Exploring the mechanism for the formation of consumer purchase intentions of geographical indication agricultural products in the context of live-streaming sales can provide an important reference for brand marketing ...Exploring the mechanism for the formation of consumer purchase intentions of geographical indication agricultural products in the context of live-streaming sales can provide an important reference for brand marketing of geographical indication agricultural products.In this study,in-depth interviews were conducted with consumers of geographical indication agricultural products.Based on grounded theory,open coding,axial coding and selective coding were performed for interview text.Finally,21 concepts,7 subcategories and 3 main categories were obtained,and a model of the formation mechanism of the purchase intention of geographical indication agricultural products under the background of live-streaming sales was constructed,that is,"consumer cognition-consumer attitude-consumer behavior".Among them,consumer cognition includes two dimensions:the type of geographical indication agricultural products and the live-streaming appeal strategy,i.e.,the personal cognition of consumer and the promotion of live-streaming host's strategy.Consumer attitude is value perception of consumers,mainly including two dimensions of functional value and emotional value.Consumer behavior is the consumer's willingness to buy.It has been concluded that the types of geographical indication agricultural products interact with the live-streaming appeal strategies.Through the intermediary of consumers'value perception,consumers'purchase intention is generated.Among them,resource-oriented geographical indication agricultural products adopt rational live-streaming appeal strategies,which can enhance the consumer's perception of functional value,thereby promoting their purchase intention;and cultural and creative geographical indication agricultural products brands adopt perceptual live-streaming appeal strategies,which can enhance the emotional value perception of consumers,thereby promoting their purchase intention.展开更多
Objective:To elucidate theoretically the safety and identity of mothers receiving egg and the process of becoming a mother.Methods:This study was conducted during 7 months from July 2018 to January 2019 by using a gro...Objective:To elucidate theoretically the safety and identity of mothers receiving egg and the process of becoming a mother.Methods:This study was conducted during 7 months from July 2018 to January 2019 by using a grounded theory approach.Infertile women at the gestational age who received oocyte were selected with purposive sampling method and then entered the study using theoretical sampling.Mothers who had not decided definitely to participate and had not started the treatment course yet were excluded from the study.The participating mothers were 28-44 years old with a mean age of(37.00±2.49)years.A total of 30 interviews were performed.Data were collected by unstructured deep interviews and field notes.The interview duration ranged between 19 to 74 min with a mean time of 40 min and they were performed individually.Results:Data analysis showed that"feeling of insecurity in personal and familial identity"formed in the context of"exposure to socio-cultural constraints"was the main problem of mothers receiving donated oocyte.This led to a set of coping strategies as"gradual acceptance","attempts to maintain the marital life","sensitivity in selecting donor","sensitivity in fetal care","seeking information and consultation","challenging the internal restlessness",and"treatment follow-up",all indicating the concept of"protection of personal and familial identity"as the core variable.Conclusions:The challenge faced by Iranian mothers receiving donated oocyte in the constrained sociocultural context forms a multilateral and all-inclusive insecurity.展开更多
This paper aims to explain the construction of the autonomous subject from Foucault's ethical perspective for the qualitative analysis of interprofessional relationships,patient-professional relationships,and mora...This paper aims to explain the construction of the autonomous subject from Foucault's ethical perspective for the qualitative analysis of interprofessional relationships,patient-professional relationships,and moral ethics critique.Foucault tried to break loose from the self,which is merely the result of a biopol-itical subjectivation and constituted an interpersonal level.From this,different elements involved in the decision-making capacity of patients in a clinical setting were analysed.Firstly,the context in which decision-making occurs has been explained,distinguishing between traditional practices involved in self-care and the more modern conceptions that make certain possible transformations.Secondly,an attempt is made to explain the formation of the medicalisation of society using the transformations of what Foucault called"techniques of the self".Finally,the ethical framework for a subject's"self-creation",insisting more on the exercises of self-subjectivation,reinforcing the ethics of the self by itself,the"care of the self",has been explained.The role of the patient is understood as an autonomous subject to the extent that the clinical institution and the professionals involved comprehend how the patient’s autonomy in the clinical environment is constituted.All these elements could generate grounded theory on the qualitative methodology of this phenomenon.The current ethical model based on universal principles is not useful to provide a capacity for patients decision-making,relegating to the background their opinions and beliefs.Consequently,a new ethical perspective emerges that aims to return the patient to the fundamental axis of attention.展开更多
Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious duri...Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious during the procedure and is rather common in Swedish healthcare today. Aim: The aim was to obtain a deeper understanding of the main concerns of operating theatre nurses (OTN) when caring for conscious patients during the intraoperative phase. Methods: Interviews were conducted with 23 OTNs from five different hospitals in Sweden and analysed according to grounded theory. Findings: The main concern among the OTNs was to take the patient in consideration. The core category “achieve and maintain ethical treatment of patients” in the operating theatre (OT) was a strategy used throughout the intraoperative process. Ethical treatment was described as moral behaviour at different levels and included the team’s behaviour, respectful and individualised patientcare, and the working-morale of the professionals. Being vigilant and being flexible were the categories related to the core category. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. Conclusion: It is important that every patient is taken into consideration and that ethical principles are held to the highest standards in the OT. A familiar team can facilitate that. The complex skills that operating theatre nurses develop can be added to explain important competencies within the profession.展开更多
