Abstract
D. Cur.
The model "Facilitating mental health promotion through mobilising comfort for
homeless mentally ill persons in urban areas" was developed by using a theory
generative design that is qualitative, contextual, explorative and descriptive in
nature. To achieve the research purpose specific objectives were formulated.
This model was developed according to Chinn and Kramer's (1995:162)
approach to theory generation as indicated in the first step.
Identification of the central concepts for the model took place by conducting a
field study to explore and describe the lived experiences of the homeless
mentally ill persons and their views of what they think would alleviate their
situation.
A multiple case study strategy was followed. The sample consisted of three
homeless mentally ill persons, purposively selected from the Soweto urban
vii
areas. Informed verbal consent had been obtained from all participants, and
the reasons for conducting the research study were explained to them.
Data collection was obtained through in-depth semi-structured interviews using
the phenomenological perspective and communication techniques to elicit
relevant information. Data from transcripts of recorded audiotapes and field
notes were analysed using the methods of Tesch's steps (in Creswell,
1994:154; Yin, 1994:102; and Merriam, 1998:16). An independent coder
assisted in coding the results. Reasoning strategies used were analysis,
synthesis, inductive and deductive according to Tesch's method. The results
were verified through a literature review. Further analysis of data for defining
the major concepts of the model which are "HOPE and COMFORT", were
determined according to the method described by Wandelt and Steward
(1983:64). The concepts of the model were analysed thoroughly by going
through different dictionaries and subject usage. The other related concepts
were identified and classified by using a survey list of Dickoff, James and
Wiedenbach (1968:430).
In Step Two the defined concepts were related to each other to show
interrelationships. Classification of central and relational concepts were
followed to create relationship-statements as the conceptual framework of the
model. In Step Three the structure and process description of the model was
designed according to Chinn and Kramer (1995:108). The model was
evaluated by a panel of experts. Step Four dealt with guidelines to
operationalise the model in practice, education and psychiatric nursing
research.
Guba and Lincoln's (1985) model for trustworthiness of qualitative research
was also employed. It is based on the identification of four strategies for
ensuring trustworthiness used in this study, namely: truth value, applicability,
consistency and neutrality.
Recommendations and limitations of the research were also discussed.