{"id":43,"date":"2023-05-26T05:40:29","date_gmt":"2023-05-26T05:40:29","guid":{"rendered":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/chapter\/__unknown__-10\/"},"modified":"2025-06-14T13:54:40","modified_gmt":"2025-06-14T13:54:40","slug":"__unknown__-10","status":"publish","type":"chapter","link":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/chapter\/__unknown__-10\/","title":{"raw":"Chapter 10: Grounded Theory","rendered":"Chapter 10: Grounded Theory"},"content":{"raw":"<div class=\"__UNKNOWN__\">\n<div class=\"textbox shaded\">\n<h2 class=\"import-Normal\">Learning outcomes<\/h2>\nUpon completion of this chapter, you should be able to:\n<ul>\n \t<li>Identify the three approaches to grounded theory research.<\/li>\n \t<li>Define the key terms and concepts used in grounded theory research.<\/li>\n \t<li>Discuss the advantages and disadvantages of grounded theory research.<\/li>\n<\/ul>\n<\/div>\n<h2 class=\"import-Normal\" style=\"background-color: #ffffff\"><strong>What is a grounded theory study? <\/strong><\/h2>\n<p class=\"import-Normal\">The key concept of grounded theory is <em>building<\/em> <em>theory<\/em>.<\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">Grounded theory studies, developed by Barney Glaser and Anselm Strauss, aim to build theory \u2018from the ground up\u2019 \u2013 meaning 'from the data\u2019.<sup>1,2<\/sup> For many people, the idea of developing a theory can be intimidating.<sup>3<\/sup> However, the theories generated from grounded theory studies are rarely grand theories at the level developed by, for example, philosophers Foucault or Hegel. Rather, the focus is on discovering concepts that explain social processes, actions and interactions from the collected data.<sup>1,2<\/sup> In health and social care research, this can typically take the form of a framework or typology.<\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">Since Glaser and Strauss initiated the grounded theory approach in the 1960s, multiple competing methods have arisen from different ontological and philosophical foundations, which are outlined in Table 10.1.<\/p>\n[table id=20 \/]\n<p class=\"import-Normal\" style=\"text-align: justify\">To ensure that the theory is derived from the data, researchers undertaking Classical or Straussian Grounded Theory should have no preconceived theories before starting the research \u2013 which means they should not be seeking to test a theory \u2013 they should not be constrained by the literature when coding data and they should not impose prior concepts on the data.<sup>3<\/sup> Grounded theory is therefore inductive \u2013 it generates theory \u2013 as opposed to deductive \u2013 which tests theory.<sup>4<\/sup> Theories about social processes and actions should be generated systematically through research, and \u2018discovered\u2019 from the data rather than hypothesised and tested against data.<sup>6<\/sup><sup>,<\/sup><sup>2<\/sup> Hence, grounded theory studies suit research topics in which little is known about the \u2018how and why\u2019 of social processes.<sup>5<\/sup><\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">Multiple forms of data collection can be employed in ground theory studies, with data collection and data analysis occurring concurrently to inform theory development.<sup>1<\/sup> For example, the researcher may conduct 20 interviews, undertake the analysis and begin to form a theory, and then, based on this theory, develop an interview guide that will elicit further theoretical development as more data is collected. This process happens across multiple cycles of data collection; analysis and data collection usually stops when theoretical saturation is reached.<sup>7<\/sup> Hence, the research is <em>iterative<\/em> and evolves through the collection and analysis of data. <em>Theoretical <\/em><em>saturation<\/em> is when all the domains or aspects of the theory have been thoroughly examined.<sup>1<\/sup> Grounded theory studies can draw on other qualitative designs \u2013 for example, a researcher can conduct a grounded theory phenomenology study or a grounded theory case study. The approach to analysis is typically the constant comparative approach.<sup>1,2<\/sup><\/p>\n\n<h2 class=\"import-Normal\" style=\"text-align: justify\"><strong>Advantages and disadvantages of grounded theory<\/strong><\/h2>\n<p class=\"import-Normal\" style=\"text-align: justify\">The advantages of grounded theory studies include that the researcher is able to be immersed in the data at a detailed level, and this immersion occurs early in the research process, to enable the constant interplay between data collection and analysis. The concept of theoretical saturation ensures that the data accounts for all elements of the theory that is generated. However, the process of theoretical sampling and the iterative nature of going back and forth between data collection and data analysis can take a long time. In creating the theory, the context of the social processes may be lost and the overall theory may lack nuance. Consequently, it can be difficult to scale up the theory to different contexts.