Mishel M H, Murdaugh C L
College of Nursing, University of Arizona, Tucson.
Nurs Res. 1987 Nov-Dec;36(6):332-8.
The processes family members of heart transplant recipients use to manage the unpredictability evoked by the need for and receipt of heart transplantation were explored. Twenty family members were theoretically sampled using the grounded theory approach. Three separate family support groups, each of 12 weeks duration, provided data for constant comparative analysis. Redesigning the dream was identified as the integrative theme in the substantive theory that described how family members gradually modify their beliefs about organ transplantation and develop attitudes and beliefs to meet the challenge of living with continual unpredictability. The theory consists of three concepts--immersion, passage, and negotiation--which parallel the stages of waiting for a donor, hospitalization, and recovery.
本研究探讨了心脏移植受者的家庭成员用以应对心脏移植需求及术后不可预测性的过程。采用扎根理论方法从理论上选取了20名家庭成员作为样本。三个独立的家庭支持小组，每组为期12周，为持续比较分析提供了数据。重新规划梦想被确定为实质理论中的整合主题，该主题描述了家庭成员如何逐渐改变他们对器官移植的看法，并形成态度和信念以应对持续存在的不可预测性带来的挑战。该理论由三个概念组成——沉浸、过渡和协商——分别对应等待供体、住院治疗和康复阶段。
