Volume 20

Exerting Capacity: Mindsets of Bedside RNs in Keeping Patients Safe

J. Michael Leger, University of Texas Medical Branch, School of Nursing Carolyn A. Phillips, University of Texas Medical Branch, School of Nursing and Graduate School of Biomedical Sciences Abstract This classic grounded theory (CGT) study explored the perspectives of bedside nurses about patient safety in the adult acute care environment. The theory that emerged, Exerting Capacity, explains how bedside nurses balance their own capacity against the demands of a given situation to fulfill their duty to keep their patients safe. Exerting Capacity revealed a typology of two...

Coming Home: A Journey Back to the Authentic Self

Emily Cashwell, Saybrook University Abstract The theory of coming home is a three-stage classic grounded theory that details an individual’s initial exploration of the world in childhood, followed by the subsequent abandoning of their authentic self and then the life-long journey back home to their most authentic being. In the first stage of the process, individuals act and express in authentic ways and receive feedback from the environment about which aspects of themselves are acceptable and which are not. In the second stage of the process, driven by feelings of shame...

Building Up

Elizabeth Kellogg, Saybrook University, USA Kara Vander Linden, Saybrook University, USA Abstract The theory of building up, developed using classic grounded theory (CGT), explains how the fit between an individual and a transformational opportunity impacts the extent to which an individual is empowered by that experience. Classic grounded theory identifies and explains human behavior patterns using an inductive, iterative process of data collection and analysis. Theoretical sampling guided data collection and constant comparative analysis of data, which yielded building...

Potentializing Wellness to Overcome Generational Trauma

Cynthia D. Stirbys, the University of Windsor Abstract The Indian residential school (IRS) system is part of Canada’s colonial history: Indigenous children who attended IRS suffered immensely at the hands of the school administrators, staff, and students. How Indigenous females cope with the intergenerational transmission of trauma was explored. Indigenous women in this classic grounded theory study aimed to resolve their main concern of kakwatakih-nipowatisiw, a Cree term used to identify learned colonial (sick) behaviours that weaken familial ties. Analysis resulted in...

Resigning: How nurses work within constraints

Claire O’Donnell, University of Limerick Tom Andrews, University College Cork Abstract This study explores and explains how nurses care for patients with stroke in the acute care setting and how they process these challenges to enable delivery of care. Using a classic grounded theory methodology, 32 nurses were interviewed who cared for patients with stroke and twenty hours of observations were undertaken. Nurses’ main concern is how to work within constraints. In dealing with this challenge, nurses engage in a process conceptualised as resigning and do so through...

Transforming Loyalty: A Classic Grounded Theory on Growth of Self-Acce...

Renee Rolle-Whatley, Rolle Integrative Healing Solutions, LLC, USA Kara Vander Linden, Saybrook University, USA Abstract The experiences of parents who daily participate in the rearing of their children framed this investigation into the maturation of selflessness using Glaser’s classic grounded theory. The theory reveals vulnerabilities, lessons, and rewards gleaned from continuous immersion in parenting. Viewed as a process, transforming loyalty discloses the circuitous route parents travel as parenting experiences shift focus towards a broadened awareness about the...