<sup>4,8-<\/sup><sup>10<\/sup> Examples of studies employing grounded theory are shown in Table 10.2.<\/p>\n[table id=21 \/]\n<h2 class=\"import-Normal\"><strong>Summary<\/strong><\/h2>\n<p class=\"import-Normal\">Grounded theory is an appropriate research design to explain a process through a theory. The design incorporates multiple forms of data collection and is iterative in approach, with cycles between data collection and analysis.<\/p>\n\n<h2 class=\"import-Normal\"><strong>References<\/strong><\/h2>\n<ol>\n \t<li class=\"import-EndNoteBibliography\">Chun Tie Y, Birks M, Francis K. Grounded theory research: A design framework for novice researchers. <em>SAGE Open Med<\/em>. 2019;7. doi:10.1177\/2050312118822927<\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Lingard L, Albert M, Levinson W. Grounded theory, mixed methods, and action research. <\/span><em style=\"text-align: initial;font-size: 1em\">BMJ<\/em><span style=\"text-align: initial;font-size: 1em\">. 2008;337:a567. doi:10.1136\/bmj.39602.690162.47<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">McCallin AM. Designing a grounded theory study: some practicalities. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurs Crit Care<\/em><span style=\"text-align: initial;font-size: 1em\">. 2003;8(5):203-208. doi:10.1046\/j.1362-1017.2003.00033.x<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Rieger KL. Discriminating among grounded theory approaches. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurs Inq<\/em><span style=\"text-align: initial;font-size: 1em\">. 2019;26(1):e12261. doi:10.1111\/nin.12261<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Hunter A, Murphy K, Grealish A, Casey D, Keady J. Navigating the grounded theory terrain. Part 2. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurse Res<\/em><span style=\"text-align: initial;font-size: 1em\">. 2011;19(1):6-11. doi:10.7748\/nr2011.10.19.1.6.c8765<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Liamputtong P. <\/span><em style=\"text-align: initial;font-size: 1em\">Qualitative Research Methods<\/em><span style=\"text-align: initial;font-size: 1em\">. 5th ed. Oxford University Press; 2020.<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Belgrave LL, Seide K. Grounded theory methodology: principles and practices. In: Liamputtong P, ed. <\/span><em style=\"text-align: initial;font-size: 1em\">Handbook of Research Methods in Health and Social Sciences<\/em><span style=\"text-align: initial;font-size: 1em\">. Springer; 2019.<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Markey K, Tilki M, Taylor G. Reflecting on the challenges of choosing and using a grounded theory approach. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurse Res<\/em><span style=\"text-align: initial;font-size: 1em\">. 2014;22(2):16-22. doi:10.7748\/nr.22.2.16.e1272<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Creswell J, Hanson W, Clark Plano V, Morales A. Qualitative research designs: selection and implementation. <em>Couns Psychol.<\/em><\/span><span style=\"text-align: initial;font-size: 1em\"> 2007;35(2):236-264. doi:10.1177\/0011000006287390<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Liamputtong P, Ezzy D. <\/span><em style=\"text-align: initial;font-size: 1em\">Qualitative Research Methods: A Health Focus<\/em><span style=\"text-align: initial;font-size: 1em\">. Oxford University Press; 1999.<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Breckenridge JP, Gray N, Toma M, et al. Motivating Change: a grounded theory of how to achieve large-scale, sustained change, co-created with improvement organisations across the UK. <\/span><em style=\"text-align: initial;font-size: 1em\">BMJ Open Qual<\/em><span style=\"text-align: initial;font-size: 1em\">. 2019;8(2):e000553. doi:10.1136\/bmjoq-2018-000553<\/span><\/li>\n \t<li><span style=\"text-align: initial;font-size: 1em\">Jacobson N. A taxonomy of dignity: a grounded theory study. <\/span><em style=\"text-align: initial;font-size: 1em\">BMC Int Health Hum Rights<\/em><span style=\"text-align: initial;font-size: 1em\">. 2009;9:3. doi:10.1186\/1472-698X-9-3<\/span><\/li>\n<\/ol>\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<div class=\"textbox shaded\">\n<h2 class=\"import-Normal\">Learning outcomes<\/h2>\n<p>Upon completion of this chapter, you should be able to:<\/p>\n<ul>\n<li>Identify the three approaches to grounded theory research.<\/li>\n<li>Define the key terms and concepts used in grounded theory research.<\/li>\n<li>Discuss the advantages and disadvantages of grounded theory research.