The purpose of this grounded theory study was to gain a deeper understanding of older Korean American women's experiences of chronic osteoarthritic pain. The data included a set of 3 interviews with 7 women over age 60, field notes, observations, memos, and the literature about the chronic pain of osteoarthritis. Through constant comparative analysis and coding typical of grounded theory, a five-stage process emerged inductively from the data. The core variable, Reconstructing a Meaning of Pain, included the concepts of the process in the grounded theory through which the women learned to manage and tolerate the pain. During this process, the women came to perceive their pain as a component of aging rather than as a symptom of disease.
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References
1.
Barnes, D. M. (1996). An analysis of the grounded theory method and the concept of culture. Qualitative Health Research, 6, 429-441.
2.
Bates, M. S., Edwards, W. T., & Anderson, K. (1993). Ethnocultural influences on chronic pain perception. Pain, 52, 101-112.
3.
Bates, M. S., & Rankin-Hill, L. (1994). Culture, control and chronic pain. Social Science & Medicine, 39, 629-645.
4.
Bates, M. S., Rankin-Hill, L., & Sanchez-Ayendez, M. (1997). The effects of the cultural context of health care on treatment of and response to chronic pain and illness. Social Science & Medicine, 45(9), 1433-1447.
5.
Brown, S., & Williams, A. (1995). Women's experiences of rheumatoid arthritis. Journal of Advanced Nursing, 21(4), 695-701.
6.
Byrne, G., & Heyman, R. (1997). Understanding nurses' communication with patients in accident and emergency departments using a symbolic interactionist perspective. Journal of Advanced Nursing, 26, 93-100.
7.
Davis, G. C., & Atwood J. R. (1996). The development of the pain management inventory for patients with arthritis. Journal of Advanced Nursing, 24, 236-243.
8.
Dickson, G. (1995). Philosophical orientation of qualitative research. In L.A. Talbot (Ed.), Principles and practice of nursing research (pp. 411-436). St. Louis, MO: C. V. Mosby.
9.
Eun, Y. (1995). Chronic pain control in patients with rheumatoid arthritis. Unpublished doctoral dissertation, Seoul National University, Korea.
10.
Fleury, J. (1996). Wellness motivation theory: An explorative model. Nursing Research, 44(2), 18-26.
11.
Futrell M., Wondolowski C., & Mitchell G. J. (1993). Aging in the oldest old living in Scotland: A phenomenological study. Nursing Science Quarterly, 6(4), 189-194.
12.
Gerstle, D. S., All, A. C., & Wallace, D. C. (2001). Quality of life and chronic nonmalignant pain. Pain Management Nursing, 1(3), 98-109.
13.
Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine.
14.
Hampson, S. E., Glasgow, R. E., & Zeiss, A. M. (1996). Coping with osteoarthritis by older adults. Arthritis Care and Research, 9(2), 133-141.
15.
Hitchcock, L. S., Ferrell, B. R., & McCaffery, M. (1994). The experience of chronic non-malignant pain. Journal of Pain and Symptom Management, 9(5), 312-318.
16.
Hochberg, M. C., Perlmutter, D. L., Hudson, E. Q., & Altman, R. D. (1996). Preferences in the management of osteoarthritis of the hip and knee: Results of a survey of community-based rheumatologists in the United States. Arthritis Care & Research, 9(3), 170-176.
17.
Howell, S. I. (1994). A theoretical model for caring for women with chronic nonmalignant pain. Qualitative Health Research, 4, 94-122.
18.
Hunter, J. (2001). Demographic variables and chronic pain. Clinical Journal of Pain, 12(2, Suppl.), 14-19.
19.
Kee, C. C. (1997). Living with osteoarthritis: Insiders' views. Applied Nursing Research, 11(1), 19-26.
20.
Kim, G. W. (1998). A phenomenological perspective and meaning of joint pain experience of women in an island. Journal of Rheumatology Health, 5(2), 265-285.
21.
Kim, J. I., & Kang, H. S. (1999). Self-management of pain by folk remedies in patients with chronic arthritis. Journal of Rheumatology Health, 6(2), 242-252.
22.
Kim, J. I., Kang, H. S., Choi, H. J., & Kim, I. (1997). The effect of aquatic exercise program on pain, physical index, self-efficacy and quality of life in patients with osteoarthritis. Arthritis & Rheumatism, 40(Abstract Suppl.), S230.
23.
Kim, J. M. (1995). Setting a bridle on Korean women—Women's anthropology in the country. Seoul, Korea: Jibmoondang.
24.
Kim, M. A., Park, K. Y., & Kim, H. J. (1998). Difference of pain description according to gender in the elderly. Journal of Korean Academy of Nursing, 28(2), 369-379.
25.
Lasch, K. E. (2000). Culture, pain, and culturally sensitive pain care. Pain Management in Nursing, 1(Suppl. 1), 16-22.
26.
Lee, E. O., Kang, H. S., Lee, I. S., Eun, Y., & Lee, J. S. (1997a). Model construction for treatment seeking behaviors in patients with arthritis. Journal of Rheumatology Health, 4(2), 177-196.
27.
Lee, E. O., Kang, H. S., Lee, I. S., Eun, Y., & Lee, J. S. (1997b). Utilization patterns of herb medicine in patients with arthritis. Seoul Journal of Nursing, 11(1), 1-12.
28.
Lee, I. S., Lee, E. P., Eun, Y., Wilkie, D. J., & Belza, B. (1999). A transcultural study for testing models of the treatment-seeking behaviors in patients with rheumatoid arthritis. Journal of Rheumatology Health, 6(2), 253-277.
29.
Lee, S. W., Hah, Y.S., & Kim, K. S. (1997). Home nursing care needs of the elderly in urban areas of Korea. Seoul Journal of Nursing, 11(2), 206-229.
30.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
31.
Pickering, G., Jourdan, D., Eschalier, A., & Dubray, C. (2002). Impact of age, gender, and cognitive functioning on pain perception. Gerontology, 28(2), 112-118.
32.
Seers, K., & Friedli, K. (1996). The patients' experiences of their chronic nonmalignant pain. Journal of Advanced Nursing, 24, 1160-1168.
33.
Shin, J., An, H., Kim, H., Yoo, Y., Kim, K., Chong, I., et al. (2001). Pain of elderly women with osteoarthritis. Journal of Korean Academy of Nursing, 31(2), 180-193.
34.
Strauss, A. (1987). Qualitative research for social scientists. New York: Cambridge University Press.
35.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Grounded theory procedures and techniques (2nd ed.). Thousand Oaks, CA: Sage.
36.
Vallerand, A. G., & Polomano, R. C. (2000, September 1). The relationship of gender to pain. Pain Management in Nursing, 1(3, Suppl. 1), 8-15.
