Conducting ethnography in primary care

Webster, Fiona; Rice, Kathleen

doi:10.1093/fampra/cmz007

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…Rigorous ethnographic research combines interview and observational data to reach a deeper understanding of how forms of knowledge, rationality, and experience are sustained, produced, and contested through everyday practices and institutions [25]. By observing everyday work practices alongside formal interview narratives, this approach exposes connections between phenomena that may not initially appear linked [27, 28]. For this reason, we collected roughly 40 hours of observational data in clinical settings by shadowing primary care physicians’ daily work in caring for complex patients.…”

Section: Methodsmentioning

confidence: 99%

An ethnography of chronic pain management in primary care: The social organization of physicians’ work in the midst of the opioid crisis

et al. 2019

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Background This study reports on physicians’ experiences with chronic pain management. For over a decade prescription opioids have been a primary treatment for chronic pain in North America. However, the current opioid epidemic has complicated long-standing practices for chronic pain management which historically involved prescribing pain medication. Caring for patients with chronic pain occurs within a context in which a growing proportion of patients suffer from chronic rather than acute conditions alongside rising social inequities. Methods Our team undertook an ethnographic approach known as institutional ethnography in the province of Ontario, Canada in order to explore the social organization of chronic pain management from the standpoint of primary care physicians. This paper reports on a subset of this study data, specifically interviews with 19 primary care clinicians and 8 nurses supplemented by 40 hours of observations. The clinicians in our sample were largely primary care physicians and nurses working in urban, rural and Northern settings. Findings In their reflections on providing care for patients with chronic pain, many providers describe being most challenged by the work involved in helping patients who also struggled with poverty, mental health and addiction. These frustrations were often complicated by concerns that they could lose their license for inappropriate prescribing, thus shifting their work from providing treatment and care to policing their patients for malingering and opioid abuse. Interpretation Our findings show that care providers find the treatment of patients with chronic pain–especially those patients also experiencing poverty–to be challenging at best, and at worst frustrating and overwhelming. In many instances, their narratives suggested experiences of depersonalization, loss of job satisfaction and emotional exhaustion in relation to providing care for these patients, key dimensions of burnout. In essence, the work that they performed in relation to their patients’ social rather than medical needs seems to contribute to these experiences. Their experiences were further exacerbated by the fact that restricting and reducing opioid dosing in patients with chronic pain has become a major focus of care provision.

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Section: Methodsmentioning

confidence: 99%

An ethnography of chronic pain management in primary care: The social organization of physicians’ work in the midst of the opioid crisis

et al. 2019

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“…Analysing what people say alongside what they do in practice can offer a richer understanding of the complex social phenomenon [23]. While qualitative research emphasizes understanding through closely examining people's words, actions and records rather than assigning mathematical symbols to these words, actions and records [24].…”

Section: Methodsmentioning

confidence: 99%

Traditional Climate and Environment Forecasting Based on Local Knowledge of Urug Societies in Bogor West Java

Bahagia¹,

Mangunjaya²,

Mujahidin³

et al. 2021

IJSDP

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The aim of this research to find out about Indigenous of Knowledge Urug Community for forecasting climate and environment dynamic toward community resilience. The research method used is the ethnographic approach or cultural anthropology. Ethnography is sorts of qualitative research that need observation, documentary and interview in local societies. Ethnographic deal with discovers about description about culture including local knowledge, behaviour, cultural, ritual, traditional ceremonies, and language of Urug community. The selection of sample as informant exert purposive sampling technique. The result is probed meticulously through triangulation technique and triangulation sources. The result shows that the Indigenous community have implemented the sort of Traditional and calendar years with animals symbol for forecasting season and climate. The community can adapt season and climate dynamic and create community resilience for environment and climate. Besides that, there is the connection of planting local paddy to attaint community resilience including environmental change, cultural and social resilience.

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“…Methods are distinct from methodology and refer to the particular tools used to conduct research, such as interviews or focus groups. Ethnography uses standard qualitative tools, such as interviews, but is unique in adding observations (both participant and non-participant), field notes, textual analysis, and collecting what are called artifacts (Webster & Rice, 2019).…”

Section: Methodsmentioning

confidence: 99%

Leuit and prohibition forest: Indigenous knowledge of an Urug community resilience

Bahagia

Mangunjaya

Wibowo³

et al. 2020

Harmoni. Sos.: J. Pendidik. IPS

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The purpose of this research was to investigate the function of leuit and prohibition Forest based on indigenous knowledge of Urug people for combating climate change toward community resilience. The research method used an ethnographic qualitative approach. This method was related to local cultural, ritual, and traditional communities-the data collected through in-depth interviews, observation, and documentation. The selection of sample as informant exert purposive sampling technique. The result is probed meticulously through triangulation technique and triangulation sources. The result shows that traditional storage (Leuit) has a role in confronting climate change and disaster and life perturbance for achieving community resilience. Another finding is Urug people create a prohibition forest. The impact is the wood can rescue from damage. The community can fight climate change, get adequate water, and environment preservation.

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Conducting ethnography in primary care

Cited by 9 publications

References 14 publications

An ethnography of chronic pain management in primary care: The social organization of physicians’ work in the midst of the opioid crisis

An ethnography of chronic pain management in primary care: The social organization of physicians’ work in the midst of the opioid crisis

Traditional Climate and Environment Forecasting Based on Local Knowledge of Urug Societies in Bogor West Java

Leuit and prohibition forest: Indigenous knowledge of an Urug community resilience

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