Background: The modern intensive care unit (ICU) is a complex and high-risk environment, and even small adverse events and changes may deteriorate the patient’s conditions and eventually cause harm. Many factors can ...Background: The modern intensive care unit (ICU) is a complex and high-risk environment, and even small adverse events and changes may deteriorate the patient’s conditions and eventually cause harm. Many factors can potentially be associated within an increased amount of errors, leading to adverse events. Nurses, nurse managers, and other leaders all play important roles in establishing patient safety. Aim: This study aimed to obtain a deeper understanding of leaders’ and nurses’ main concerns in establishing patient safety in Swedish intensive care units. Method: A grounded theory methodology was used. Data from 15 interviews with leaders and nurses involved in critical care in Sweden were collected, analysed and constant compared. Findings: The main concern in establishing patient safety was promoting quality of care, work engagement, and staffs well-being in strained ICUs. The core category building trust explained how the leaders’ and nurses’ strove for quality of care and wished a healthy, safe work environment. This is further explained in the categories “Being an accessible and able leader”, “Creating knowledge and understanding”, and “Establishing collaborative practice”. Conclusion: Establishing patient safety in the ICU requires that staffs enjoy going to work, have good work relations, are committed and want to stay at the unit. A healthy, salutogenetic unit with a work environment marked by trust provides a better opportunity to establish patient safety, and various leaders have potential to achieve this.展开更多
Background:One Health has become a global consensus to deal with complex health problems.However,the pro‑gress of One Health implementation in many countries is still relatively slow,and there is a lack of systematic ...Background:One Health has become a global consensus to deal with complex health problems.However,the pro‑gress of One Health implementation in many countries is still relatively slow,and there is a lack of systematic evalua‑tion index.The purpose of this study was to establish an indicator framework for global One Health Intrinsic Drivers index(GOH-IDI)to evaluate human,animal and environmental health development process globally.Method:First,82 studies were deeply analyzed by a grounded theory(GT)method,including open coding,axial coding,and selective coding,to establish a three-level indicator framework,which was composed of three selective codes,19 axial codes,and 79 open codes.Then,through semi-structured interviews with 28 health-related experts,the indicators were further integrated and simplifed according to the inclusion criteria of the indicators.Finally,the fuzzy analytical hierarchy process combined with the entropy weight method was used to assign weights to the indi‑cators,thus,forming the evaluation indicator framework of human,animal and environmental health development process.Results:An indicator framework for GOH-IDI was formed consisting of three selective codes,15 axial codes and 61 open codes.There were six axial codes for“Human Health”,of which“Infectious Diseases”had the highest weight(19.76%)and“Injuries and Violence”had the lowest weight(11.72%).There were four axial codes for“Animal Health”,of which“Animal Epidemic Disease”had the highest weight(39.28%)and“Animal Nutritional Status”had the low‑est weight(11.59%).Five axial codes were set under“Environmental Health”,among which,“Air Quality and Climate Change”had the highest weight(22.63%)and“Hazardous Chemicals”had the lowest weight(17.82%).Conclusions:An indicator framework for GOH-IDI was established in this study.The framework were universal,balanced,and scientifc,which hopefully to be a tool for evaluation of the joint development of human,animal and environmental health in diferent regions globally.展开更多
This article presents a ground theory to explain why some individuals choose to be unhappy rather than happy,supported by empirical data collected from a sample of 750 professionals in Greece’s public and private sec...This article presents a ground theory to explain why some individuals choose to be unhappy rather than happy,supported by empirical data collected from a sample of 750 professionals in Greece’s public and private sectors.We begin by reviewing the existing literature on happiness and well-being,highlighting the debate between hedonic and eudaimonic perspectives.We then introduce our research questions and rationale,and describe our methods,sample,and psychometric tools used to measure happiness and other variables of interest.Our results indicate that various factors,including cultural influences,past experiences,and personal values,contribute to individuals’pursuit of unhappiness.We conclude with a thorough discussion of our results and their implications for future research and interventions aimed at promoting well-being.展开更多
Mainstream media play a crucial role in constructing the cultural memory of a city.This study used 319 short videos released by“Hi Chengdu,”a new media product of Chengdu Radio and Television,as samples.Based on the...Mainstream media play a crucial role in constructing the cultural memory of a city.This study used 319 short videos released by“Hi Chengdu,”a new media product of Chengdu Radio and Television,as samples.Based on the grounded theory,a research framework encompassing“content,technology,and discourse”was established to explore the paths through which mainstream media construct the cultural memory.Regarding content,this paper emphasized temporal and spatial contexts and urban spaces,delving deep into the themes of the cultural memory and vehicles for it.In terms of technology,this paper discussed the practice of leveraging audio/visual-mode discourse to stitch together the impressions of a city and evoke emotional resonance to create a“flow”of memory.As for discourse,this paper looked at the performance of a communication ritual to frame concepts and shape urban identity.It is essential to break free from conventional thinking and leverage local culture as the primary driving force to further boost a city’s productivity,in order to excel in cultural communication.展开更多
Marx's theory of ground rent is an indispensable part of Marx's economic theory. It is essential to grasp scientific connotation of Marx's theory of ground rent,and actively explore and study theories and ...Marx's theory of ground rent is an indispensable part of Marx's economic theory. It is essential to grasp scientific connotation of Marx's theory of ground rent,and actively explore and study theories and policies of socialist ground rent and nationalization of land through combining the certainty of existence of ground rent and actual situations of nationalization of land in China.展开更多
