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204  n  GROUNDeD THeORY



           those  early  colleagues  mentored  several   schema  provides  an  outline  for  integrating
           nurse researchers.                       and  then  reporting  the  grounded  theory
   G          Grounded theories are focused on what   discovered.
           may  be  unarticulated  phenomena  discov-   The outcome of analysis is a dense, par-
           ered  through  observation  and  interview   simonious, integrative schema that explains
           data.  The  researcher  does  not  begin  with   most of the variation in a social psychological
           a  preconceived  theory  and  experimentally   situation. Properties, dimensions, categories,
           prove  it.  Rather,  the  researcher  begins  by   strategies, and phases of the theory are inex-
           studying  an  area  under  natural  conditions.   tricably  related  to  the  basic  social  process.
           Data  are  usually  derived  from  qualitative   Grounded  theory  may  be  context  bound  to
           data sources—interviews, participant obser-  a specific substantive area (substantive the-
           vation (fieldwork), and document analysis—  ory) or may be at a more conceptual level and
           although  quantitative  data  can  also  inform   applicable  to  diverse  settings  and  experi-
           the emerging analysis. Sensitizing questions   ences (formal theory; Glaser, 1978).
           are asked to learn what is relevant in the situ-  The grounded theory approach has reso-
           ation under study. Sampling is not conducted   nated with a wide variety of social scientists
           according to conventions of probability, nor   and  professional  practitioners  interested  in
           is sample size predetermined. Instead, pur-  human experiences with health and illness.
           posive, theoretical sampling is used so that   In their book, Discovery of Grounded Theory,
           concepts emerging from the data guide addi-  Glaser and Strauss (1967) acknowledged that
           tional data collection.                  it was a “beginning venture” and did not offer
              Doing grounded theory research departs   “clearcut procedures and definitions” (p. 1).
           from the typically linear sequence of theory   Over time, grounded theory, as an approach
           verifying  research  because  data  collection   to  the  generation  of  theory  from  data,  has
           and analysis go on simultaneously. As soon   undergone  some  major  transformations.
           as  data  are  available,  an  orderly,  rigorous,   Some of the changes that were designed to
           constant comparative method of data analy-  promote rigor in the method have been crit-
           sis  is  initiated.  Analysis  proceeds  through   icized as diverting the research from gener-
           stages  of  in  vivo  (or  substantive)  coding  in   ating  theory  directly  from  data,  for  risking
           which themes and patterns are identified in   theoretical  sensitivity  in  the  investigator,
           the words of participants themselves, coding   and  for  eroding  the  method.  Others  are  of
           for categories in which in vivo codes are clus-  the  opinion  that  assuming  that  grounded
           tered together in conceptual categories, and   theory was taught and conducted from a sin-
           theoretical  coding  in  which  relationships   gle unified perspective is erroneous and that
           among  concepts  are  developed.  Memos  are   the  ongoing  discourse  among  qualitative
           written detailing each of the codes and cat-  researchers  is  part  of  an  intellectual  move-
           egories and linking them to exemplars from   ment  essential  to  grounded  theory’s  refine-
           the  data.  Concepts  and  propositions  that   ment and evolution. The hallmarks, however,
           emerge from the data direct subsequent data   continue to be data–theory interplay, making
           collection.                              constant  comparisons,  asking  theoretically
              The sample is considered complete when   oriented  questions,  conceptual  and  theoret-
           saturation is achieved. Saturation refers to the   ical coding, and developing a theory.
           point at which no new themes, patterns, or
           concepts appear in the data. Sorting memos                    Holly Skodol Wilson
           (conceptual notes about codes and categories                  Sally A. Hutchinson
           and their data exemplars) into an integrative         Updated by Deborah F. Lindell
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