A qualitative study typically involves a large volume of researcher-generated data, including notes about the context of the study, methodological decisions, data analysis procedures, and self-awareness of the researcher. Such data are important in many aspects of the study, particularly in the development of an audit trail to substantiate trustworthiness. Unfortunately, there is little information available to assist researchers in generating the needed documentation. In this article, we discuss the types of data that contribute to credible investigations. Strategies for maintaining effective records in qualitative studies are included, along with examples from our own research.

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Suffering is a significant, yet elusive, phenomenon in nursing and health care. Despite the importance and prevalence of suffering, there is only a small body of substantive literature on this topic. Some of the difficulty in expanding this knowledge base undoubtedly is related to the lack of a solid conceptual foundation for exploration of this phenomenon. Although there have been attempts to provide needed conceptual clarity, these efforts typically have not been based on systematic inquiry. In this study, the method of concept analysis was used to inductively generate a definition of the concept of suffering and to clarify various contextual aspects of the concept. Suffering is defined as an individualized, subjective, and complex experience that involves the assignment of an intensely negative meaning to an event or a perceived threat. Implications of these findings and additional contextual aspects of the concept for nursing practice and inquiry are presented. These results help to provide the conceptual foundation needed to enhance recognition and understanding of the human experience of suffering.

A taxonomy of the things that help and hinder adolescents' sibling bereavement was developed from the responses of 140 bereaved adolescents to the questions What helped you cope with your sibling's death? and What made it harder to cope with your sibling's death? The dichotomous taxonomic framework revealed five categories. The categories of self, family, friends, social system, and time contained descriptions of things that helped coping. The categories of self, family, and social system also included descriptions of things that hindered coping with sibling grief. Support considered helpful was perceived as "people being there for me." Support that was considered as not helpful (insensitive) was perceived as "people not being there for me." Two themes emerged from the data. The theme of resourcefulness pervaded each of the helped categories and served to increase the adolescents' sense of resiliency. The theme of helplessness pervaded the three hindered categories and created a sense of vulnerability.

In spite of the significance of grief as a human response, research to expand knowledge of this phenomenon has been impeded by the existence of a conceptual problem. In this study, a comprehensive and systematic review of both current and classic literature concerning grief was conducted within the disciplines of nursing and medicine. Findings contributed to the definition of grief as a pervasive, highly individualized, dynamic process that often is discussed normatively within professional disciplines. This definition provides not only a synthesis of knowledge concerning grief but a reconceptualization that can promote efforts to clarify this important concept for nursing.