A participatory research approach in community pharmacy research: The case for video-reflexive ethnography

Abstract

Video-reflexive ethnography (VRE) is a qualitative methodology that explores the complex nature of healthcare 'as it really is'. Its collaborative and reflexive process invites stakeholders (e.g. pharmacists and pharmacy support staff) to participate in analysing their everyday work practices as captured on video footage. Through close collaboration with practitioners and attention to their work contexts, VRE may be a useful methodology to engage a time-poor pharmacy workforce in research about themselves, encouraging more practitioner involvement in practice-based research.Aside from research, VRE has also been used effectively as an intervention to facilitate learning and change in healthcare settings, and could be effective in provoking change in otherwise resistant pharmacy environments.Much like traditional ethnographic approaches, VRE researchers have relied on being present 'in the field' to observe, record and make sense of practices with participants. The COVID-19 pandemic however, has introduced restrictions around travel and physical distancing, which has required researchers to contemplate the conduct of VRE 'at a distance', and to imagine new ways in which the methodological 'closeness' to stakeholders and their workplace contexts can be maintained when researchers cannot be on site.In this commentary, we outline the rationale for participatory methods, in the form of VRE, in pharmacy research. We describe the underlying principles of this innovative methodology, and offer examples of how VRE can be used in pharmacy research. Finally, we offer a reflexive account of how we have adapted the method for use in community pharmacy research, to adapt to physical distancing, without sacrificing its methodological principles. This paper offers not only a new methodology to examine the complexity of pharmacy work, but demonstrates also the responsiveness of VRE itself to complexity, and the potential breadth of future research applications in pharmacy both during and beyond the current pandemic.

Older people, medication safety, and the role of the community pharmacist: a longitudinal ethnographic study

“…That is, rather than people's perspectives or memories alone, VRE acts as a springboard into discussions and actions about care practices and systems 18 . Because community pharmacists are required to juggle multiple tasks and patient care in the context of healthcare complexities, including funding arrangements, dispensing policies, and targets, VRE has been underutilised in pharmacy research 20 . Our current research question was formulated based on contemporaneous data analysis as longitudinal fieldwork progressed, along with reflexive sessions highlighting the potential role of community pharmacists in problematic polypharmacy for older people.…”