China has been promoting the renovation of old residential communities vigorously.Due to the financial pressure of the government and the sustainability of the renovation of old residential communities,public-private ...China has been promoting the renovation of old residential communities vigorously.Due to the financial pressure of the government and the sustainability of the renovation of old residential communities,public-private partnerships(PPP)have already gained attention.The selection of social capital is key to improving the efficiency of the PPP model in renovating old residential communities.In order to determine the influencing factors of social capital selection in the renovation of old residential communities,this paper aims to find an effective approach and analyze these factors.In this paper,a fuzzy decision-making and trial evaluation laboratory(fuzzy-DEMATEL)technique is extended and amore suitable systemis developed for the selection of social capital using the existing group decisionmaking theory.In the first stage,grounded theory is used to extract the unabridged key influencing factors for social capital selection in the renovation of old residential communities.Secondly,by considering the impact of expert weights,the key influencing factors are identified.The interactions within these influencing factors are discussed and the credibility of the results is verified by sensitivity analysis.Finally,these key influencing factors are sorted by importance.Based on the results,the government should focus on a technical level,organizationalmanagement abilities,corporate reputation,credit status,etc.This study provides the government with a theoretical basis and a methodology for evaluating social capital selection.展开更多
Human Rights, the first international journal specializing in human fights in China, has been officially launched. This is something new in the annals of Chinese publishing history and also a mater of importance in th...Human Rights, the first international journal specializing in human fights in China, has been officially launched. This is something new in the annals of Chinese publishing history and also a mater of importance in the building of human fights theory in China. The launch of the journal is an indicator of China’s steady opening up and social progress and the healthy development of China’s human fights. For a considerably long period of time after the founding of New China, due to the influence of the ultra-展开更多
In order to explore the criminal psychological mechanism of burglars,this study adopts the qualitative research method of grounded theory to conduct in-depth interviews with 41 burglars in two prisons in Jiangxi Provi...In order to explore the criminal psychological mechanism of burglars,this study adopts the qualitative research method of grounded theory to conduct in-depth interviews with 41 burglars in two prisons in Jiangxi Province,China.Nvivo 11.0 was used to code-construct and qualitatively analyze the interview content in order to refine the influencing factors and psychological evolution process of burglary behavior.Thefindings revealed that(1)burglary risk factors include burglary cognition,burglary motivation,burglary decision-making,delinquent peers,burglary opportunity,and incomplete reformation.(2)There are three stages in the psychological evolution pro-cess of burglars:cognitive formation,motivational dominance,and behavioral decision.(3)The interpretation of the criminal psychological mechanism of burglars is a comprehensive and dynamic outcome of the interaction of internal and external factors that shape the individual.Participants’inspection and non-participants’inspection were adapted to verify the research results’validity,which showed that the results were reliable.展开更多
Chaoshan cuisine originates from the unique Chaoshan regional culture and has undergonethousands of years of sedimentation and development. Chaoshan cuisine has a wide range of ingredients,exquisite materials, emphasi...Chaoshan cuisine originates from the unique Chaoshan regional culture and has undergonethousands of years of sedimentation and development. Chaoshan cuisine has a wide range of ingredients,exquisite materials, emphasis on knife cutting, and a focus on freshness. It emphasizes the original taste anda clear and mellow taste, which is extremely characterized by Lingnan culture. In this paper, research dataare collected from social media and online comments, supplemented by targeted interviews, questionnaires,and other methods. It uses grounded theory for data analysis. Through the induction and summary ofopen coding, axial coding, and selective coding based on grounded theory, it summarizes the physical space,cultural space, spiritual cultural space, and communication space of Chaoshan cuisine culture.展开更多
In this paper,using the research method of grounded theory,with the competitive brand of home gardening—Hongyue Garden Maker as the specific object of study,we collect the data through interviews and surveys,conduct ...In this paper,using the research method of grounded theory,with the competitive brand of home gardening—Hongyue Garden Maker as the specific object of study,we collect the data through interviews and surveys,conduct coding analysis step by step on the data,establish the brand asset creation path model consisting of some main dimensions including " brand salience"," brand performance"," brand image"," brand judgment"," brand feeling",and " brand resonance",and reveal the interaction and logical relationship between the above dimensions,so as to provide theoretical support for the asset creation of many kinds of home gardening and other brands.展开更多
Background: Zimbabwe recorded a 55% increase in HIV testing from 2011 to 2018 but with decreasing HIV-testing yields from 20% to 6% respectively as we aim to identify the narrowing gap of undiagnosed people living wit...Background: Zimbabwe recorded a 55% increase in HIV testing from 2011 to 2018 but with decreasing HIV-testing yields from 20% to 6% respectively as we aim to identify the narrowing gap of undiagnosed people living with HIV. As such adoption of screening tools during targeted HIV testing services improves efficiency by identifying individuals who are likely to test positive. Effective utilization of screening tools requires an understanding of health care worker perception and willingness to use the tools. Methods: We conducted a qualitative study among healthcare workers at 8 selected primary healthcare facilities in Zimbabwe. Interviewer-guided, in-depth interviews were conducted with healthcare workers and their immediate supervisors. Thematic analysis was performed following a framework built around the grounded theory model to describe perspectives that influence the utilization of HIV screening tools and suggestions for improved eligibility screening. Results: Behavioural factors facilitating the utilisation of the screening tool included motivation to adhere to standard practice, awareness of screening in targeting testing, and its ability to manage workload through screening out ineligible clients. This was evident across service delivery levels. Barriers included limited healthcare capacity, confidentiality space, multiple screening tools and opaque screening in/out criteria and the potential of clients not responding to screening questions truthfully. Conclusions: Across geographical and service delivery levels, placing screening tools at HIV testing entry points, healthcare worker knowledge on screening in/out criteria emerged as enablers for correct and consistent utilization. Further, standardizing the tools and adopting a decision aid algorithm would improve the accurate utilisation of screening tools.展开更多
