Introducing Evidence Through Research "Push": Using Theory and Qualitative Methods
A multitude of factors can influence the uptake and implementation of complex interventions in health care. A plethora of theories and frameworks recognize the need to establish relationships, understand organizational dynamics, address context and contingency, and engage key decision makers. Less attention is paid to how theories that emphasize relational contexts can actually be deployed to guide the implementation of an intervention. The purpose of the article is to demonstrate the potential role of qualitative research aligned with theory to inform complex interventions. We detail a study underpinned by theory and qual...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Morden, A., Ong, B. N., Brooks, L., Jinks, C., Porcheret, M., Edwards, J. J., Dziedzic, K. S. Tags: Dissemination Source Type: research
Creating an Ethnodrama to Catalyze Dialogue in Home-Based Dementia Care
This article describes the development of a theater script derived from a critical ethnographic study that followed people living with dementia—and their family and professional caregivers—over an 18-month period. Analysis of the ethnographic data yielded four themes that characterized home-based dementia care relationships: managing care resources, making care decisions, evaluating care practices, and reifying care norms. The research team expanded to include a colleague with playwright experience, who used these themes to write a script. A theater director was included to cast and direct the play, and finally...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Speechley, M., DeForge, R. T., Ward-Griffin, C., Marlatt, N. M., Gutmanis, I. Tags: Evidence for Practice Source Type: research
Youth Perspectives on Sexual Health Workshops: Informing Future Practice
Newcomer and street-involved youth provided their perspective on the design and content of a sexual education workshop. Following the workshop, focus group discussions were held with 80 youth from four youth-serving agencies. Youth expressed increased levels of confidence and empowerment, consistent with recent criticism that a focus on specific behaviors as intervention outcome measures may miss important psychosocial changes in participants. Some youth views on cultural adaptation of workshops were not consistent with current views expressed by some adult educators, highlighting the need to ensure a youth perspective is ...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Ashdown, H., Jalloh, C., Wylie, J. L. Tags: Evidence for Practice Source Type: research
Analyzing Data Generated Through Deliberative Dialogue: Bringing Knowledge Translation Into Qualitative Analysis
Deliberative dialogue (DD) is a knowledge translation strategy that can serve to generate rich data and bridge health research with action. An intriguing alternative to other modes of generating data, the purposeful and evidence-informed conversations characteristic of DD generate data inclusive of collective interpretations. These data are thus dialogic, presenting complex challenges for qualitative analysis. In this article, we discuss the nature of data generated through DD, orienting ourselves toward a theoretically grounded approach to analysis. We offer an integrated framework for analysis, balancing analytical strat...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Plamondon, K. M., Bottorff, J. L., Cole, D. C. Tags: Methods Source Type: research
Ethics in Evaluating a Sociotechnical Intervention With Socially Isolated Older Adults
The purpose of this article is to consider how ethical principles can inform the effective design and implementation of technology-based interventions that aim to promote the well-being of socially isolated older adults. We evaluated a new iPad application with small groups of older adults. In this article, we reflect on the ethical issues encountered at each stage of the research process. Drawing on the ethical principles of beneficence, research merit and integrity, justice, and respect, we identify key issues to consider in the future design and implementation of social isolation interventions that use new technologies....
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Waycott, J., Morgans, A., Pedell, S., Ozanne, E., Vetere, F., Kulik, L., Davis, H. Tags: Ethics Source Type: research
Exploring the Hidden Barriers in Knowledge Translation: A Case Study Within an Academic Community
Debates about knowledge translation (KT) typically focus on the research–practice gap, which appears to be premised on the assumption that academics are a homogeneous collective, sharing a common view. We argue that a number of hidden barriers need to be addressed related to the understanding, interpretation, ability, and commitment to translate knowledge within academic communities. We explore this by presenting a qualitative case study in a health sciences faculty. Applying organizational and management theory, we discuss different types of boundaries and the resultant barriers generated, ranging from diversity in ...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Harvey, G., Marshall, R. J., Jordan, Z., Kitson, A. L. Tags: Articles Source Type: research
Leadership for Knowledge Translation: The Case of CLAHRCs
Calls for successful knowledge translation (KT) in health care have multiplied over recent years. The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) program is a policy initiative in the United Kingdom aimed at speeding-up the translation of research into health care practice. Using multiple qualitative research methods and drawing on the ongoing processes used by individuals to interpret and contextualize information, we explore how new organizational forms for KT bridge the gap between research and practice. We pay particular attention to the relati...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Spyridonidis, D., Hendy, J., Barlow, J. Tags: Articles Source Type: research
Inside the "Black Box" of a Knowledge Translation Program in Applied Health Research
In this article, we present the findings of a participatory realistic evaluation of a 5-year program of health care research intended to promote the translation of knowledge into routine clinical practice. The program was one of the nine pilot Collaborations for Leadership in Applied Health Research and Care funded by the English National Institute for Health Research between 2008 and 2013. Our aim was to delineate the mechanisms by which, and circumstances in which, some projects carried out under the program achieved success in knowledge translation while others were frustrated. Using qualitative methods, we examined how...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Heaton, J., Day, J., Britten, N. Tags: Articles Source Type: research
On the Brink of Genuinely Collaborative Care: Experience-Based Co-Design in Mental Health
This article describes how we took three qualitative research studies about hospitalization in early psychosis (exploring the perspectives of service-users, parents, and staff) and translated them into service improvements developed in collaboration with a range of stakeholders, including service-users, carers, community and inpatient staff, and management. We used an adapted form of experience-based co-design (EBCD), a participatory action-research method for collaboratively improving health care services. The use of EBCD is still relatively novel in mental health settings, and we discuss how we adapted the methodology, a...
