A methodological review of qualitative case study methodology in midwifery research

Atchan, Marjorie; Davis, Deborah; Foureur, Maralyn

doi:10.1111/jan.12946

Cited by 22 publications

(15 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Prior to this intensive group discussion, the second coder independently read all transcripts and made notes regarding codes, categories, and themes for comparison to the initial analysis performed by the primary author. This approach is recommended by several methodologists in order to preserve the interpretive process at the core of qualitative analysis [ 30 ], and is consistent with current case study practice [ 31 ], in specific, and generally accepted qualitative research reporting criteria [ 32 ]. Themes were classified according to time orientation (i.e., past, present, future) and whether it reflected a barrier or facilitator to program operations.…”

Section: Methodsmentioning

confidence: 99%

Qualitative case study of needle exchange programs in the Central Appalachian region of the United States

et al. 2018

View full text Add to dashboard Cite

BackgroundThe Central Appalachian region of the United States is in the midst of a hepatitis C virus epidemic driven by injection of opioids, particularly heroin, with contaminated syringes. In response to this epidemic, several needle exchange programs (NEP) have opened to provide clean needles and other supplies and services to people who inject drugs (PWID). However, no studies have investigated the barriers and facilitators to implementing, operating, and expanding NEPs in less populous areas of the United States.MethodsThis qualitative case study consisted of interviews with program directors, police chiefs, law enforcement members, and PWID affiliated with two NEPs in the rural state of West Virginia. Interview transcripts were coded inductively and analyzed using qualitative data analysis software. Final common themes related to barriers and facilitators of past program openings, current program operations, and future program plans, were derived through a consensus of two data coders.ResultsBoth NEPs struggled to find existing model programs, but benefited from broad community support that facilitated implementation. The largest operational barrier was the legal conundrum created by paraphernalia laws that criminalize syringe possession. However, both PWID and law enforcement appreciated the comprehensive services provided by these programs. Program location and transportation difficulties were additional noted barriers. Future program operations are threatened by funding shortages and bans, but necessitated by unexpected program demand.ConclusionDespite broad community support, program operations are threatened by growing participant volumes, funding shortages, and the federal government’s prohibition on the use of funds to purchase needles. Paraphernalia laws create a legal conundrum in the form of criminal sanctions for the possession of needles, which may inadvertently promote needle sharing and disease transmission. Future studies should examine additional barriers to using clean needles provided by rural NEPs that may blunt the effectiveness of NEPs in preventing disease transmission.

show abstract

Section: Methodsmentioning

confidence: 99%

Qualitative case study of needle exchange programs in the Central Appalachian region of the United States

et al. 2018

View full text Add to dashboard Cite

show abstract

“…This research employs an exploratory approach. It is one of “types” of qualitative case studies that concern on debating the value of further research and suggesting various hypotheses (Atchan, Davis, & Foureur, , p. 4) as its research outcome. This approach is appropriate and useful to “learn what is common and what is particular about the case.…”

Section: Methodsmentioning

confidence: 99%

Healthcare decommodification in decentralization context: Reviewing the ideational constructions of “classless hospital policy” initiatives in Kulon Progo Regency, Indonesia

Yuda

2018

Asian Soc Wrk & Pol Rev

View full text Add to dashboard Cite

This article illustrates the emergence of radical local welfare initiatives as a political response to the imperfect national program in decentralization context in Indonesia. In order to gain further understanding of the topic, it is worth reviewing Kulon Progo Regency's experience which recently embarked on removing class stratification at any in‐patient room in all local government‐owned hospitals through “classless hospital policy” initiatives. Using exploratory case study method, this article aims to review the ideational constructions of healthcare decommodification that is displayed on this initiative. It is concluded that the classless hospital policy reflects how social citizenship was organized through the mechanism of idea contestation which originated in the past community's behavior, combined with the vested interest of political regime for then subduing market logics under state power. This circumstance ultimately has provided the groundwork for encouraging innovative welfare outcome.

show abstract

“…[42][43][44] If needed, discrepancies will be resolved by a third party. This approach is recommended by several methodologists in order to preserve the interpretive process at the core of qualitative analysis, 45 and is consistent with current case study practice, 46 in specific, and qualitative research reporting criteria, 47 in general.…”