This article introduces four noteworthy papers published in China's top journals in Summer 2021,all of which are phenomenon-driven and design-based case studies.The first paper employs a process tracing approach t...This article introduces four noteworthy papers published in China's top journals in Summer 2021,all of which are phenomenon-driven and design-based case studies.The first paper employs a process tracing approach to analyze the failure of policy coordination based on an empirical case regarding the revision of the price catalog for basic medical services in Province F.The second paper develops a triple mechanism framework to account for the distortions in China's grassroots policies.With a most similar case design,the third paper proposes a typology framework for campaign-style environmental governance and compares the mobilization models for environmental governance.Based on a grounded theory approach,the final paper analyzes data from thirty-eight public crises cases to reveal the mechanism of political mobilization for emergency management.These studies explain clear theoretical puzzles brought about by practical problems,and they provide a sense of the research designs in the case studies.They show three types of case studies:(1)two single case studies,one with a process tracing approach and the other illustrating a developed theoretical framework,(2)a comparative case study,and(3)a multi-case study applying a grounded theory strategy.These studies provide enlightenment and lessons for future Chinese case studies.展开更多
<strong>Objective:</strong> This study aims to determine the process of patients with newly diagnosed breast cancer in Japan telling their children about the disease, and how they have thought about it aft...<strong>Objective:</strong> This study aims to determine the process of patients with newly diagnosed breast cancer in Japan telling their children about the disease, and how they have thought about it after the diagnosis. <strong>Methods:</strong> Semi-structured interviews were conducted with 15 patients with newly diagnosed breast cancer who had 3- to 14-year-old children. Narratives of participants about how they told their children about the disease were analysed by a qualitative and descriptive study design using the Modified Grounded Theory Approach (M-GTA). <strong>Results:</strong> In the process by which patients with newly diagnosed breast cancer tell their children about the disease, participants were [Maintaining mental balance in the face of the threat of the cancer] after the breast cancer diagnosis, and used the “Facing the cancer through the relationship with the children” as the core category in the process. The participants had [Determined to tell the children about the disease], while [Being worried about the influence of cancer on the children], [Thinking about the benefits of not hiding the cancer], and [Feeling difficulty in communicating the diagnosis of cancer to their children]. They were [Encouraged to tell about the disease to the children] by people around them, and did tell the children that they had a “disease” or “cancer”. The participants who told the children that they had the disease while [Determining the impact on the children] repeated the [Making herself look unconcerned] in the process. Those who told the children that they had cancer while [Determining the impact on the children] repeated [Talking openly about cancer and death] between parents and children. <strong>Conclusions:</strong> The participants came to face their own cancer by maintaining mental balance in the face of the threat of the cancer and telling their children about the disease. Nurses need to assist these patients to be able to deal openly with their children from the early stage of the diagnosis and solve problems by family members.展开更多
The application of digital technology in the field of construction is still in its infancy, and the existing concrete framework of digital technology application in the construction industry and the study of applied e...The application of digital technology in the field of construction is still in its infancy, and the existing concrete framework of digital technology application in the construction industry and the study of applied ecological elements are not enough. The ecological elements of digital technology application in the construction industry are important factors that promote the healthy op</span><span style="font-family:Verdana;">eration of the entire digital technology application ecosystem. </span><span style="font-family:Verdana;">Using grounded theory, we compiled the data of 33 researchers who participated in </span><span style="font-family:Verdana;">semi-structured interviews, and obtained 4 main categories and 9</span><span style="font-family:Verdana;"> sub-categories of ecological elements of digital technology application in the construction industry. Among them, the digital technology application mechanism is the core category of ecological application elements. We also used the Bass model to analyze the application trend of digital technology in the construction industry. </span><span style="font-family:Verdana;">In 2040, the number of construction companies applying digital</span><span style="font-family:Verdana;"> technology will reach 98.66% of the maximum market potential.展开更多
The purpose of this study was to explore the process of family support provided by nurses to families with a borderline personality disorder (BPD) patient. Semi-structured interviews were conducted with 16 nurses who ...The purpose of this study was to explore the process of family support provided by nurses to families with a borderline personality disorder (BPD) patient. Semi-structured interviews were conducted with 16 nurses who had provided care to BPD patients. Data obtained from the interviews were qualitatively analyzed using a modified grounded theory approach. As an overall core category of family support processes practiced by nurses for families with BPD patients, family support practiced without awareness that the nurses were supporting families was extracted. Through this process, nurses held perceptions that were premises for family support, which were formed through their individual nursing experiences and perspectives. Nurses also had diverse perceptions concerning the image of families. Through the integration of perceptions that were premises for family support and perceptions of an image of the family, nurses underwent a process of “determination and ambivalence about the need for family support.” Then, nurses provided “family support practice” when they acknowledged the need for family support. During the “family support practice,” nurses had difficulties in providing family support. When family support was not successfully provided, nurses provided “family support practice with seeking more effective ways through trial and error.” For cases in which nurses did not acknowledge the need for intervention, they intentionally chose “not to provide family support.” Furthermore, during the “family support practice,” nurses had contradictory perspectives of family support. Such family support processes ultimately led to an awareness of the same family support required for the future. Family support was provided with “family support practice” and “family support practice with seeking more effective ways through trial and error.” In some cases, however, the process ended in “not to provide family support intentionally.” Experiences and perspectives in providing family support are important factors in carrying out future family support. Developing the positive implications of these factors and reducing psychological strain on nurses may ensure smooth implementation of family support. Thus, nurses need to recognize that they are supporting the family, which is identified as a core category.展开更多
基金Science and Technology Innovation Activity Program for Undergraduates in Zhejiang Province&Xinmiao Talent Program(2020R412051).
