Table 1

Fundamental components of a grounded theory study

COMPONENT

STAGE

DESCRIPTION

SOURCES


Openness

Throughout the study

Grounded theory methodology emphasises inductive analysis. Deduction is the usual form of analytic thinking in medical research. Deduction moves from the general to the particular: it begins with pre-existing hypotheses or theories, and collects data to test those theories. In contrast, induction moves from the particular to the general: it develops new theories or hypotheses from many observations. Grounded theory particularly emphasises induction. This means that grounded theory studies tend to take a very open approach to the process being studied. The emphasis of a grounded theory study may evolve as it becomes apparent to the researchers what is important to the study participants.

[8] p1-3, 15,16,43- 46

[12] p2-6

[15] p4-21

Analysing immediately

Analysis and data collection

In a grounded theory study, the researchers do not wait until the data are collected before commencing analysis. In a grounded theory study, analysis must commence as soon as possible, and continue in parallel with data collection, to allow theoretical sampling (see below).

[8] p12,13, 301

[12] p102

[15] p20

Coding and comparing

Analysis

Data analysis relies on coding - a process of breaking data down into much smaller components and labelling those components - and comparing - comparing data with data, case with case, event with event, code with code, to understand and explain variation in the data. Codes are eventually combined and related to one another - at this stage they are more abstract, and are referred to as categories or concepts.

[8] p80,81, 265-289

[12] p101-115

[15] p42-71

Memo-writing (sometimes also drawing diagrams)

Analysis

The analyst writes many memos throughout the project. Memos can be about events, cases, categories, or relationships between categories. Memos are used to stimulate and record the analysts' developing thinking, including the comparisons made (see above).

[8] p245-264,281, 282,302

[12] p108,112

[15] p72-95

Theoretical sampling

Sampling and data collection

Theoretical sampling is central to grounded theory design. A theoretical sample is informed by coding, comparison and memo-writing. Theoretical sampling is designed to serve the developing theory. Analysis raises questions, suggests relationships, highlights gaps in the existing data set and reveals what the researchers do not yet know. By carefully selecting participants and by modifying the questions asked in data collection, the researchers fill gaps, clarify uncertainties, test their interpretations, and build their emerging theory.

[8] p304, 305, 611

[12] p45-77

[15] p96-122

Theoretical saturation

Sampling, data collection and analysis

Qualitative researchers generally seek to reach 'saturation' in their studies. Often this is interpreted as meaning that the researchers are hearing nothing new from participants. In a grounded theory study, theoretical saturation is sought. This is a subtly different form of saturation, in which all of the concepts in the substantive theory being developed are well understood and can be substantiated from the data.

[8] p306, 281,611

[12] p111-113

[15] p114, 115

Production of a substantive theory

Analysis and interpretation

The results of a grounded theory study are expressed as a substantive theory, that is, as a set of concepts that are related to one another in a cohesive whole. As in most science, this theory is considered to be fallible, dependent on context and never completely final.

[8] p14,25

[12] p21-43

[15] p123-150


Sbaraini et al. BMC Medical Research Methodology 2011 11:128   doi:10.1186/1471-2288-11-128

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