Bracketing as a skill in conducting unstructured qualitative interviews

Sorsa, Minna; Kiikkala, Irma; Åstedt‐Kurki, Päivi

doi:10.7748/nr.22.4.8.e1317

Cited by 56 publications

(38 citation statements)

References 18 publications

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“…By not bracketing, the researchers' preconceptions and presuppositions about the situation under study are integral to the investigation. The meaning drawn from participants' experiences is a result of co‐creation between researchers and participants and not just the interpretation of the latter (Sorsa, Kiikkala, & Åstedt‐Kurki, ). Thus, the lead author, as a nurse herself, could be reflective and produce a joint authored approach between interviewer and interviewee in the creation of knowledge.…”

Section: Methodsmentioning

confidence: 99%

Nurse managers and the sandwich support model

2017

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Section: Methodsmentioning

confidence: 99%

Nurse managers and the sandwich support model

2017

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“…Additionally, the use of the interview guide and appropriate probes ensured that all participant were measured using similar standards [43], thus reducing measurement and social desirability biases. To mitigate the role of positionality, the researchers ensured that their views were bracketed by identifying their own preconceived assumptions and setting them aside during the interview process [44,45]. A limitation of the study was the authors’ inability to triangulate health workers’ perceptions to patients’ reactions of the guideline changes because patients’ perspectives were not collected.…”

Section: Discussionmentioning

confidence: 99%

Health workers’ perspectives on the outcomes, enablers, and barriers to the implementation of HIV “Treat All” guidelines in Abuja Nigeria

Odafe

Stafford

Aliyu

et al. 2019

Preprint

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Introduction To improve access to lifesaving treatment for all people living with HIV (PLHIV), Nigeria implemented the Treat All guidelines in 2016. However, health workers' perspectives on the implementation of the guidelines have not been evaluated. Methods We conducted in-depth interviews to explore health workers' perspectives on the Treat All guidelines. Using purposive sampling, 20 health workers providing HIV patient care were recruited from six primary health care hospitals in Abuja to participate in semi-structured interviews. Data exploration was conducted using thematic content analysis. Results The five main themes that emerged were (1) the perceived benefits of guidelines use, (2) the perceived disadvantages of using the guidelines, (3) reported patients' response to guideline change, (4) perceived barriers/enablers to guideline use and (5) health workers' recommendations for improvement. Health workers perceived that the implementation of the Treat All guidelines has considerably improved patient care, particularly in increasing access to skilled health care, reducing stress on patients, and increasing hope for a better health outcome among patients. Other perceived benefits were reduced mortality, reduced pre-treatment attrition, reduction in delays between case detection and initiation on treatment. Perceived major disadvantages were increased workload and overcrowded clinics. Health workers reported that most patients were willing to start treatment early. Perceived key factors enabling guidelines use were health workers' interest, patient benefits, training and availability of tools for implementation of guidelines, government supervisory visits and hospital management support. Perceived key barriers were poverty, inadequate human resources, lack of familiarity with guidelines, and lack of consistent supply of HIV test kits at some sites. Conclusions Implementation of the Treat All guidelines led to perceived improvement in patient care. Further improvements could be achieved by implementing an efficient supply chain system for HIV rapid test kits, and through guidelines distribution and training. Additionally, implementing differentiated approaches that decongest clinics, and programs that economically empower patients could improve access to treatment.

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“…Both methods use pre-understanding as a tool in the research process to give the participants their voice. 21 The Consolidated Criteria for Reporting (COREQ) checklist was used to evaluate the study. 31 A limitation may be seen in that the study is based on staff interviews and observations of staff in a single clinical setting, the citations represent half of the interviewed staff members.…”

Section: Methods and Limitations Of The Studymentioning

confidence: 99%

“…As to the research interest, a special effort was put into explication of the pre-understanding and awareness, 20,21 so that the study would give the participants their voice. 21…”

Section: Entering the Settingmentioning

confidence: 99%

Carriers of pain: Vulnerable meetings between staff and clients with a dual diagnosis

Sorsa

2019

Nordic Journal of Nursing Research

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Persons with complex problems challenge nursing. The interest of this study was to identify the tools staff have used to continue working with compassion, empathy and sensitivity amongst vulnerable clients with complex problems, mental ill health and substance use (so-called dual diagnosis). The data were collected in a focused ethnographic study at a low-threshold service for substance users, and were analysed using Leininger's ethnographic and a phenomenological lifeworld method. The staff attitude was positive towards the clients, they approved of the client's background. Vulnerability appeared as a common pain, which touched both the staff and clients, and needed to be negotiated. A staff tool was the capability of carrying the pain, not being overwhelmed by it. The implications for practice are to recognize openness, awareness, reflexivity and communion with other staff members, the need for balancing of personal and ethical roles with professional requirements.

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Bracketing as a skill in conducting unstructured qualitative interviews

Abstract: Bracketing adds scientific rigour and validity to any qualitative study.

Cited by 56 publications

References 18 publications

Nurse managers and the sandwich support model

Nurse managers and the sandwich support model

Health workers’ perspectives on the outcomes, enablers, and barriers to the implementation of HIV “Treat All” guidelines in Abuja Nigeria

Carriers of pain: Vulnerable meetings between staff and clients with a dual diagnosis

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