文摘Exploring the mechanism for the formation of consumer purchase intentions of geographical indication agricultural products in the context of live-streaming sales can provide an important reference for brand marketing of geographical indication agricultural products.In this study,in-depth interviews were conducted with consumers of geographical indication agricultural products.Based on grounded theory,open coding,axial coding and selective coding were performed for interview text.Finally,21 concepts,7 subcategories and 3 main categories were obtained,and a model of the formation mechanism of the purchase intention of geographical indication agricultural products under the background of live-streaming sales was constructed,that is,"consumer cognition-consumer attitude-consumer behavior".Among them,consumer cognition includes two dimensions:the type of geographical indication agricultural products and the live-streaming appeal strategy,i.e.,the personal cognition of consumer and the promotion of live-streaming host's strategy.Consumer attitude is value perception of consumers,mainly including two dimensions of functional value and emotional value.Consumer behavior is the consumer's willingness to buy.It has been concluded that the types of geographical indication agricultural products interact with the live-streaming appeal strategies.Through the intermediary of consumers'value perception,consumers'purchase intention is generated.Among them,resource-oriented geographical indication agricultural products adopt rational live-streaming appeal strategies,which can enhance the consumer's perception of functional value,thereby promoting their purchase intention;and cultural and creative geographical indication agricultural products brands adopt perceptual live-streaming appeal strategies,which can enhance the emotional value perception of consumers,thereby promoting their purchase intention.
文摘Objective:To elucidate theoretically the safety and identity of mothers receiving egg and the process of becoming a mother.Methods:This study was conducted during 7 months from July 2018 to January 2019 by using a grounded theory approach.Infertile women at the gestational age who received oocyte were selected with purposive sampling method and then entered the study using theoretical sampling.Mothers who had not decided definitely to participate and had not started the treatment course yet were excluded from the study.The participating mothers were 28-44 years old with a mean age of(37.00±2.49)years.A total of 30 interviews were performed.Data were collected by unstructured deep interviews and field notes.The interview duration ranged between 19 to 74 min with a mean time of 40 min and they were performed individually.Results:Data analysis showed that"feeling of insecurity in personal and familial identity"formed in the context of"exposure to socio-cultural constraints"was the main problem of mothers receiving donated oocyte.This led to a set of coping strategies as"gradual acceptance","attempts to maintain the marital life","sensitivity in selecting donor","sensitivity in fetal care","seeking information and consultation","challenging the internal restlessness",and"treatment follow-up",all indicating the concept of"protection of personal and familial identity"as the core variable.Conclusions:The challenge faced by Iranian mothers receiving donated oocyte in the constrained sociocultural context forms a multilateral and all-inclusive insecurity.
基金Supported by the Advanced Research Chair in the College of Nurses of the Balearic Islands,No. IB3389
文摘This paper aims to explain the construction of the autonomous subject from Foucault's ethical perspective for the qualitative analysis of interprofessional relationships,patient-professional relationships,and moral ethics critique.Foucault tried to break loose from the self,which is merely the result of a biopol-itical subjectivation and constituted an interpersonal level.From this,different elements involved in the decision-making capacity of patients in a clinical setting were analysed.Firstly,the context in which decision-making occurs has been explained,distinguishing between traditional practices involved in self-care and the more modern conceptions that make certain possible transformations.Secondly,an attempt is made to explain the formation of the medicalisation of society using the transformations of what Foucault called"techniques of the self".Finally,the ethical framework for a subject's"self-creation",insisting more on the exercises of self-subjectivation,reinforcing the ethics of the self by itself,the"care of the self",has been explained.The role of the patient is understood as an autonomous subject to the extent that the clinical institution and the professionals involved comprehend how the patient’s autonomy in the clinical environment is constituted.All these elements could generate grounded theory on the qualitative methodology of this phenomenon.The current ethical model based on universal principles is not useful to provide a capacity for patients decision-making,relegating to the background their opinions and beliefs.Consequently,a new ethical perspective emerges that aims to return the patient to the fundamental axis of attention.
