeper understanding of RNs' decision-making regarding the acceptance or refusal to be vaccinated against influenza in Nova Scotia, Canada. Data were collected from 11 RNs using an unstructured and conversational interview format and analysed using the constant comparative method. The primary finding of this study is that nurses consider getting vaccinated to be a personal decision (the core variable). Their decisions are based on sources of information (including formal education, continuing education and the media); personal knowing (personal philosophy, perceived risks and benefits and personal experience); and personal modifiers (the availability and accessibility of the vaccine). The process of making a personal decision defined in this study provides a framework for creating more effective influenza immunization education and delivery programs.
Subject(s)
Attitude of Health Personnel , Influenza Vaccines/administration & dosage , Influenza, Human/prevention & control , Nurses , Vaccination , Decision Making , Humans , Models, Theoretical , Nova Scotia , Surveys and Questionnaires , Treatment RefusalABSTRACT
Using the grounded theory method, a substantive theory of surviving on the margin of a profession emerged as the core variable that explains the patterns of behavior of black nurses in Canada. Data were collected through audiotaped in-depth interviews of 20 black nurses. The three phases of this theory are realizing, surviving, and thriving and the three critical transitions points are the center, the margin, and the proving ground. The phases and transitions points, as well as the conditions that influence variations in the theory are the focus of this paper. These conditions include racism, diversity, and worklife issues such as healthy workplaces.
Subject(s)
Adaptation, Psychological , Attitude of Health Personnel/ethnology , Black People/ethnology , Nursing Staff, Hospital/psychology , Nursing Theory , Prejudice , Avoidance Learning , Cultural Diversity , Health Knowledge, Attitudes, Practice , Humans , Nova Scotia , Nursing Methodology Research , Nursing Staff, Hospital/organization & administration , Occupational Health , Organizational Culture , Professional Competence , Psychological Theory , Self Concept , Social Dominance , Surveys and Questionnaires , Tape Recording , Workplace/organization & administration , Workplace/psychologyABSTRACT
The purpose of this study was to explore the experiences of mothers of children admitted in the pediatric surgery ward. Respondents consisted of a convenience sample of 10 mothers. Data were collected through in-depth interview and were analyzed based on the synthetic approach to grounded theory analysis. The core category that emerged from the analysis was "staying hopeful that the child is alright." The categories identified include discovering the condition, questioning God, seeking information, trusting the health care system, coming to terms, desiring to participate in the care of the child, and maintaining quality of care. Implications for health professionals include a need for thorough assessment and anticipatory guidance to the parents. Limitations of the study and recommendations for future research are also given.
Subject(s)
Adaptation, Psychological , Child, Hospitalized , Digestive System Surgical Procedures , Health Knowledge, Attitudes, Practice , Mothers/psychology , Adolescent , Adult , Child, Preschool , Female , Humans , India , Infant , Male , Narration , Professional-Family Relations , Religion and Medicine , TrustABSTRACT
OBJECTIVE: To discover the phenomenon of breastfeeding as experienced by teenage mothers. DESIGN: Grounded theory method was used to study the first-time breastfeeding experiences of teenage mothers, aged 15 to 19 years. SETTING: The research occurred between September 2000 and April 2001 in Calgary, Alberta, Canada. PARTICIPANTS: A purposive sample of 8 teenage mothers was recruited through self-identification and Calgary Health Region staff referral. DATA GENERATION AND ANALYSIS: The data were generated using informal interviews and demographic questionnaires. The data were transcribed, coded, and analyzed using constant comparative method. RESULTS: The emergent core variable was Teenage Mothers: Continuously Committing to Breastfeeding. Four categories supported the core variable: (a) Deciding to Breastfeed, (b) Learning to Breastfeed, (c) Adjusting to Breastfeeding, and (d) Ending Breastfeeding. The two supporting subcategories were (a) Vacillating Between the Good Things and Hard Things About Breastfeeding and (b) Social Support and Other Social Influences. CONCLUSION: Teenage mothers' breastfeeding experiences may be similar to adult women's breastfeeding experiences, but teenage mothers may require additional breastfeeding support.
