Critical Analysis of Strategies for Determining Rigor in Qualitative Inquiry
Criteria for determining the trustworthiness of qualitative research were introduced by Guba and Lincoln in the 1980s when they replaced terminology for achieving rigor, reliability, validity, and generalizability with dependability, credibility, and transferability. Strategies for achieving trustworthiness were also introduced. This landmark contribution to qualitative research remains in use today, with only minor modifications in format. Despite the significance of this contribution over the past four decades, the strategies recommended to achieve trustworthiness have not been critically examined. Recommendations for wh...
Source: Qualitative Health Research - August 12, 2015 Category: Global & Universal Authors: Morse, J. M. Tags: Keynote Source Type: research
Clinical Expert or Service Provider? Physicians' Identity Work in the Context of Counterprofessional Patient Requests
In this study, we explored the context of counterprofessional patient requests in which patient participation conflicts with medical professionalism. We interviewed 34 physicians, of whom 14 were family physicians and pediatricians, and 20 were specialists in various fields. Data were analyzed by a grounded theory approach. Our findings indicate that physicians experienced conflicts between their identities as clinical experts, caretakers, service providers, and resource allocators. To cope with the resulting tension, physicians used the strategies of hierarchy setting, integrating, incorporating the patient, and changing ...
Source: Qualitative Health Research - August 12, 2015 Category: Global & Universal Authors: Yagil, D., Medler-Liraz, H. Tags: Articles Source Type: research
Preparing Heart and Mind for Becoming a Parent Following a Diagnosis of Fetal Anomaly
We describe a theoretical model with a core process of preparing heart and mind for becoming a parent following a diagnosis of fetal anomaly. The process of preparing was influenced by fetal and future child health, experiences of previous loss, and social interactions within both new and familiar settings. Expectant parents reported varying turning points and strategies associated with three distinct trajectories of relating to the fetus or "baby" yet to be born. These relational trajectories include claiming the child as one’s own, delaying the connection to the fetus, and doing the routine of pregnancy. With the f...
Source: Qualitative Health Research - August 12, 2015 Category: Global & Universal Authors: McKechnie, A. C., Pridham, K., Tluczek, A. Tags: Articles Source Type: research
Psychological Coercion in Human Trafficking: An Application of Biderman's Framework
This study examined coercive conditions experienced by trafficked persons in the context of Biderman’s theory of coercion. We conducted semi-structured interviews with 12 adult women trafficked into Los Angeles County, from 10 countries, for domestic work and/or sex work. Participants described health problems they experienced in relation to their trafficking experience and their perceptions of conditions that caused health problems. Utilizing a framework analysis approach, we analyzed themes using Biderman’s framework. Participants reported experiencing the range of nonphysical coercive tactics outlined by Bid...
Source: Qualitative Health Research - August 12, 2015 Category: Global & Universal Authors: Baldwin, S. B., Fehrenbacher, A. E., Eisenman, D. P. Tags: Articles Source Type: research
All Data Are Not Equal
(Source: Qualitative Health Research)
Source: Qualitative Health Research - August 12, 2015 Category: Global & Universal Authors: Morse, J. M. Tags: Editorial Source Type: research
Health as Submission and Social Responsibilities: Embodied Experiences of Javanese Women With Type II Diabetes
By examining women’s experiences with type II diabetes, we explore how illness can provide resources to construct meanings of everyday life in Javanese culture. We conducted in-depth interviews with 30 female participants in Central Java, Indonesia, and adopted grounded theory for data analysis. We identified four themes that diabetes serves as resources for women in Indonesia to (a) normalize suffering, (b) resist social control, (c) accept fate, and (d) validate faith. We concluded by noting three unique aspects of Javanese women’s illness management. First, through the performance of submission, our particip...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Pitaloka, D., Hsieh, E. Tags: Articles Source Type: research
Parents' Experiences of Health Care for Their Children With Cerebral Palsy
In this study, we used grounded theory methodology to explore parents’ experiences of health care for their children with cerebral palsy living in a regional area of Australia. Our findings indicate that parents experience health care for their child as a cyclical process of "making the most of their body and their life." Important aspects of care include "learning as you go," "navigating the systems," "meeting needs through partnership," "being empowered or disempowered," and "finding a balance." We suggest modifications to health care service delivery practices that might contribute to improved experiences of healt...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Hayles, E., Harvey, D., Plummer, D., Jones, A. Tags: Articles Source Type: research
Can Anyone Hear Me? Does Anyone See Me? A Qualitative Meta-Analysis of Women's Experiences of Heart Disease
Female heart patients are underdiagnosed and undertreated. The purpose of this qualitative meta-data-analysis was to explain how societal expectations related to gender and the treatment environment influence women’s experiences and can inform optimal care. The authors used grounded theory methodology and a social constructionist gender lens to analyze 43 studies (1993–2012) of women’s experiences of heart disease. The analysis illustrates how social expectations within both medical and relational contexts led to women experiencing barriers to diagnosis and treatment and inadvertent minimization of their ...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Galick, A., D'Arrigo-Patrick, E., Knudson-Martin, C. Tags: Articles Source Type: research
