Center for Nursing Research, Scholarship and Innovation, College of Nursing, Michigan State University, East Lansing, Michigan, USA.
Martha S. Pitzer Center for Women, Children and Youth, College of Nursing, The Ohio State University, Columbus, Ohio, USA.
J Adv Nurs. 2024 Feb;80(2):510-525. doi: 10.1111/jan.15814. Epub 2023 Aug 2.
To explore how emerging adult-aged women self-manage their sexual and reproductive health and to generate a grounded theory of these self-management processes.
Grounded theory methods using a constructivist approach.
Between September 2019 and September 2020, 18- to 25-years-old women (n = 13) were recruited from a 4-year university, a 2-year community college, and neighbourhoods surrounding the institutions of higher education. Individual interviews were transcribed verbatim and qualitatively analysed using a constant comparative method and inductive coding.
The theory purports that core processes of sexual and reproductive health self-management used by the women in this study included both passive and (re)active processes. These processes expanded upon and/or maintained the women's accessible sexual and reproductive health knowledge, behaviour and beliefs, defined as the sexual and reproductive health repertoire. The processes appeared to be cyclical and were often initiated by a catalysing event or catalyst and resulted in conversations with confidantes, or trusted individuals. A catalyst was either resolved or normalized by expanding or maintaining the sexual and reproductive health repertoire.
The resulting theory, EMeRGE Theory, offers insight into the complex and cyclical processes emerging adult-aged women use to simultaneously develop and adapt their foundational sexual and reproductive health knowledge, behaviours and beliefs.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This explication of emerging adult-aged women's sexual and reproductive health self-management processes can be used by nurses and nurse researchers to better address this population's unique health needs.
The EMeRGE Theory provides valuable guidance for future exploratory and intervention research aimed at improving the health and well-being of emerging adult-aged women.
The authors adhered to the Consolidated Criteria for Reporting Qualitative studies (COREQ) in preparation of this publication.
No patient or public contribution.
探索成年早期女性如何自我管理其性与生殖健康，并生成这些自我管理过程的扎根理论。
采用建构主义方法的扎根理论方法。
2019 年 9 月至 2020 年 9 月，从一所四年制大学、一所两年制社区学院以及高等教育机构周边社区招募了 18 至 25 岁的女性（n=13）。对个人访谈进行了逐字转录，并使用恒定性比较方法和归纳编码进行了定性分析。
该理论认为，本研究中女性使用的性与生殖健康自我管理的核心过程包括被动和（再）主动过程。这些过程扩展和/或维持了女性可及的性与生殖健康知识、行为和信念，定义为性与生殖健康知识库。这些过程似乎是周期性的，通常由催化事件或催化剂引发，并导致与知己或可信赖的人进行对话。催化剂通过扩展或维持性与生殖健康知识库得到解决或正常化。
由此产生的理论即 EMeRGE 理论，深入洞察了成年早期女性用来同时发展和调整其基础的性与生殖健康知识、行为和信念的复杂且周期性的过程。
专业和/或患者护理的影响：护士和护理研究人员可以利用对成年早期女性性与生殖健康自我管理过程的这种阐释，更好地满足这一人群的独特健康需求。
EMeRGE 理论为旨在改善成年早期女性健康和福祉的未来探索性和干预性研究提供了有价值的指导。
作者在准备本出版物时遵循了定性研究报告的统一标准（COREQ）。
无患者或公众贡献。
