A typology on the diversity of transnational family relationships of unaccompanied minors in Germany: A constructivist grounded theory study

Review for "Nurses' and midwives' experiences and views about responding to out of work emergencies: A constructivist grounded theory study"

Read the full review for this Faculty Opinions recommended article: Clinical reasoning underlying acute care occupational therapists' assessment of rehabilitation potential after stroke or brain injury: A constructivist grounded theory study.

To explore nurses' and midwives' experiences, views, perceptions and impact on their responses to out of work emergencies where first aid may be required. A constructivist grounded theory study was conducted between 2012 and 2019. In-depth, semi-structured interviews were undertaken with 16 nurses and midwives. Participants were recruited via a participant referral process with registered nurses and midwives being accessed from three NHS organizations. Data were analysed and coded using constant comparative analysis with the support of Nvivo 10software leading to the construction of a substantive grounded theory. A core enduring in vivo theme, 'The Right Thing to Do', emerged as a central conceptual reality constructed via three key in vivo themes; 'Something I've Heard', 'Am I Covered?' and 'Just Who I Am', each with several sub-themes. A pervading anxiety about responding at off-duty situations requiring first aid was persistently evident across these themes. The study showed a strong sense of moral agency among nurses and midwives, despite a powerful underlying feeling of anxiety surrounding broader issues of urban myth, protection and personal and professional identity. The substantive theory emerged as 'doing "The Right Thing" in a climate of anxiety'. The study illuminates an area that has previously been the subject of anecdotal debate. The substantive theory, 'doing "The Right Thing" in a climate of anxiety' illustrates the issues and tensions that exist surrounding the off-duty response. Implications and recommendations for practice and education focus on the fostering of knowledge and understanding of professional identity, position in law and scope of practice, together with potential future research directions. This work provides the first in-depth qualitative study contributing a significant new perspective both nationally and globally.

Decision letter for "Nurses' and midwives' experiences and views about responding to out of work emergencies: A constructivist grounded theory study"

ABSTRACTIntroductionLiving with a suicidal relative impacts multiple life aspects. However, it is not known how religious beliefs and meaning‐making influence relatives' experiences.AimThis study aimed to develop a theoretical framework to understand the role of religion in the experiences of Christian relatives living with a suicidal loved one.MethodsA constructivist grounded theory study was conducted, adhering to the COREQ checklist. Fifteen interviews were conducted with seventeen Christian relatives of suicidal individuals.ResultsFour themes emerged—acceptance of suicidality, seeking and experiencing God's help, surrendering to God, and religion's influence on relationships—forming a framework on how relatives' religious convictions about suicide and the intensity of their personal relationship with God influenced to what extent religion was helpful or harmful.DiscussionChristian faith provided peace of mind and support to relatives who had a personal relationship with God and believed their loved one would go to heaven. Relatives who believed their loved one would go to hell due to suicide and lacked a relationship with God experienced guilt and fear, making them vulnerable to harm from religion.Implications for PracticeEducational institutions and policymakers should specifically empower nurses to discuss spiritual issues when supporting relatives of suicidal individuals.Relevance StatementThis study offers valuable insight into the role of religious beliefs and meaning‐making influencing the experiences of Christian relatives living with a suicidal loved one. It highlights religion‘s role in their coping processes. The findings equip mental health nurses with a deeper understanding of religious coping strategies, enabling them to provide better support to relatives. Integrating spirituality/religion into support allows nurses to respond more holistically to relatives‘ needs, potentially improving their well‐being and resilience. Spiritual care is a part of nursing, but nurses feel unprepared. It is recommended that education and policy focus on nurses to better support relatives.

IntroductionDespite surgical treatment, pituitary adenomas often cause long‐term illness symptoms, that profoundly impact patients' quality of life physically, psychologically and socially. Healthcare professionals often fail to recognize and discuss the ensuing problems. Personal documentation, such as symptom monitoring, reflective writing or even posts on social media, may help this patient group to manage their daily life and support communication of their care needs. Documentation strategies and the role of documentation for people with long‐term symptoms after pituitary adenoma surgery are currently unknown.AimTo examine the effects and strategies of documenting symptoms, activities and physical and emotional well‐being among people living with long‐term pituitary adenoma.MethodsIn this Constructivist Grounded Theory study, 12 individuals living with long‐term illness symptoms after pituitary adenoma surgery described their documentation strategies in in‐depth interviews using teleconferencing and photo‐elicitation between August and October 2020.ResultsStrategies for documentation included analogue and digital media. One core category (Exercising autonomy) and three categories describing processes (Gaining insight, Striving for control and Sharing) emerged from the analysis. These three interrelated processes become an expression of autonomy to manage life and make sense of chronic illness. Personal documentation is a flexible tool that is used more extensively in times of ill health and less in times of relative well‐being. Sharing documentation with healthcare professionals facilitated care planning and sharing with friends and family fostered emotional well‐being.ConclusionPersonal documentation is a valuable resource for managing life after pituitary adenoma surgery. The current findings may be relevant to other chronic illnesses. Further research exploring potential tools for personal documentation is needed.Patient or Public ContributionWe deliberately chose a Constructivist Grounded Theory approach for this interview study. Using Constructivist Grounded Theory, we gave people living with long‐term symptoms a voice, allowing them to freely speak about managing their illness in connection with personal documentation. The theoretical sampling approach enabled us to invite participants that could provide a broad overview of the landscape of personal documentation.

Review for "Experiences of families and health professionals along the care continuum for low‐birth weight neonates: A constructivist grounded theory study"

Decision letter for "Experiences of families and health professionals along the care continuum for low‐birth weight neonates: A constructivist grounded theory study"

Review for "Nurses' and midwives' experiences and views about responding to out of work emergencies: A constructivist grounded theory study"

Decision letter for "Nurses' and midwives' experiences and views about responding to out of work emergencies: A constructivist grounded theory study"

Ending familial co-residence, termed 'moving on' by participants, is an increasingly relevant life transition for people with a learning disability due to increasing life expectancy and policy developments. Nevertheless, there is an absence of research exploring this transition experience in a United Kingdom (UK) context. This constructivist grounded theory study therefore aimed to explore, conceptualise, and theorise the 'moving on' experiences of adults with a learning disability and their families. This article reports the experiences of five adults with a learning disability and nine family members in England, UK. Narrative interviews and creative storybook methods were used to collect data between April 2015 and May 2016. Constant comparative methods, theoretical sampling, and memo writing were used throughout data collection and analysis. Participants with a learning disability presented personal growth and greater life fulfilment over the course of the transition; they flourished. In parallel, family members relinquished their care responsibilities. Importantly, the iterative and reciprocal relationship between flourishing and relinquishing shows that ongoing family member involvement is crucial during and following relocation. Family members identified factors that potentially inhibit relinquishing: pressure to 'let go', different perceptions of independence between family members and service providers, inadequate future investment, and rapport with professional carers. These novel insights led to the generation of the first known mid-range theory concerning this transition, entitled 'Moving on: flourishing and relinquishing'. Findings will guide future research in this field and facilitate the design of appropriate support for people with a learning disability and their families.

Decision letter for "Experiences of families and health professionals along the care continuum for low‐birth weight neonates: A constructivist grounded theory study"

Review for "Experiences of families and health professionals along the care continuum for low‐birth weight neonates: A constructivist grounded theory study"

Review for "Experiences of families and health professionals along the care continuum for low‐birth weight neonates: A constructivist grounded theory study"

Review for "Nurses' and midwives' experiences and views about responding to out of work emergencies: A constructivist grounded theory study"