Maximizing Theoretical Contributions of Participant Observation While Managing Challenges
Participant observation (PO) is an important method of data collection used in a variety of research methodologies. PO can inform theory development by providing understanding of participants’ behaviors and the contexts that influence their behaviors. Because theory development is important in grounded theory studies, we emphasize theoretical contributions of PO while interrogating the challenges of using PO, in particular, attending to informed consent. We use the exemplar of a mid-range theory about nursing practice with hospitalized older adults to highlight contributions of PO to category development. While ackno...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Dahlke, S., Hall, W., Phinney, A. Tags: Methods Source Type: research
Shame and Gender Differences in Paths to Youth Suicide: Parents' Perspective
Risk factors, suicidal behavior, and help-seeking patterns differ between young women and men. We constructed a generic conceptual model of the processes underlying youth suicide, grounded in 78 interviews with parents in 52 consecutive cases of suicide (19 women, 33 men) identified at forensic medical autopsy and compared by sex. We found different forms of shame hidden behind gender-specific masks, as well as gender differences in their paths to suicide. Several interacting factors formed negative feedback loops. Finding no way out, the young persons looked for an "emergency exit." Signs and preparations could be observe...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Werbart Tornblom, A., Werbart, A., Rydelius, P.-A. Tags: Articles Source Type: research
A Grounded Theory of Students' Long-Distance Coping With a Family Member's Cancer
In this study, we explore how family members cope with one source of stress—cancer diagnosis and treatment. We suggest that coping away from one’s family is characterized by constraints that are not common to proximal coping. We conducted six focus groups with college students (N = 21) at a university in the United States to investigate their long-distance coping experiences and used grounded theory methods to develop a model of college students’ long-distance coping. Negotiating the tension between being here (at school) and being there (at home) was central to their experiences. Participants described f...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Basinger, E. D., Wehrman, E. C., Delaney, A. L., McAninch, K. G. Tags: Articles Source Type: research
Women's Experiences of Publicly Funded Non-Invasive Prenatal Testing in Ontario, Canada: Considerations for Health Technology Policy-Making
Non-invasive prenatal testing (NIPT) via fetal DNA in maternal blood has been publicly funded in Ontario, Canada, for high-risk women since 2014. We solicited women’s experiences and values related to this new health technology to describe how this test is currently being used in Ontario and to provide information about patient priorities to inform future policy decisions about the use of NIPT. Guided by constructivist grounded theory methodology, we interviewed 38 women who had diverse personal experiences with NIPT. Participants’ accounts of their values for decision making about NIPT heavily relied on three ...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Vanstone, M., Yacoub, K., Giacomini, M., Hulan, D., McDonald, S. Tags: Policy Source Type: research
Social Support and Sexual Risk Among Establishment-Based Female Sex Workers in Tijuana
Social support can affect health outcomes of female sex workers. In this inductive feminist grounded theory study based on 20 in-depth interviews, we explore how establishment-based female sex workers in Tijuana perceive the impact of the connections among women on their lives and health. Participants elected to discuss the importance of social support from mothers, sisters, friends, and co-workers, and the empowering and disempowering aspects of these relationships. In previous studies, scholars demonstrated the efficacy of formal organization of female sex workers in promoting the mitigation of sexual and HIV risk. We sh...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Choudhury, S. M., Erausquin, J. T., Park, K., Anglade, D. Tags: Articles Source Type: research
Elucidating a Goal-Setting Continuum in Brain Injury Rehabilitation
For individuals with brain injury, active participation in goal setting is associated with better rehabilitation outcomes. However, clinicians report difficulty engaging these clients in goal setting due to perceived or real deficits (e.g., lack of awareness). We conducted a study using grounded theory methods to understand how clinicians from occupational therapy facilitate client engagement and manage challenges inherent in goal setting with this population. Through constant comparative analysis, a goal-setting continuum emerged. At one end of the continuum, therapists embrace client-determined goals and enable clients t...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Hunt, A. W., Le Dorze, G., Trentham, B., Polatajko, H. J., Dawson, D. R. Tags: Articles Source Type: research
Acting Independently While Living Alone: The Strategies and Struggles of Cancer Patients
Cancer patients who live alone place specific importance on acting independently during treatment. We want to describe what it means to act independently and which strategies patients use to continue to act independently. We used a qualitative design, based on grounded theory. We interviewed 32 patients, 17 of them a second time. Patients who live alone defined acting independently in two different ways: It meant not only doing things alone but also using the help of others in a controlled way. These two meanings lead to two types of strategies. As treatment evolves, patients needed to change their preferred type of strate...
Source: Qualitative Health Research - July 16, 2015 Category: Global & Universal Authors: Benoot, C., Deschepper, R., Grypdonck, M., Saelaert, M., Bilsen, J. Tags: Articles Source Type: research