Section: Discussionmentioning

confidence: 99%

“…Five of these seven studies were included in our metaanalysis. A single-site study by Thorpe et al [46] which observed no effect (HR, 1.29, 95% CI, 0.6-2.79) from NEP participation on HCV infection contained data that were also included in the Holtzman et al [42] multi-site study. Therefore, we excluded this study from the final model to maintain the criterion of independence of effect sizes.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, of the 555 references examined, 6 studies, [40][41][42][43][44][45] containing data from 2437 PWIDs, were included in the final review and analysis. One study [46] was identified that contained estimates based on data from the same sample of PWIDs collected in the same location during the same time periods as those included in another larger and more recent study that was selected for inclusion [42]. Therefore, this study was eliminated from analysis given that these data would have violated the statistical requirement of independence of effect size estimates.…”

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Needle Exchange Programs to Prevent Hepatitis C Virus Infection in People Who Inject Drugs in Rural Appalachia

Davis¹

View full text Add to dashboard Cite

The recent opioid epidemic in the rural Appalachian region of the United States has fueled an exponential increase in hepatitis C virus (HCV) infection among People Who Inject Drugs (PWID). Needle exchange programs (NEP), which provide clean needles in exchange for used needles, can reduce the incidence of HCV among PWIDs. However, the empirical evidence examining NEP effectiveness in the prevention of HCV in this population is mixed, only describes studies conducted in urban areas, and does not address the unique challenges associated with implementing NEPs in rural areas. Furthermore, no studies have examined barriers to using clean needles obtained from NEPs in rural settings. Therefore, there is a critical need to understand the unique context and programmatic challenges of rural NEPs to design and implement successful programs to reduce HCV transmission in this underserved population. The objective of this dissertation was to improve empirical evidence related to NEP efficacy, examine programmatic challenges encountered by rural NEPs, and identify clean needle use barriers unique to rural areas. The rationale underlying this research is that improved understanding of operational and clean needle use barriers will promote successful implementation of NEPs in rural areas. In the first study, a systematic review with meta-analysis was conducted to update the empirical evidence related to NEP prevention of HCV in PWIDs. Findings from this study revealed that the overall impact of NEPs on HCV prevention remains unclear and is complicated by significant heterogeneity between studies. Furthermore, no rural studies were identified in the review. Standardization of population characteristics, intervention components, empirical comparisons, and outcome assessments is suggested to reduce heterogeneity and clarify the empirical contribution of NEPs to HCV prevention. In the second study, a qualitative case study design was employed to examine barriers and facilitators to NEP implementation, ongoing operations, and future sustainability. Structured interviews with program directors, law enforcement leaders and personnel, and NEP attendees revealed common barriers and facilitators to program operations. Findings from this study indicated that despite broad community support, growing volumes, funding shortages, and the federal government's prohibition on the use of funds to purchase needles threatened program operations. Furthermore, paraphernalia laws created a legal conundrum in the form of criminal sanctions for the possession of needles, which may inadvertently promote needle sharing and disease transmission. In the third study, a mixed methods survey of PWIDs attending two rural, Appalachian programs regarding barriers to using clean needles obtained from the exchange for every injection was employed. Findings from this study revealed that fear of arrest and problems with obtaining clean needles from pharmacies were the most commonly endorsed barriers to clean needle use. The results of this dissertation suggest that ...

show abstract

A methodological review of qualitative case study methodology in midwifery research

Abstract: This review raises the profile of case study research in midwifery. Midwives will be encouraged to explore if case study research is suitable for their investigation. The raised profile will demonstrate further applicability; encourage support and wider adoption in the midwifery setting.

Cited by 22 publications

References 41 publications

Qualitative case study of needle exchange programs in the Central Appalachian region of the United States

Qualitative case study of needle exchange programs in the Central Appalachian region of the United States

Healthcare decommodification in decentralization context: Reviewing the ideational constructions of “classless hospital policy” initiatives in Kulon Progo Regency, Indonesia

Needle Exchange Programs to Prevent Hepatitis C Virus Infection in People Who Inject Drugs in Rural Appalachia

Contact Info

Product

Resources

About