No room for reflexivity? Critical reflections following a systematic review of qualitative research

Newton, Benjamin J.; Rothlingova, Zuzana; Gutteridge, Robin; LeMarchand, Karen; Raphael, Jacob

doi:10.1177/1359105311427615

Cited by 66 publications

(45 citation statements)

References 44 publications

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“…Throughout the research process the same challenges observed within previous reviews of qualitative literature, particularly in relation to the search strategy and quality appraisal were evident (Pearson et al, 2011;Newton et al, 2011;Dixon-Woods et al, 2005;Evans, 2002).…”

Section: Discussionmentioning

confidence: 55%

“…The review demonstrates the diverse body of international evidence undertaken to explore women's experience of coping with pain during childbirth whilst additionally highlighting the methodological challenges observed within previous reviews of qualitative literature (Pearson et al, 2011;Newton et al, 2011;Dixon-Woods et al,. 2005;Evans, 2002).…”

Section: Discussionmentioning

confidence: 99%

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Women׳s experiences of coping with pain during childbirth: A critical review of qualitative research

Gucht¹,

Lewis²

2015

Midwifery

110

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Objective: to identify and analyse qualitative literature exploring women's experiences of coping with pain during childbirth. Design: critical review of qualitative researchFindings: Ten studies were included, conducted in Australia, England, Finland, Iceland, Indonesia, Iran and Sweden. Eight of the studies employed a phenomenological perspective with the remaining two without a specific qualitative methodological perspective. Thematic analysis was used as the approach for synthesising the data in this review. Two main themes emerged as the most significant influences upon a woman's ability to cope with pain: (i) the importance of individualised, continuous support and (ii) an acceptance of pain during childbirth.This review found women felt vulnerable during childbirth and valued the relationships they had with health professionals. Many of the women perceived childbirth pain as challenging however they described the inherent paradox for the need for pain to birth their child. This allowed them to embrace the pain subsequently enhancing their coping ability.Key conclusions: women's experience of coping with pain during childbirth is complex and multi-faceted. Many women felt the need for effective support throughout childbirth and described the potential implications where this support failed to be provided. Feeling safe through the concept of continuous support was a key element of care to enhance coping ability and avoid feelings of loneliness and fear. A positive outlook and acceptance of pain was acknowledged by many of the women, demonstrating the beneficial implications for coping ability. These findings were consistent despite the socio-economic, cultural and contextual differences observed within the studies suggesting experiences of coping with pain during childbirth are universal. Implications for practice:

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Women׳s experiences of coping with pain during childbirth: A critical review of qualitative research

Gucht¹,

Lewis²

2015

Midwifery

110

View full text Add to dashboard Cite

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“…Increased reporting of the ethical issues ‘in practice’ and the influence of the researcher on the process and would increase the quality of reporting of these studies. These issues are common to other qualitative research [48], although particularly relevant to VSR, as evidenced by the distress during VSR described in one study [15]. …”

Section: Discussionmentioning

confidence: 92%

Getting under the skin of the primary care consultation using video stimulated recall: a systematic review

Paskins

McHugh

Hassell

2014

BMC Med Res Methodol

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BackgroundVideo stimulated recall (VSR) is a method of enhancing participants’ accounts of the consultation using a video recording of the event to encourage and prompt recall in a post consultation interview. VSR is used in education and education research, and to a lesser extent in medical and nursing research. Little is known about the sort of research questions that lend themselves best to the use of VSR or the impact of the specific VSR procedure on study quality. This systematic review describes studies in primary care that have used the method and aims to identify the strengths, weaknesses and role of VSR.MethodsA systematic literature search has been conducted to identify primary care consultation research using VSR. Two authors undertook data extraction and quality appraisal of identified papers and a narrative synthesis has been conducted to draw together the findings. In addition, theory on classifying VSR procedures derived from other disciplines is used as a lens through which to assess the relevance of VSR technique.ResultsTwenty eight publications were identified that reported VSR in primary care doctor-patient consultation research. VSR was identified as a useful method to explore specific events within the consultation, mundane or routine occurrences, non-spoken events and appears to particularly add value to doctor’s post consultation accounts. However, studies frequently had insufficient description of methods to properly evaluate both the quality of the study, and the influence of VSR technique on findings.ConclusionsVSR is particularly useful for study of specific consultation events when a ‘within case’ approach is used in analysis, comparing and contrasting findings from the consultation and post-consultation interview. Alignment of the choice of VSR procedure and sampling to the study research question was established as particularly important in the quality of studies. Future researchers may consider the role of process evaluation to understand further the impact of research design on data yielded and the acceptability of the method to participants.

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“…Rigor refers to whether the approach to the study is thorough and appropriate; credibility refers to whether the findings are well presented and meaningful; relevance refers to the usefulness of the study's findings. [54][55][56][57][58][59] Disagreements were resolved by consensus and by a third researcher if necessary. Papers were not excluded on the basis of method quality but partitioned into high and low scores for outcome comparison in the discussion.…”

Section: Methods Quality Assessmentmentioning

confidence: 99%

What Are Patient Beliefs and Perceptions About Exercise for Nonspecific Chronic Low Back Pain?

Slade

Patel

Underwood

et al. 2014

The Clinical Journal of Pain

126

113

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No room for reflexivity? Critical reflections following a systematic review of qualitative research

Cited by 66 publications

References 44 publications

Women׳s experiences of coping with pain during childbirth: A critical review of qualitative research

Women׳s experiences of coping with pain during childbirth: A critical review of qualitative research

Getting under the skin of the primary care consultation using video stimulated recall: a systematic review

What Are Patient Beliefs and Perceptions About Exercise for Nonspecific Chronic Low Back Pain?

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