<\/li>\n<\/ul>\n<\/div>\n<h2 class=\"import-Normal\" style=\"background-color: #ffffff\"><strong>What is a grounded theory study? <\/strong><\/h2>\n<p class=\"import-Normal\">The key concept of grounded theory is <em>building<\/em> <em>theory<\/em>.<\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">Grounded theory studies, developed by Barney Glaser and Anselm Strauss, aim to build theory \u2018from the ground up\u2019 \u2013 meaning &#8216;from the data\u2019.<sup>1,2<\/sup> For many people, the idea of developing a theory can be intimidating.<sup>3<\/sup> However, the theories generated from grounded theory studies are rarely grand theories at the level developed by, for example, philosophers Foucault or Hegel. Rather, the focus is on discovering concepts that explain social processes, actions and interactions from the collected data.<sup>1,2<\/sup> In health and social care research, this can typically take the form of a framework or typology.<\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">Since Glaser and Strauss initiated the grounded theory approach in the 1960s, multiple competing methods have arisen from different ontological and philosophical foundations, which are outlined in Table 10.1.<\/p>\n<p>[table id=20 \/]<\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">To ensure that the theory is derived from the data, researchers undertaking Classical or Straussian Grounded Theory should have no preconceived theories before starting the research \u2013 which means they should not be seeking to test a theory \u2013 they should not be constrained by the literature when coding data and they should not impose prior concepts on the data.<sup>3<\/sup> Grounded theory is therefore inductive \u2013 it generates theory \u2013 as opposed to deductive \u2013 which tests theory.<sup>4<\/sup> Theories about social processes and actions should be generated systematically through research, and \u2018discovered\u2019 from the data rather than hypothesised and tested against data.<sup>6<\/sup><sup>,<\/sup><sup>2<\/sup> Hence, grounded theory studies suit research topics in which little is known about the \u2018how and why\u2019 of social processes.<sup>5<\/sup><\/p>\n<p class=\"import-Normal\" style=\"text-align: justify\">Multiple forms of data collection can be employed in ground theory studies, with data collection and data analysis occurring concurrently to inform theory development.<sup>1<\/sup> For example, the researcher may conduct 20 interviews, undertake the analysis and begin to form a theory, and then, based on this theory, develop an interview guide that will elicit further theoretical development as more data is collected. This process happens across multiple cycles of data collection; analysis and data collection usually stops when theoretical saturation is reached.<sup>7<\/sup> Hence, the research is <em>iterative<\/em> and evolves through the collection and analysis of data. <em>Theoretical <\/em><em>saturation<\/em> is when all the domains or aspects of the theory have been thoroughly examined.<sup>1<\/sup> Grounded theory studies can draw on other qualitative designs \u2013 for example, a researcher can conduct a grounded theory phenomenology study or a grounded theory case study. The approach to analysis is typically the constant comparative approach.<sup>1,2<\/sup><\/p>\n<h2 class=\"import-Normal\" style=\"text-align: justify\"><strong>Advantages and disadvantages of grounded theory<\/strong><\/h2>\n<p class=\"import-Normal\" style=\"text-align: justify\">The advantages of grounded theory studies include that the researcher is able to be immersed in the data at a detailed level, and this immersion occurs early in the research process, to enable the constant interplay between data collection and analysis. The concept of theoretical saturation ensures that the data accounts for all elements of the theory that is generated. However, the process of theoretical sampling and the iterative nature of going back and forth between data collection and data analysis can take a long time. In creating the theory, the context of the social processes may be lost and the overall theory may lack nuance. Consequently, it can be difficult to scale up the theory to different contexts.<sup>4,8-<\/sup><sup>10<\/sup> Examples of studies employing grounded theory are shown in Table 10.2.<\/p>\n<p>[table id=21 \/]<\/p>\n<h2 class=\"import-Normal\"><strong>Summary<\/strong><\/h2>\n<p class=\"import-Normal\">Grounded theory is an appropriate research design to explain a process through a theory. The design incorporates multiple forms of data collection and is iterative in approach, with cycles between data collection and analysis.<\/p>\n<h2 class=\"import-Normal\"><strong>References<\/strong><\/h2>\n<ol>\n<li class=\"import-EndNoteBibliography\">Chun Tie Y, Birks M, Francis K. Grounded theory research: A design framework for novice researchers. <em>SAGE Open Med<\/em>. 