文摘Introduction: Intraoperative care includes a unique knowledge of how to perform a safe and effective surgery procedure. Surgery performed under regional or local anaesthesia allows the patient to remain conscious during the procedure and is rather common in Swedish healthcare today. Aim: The aim was to obtain a deeper understanding of the main concerns of operating theatre nurses (OTN) when caring for conscious patients during the intraoperative phase. Methods: Interviews were conducted with 23 OTNs from five different hospitals in Sweden and analysed according to grounded theory. Findings: The main concern among the OTNs was to take the patient in consideration. The core category “achieve and maintain ethical treatment of patients” in the operating theatre (OT) was a strategy used throughout the intraoperative process. Ethical treatment was described as moral behaviour at different levels and included the team’s behaviour, respectful and individualised patientcare, and the working-morale of the professionals. Being vigilant and being flexible were the categories related to the core category. The OTNs constantly assessed where to pay most attention as they balanced between the needs of the patient, the team, and the surgery procedure. Conclusion: It is important that every patient is taken into consideration and that ethical principles are held to the highest standards in the OT. A familiar team can facilitate that. The complex skills that operating theatre nurses develop can be added to explain important competencies within the profession.
文摘Background: The modern intensive care unit (ICU) is a complex and high-risk environment, and even small adverse events and changes may deteriorate the patient’s conditions and eventually cause harm. Many factors can potentially be associated within an increased amount of errors, leading to adverse events. Nurses, nurse managers, and other leaders all play important roles in establishing patient safety. Aim: This study aimed to obtain a deeper understanding of leaders’ and nurses’ main concerns in establishing patient safety in Swedish intensive care units. Method: A grounded theory methodology was used. Data from 15 interviews with leaders and nurses involved in critical care in Sweden were collected, analysed and constant compared. Findings: The main concern in establishing patient safety was promoting quality of care, work engagement, and staffs well-being in strained ICUs. The core category building trust explained how the leaders’ and nurses’ strove for quality of care and wished a healthy, safe work environment. This is further explained in the categories “Being an accessible and able leader”, “Creating knowledge and understanding”, and “Establishing collaborative practice”. Conclusion: Establishing patient safety in the ICU requires that staffs enjoy going to work, have good work relations, are committed and want to stay at the unit. A healthy, salutogenetic unit with a work environment marked by trust provides a better opportunity to establish patient safety, and various leaders have potential to achieve this.
文摘Background:One Health has become a global consensus to deal with complex health problems.However,the pro‑gress of One Health implementation in many countries is still relatively slow,and there is a lack of systematic evalua‑tion index.The purpose of this study was to establish an indicator framework for global One Health Intrinsic Drivers index(GOH-IDI)to evaluate human,animal and environmental health development process globally.Method:First,82 studies were deeply analyzed by a grounded theory(GT)method,including open coding,axial coding,and selective coding,to establish a three-level indicator framework,which was composed of three selective codes,19 axial codes,and 79 open codes.Then,through semi-structured interviews with 28 health-related experts,the indicators were further integrated and simplifed according to the inclusion criteria of the indicators.Finally,the fuzzy analytical hierarchy process combined with the entropy weight method was used to assign weights to the indi‑cators,thus,forming the evaluation indicator framework of human,animal and environmental health development process.Results:An indicator framework for GOH-IDI was formed consisting of three selective codes,15 axial codes and 61 open codes.There were six axial codes for“Human Health”,of which“Infectious Diseases”had the highest weight(19.76%)and“Injuries and Violence”had the lowest weight(11.72%).There were four axial codes for“Animal Health”,of which“Animal Epidemic Disease”had the highest weight(39.28%)and“Animal Nutritional Status”had the low‑est weight(11.59%).Five axial codes were set under“Environmental Health”,among which,“Air Quality and Climate Change”had the highest weight(22.63%)and“Hazardous Chemicals”had the lowest weight(17.82%).Conclusions:An indicator framework for GOH-IDI was established in this study.The framework were universal,balanced,and scientifc,which hopefully to be a tool for evaluation of the joint development of human,animal and environmental health in diferent regions globally.
文摘This article presents a ground theory to explain why some individuals choose to be unhappy rather than happy,supported by empirical data collected from a sample of 750 professionals in Greece’s public and private sectors.We begin by reviewing the existing literature on happiness and well-being,highlighting the debate between hedonic and eudaimonic perspectives.We then introduce our research questions and rationale,and describe our methods,sample,and psychometric tools used to measure happiness and other variables of interest.Our results indicate that various factors,including cultural influences,past experiences,and personal values,contribute to individuals’pursuit of unhappiness.We conclude with a thorough discussion of our results and their implications for future research and interventions aimed at promoting well-being.
文摘Mainstream media play a crucial role in constructing the cultural memory of a city.This study used 319 short videos released by“Hi Chengdu,”a new media product of Chengdu Radio and Television,as samples.Based on the grounded theory,a research framework encompassing“content,technology,and discourse”was established to explore the paths through which mainstream media construct the cultural memory.Regarding content,this paper emphasized temporal and spatial contexts and urban spaces,delving deep into the themes of the cultural memory and vehicles for it.In terms of technology,this paper discussed the practice of leveraging audio/visual-mode discourse to stitch together the impressions of a city and evoke emotional resonance to create a“flow”of memory.As for discourse,this paper looked at the performance of a communication ritual to frame concepts and shape urban identity.It is essential to break free from conventional thinking and leverage local culture as the primary driving force to further boost a city’s productivity,in order to excel in cultural communication.
文摘Marx's theory of ground rent is an indispensable part of Marx's economic theory. It is essential to grasp scientific connotation of Marx's theory of ground rent,and actively explore and study theories and policies of socialist ground rent and nationalization of land through combining the certainty of existence of ground rent and actual situations of nationalization of land in China.
