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Accommodating interruptions: A grounded theory of young people with asthma

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  • Mary Hughes
  • Eileen Savage
  • Tom Andrews

Abstract

Aims and objectives The aim of this study was to develop an explanatory theory on the lives of young people with asthma, issues affecting them and the impact of asthma on their day‐to‐day lives. Background Accommodating Interruptions is a theory that explains young people's concerns about living with asthma. Although national and international asthma management guidelines exist, it is accepted that the symptom control of asthma among the young people population is poor. Design This study was undertaken using Classic Grounded Theory. Methods Data were collected through in‐depth interviews and clinic consultations with young people aged 11–16 years who had asthma for over 1 year. Data were also collected from participant diaries. Constant comparative analysis, theoretical coding and memo writing were used to develop the substantive theory. Results The theory explains how young people resolve their main concern of being restricted by Accommodating Interruptions in their lives. They do this by assimilating behaviours in balance finding, moderating influence, fitting in and assuming control minimising the effects of asthma on their everyday lives. Conclusion The theory of Accommodating Interruptions explains young people's asthma management behaviours in a new way. It allows us to understand how and why young people behave the way they do because they want to participate and be included in everyday activities, events and relationships. The theory adds to the body of knowledge on how young people with asthma live their day‐to‐day lives and it challenges some existing viewpoints in the literature regarding their behaviours. Relevance to clinical practice The findings have implications for developing services to support young people in a more meaningful way as they accommodate the interruptions associated with asthma in their lives.

Suggested Citation

  • Mary Hughes & Eileen Savage & Tom Andrews, 2018. "Accommodating interruptions: A grounded theory of young people with asthma," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 212-222, January.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:212-222
    DOI: 10.1111/jocn.13874
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    References listed on IDEAS

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    1. Ralston Fernandes & Sandra Wales & Jackie Crisp & Helvi Kyngas, 2011. "Modification and testing of the chronic disease compliance instrument to measure treatment compliance in adolescents with diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(9‐10), pages 1273-1281, May.
    2. Duncan, Rony E. & Drew, Sarah E. & Hodgson, Jan & Sawyer, Susan M., 2009. "Is my mum going to hear this? Methodological and ethical challenges in qualitative health research with young people," Social Science & Medicine, Elsevier, vol. 69(11), pages 1691-1699, December.
    3. Bao‐Huan Yang & Pei‐Fan Mu & Chiu‐Mieh Huang & Hsiao‐Ling Lou & Keh‐Gong Wu, 2012. "Relationship among asthma knowledge, behavior management and social adaptation in school‐age children with asthma in Taiwan," Nursing & Health Sciences, John Wiley & Sons, vol. 14(2), pages 165-172, June.
    4. Gray, David E., 2001. "Accommodation, resistance and transcendence: three narratives of autism," Social Science & Medicine, Elsevier, vol. 53(9), pages 1247-1257, November.
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