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Data were collected through participant observation and unstructured interviews with 11 adults who had this surgery. Grounded theory analysis identified a basic social process, “Navigating an uncharted course,” unfolding in five stages: puzzling, clueing in, taking the reins, relinquishing, and recovering. The stages are shaped by external support, illness trajectory, and internal resources, and the results challenge perceptions of the procedure as “quick and easy.”",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/navigating-an-uncharted-course-a-theory-of-adults-experiencing-laparoscopic-cholecystectomy-thesis/182541/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/navigating-an-uncharted-course-a-theory-of-adults-experiencing-laparoscopic-cholecystectomy-thesis/182541.png","ImageObject",300,407,{"name":92,"@type":93},"Mali","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-02",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the central contribution of the study on adults undergoing laparoscopic cholecystectomy?","Question",{"text":112,"@type":113},"The study develops a substantive grounded theory explaining central issues for adults undergoing laparoscopic cholecystectomy through a five-stage basic social process called “Navigating an uncharted course.”","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was data collected and analyzed?",{"text":117,"@type":113},"Data collection used participant observation and unstructured interviews with 11 adults. Grounded theory method of analysis was applied to determine the basic social process.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the five stages in the theory, and what influences them?",{"text":121,"@type":113},"The five stages are puzzling, clueing in, taking the reins, relinquishing, and recovering. 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\nExamining Board:  \nNAVIGATING AN UNCHARTED COURSE:A THEORY OFADULTS EXPERIENCING LAPAROSCOPIC CHOLECYSTECTOMY  \nby  \nMARJORIE AILEEN McKAY  \nBachelor of Nursing,University of New Brunswick,1985Bachelor of Education,Mount Allison University,1991  \nA Thesis Submitted in Partial Fulfilment ofthe Requirements for the Degree of  \nMASTER OF MURSING  \nin the Graduate Academic Unit of Nursing  \nJudith Anne Wuest,PhD,NursingMaryse Pelletier-Hbber,MN,NursingMarilyn Macdonald,MSN,Nursing  \nMary Dupuis,DNSc,Nursing.ChairJudith Anne Wuest,PhD,NursingLouiselle Ouellet,MSN,NursingLinda Eyre,PhD,Education  \nTHE UNIVERSITY OF NEW BRUNSWICK  \nApril,2000  \nCMarjorie Aileen McKay,2000  \nThe author has granted a non-exclusive licence allowing theNational Library of Canada toreproduce,loan,distribute or sellcopies of this thesis in microform,paper or electronic formats.  \nThe author retains ownership of thecopyright in this thesis.Neither thethesis nor substantial extracts from itmay be printed or otherwisereproduced without the author'spermission.  \nAcquisitions andBibliographic Services  \n395 Wellington Street  \nOttawa ON K1A ON4  \nCanada  \nCanada  \nBibliotheque nationaledu Canada  \nAcquisitions etservices bibliographiques  \n395,rue Wellington  \nOttawa ON K1A 0N4  \nCanada  \n0-612-62137-5  \nYour fie Votro rélersnca  \nOur file Nore relerenca  \nL'auteur a accordé une licence nonexclusive permettant à la  \nBibliothèque nationale du Canada dereproduire,prêter,distribuer ouvendre des copies de cette thèse sousla forme de microfiche/film,dereproduction sur papier ou sur formatélectronique.  \nL'auteur conserve la propriete dudroit d'auteur qui protege cette these.Ni la these ni des extraits substantielsde celle-ci ne doivent etre imprimésou autrement reproduits sans sonautorisation.  \nABSTRACT  \nThe purpose of this study,undertaken in a southeastern New Brunswick community,was to develop a substantive grounded theory to explain the central issues for adultsundergoing laparoscopic cholecystectomy.Data collection included participantobservation and unstructured interviews with 1l adults who had this surgery  \nThe grounded theory method of analysis was used to determine the basic socialprocess.Navigating an uncharted course emerged as the five-stage basic social process:puzzling,clueing in,taking the reins,relinquishing,and recovering.The stages areinfluenced by the person's external support,illness trajectory,and internal resources.  \nThe study's findings demonstrate the inaccurate perception of this surgery as “quickand easy.\"A realistic portrayal of the experience of laparoscopic cholecystectomy byheaith care professionals would be beneficial for patients.  \n# ACKNOWLEDGEMENT\n\nMany people assisted me in so many different ways to complete this thesis.First of all,I acknowledge my study participants,patients undergoing a laparoscopic cholecystectomy,family members,and nurses,for sharing their experiences.I thank my thesis committee,Judy Wuest,Marilyn Macdonald,and Maryse Pelletier-Hibbert,for their wisdom,support,and encouragement throughout the research process.I want to extend a special thank-youto Marcia Trail for fulfiling her role as my peer-debriefer so welland for “always beingthere\"for me.I am grateful to Laura Keays,Charene Slupsky,and Erin Trail for theinvaluable assistance provided in their computer skills.I also acknowledge the supportreceived from my fellow graduate students.To my family,Russ and Stacey,Rod andJeannie,I thank you for your loving support throughout this endeavour.I am especiallygrateful to my sons,Rod and Russ,for their unfailing belief that “mom would do this”andfor their wonderful sense of humour.  \nTABLE OF CONTENTS  \nABSTRACT  \n11  \niii  \nACKNOWLEDGEMENT  \nLIST OF TABLES  \nIX  \nFIGURE  \nX  \n# CHAPTERIINTRODUCTION AND RESEARCH PROBLEM\n\nEvolution of the StudyStudy's Background  \nLaparoscopic Cholecystectomy Procedure  \nLaparoscopic Cholecystectomy Patterns in New Brunswick 2Problem Statement4Perception of Publi","cbCaiqrnLR11f7oK","https://ap.wps.com/l/cbCaiqrnLR11f7oK","pdf",9570699,222,"English","# Abstract\n# Acknowledgement\n# Chapter 1 - Introduction and Research Problem\n## Evolution of the Study\n## Laparoscopic Cholecystectomy Procedure\n## Laparoscopic Cholecystectomy Patterns in New Brunswick\n## Problem Statement\n## Aim of Study\n## Purpose\n## Objectives\n# Chapter 2 - Literature Review\n## Feasibility of Laparoscopic Cholecystectomy\n## Safety and Efficacy\n## Recovery Experience\n## Pain Experience\n## Client Education\n## Discharge Planning\n## Implications of the Literature Review\n# Chapter 3 - The Research Method\n## Grounded Theory\n## The Study's Emergent Design\n## Theoretical Sampling\n## Data Collection\n## Recruitment of Participants\n## Interview Process\n## Data Analysis\n## Production of the Research Report\n## Provision for Rigour\n## Ethical Considerations\n# Chapter 4 - Influencing Factors Affecting the Theory of Navigating an Uncharted Course\n## Overview of the Emergent Theory\n## Influencing Context\n## Illness Trajectory\n## External Support\n## Social Support\n## Health Care Professional Support","[{\"question\":\"What is the central contribution of the study on adults undergoing laparoscopic cholecystectomy?\",\"answer\":\"The study develops a substantive grounded theory explaining central issues for adults undergoing laparoscopic cholecystectomy through a five-stage basic social process called “Navigating an uncharted course.”\"},{\"question\":\"How was data collected and analyzed?\",\"answer\":\"Data collection used participant observation and unstructured interviews with 11 adults. Grounded theory method of analysis was applied to determine the basic social process.\"},{\"question\":\"What are the five stages in the theory, and what influences them?\",\"answer\":\"The five stages are puzzling, clueing in, taking the reins, relinquishing, and recovering. The stages are influenced by external support, illness trajectory, and internal resources.\"}]","Navigating an Uncharted Course - A Theory of Adults Experiencing Laparoscopic Cholecystectomy - Thesis | PDF",1788349114,559]