基金supported by the National Natural Science Foundation of China(No.62141302)the Humanities Social Science Programming Project of the Ministry of Educa-tion of China(No.20YJA630059)+2 种基金the Natural Science Foundation of Jiangxi Province of China(No.20212BAB201011)the China Postdoctoral Science Foundation(Grant No.2019M662265)the Research Project of Economic and Social Development in Liaoning Province(Grant No.2022lslybkt-053).
文摘China has been promoting the renovation of old residential communities vigorously.Due to the financial pressure of the government and the sustainability of the renovation of old residential communities,public-private partnerships(PPP)have already gained attention.The selection of social capital is key to improving the efficiency of the PPP model in renovating old residential communities.In order to determine the influencing factors of social capital selection in the renovation of old residential communities,this paper aims to find an effective approach and analyze these factors.In this paper,a fuzzy decision-making and trial evaluation laboratory(fuzzy-DEMATEL)technique is extended and amore suitable systemis developed for the selection of social capital using the existing group decisionmaking theory.In the first stage,grounded theory is used to extract the unabridged key influencing factors for social capital selection in the renovation of old residential communities.Secondly,by considering the impact of expert weights,the key influencing factors are identified.The interactions within these influencing factors are discussed and the credibility of the results is verified by sensitivity analysis.Finally,these key influencing factors are sorted by importance.Based on the results,the government should focus on a technical level,organizationalmanagement abilities,corporate reputation,credit status,etc.This study provides the government with a theoretical basis and a methodology for evaluating social capital selection.
文摘Human Rights, the first international journal specializing in human fights in China, has been officially launched. This is something new in the annals of Chinese publishing history and also a mater of importance in the building of human fights theory in China. The launch of the journal is an indicator of China’s steady opening up and social progress and the healthy development of China’s human fights. For a considerably long period of time after the founding of New China, due to the influence of the ultra-
基金Supported by the National Key Research and Development Program of China(2018YFC0831002).
文摘In order to explore the criminal psychological mechanism of burglars,this study adopts the qualitative research method of grounded theory to conduct in-depth interviews with 41 burglars in two prisons in Jiangxi Province,China.Nvivo 11.0 was used to code-construct and qualitatively analyze the interview content in order to refine the influencing factors and psychological evolution process of burglary behavior.Thefindings revealed that(1)burglary risk factors include burglary cognition,burglary motivation,burglary decision-making,delinquent peers,burglary opportunity,and incomplete reformation.(2)There are three stages in the psychological evolution pro-cess of burglars:cognitive formation,motivational dominance,and behavioral decision.(3)The interpretation of the criminal psychological mechanism of burglars is a comprehensive and dynamic outcome of the interaction of internal and external factors that shape the individual.Participants’inspection and non-participants’inspection were adapted to verify the research results’validity,which showed that the results were reliable.
基金Zhaoqing University Students Innovative Training Program Project(X202310580164).
文摘Chaoshan cuisine originates from the unique Chaoshan regional culture and has undergonethousands of years of sedimentation and development. Chaoshan cuisine has a wide range of ingredients,exquisite materials, emphasis on knife cutting, and a focus on freshness. It emphasizes the original taste anda clear and mellow taste, which is extremely characterized by Lingnan culture. In this paper, research dataare collected from social media and online comments, supplemented by targeted interviews, questionnaires,and other methods. It uses grounded theory for data analysis. Through the induction and summary ofopen coding, axial coding, and selective coding based on grounded theory, it summarizes the physical space,cultural space, spiritual cultural space, and communication space of Chaoshan cuisine culture.
基金Supported by National College Students'Innovation and Entrepreneurship Training Program in 2017(103-2013200072)National Social Science Fund Project(15BGL088)Zhejiang Higher Education Reform Project in 2016(jg20160092)
文摘In this paper,using the research method of grounded theory,with the competitive brand of home gardening—Hongyue Garden Maker as the specific object of study,we collect the data through interviews and surveys,conduct coding analysis step by step on the data,establish the brand asset creation path model consisting of some main dimensions including " brand salience"," brand performance"," brand image"," brand judgment"," brand feeling",and " brand resonance",and reveal the interaction and logical relationship between the above dimensions,so as to provide theoretical support for the asset creation of many kinds of home gardening and other brands.
文摘Background: Zimbabwe recorded a 55% increase in HIV testing from 2011 to 2018 but with decreasing HIV-testing yields from 20% to 6% respectively as we aim to identify the narrowing gap of undiagnosed people living with HIV. As such adoption of screening tools during targeted HIV testing services improves efficiency by identifying individuals who are likely to test positive. Effective utilization of screening tools requires an understanding of health care worker perception and willingness to use the tools. Methods: We conducted a qualitative study among healthcare workers at 8 selected primary healthcare facilities in Zimbabwe. Interviewer-guided, in-depth interviews were conducted with healthcare workers and their immediate supervisors. Thematic analysis was performed following a framework built around the grounded theory model to describe perspectives that influence the utilization of HIV screening tools and suggestions for improved eligibility screening. Results: Behavioural factors facilitating the utilisation of the screening tool included motivation to adhere to standard practice, awareness of screening in targeting testing, and its ability to manage workload through screening out ineligible clients. This was evident across service delivery levels. Barriers included limited healthcare capacity, confidentiality space, multiple screening tools and opaque screening in/out criteria and the potential of clients not responding to screening questions truthfully. Conclusions: Across geographical and service delivery levels, placing screening tools at HIV testing entry points, healthcare worker knowledge on screening in/out criteria emerged as enablers for correct and consistent utilization. Further, standardizing the tools and adopting a decision aid algorithm would improve the accurate utilisation of screening tools.
