Browsing by Author "Singh, Shaminder"

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    A Grounded Theory of South Asian Older Men Who Have Hypertension
    (2019-07-26) Singh, Shaminder; Hirst, Sandra; Raffin Bouchal, Shelley; Mather, Charles; Venturato, Lorrraine; Hunter, Kathleen
    Hypertension is a widespread but rarely symptomatic chronic condition characterized by raised blood pressure over a lengthy period of time that causes serious vascular damage. South Asians are nearly three times more susceptible to hypertension than European Whites. As compared to South Asian women, men are more prone to hypertension risk factors such as alcohol and tobacco consumption, remain less compliant with antihypertensive medications, and experience more cardiovascular events and mortality. Age is also a known risk factor of hypertension. How South Asian older men managed their hypertension was a knowledge gap. The current grounded theory revealed the four-stage processes of Savvy the Self for hypertension management in South Asian men aged 55 years and older in a Canadian context: (1) self-care, (2) self-protection, (3) making sense, and (4) equipping self. Findings exposed the links between South Asian men’s masculine identity, cultural beliefs, and disequilibrium in their self-care and developmental needs that emerged with a diagnosis of hypertension. The disequilibrium eventually evoked awakening for South Asian men that mobilized the processes of Savvy the Self leading to their hypertension management. This grounded theory provided insights into South Asian culture and revealed new nursing knowledge to assess, plan, and deliver nursing care for older South Asian men with hypertension. Findings may be useful for health education and services, cultural and faith-based community organizational services, and future research related to professionals’ cultural competency for serving a diverse group of people.
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    Identifying personalized barriers for hypertension self-management from TASKS framework
    (2024-08-14) Yang, Jiami; Zeng, Yong; Yang, Lin; Khan, Nadia; Singh, Shaminder; Walker, Robin L.; Eastwood, Rachel; Quan, Hude
    Abstract Objective Effective management of hypertension requires not only medical intervention but also significant patient self-management. The challenge, however, lies in the diversity of patients' personal barriers to managing their condition. The objective of this research is to identify and categorize personalized barriers to hypertension self-management using the TASKS framework (Task, Affect, Skills, Knowledge, Stress). This study aims to enhance patient-centered strategies by aligning support with each patient's specific needs, recognizing the diversity in their unique circumstances, beliefs, emotional states, knowledge levels, and access to resources. This research is based on observations from a single study focused on eight patients, which may have been a part of a larger project. Results The analysis of transcripts from eight patients and the Global Hypertension Practice Guidelines revealed 69 personalized barriers. These barriers were distributed as follows: emotional barriers (49%), knowledge barriers (24%), logical barriers (17%), and resource barriers (10%). The findings highlight the significant impact of emotional and knowledge-related challenges on hypertension self-management, including difficulties in home blood pressure monitoring and the use of monitoring tools. This study emphasizes the need for tailored interventions to address these prevalent barriers and improve hypertension management outcomes.
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    Selecting a Grounded Theory Approach for Nursing Research
    (2018-10) Singh, Shaminder; Estefan, Andrew
    Grounded theory is a commonly used research methodology. There are three primary approaches to grounded theory in nursing research: those espoused by Glaser, Strauss and Corbin, and Charmaz. All three approaches use similar procedures, yet there are important differences among them, which implies that researchers need to make careful choices when using grounded theory. Researchers new to grounded theory need to find the most appropriate approach that fits their research field, topic, and researcher position. In this article, we compare the three grounded theory approaches. Choices of a grounded theory approach will depend on the researcher's understanding of the philosophical underpinnings of all three approaches. Practical aspects of grounded theory approaches should match the information processing styles and analytical abilities of the researcher and the intended use of the theory. We illustrate key aspects of decision making about which method to select by drawing upon the first author's experiences in his doctoral research.