A modified grounded theory study of how psychiatric nurses work with suicidal people
A modified grounded theory study of how psychiatric nurses work with suicidal people
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DOI：
10.1016/j.ijnurstu.2005.09.001
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发表时间：
2006-09-01
影响因子：
8.1
通讯作者：
Smith, Paul
中科院分区：
文献类型：
--
作者：
Cutcliffe, John R.;Stevenson, Chris;Smith, Paul
背景：有心理健康问题的人自杀的风险仍然过高。尽管自杀与精神科/心理健康 (P/MH) 护士相关，但据记录，由 P/MH 护士进行或专门针对 P/MH 护士进行的这一实质性领域的研究很少；目前还没有现有的理论来指导自杀者的 P/MH 护理。 目的：相应地，本文报告了一项研究，以确定 P/MH 护士是否为自杀者提供有意义的护理反应，如果是的话，如何提供。设计：该研究使用了修改后的扎根理论方法，并按照扎根理论的 Glaserian 原则进行。背景：该研究在英国境内的两个地理位置进行，一个在北部，另一个在中部；两个地点都包含大型城市中心。参与者：通过理论抽样的方式在这些地点总共选出了 20 名参与者。所有参与者均年满 18 岁，曾认真尝试过自己的生活，或感觉自己正处于这样做的风口浪尖，并接受过“紧急”精神科服务的“危机”护理。 方法：本研究遵循格拉泽扎根理论的原则特征，即：（a）理论生成，而非理论验证； (b)理论抽样，(c)数据分析的恒定比较法； (d) 理论敏感性（寻找/发现核心变量，该变量确定了关键的心理社会过程并包含时间维度阶段）。此外，作者确保该研究关注的是概念理论的产生……而不是概念描述。调查结果/结论：调查结果表明，这一关键的社会心理问题是通过核心变量“重新连接人与人性”来解决的。这个简约的理论描述并解释了一个由次核心变量组成的三阶段治愈过程：“反映人性形象”、“引导个体回归人性”和“学会生活”。 (c) 2005 年，爱思唯尔有限公司出版。
Background: People with mental health problems continue to present a disproportionately high risk of suicide. Despite the relevance of suicide to psychiatric/mental health (P/MH) nurses, there is a documented paucity of research in this substantive area undertaken by or referring specifically to P/MH nurses; there is currently no extant theory to guide P/MH nursing care of the suicidal person.Objectives: Accordingly, this paper reports on a study undertaken to determine if P/MH nurses provide meaningful caring response to suicidal people, and if so how.Design: The study used a modified grounded theory method and was conducted in keeping with the Glaserian tenets of Grounded Theory.Settings: The study was conducted in two geographical locations within the United Kingdom, one in the North and the other in the Midlands; both locations contained large urban centres.Participants: A total of 20 participants were selected across the locations by means of theoretical sampling. All the participants were over 18 years old, had made a serious attempt on their lives or felt they were on the cusp of so doing and had received 'crisis' care from the 'emergency' psychiatric services.Methods: The study adhered to the principle features of Glaserian grounded theory namely-(a) theory generation, not theory verification; (b) theoretical sampling, (c) the constant comparative method of data analysis; and (d) theoretical sensitivity (searching for/discovering the core variable, one which identified the key pychosocial process and contains temporal dimensions stages). Further, the authors ensured that the study was concerned with generating conceptual theory.. not conceptual description.Findings/Conclusion: The findings indicate that this key psychosocial problem is addressed through the core variable, 're-connecting the person with humanity'. This parsimonious theory describes and explains a three-stage healing process consisting of the sub-core variables: 'reflecting an image of humanity', 'guiding the individual back to humanity' and 'learning to live'. (c) 2005 Published by Elsevier Ltd.