文摘This article introduces four noteworthy papers published in China's top journals in Summer 2021,all of which are phenomenon-driven and design-based case studies.The first paper employs a process tracing approach to analyze the failure of policy coordination based on an empirical case regarding the revision of the price catalog for basic medical services in Province F.The second paper develops a triple mechanism framework to account for the distortions in China's grassroots policies.With a most similar case design,the third paper proposes a typology framework for campaign-style environmental governance and compares the mobilization models for environmental governance.Based on a grounded theory approach,the final paper analyzes data from thirty-eight public crises cases to reveal the mechanism of political mobilization for emergency management.These studies explain clear theoretical puzzles brought about by practical problems,and they provide a sense of the research designs in the case studies.They show three types of case studies:(1)two single case studies,one with a process tracing approach and the other illustrating a developed theoretical framework,(2)a comparative case study,and(3)a multi-case study applying a grounded theory strategy.These studies provide enlightenment and lessons for future Chinese case studies.
文摘<strong>Objective:</strong> This study aims to determine the process of patients with newly diagnosed breast cancer in Japan telling their children about the disease, and how they have thought about it after the diagnosis. <strong>Methods:</strong> Semi-structured interviews were conducted with 15 patients with newly diagnosed breast cancer who had 3- to 14-year-old children. Narratives of participants about how they told their children about the disease were analysed by a qualitative and descriptive study design using the Modified Grounded Theory Approach (M-GTA). <strong>Results:</strong> In the process by which patients with newly diagnosed breast cancer tell their children about the disease, participants were [Maintaining mental balance in the face of the threat of the cancer] after the breast cancer diagnosis, and used the “Facing the cancer through the relationship with the children” as the core category in the process. The participants had [Determined to tell the children about the disease], while [Being worried about the influence of cancer on the children], [Thinking about the benefits of not hiding the cancer], and [Feeling difficulty in communicating the diagnosis of cancer to their children]. They were [Encouraged to tell about the disease to the children] by people around them, and did tell the children that they had a “disease” or “cancer”. The participants who told the children that they had the disease while [Determining the impact on the children] repeated the [Making herself look unconcerned] in the process. Those who told the children that they had cancer while [Determining the impact on the children] repeated [Talking openly about cancer and death] between parents and children. <strong>Conclusions:</strong> The participants came to face their own cancer by maintaining mental balance in the face of the threat of the cancer and telling their children about the disease. Nurses need to assist these patients to be able to deal openly with their children from the early stage of the diagnosis and solve problems by family members.
文摘The application of digital technology in the field of construction is still in its infancy, and the existing concrete framework of digital technology application in the construction industry and the study of applied ecological elements are not enough. The ecological elements of digital technology application in the construction industry are important factors that promote the healthy op</span><span style="font-family:Verdana;">eration of the entire digital technology application ecosystem. </span><span style="font-family:Verdana;">Using grounded theory, we compiled the data of 33 researchers who participated in </span><span style="font-family:Verdana;">semi-structured interviews, and obtained 4 main categories and 9</span><span style="font-family:Verdana;"> sub-categories of ecological elements of digital technology application in the construction industry. Among them, the digital technology application mechanism is the core category of ecological application elements. We also used the Bass model to analyze the application trend of digital technology in the construction industry. </span><span style="font-family:Verdana;">In 2040, the number of construction companies applying digital</span><span style="font-family:Verdana;"> technology will reach 98.66% of the maximum market potential.
文摘The purpose of this study was to explore the process of family support provided by nurses to families with a borderline personality disorder (BPD) patient. Semi-structured interviews were conducted with 16 nurses who had provided care to BPD patients. Data obtained from the interviews were qualitatively analyzed using a modified grounded theory approach. As an overall core category of family support processes practiced by nurses for families with BPD patients, family support practiced without awareness that the nurses were supporting families was extracted. Through this process, nurses held perceptions that were premises for family support, which were formed through their individual nursing experiences and perspectives. Nurses also had diverse perceptions concerning the image of families. Through the integration of perceptions that were premises for family support and perceptions of an image of the family, nurses underwent a process of “determination and ambivalence about the need for family support.” Then, nurses provided “family support practice” when they acknowledged the need for family support. During the “family support practice,” nurses had difficulties in providing family support. When family support was not successfully provided, nurses provided “family support practice with seeking more effective ways through trial and error.” For cases in which nurses did not acknowledge the need for intervention, they intentionally chose “not to provide family support.” Furthermore, during the “family support practice,” nurses had contradictory perspectives of family support. Such family support processes ultimately led to an awareness of the same family support required for the future. Family support was provided with “family support practice” and “family support practice with seeking more effective ways through trial and error.” In some cases, however, the process ended in “not to provide family support intentionally.” Experiences and perspectives in providing family support are important factors in carrying out future family support. Developing the positive implications of these factors and reducing psychological strain on nurses may ensure smooth implementation of family support. Thus, nurses need to recognize that they are supporting the family, which is identified as a core category.