2019;7. doi:10.1177\/2050312118822927<\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Lingard L, Albert M, Levinson W. Grounded theory, mixed methods, and action research. <\/span><em style=\"text-align: initial;font-size: 1em\">BMJ<\/em><span style=\"text-align: initial;font-size: 1em\">. 2008;337:a567. doi:10.1136\/bmj.39602.690162.47<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">McCallin AM. Designing a grounded theory study: some practicalities. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurs Crit Care<\/em><span style=\"text-align: initial;font-size: 1em\">. 2003;8(5):203-208. doi:10.1046\/j.1362-1017.2003.00033.x<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Rieger KL. Discriminating among grounded theory approaches. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurs Inq<\/em><span style=\"text-align: initial;font-size: 1em\">. 2019;26(1):e12261. doi:10.1111\/nin.12261<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Hunter A, Murphy K, Grealish A, Casey D, Keady J. Navigating the grounded theory terrain. Part 2. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurse Res<\/em><span style=\"text-align: initial;font-size: 1em\">. 2011;19(1):6-11. doi:10.7748\/nr2011.10.19.1.6.c8765<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Liamputtong P. <\/span><em style=\"text-align: initial;font-size: 1em\">Qualitative Research Methods<\/em><span style=\"text-align: initial;font-size: 1em\">. 5th ed. Oxford University Press; 2020.<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Belgrave LL, Seide K. Grounded theory methodology: principles and practices. In: Liamputtong P, ed. <\/span><em style=\"text-align: initial;font-size: 1em\">Handbook of Research Methods in Health and Social Sciences<\/em><span style=\"text-align: initial;font-size: 1em\">. Springer; 2019.<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Markey K, Tilki M, Taylor G. Reflecting on the challenges of choosing and using a grounded theory approach. <\/span><em style=\"text-align: initial;font-size: 1em\">Nurse Res<\/em><span style=\"text-align: initial;font-size: 1em\">. 2014;22(2):16-22. doi:10.7748\/nr.22.2.16.e1272<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Creswell J, Hanson W, Clark Plano V, Morales A. Qualitative research designs: selection and implementation. <em>Couns Psychol.<\/em><\/span><span style=\"text-align: initial;font-size: 1em\"> 2007;35(2):236-264. doi:10.1177\/0011000006287390<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Liamputtong P, Ezzy D. <\/span><em style=\"text-align: initial;font-size: 1em\">Qualitative Research Methods: A Health Focus<\/em><span style=\"text-align: initial;font-size: 1em\">. Oxford University Press; 1999.<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Breckenridge JP, Gray N, Toma M, et al. Motivating Change: a grounded theory of how to achieve large-scale, sustained change, co-created with improvement organisations across the UK. <\/span><em style=\"text-align: initial;font-size: 1em\">BMJ Open Qual<\/em><span style=\"text-align: initial;font-size: 1em\">. 2019;8(2):e000553. doi:10.1136\/bmjoq-2018-000553<\/span><\/li>\n<li><span style=\"text-align: initial;font-size: 1em\">Jacobson N. A taxonomy of dignity: a grounded theory study. <\/span><em style=\"text-align: initial;font-size: 1em\">BMC Int Health Hum Rights<\/em><span style=\"text-align: initial;font-size: 1em\">. 2009;9:3. doi:10.1186\/1472-698X-9-3<\/span><\/li>\n<\/ol>\n<\/div>\n","protected":false},"author":35,"menu_order":6,"template":"","meta":{"pb_show_title":"","pb_short_title":"","pb_subtitle":"","pb_authors":["darshini-ayton"],"pb_section_license":""},"chapter-type":[],"contributor":[61],"license":[],"class_list":["post-43","chapter","type-chapter","status-publish","hentry","contributor-darshini-ayton"],"part":32,"_links":{"self":[{"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/chapters\/43","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/wp\/v2\/users\/35"}],"version-history":[{"count":1,"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/chapters\/43\/revisions"}],"predecessor-version":[{"id":44,"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/chapters\/43\/revisions\/44"}],"part":[{"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/parts\/32"}],"metadata":[{"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/chapters\/43\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/wp\/v2\/media?parent=43"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/pressbooks\/v2\/chapter-type?post=43"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/wp\/v2\/contributor?post=43"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/openpub.libraries.rutgers.edu\/qualgo2\/wp-json\/wp\/v2\/license?post=43"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}