RESUMEN
Focus group methodology was used to explore in depth the perceptions of older adults who had participated in a 12-week pedometer-based intervention. Nineteen women and 8 men, ages 55-86 years, volunteered to take part in the focus groups following participation in the intervention. Four focus groups of six to eight participants were scheduled at primary sites in the southern Maine area. Analysis of the data revealed four specific topical areas: (a) factors that led to increases in daily step count, (b) factors that hindered increases in daily step count, (c) benefits of pedometer intervention program, and (d) recommendations on how to improve older adults' physical activity. Overall, focus group participants found this intervention to be beneficial and recommended its expansion to other groups.
Asunto(s)
Grupos Focales , Conocimientos, Actitudes y Práctica en Salud , Monitoreo Ambulatorio/instrumentación , Percepción , Caminata , Aceleración , Factores de Edad , Anciano , Anciano de 80 o más Años , Prueba de Esfuerzo , Femenino , Humanos , Maine , Masculino , Persona de Mediana Edad , Actividad Motora , Evaluación de Programas y Proyectos de SaludAsunto(s)
Enfermedad Crónica/rehabilitación , Terapia por Ejercicio/métodos , Monitoreo Ambulatorio/instrumentación , Motivación , Participación del Paciente/métodos , Actividades Cotidianas , Anciano , Enfermedad Crónica/psicología , Investigación en Enfermería Clínica , Enfermería en Salud Comunitaria , Femenino , Florida , Objetivos , Servicios de Atención de Salud a Domicilio , Humanos , Maine , Masculino , Monitoreo Ambulatorio/psicología , Grupo de Atención al Paciente/organización & administración , Participación del Paciente/psicología , Autocuidado/métodos , Autocuidado/psicología , Caminata/psicologíaRESUMEN
BACKGROUND: Theory that is directly linked with clinical experience has far greater relevance for nursing practice; however, problems continue to persist with the establishment of that linkage. The use of fieldwork as a strategy for developing and linking theory has enormous potential for enhancing the number of theories that truly fit the clinical practice realities of nursing. Traditionally, fieldwork has been conducted in contexts that are unfamiliar to the researcher. However, nurses have a wealth of clinical understanding in their areas of practice. Conduct of inquiry in a familiar practice area may facilitate identification of significant, clinically relevant concepts and expedite theory development that is closely linked to nursing practice. AIM OF THE PAPER: wo-step fieldwork approach and three specific strategies are presented that have been found useful for developing theory that is tightly aligned with nursing practice. The strategies of theoretical selectivity, theoretical integration, and theory creation are described and an example of each presented. The strategies are an extension of the Hybrid Model of Concept Development. These strategies identify alternative paths for concept clarification and theoretical congruence through fieldwork in clinical settings. The focus of theoretical selectivity is elaboration of concept definition with selection among theories. In contrast, the focus of theoretical integration is the linking of a central concept with an existing theory or perspective in the prefieldwork phase and then using the full fieldwork to evaluate its usefulness. Lastly, the theory creation strategy emphasizes describing a phenomenon of interest, identifying influencing factors, and beginning to create relational statements. It is closest to standard inductive theory development.