The aim of this paper is to provide a practical illustration of how a researcher can evidence reflexivity in their thesis. I present the reflexive stance and journey I made in completing my PhD study using constructivist grounded theory. The intention here is to depict how I began my journey as a novice nurse researcher navigating the swamps of research and finally have the epistemological courage to sign off as a full-fledged researcher. Hopefully, by exploring how the researcher role and researcher reflexivity were addressed in this constructivist grounded theory, it will illuminate the way for others to present reflexivity in their thesis. I position myself with others who agree that an openness about the situatedness and a transparency of the relationship of the knower to that of the subjects of inquiry is important. This paper therefore ensures the capture of my thoughts as a researcher whilst undertaking the research as part of my PhD candidature. Predominantly it depicts the milieu that influenced the choices and decisions made such that the reader can make sense of the journey undertaken. By presenting it as a journal article, it is also hoped that it helps the novice researcher, about to embark on their journey of discovery, to think more deeply about reflexivity.
Aims and objectives To explore South Asians’ experience of choosing and prioritising lifestyle changes during their recovery from first myocardial infarction. Background Coronary heart disease continues to be a leading cause of premature death globally. South Asians’ suffer increased risk of coronary heart disease and have poorer outcomes following myocardial infarction compared to other ethnic groups. Lifestyle modification slows atherosclerosis, and models of behaviour change have been proposed to support such changes. However, little is known about the experiences of South Asians’ when attempting to modify their lifestyle. Design Constructivist grounded theory design, using longitudinal, face‐to‐face, semistructured in‐depth interviews. The consolidated criteria for reporting qualitative research checklist were used to report the study. Method A series of in‐depth interviews with a purposive sample of South Asian patients were conducted at 3 and 16 weeks following hospital discharge. Transcripts were analysed line by line with focused and theoretical coding using the constant comparative method and memo writing. Data collection and analysis occurred simultaneously. Results Three categories characterised the findings. First, patronage of the family, referring to the role that family played in supporting recovery. Conflict often existed between the needs of the family and the individual with the family needs taking priority resulting in lifestyle modifications being abandoned. Second, conforming to beliefs, which explain how religious and health beliefs influenced decisions. Third, affinity towards one's group which refers to the conflictual nature afforded by social norms. The need for “harmony” was identified as the substantive theory. Decisions about choosing and prioritising lifestyle changes were based on what helped participants to maintain harmony in their life rather than meeting individual health needs. Conclusion South Asians’ choose and prioritise lifestyle changes after first myocardial infarction against a backdrop of competing religious, cultural and family beliefs. Relevance to Clinical Practice This paper illustrates that South Asians attempt to balance their individual needs with their family goals, cultural priorities and their religious beliefs when attempting to adopt a healthy lifestyle post myocardial infarction. We propose a model of shared priority setting as a means of promoting behaviour change with South Asians.
With an increasing focus on evidence-based practice in health care, it is important that nurses understand the principles underlying systematic reviews. Systematic reviews are used in healthcare to present a comprehensive, policy-neutral, transparent and reproducible synthesis of evidence. This article provides a practical overview of the process of undertaking systematic reviews, explaining the rationale for each stage. It provides guidance on the standard methods applicable to every systematic review: writing and registering a protocol; planning a review; searching and selecting studies; data collection; assessing the risk of bias; and interpreting results.
AimsThis scoping review aims to identify existing theories associated with digital nursing practice to add a lens on the future use of digital technologies by nurses.DesignA review of theories related to digital technology in nursing practice was conducted following the framework described by Arksey and O'Malley. All published literature until 12th May 2022 was included.Data sourcesSeven databases were utilized including Medline, Scopus, CINAHL, ACM Digital Library, IEEE Xplore, BNI and Web of Science. A Google Scholar search was also performed.Review MethodsThe search terms included (nurs* AND [digital OR technol* OR e‐health or ehealth or digital health or telemedicine or telehealth] AND theory).ResultsThe database searches yielded 282 citations. After screening, nine articles were included in the review. These described eight distinct nursing theories.ConclusionThe focuses of the theories included the role of technology in society and nursing. How technology should be developed to support nursing practice, health consumers' use of nursing informatics, the use of technology as an expression of caring and the preservation of humanness and the relationship between human persons and non‐human actants and the creation of nursing technologies as caring in addition to existing technologies. Three themes were identified including the role of technology as an agent within the patient environment; nurse interactions with technology to achieve ‘knowing’ of patients and the necessity of technological competence among nurses. Then, using Actor Network Theory (ANT), a zoom‐out lens to map the concepts was proposed (The Lens for Digital Nursing [LDN]). This study is the first to add a new theoretical lens on digital nursing.ImpactThis study provides the first synthesis of key concepts of nursing theories to add a theoretical lens to digital nursing practice. This can be used in a functional capacity to zoom‐in different entities.No patient or public contribution was made in this study due to it being an early scoping study on a currently understudied area of nursing theory.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.