Cowley S
Eastbourne Health Authority, East Sussex, England.
J Adv Nurs. 1991 Jun;16(6):648-56. doi: 10.1111/j.1365-2648.1991.tb01722.x.
The purpose of the study, which is not yet complete, was one of theory building or conceptualization. This was needed because of a lack of information about how health visitors identify which approach to use within any particular situation. An overview of the method of grounded theory explains how data were collected and analysed. Then, one major aspect of the emerging theory--a symbolic awareness context which seems to surround and influence interactions between health visitors and their clients--is outlined. The analysis suggests that, when the interaction is examined in context, any one question, purpose or topic selected by health visitor or client as a specific focus, forms only a relatively small component part of the whole. Strategies which enhance openness and consonance within the context are detailed. The awareness context has implications for health visiting practice and organization.
这项尚未完成的研究目的在于理论构建或概念化。之所以有此需求，是因为缺乏关于健康访视员如何在特定情形下确定采用何种方法的信息。扎根理论方法概述解释了数据的收集与分析方式。接着，概述了新兴理论的一个主要方面——一种似乎围绕并影响健康访视员与其客户之间互动的象征性意识情境。分析表明，当在情境中审视互动时，健康访视员或客户选定作为特定焦点的任何一个问题、目的或主题，仅构成整体中相对较小的组成部分。详细阐述了在该情境中增强开放性与协调性的策略。这种意识情境对健康访视实践及组织具有启示意义。
