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Glaserian grounded theory in nursing research - Springer Publishing

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Chapter 1 An Overview of <strong>Glaserian</strong> Grounded Theory 5<br />

subjects requires multiple <strong>in</strong>terviews. The result of conduct<strong>in</strong>g too few<br />

<strong>in</strong>terviews was exemplifi ed <strong>in</strong> a study I reviewed, where<strong>in</strong> the <strong>research</strong>er<br />

claimed to have achieved saturation of her categories after three <strong>in</strong>terviews,<br />

and then did two more <strong>in</strong>terviews to confi rm this. After carefully<br />

read<strong>in</strong>g her work, I determ<strong>in</strong>ed that she was only saturat<strong>in</strong>g her own<br />

preconceived categories.<br />

The basic method of <strong>grounded</strong> <strong>theory</strong>, constant comparative analysis,<br />

is based on theoretical sampl<strong>in</strong>g: the concurrent collection, cod<strong>in</strong>g, and<br />

analysis of data, which is used to direct further data collection appropriate<br />

for develop<strong>in</strong>g the emerg<strong>in</strong>g <strong>theory</strong>. Grounded <strong>theory</strong> is developed<br />

by constant comparison of <strong>in</strong>cident with <strong>in</strong>cident. The comparisons are<br />

recorded <strong>in</strong> theoretical memos, which are the “theoriz<strong>in</strong>g write up of<br />

ideas about codes and their relationships as they strike the analyst while<br />

cod<strong>in</strong>g” (Glaser, 1978, p. 83). By record<strong>in</strong>g the comparisons <strong>in</strong> memos<br />

us<strong>in</strong>g theoretical codes, the <strong>research</strong>er develops categories and hypothesizes<br />

relationships among categories. These relationships are then tested<br />

through theoretical sampl<strong>in</strong>g until categories are saturated and a core<br />

category emerges that describes the behavior used by the subjects to<br />

resolve their ma<strong>in</strong> concern. The goal of <strong>grounded</strong> <strong>theory</strong> is to discover<br />

the core category. This goal is aided by theoretical sort<strong>in</strong>g of the memos,<br />

which makes possible the <strong>in</strong>tegration of connections among the categories<br />

and leads to a rich, multivariate <strong>theory</strong>.<br />

Grounded <strong>theory</strong> can be done us<strong>in</strong>g different modes. What the modes<br />

have <strong>in</strong> common is that they all use the constant comparative approach<br />

to identify the ma<strong>in</strong> concern of the subjects and how the subjects resolve<br />

the concern. The <strong>research</strong> can be <strong>in</strong>itiated <strong>in</strong> the discovery mode or <strong>in</strong><br />

the emergent fi t mode. The discovery mode is used when the <strong>research</strong>er<br />

enters the fi eld with no preconceptions about what will be found and<br />

allows the variables to emerge. When a basic social process or a core category<br />

has been discovered by the <strong>research</strong>er <strong>in</strong> a prior study or by some<br />

other <strong>research</strong>er and is used as the start<strong>in</strong>g po<strong>in</strong>t for the new <strong>research</strong>,<br />

the emergent fi t mode is used. In this way, a program of <strong>research</strong> can be<br />

<strong>in</strong>itiated such that each study builds on the prior study (Wuest, 2000).<br />

(For an example of this approach, see chapter 12, “Partner<strong>in</strong>g With God<br />

and the Patient.”)<br />

In the past, a <strong>grounded</strong> <strong>theory</strong> study could be started with variables<br />

identifi ed <strong>in</strong> a literature review that were thought to be relevant to the area<br />

of study. Identify<strong>in</strong>g these variables was required by the <strong>research</strong> committee.<br />

An example of this type of emergent fi t study (chapter 11, “Nurtur<strong>in</strong>g Hope<br />

<strong>in</strong> Patients With Cancer”) shows how, by us<strong>in</strong>g the constant comparative

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