An Emergent Theory Depicting Patients’ Fortitude Through the Healing and Recovering Process of Depression

扎根理论 心理学 理论抽样 同情 萧条(经济学) 轴向编码 心理健康 临床心理学 心理治疗师 定性研究 护理部 医学 社会学 社会科学 经济 宏观经济学 法学 政治学
作者
Fan-Ko Sun,Ann Long,Ming-Kung Wu,Nien-Mu Chiu,Chi-Fa Hung,Yun Long Tseng
出处
期刊:Journal of the American Psychiatric Nurses Association [SAGE]
卷期号:: 107839032110398-107839032110398
标识
DOI:10.1177/10783903211039886
摘要

BACKGROUND: Depression is a common mental disorder. Literature has explored patients’ perspectives of the recovering process of depression. However, there is a lack of research to explore both patients’ and caregivers’ perspectives of the healing process and develop a theory to support patients with depression. AIMS: The purpose of this study is to develop a substantive theory that depicts patients with depression toward healing and recovering. METHOD: This study used a grounded theory approach and collected data between 2019 and 2020 in a medical center in Taiwan. A theoretical sampling was performed after interviewing 29 participants, including 20 patients who had recovered from depression and nine caregivers; data saturation was achieved. Data analysis was conducted with open, axial, and selective coding and used NVivo Version 11 to aid the process of coding. RESULTS: A substantive theory was developed and the core category was “Patients’ fortitude through the healing and recovering process of depression.” Other main categories interrelated in this core category were reframing negative thinking and cultivating positive thinking, rebuilding a positive self-worth by embracing self-compassion, and learning to cope with everyday stress. CONCLUSION: This theory could help health care professionals to work therapeutically with patients and commend their fortitude while experiencing depression and engaging them with the care they planned together; and find some joy in life. Educators and researchers could use this theory to advance nursing care.
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