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Larkin, M., Boden, Z. V. R., Newton, E. Tags: Articles Source Type: research
Knowledge Translation: Where Are the Qualitative Health Researchers?
(Source: Qualitative Health Research)
Source: Qualitative Health Research - October 14, 2015 Category: Global & Universal Authors: Bottorff, J. L. Tags: Editorial Source Type: research
Understanding Barriers to Mental Health Care for Recent War Veterans Through Photovoice
Despite an urgent need for mental health care among U.S. service members returning from deployments to Iraq and Afghanistan, many veterans do not receive timely or adequate treatment. We used photovoice methods to engage veterans in identifying barriers to utilizing mental health services. Veterans described how key aspects of military culture and identity, highly adaptive during deployment, can deter help-seeking behavior and hinder recovery. Veterans’ photographs highlighted how mental health symptoms and self-coping strategies operated as barriers to care. Many veterans’ photos and stories revealed how negat...
Source: Qualitative Health Research - September 8, 2015 Category: Global & Universal Authors: True, G., Rigg, K. K., Butler, A. Tags: General Articles Source Type: research
How Men Manage Bulbar Urethral Stricture by Concealing Urinary Symptoms
In this article, we present findings from research conducted as part of a multi-center surgical trial. Bulbar urethral stricture, a narrowing of the middle urethra, is a common cause of urinary problems in men that can have a profound impact on their lives. Semi-structured interviews were conducted with a sample of 19 men seeking treatment for urethral stricture. The findings reveal how men tend to develop routines and tactics to adapt to their symptoms and hide them from others rather than seek help. We argue that this concealment becomes an inseparable part of how the disease is managed and is an additional hidden practi...
Source: Qualitative Health Research - September 8, 2015 Category: Global & Universal Authors: Whybrow, P., Rapley, T., Pickard, R., Hrisos, S. Tags: General Articles Source Type: research
Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals
The ways providers story their mistake experiences help to explain how providers understand medical errors and how they communicate about those errors. Communication scholars have slowly begun to explore the communicative nature of medical error experiences, with communication research becoming more abundant over the past few years. Missing from this discussion is how students in health professions, in this case nursing students, tell medical errors narratives and how the stories help them determine how to respond to mistakes. In this article, we explore how nursing students narrativize their medical errors experiences dur...
Source: Qualitative Health Research - September 8, 2015 Category: Global & Universal Authors: Noland, C. M., Carmack, H. J. Tags: General Articles Source Type: research
The Nature of Fatigue in Chronic Fatigue Syndrome
In this article, we report the findings of our study on the nature of fatigue in patients diagnosed with chronic fatigue syndrome. Using ethnoscience as a design, we conducted a series of unstructured interviews and card sorts to learn more about how people with chronic fatigue syndrome describe fatigue. Participants (N = 14) described three distinct domains: tiredness, fatigue, and exhaustion. Most participants experienced tiredness prior to diagnosis, fatigue during daily life, and exhaustion after overexertion. We also discuss participants’ ability to adapt to a variety of stressors and prevent shifts to exhaustio...
Source: Qualitative Health Research - September 8, 2015 Category: Global & Universal Authors: Olson, K., Zimka, O., Stein, E. Tags: General Articles Source Type: research
Using a Qualitative Vignette to Explore a Complex Public Health Issue
This article discusses how qualitative vignettes were combined with interviews to explore a complex public health issue; that is, promoting unhealthy foods and beverages to children and adolescents. It outlines how the technique was applied in practice and the combination of vignette-based interviews with a broader approach involving Gadamerian hermeneutics. Twenty-one participants from the public health community and the marketing and food and beverage industries took part in vignette-based interviews between March and September 2012. Overall, the qualitative vignette method afforded an efficient, generally well-received ...
Source: Qualitative Health Research - September 8, 2015 Category: Global & Universal Authors: Jackson, M., Harrison, P., Swinburn, B., Lawrence, M. Tags: Qualitative Methods Source Type: research
