Hutchinson S
Nurs Res. 1986 Jul-Aug;35(4):196-201.
Interviews and participant observation were used to generate a substantive grounded theory that explains the process of nurses becoming chemically dependent. Data collection included: reading 10 case histories of nurses who had appeared before the Board of Nursing because of a problem with chemical dependency; interviewing 20 nurses who admitted their dependence on drugs and/or alcohol and who were in the process of recovery; interviewing representatives of the Board of Nursing, Department of Professional Regulation, and nurse investigators; attending Board of Nursing hearings and meetings concerning nurses who violated the Nurse Practice Act; accompanying a nurse investigator on her rounds to do urine checks on chemically dependent nurses presently on probation; and observing meetings of a chemically dependent nurses' self-help group for a period of 1 year. Findings revealed that as a result of physical and/or psychological pain nurses who became chemically dependent embarked on a trajectory of self-annihilation. The stages and phases of the self-annihilation process are discussed.
通过访谈和参与观察，生成了一种实质性的扎根理论，用以解释护士产生药物依赖的过程。数据收集包括：阅读10名因药物依赖问题而在护士委员会面前出现的护士的病例记录；采访20名承认对药物和/或酒精有依赖且正在康复过程中的护士；采访护士委员会、职业监管部门和护士调查员的代表；参加护士委员会关于违反《护士执业法》的护士的听证会和会议；陪同一名护士调查员巡视，对目前正在缓刑的药物依赖护士进行尿液检查；以及观察一个药物依赖护士自助小组的会议，为期1年。研究结果显示，由于身体和/或心理疼痛，产生药物依赖的护士走上了自我毁灭的轨迹。文中讨论了自我毁灭过程的阶段和时期。
