USE OF GROUNDED THEORY IN NURSING RESEARCH FOCUSED ON WOMEN'S HEALTH

Souza, Tailma Silva Lino de; Sales, Ana Paula de Assis; Peralta, Letícia de Castilho; Teston, Elen Feraz

doi:10.1590/1980-265X-TCE-2024-0171en

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Literature Review • Texto contexto - enferm. 34 • 2025 • https://doi.org/10.1590/1980-265X-TCE-2024-0171en linkcopy

USE OF GROUNDED THEORY IN NURSING RESEARCH FOCUSED ON WOMEN'S HEALTH

USO DE LA TEORÍA FUNDAMENTADA EN DATOS EN INVESTIGACIONES DE ENFERMERÍA SOBRE SALUD DE LA MUJER

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: to analyze nursing pu. blications focused on women's health that used Grounded Theory as a methodological framework.

Method: an integrative literature review, conducted in five stages, namely: formulation of the research question; literature search; data evaluation; study analysis; and presentation of results. The search was conducted in March 2024 in the MEDLINE/PubMed, Biblioteca Virtual em Saúde, Embase and Web of Science databases. Nursing studies focused on women's health that used Grounded Theory as a methodological framework, available in full and published in any language between 2019 and 2023 were included.

Results: it was found that information regarding theoretical saturation, use of memos, and diagrams were not reported in all the studies analyzed. The studies explored complex phenomena such as violence against women, aspects related to childbirth/postpartum period and care management, elements of maternal-infant nursing, as well as gynecological and psychiatric care.

Conclusion: the results of the studies analyzed in this review provided a robust theoretical foundation for clinical practice as well as insights into the development of public policies focused on women's health, particularly in contexts of vulnerability.

DESCRIPTORS:
Grounded Theory; Nursing; Women's health; Qualitative research; Methodological research in nursing

Database	Search strategy	No. of articles
BVS - Portuguese	(teoria fundamentada) AND (enfermagem) AND (saúde da mulher) AND (fulltext:("1")) AND (year_cluster:[2019 TO 2023])	23
BVS - English	grounded theory) AND (nursing) AND (women´s health) AND (fulltext:("1")) AND (year_cluster:[2019 TO 2023])	02
EMBASE	'grounded theory' AND nursing AND 'women`s health' AND (2019:py OR 2020:py OR 2021:py OR 2022:py OR 2023:py	82
MEDLINE/PubMed	((grounded theory) AND (nursing)) AND (women's health)	56
Web of Science	((ALL=(grounded theory)) AND ALL=(nursing)) AND ALL=(women's health) AND 2023 OR 2022 OR 2021 OR 2020 OR 2019 (Publication Years) AND All Open Access (Open Access)	74

Reference/ Year/Country	Title	Objective	Approach	Theory (central category)
Simão¹⁵, 2019, Angola	Gestão do cuidado de enfermagem pré-natal num Centro de Saúde de Angola	To understand how nursing care management is implemented in prenatal care at a Health Center in Angola.	Constructivist	“Managing prenatal care through collaborative work relationships aimed at building bonds and connections”.
Khisa¹⁶, 2019, Kenya	A grounded theory of regaining normalcy and reintegration of women with obstetric fistula in Kenya	To explore the experiences of women reintegrating into their communities after undergoing reconstructive surgery at three VVF* repair clinics in Kenya.	Straussian	“Reintegration and restoration of normalcy for patients with fistula”.
Jackson¹⁷, 2020, Australia	Birth outside the system: the motivation behind choosing free birth or home birth with risk factors in Australia	To explore what motivates Australian women to give birth outside the healthcare system.	Glasserian	“Wanting what’s best and safest”.
Amorim¹⁸, 2020, Brazil	Gestão do cuidado de enfermagem a puérperas e recém-nascidos na Atenção Primária à Saúde	To understand the meaning of nursing care management for postpartum women and newborns in Primary Health Care.	Straussian	“Promoting Nursing care management in Primary Health Care”.
Carneiro¹⁹, 2020, Brasil	Desvelando as estratégias de enfrentamento da violência conjugal utilizadas por mulheres	To unveil the coping strategies used by women in response to marital violence	Straussian	“Giving meaning to family relationships in the context of domestic violence”.
Tomm-Bonde²⁰, 2021, Mozambique	Putting on and taking off the capulana: a grounded theory on how Mozambican women manage gender oppression	To explore how Mozambican women navigate multiple forms of oppression in the context of the AIDS^† epidemic	Constructivist	“Putting on and taking off the Capulana”.
Amorim²¹, 2022, Brazil	Gestão do cuidado de Enfermagem para a qualidade da assistência pré-natal na Atenção Primária à Saúde	To understand the significance of Nursing care management for the quality of prenatal care from the perspective of PHC^‡ nurses.	Straussian	“Promoting Nursing care management in Primary Health Care”
Carneiro²², 2022, Brazil	Modelo teórico-explicativo do cuidado à mulher em situação de violência na atenção primária	To develop a theoretical-explanatory model of care for women experiencing intimate partner violence within the framework of Primary Health Care.	Straussian	“Empowering women affected by intimate partner violence”.
Crooks²³, 2022, EUA	Be quick or cautious? Sociocultural conditions that influence the sexual paths of black women in the United States	To explore the sociocultural conditions that influence the risk of black cisgender women for STIs^§.	Constructivist	“Be quick or cautious?”
Ou CHK²⁴, 2022, Canada	Seeing Red: A Grounded Theory Study of Women’s Anger after Childbirth	To explain how and why mothers develop intense, persistent anger	Constructivist	“Seeing red”
Alves²⁵, 2023, Brazil	Vivências de mães com o desmame precoce: uma teoria fundamentada	To understand the experiences of mothers with early weaning.	Straussian	“Feelings of guilt and burden associated with early weaning among women”
Batista²⁶, 2023, Brazil	Relações familiares no contexto de violência conjugal: uma teoria fundamentada nos dados construtivista	To understand family relationships within the context of marital violence.	Constructivist	“Giving meaning to family relationships within the context of marital violence”.
Batista²⁷, 2023, Brazil	Descortinando as relações familiares a partir do contexto de violência doméstica: uma Teoria Fundamentada nos Dados	To understand the meanings assigned to family relationships by women who have experienced domestic violence.	Constructivist	“Giving meaning to family relationships within the context of domestic violence”.
Weckend²⁸, 2023, Australia	Failure to progress or just normal? A constructivist grounded theory of physiological plateaus during childbirth	To explore how midwives conceptualize physiological plateaus and their significance for the progression of labor and childbirth outcomes for women.	Constructivist	“A theory of physiological plateaus in labor”.

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Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[TFN1] Caption: ^*VVF: Vesico-vaginal Fistula; ^†AIDS: Acquired Immunodeficiency Syndrome; ^‡PHC: Primary Health Care; ^§STI: Sexually Transmitted Infection.