Participation a Key Factor for Life Recovery After Disaster: A Grounded Theory Study in an Iranian Context
نویسندگان
1 Birjand Health Qualitative Research Center, Birjand University of Medical Sciences, Birjand, IR Iran
2 Research Center in Emergency and Disaster Health, University of SocialWelfare and Rehabilitation Sciences, Tehran, IR Iran
3 Research Center in Emergency and Disaster Health, University of SocialWelfare and Rehabilitation Sciences, Tehran, IR Iran
4 Iran University of Medical Sciences, Tehran, IR Iran
5
doi
چکیده
Background: Since life recovery after disasters is a subjective and multifaceted construct influenced by different factors, and survivors’main concerns and experiences are not clear, the researchers intended to explore this process.MaterialsandMethods: This studywas conducted in 2011 - 2014 basedonthe grounded theory approach. Participants were selectedby purposeful sampling followed by theoretical sampling to achieve conceptual and theoretical saturation. Data were collectedthrough interviews, observation, focus group discussion, and document reviews. Data were analyzed by Strauss and Corbin’s (2008)recommended approach.Results: Transcribed data from 26 interviews (managers, health care providers, and receivers), field notes, and other documentswere analyzed, and 1,652 open codes were identified. The codes were categorized, using constant comparative analysis, into fivemain categories including reactive exposure, subsiding emotions, need for comprehensive health recovery, improvement of normalization(new normality achievement), and contextual factors. The process of life recovery after disaster was also explored.Conclusions: The results clarified a deep perception of participants’ experiences after disaster. The path of life recovery after disastersinvolves participants’ striving to achieve a comprehensive health recovery, which starts with the need for all-inclusive healthrecovery as a main concern; this is the motivator for a responding strategy. This strategy is participatory, and the process is progressive;achievement of a new normality is the final goal, with new development and levels of empowerment.