Response factors surrounding progression of pressure ulcers in community-residing adults with spinal cord injury.

Objective: This study examined how community-dwelling adults with spinal cord injury (SCI) respond in real-life circumstances after detecting a low-grade (Stage 1 or Stage 2) pressure ulcer.

Method: We performed a secondary analysis of personal information profiles obtained in a previous qualitative research study. Profiles were examined to explore how individualized lifestyle considerations affected pressure ulcer risk in 19 adults with SCI who responded to an early ulcer that later progressed to a medically serious level.

Data-based models of how pressure ulcers develop in daily-living contexts of adults with spinal cord injury.

Objective: To examine the daily-lifestyle influences on the development of pressure ulcers in adults with spinal cord injury (SCI).

Design: Qualitative investigation using in-depth interviewing and participant observation.

Setting: Participants were studied in their homes and other naturalistic contexts.

Qualitative data analysis: challenges and dilemmas related to theory and method.

The purpose of this article is to initiate a discussion of the struggles and challenges we encountered as we developed a method of analysis for a particular qualitative study. We present our thinking process showing the questions that arose, the theoretical ideas on which we relied, and the decisions we made at crucial junctures. Portions from several theoretical frames used as the basis for the analysis are presented and include Polkinghorne's (1995) narrative inquiry, Glaser and Strauss's (1967) and Charmaz's (2000) grounded theory, Riessman's (1990b) mixed approach to analysis, and Rosaldo's (1989) ideas on reflexivity.