Participative Observation: Standing in the Shoes of Others?

Savage, Jan

doi:10.1177/104973200129118471

Cited by 81 publications

(65 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5 We trained six field researchers in ethnographic methods of conducting formal and informal interviews, field notes, participant observation, and data analysis with thematic analysis and grounded theory. [19][20][21][22][23] We collected data from West Rand District in Gauteng Province, and O. R.…”

Section: Study Population Setting and Methodsmentioning

confidence: 99%

Barriers to tuberculosis care delivery among miners and their families in South Africa: an ethnographic study

Adams

Basu

Grande

et al. 2017

int j tuberc lung dis

View full text Add to dashboard Cite

SummarySetting: South African miners suffer the highest tuberculosis (TB) rates in the world. Current efforts to stem the epidemic are insufficient. Historical legacies and persistent disease burden demand innovative approaches to reshape healthcare delivery to better serve this population.Objective: To characterize social and behavioral health determinants for successful TB care delivery and treatment from the perspective of miners/ex-miners, healthcare workers and policymakers/managers. Design:We conducted an applied ethnography with 30 miners/ex-miners, 13 family/community members, 14 healthcare providers, and 47 local policymakers/managers in South Africa.Results: Miners/ex-miners felt healthcare delivery systems fail to meet their needs. Many experience unnecessary physical and psychological harm due to limited health education about TB, minimal engagement in their own care, a lack of trust in providers, and a system that does not value their experience. Stigma and fear associated with TB result in denial of symptoms and delays in care-seeking. Healthcare providers and policymakers/managers felt discouraged by system constraints to provide optimal care. Conclusion:Our findings describe long-term effects of perpetual TB misinformation and stigma resulting from fear and disempowerment among miners and their families/communities. To reduce the TB burden, there is an urgent need to co-design with miners a care delivery system to better meet their needs.

show abstract

Section: Study Population Setting and Methodsmentioning

confidence: 99%

Barriers to tuberculosis care delivery among miners and their families in South Africa: an ethnographic study

Adams

Basu

Grande

et al. 2017

int j tuberc lung dis

View full text Add to dashboard Cite

show abstract

“…Instead, different kinds of ethnographies rest on different ideas of what constitutes legitimate knowledge 12. Some ethnographers, for example, use an interpretive approach, drawing on experiential knowledge gained from physical participation in the field,13 knowledge that others might discount as unverifiable.…”

Section: What Is Ethnography?mentioning

confidence: 99%

Ethnography and health care

Savage

2000

BMJ

324

269

View full text Add to dashboard Cite

Development of a culture of evidence based medicine depends on a body of research that draws from both qualitative and quantitative approaches.1 Recent BMJ articles have usefully questioned a stark polarity between qualitative and quantitative research and helped to demystify qualitative approaches.2 3 4 There has been little mention of ethnography, however, and little argument for its use in health research.I have examined some of these omissions, giving a broad indication of the nature of ethnography and arguing for its greater use within health care. I have given examples of ethnographic studies to suggest some of the issues that ethnography can help to explore, together with a brief outline of limitations of the approach.

show abstract

“…Ethics review form the universities involved and the NHS, and research governance permissions from each trust were obtained. Participative observation (Savage, 2000) and interviews with HCAs, NQNs and ward managers (see Table 1) working in teams were used across three sites and in general medical, surgical and accident and emergency in-patient wards (see Table 2). Observation and interview data were analysed using nvivo (QSR xxx) and the themes further refined in team workshops.…”

Section: Methodsmentioning

confidence: 99%