Qualitative methods in research on healthcare quality

Pope, Catherine; Royen, Paul Van; Baker, Richard

doi:10.1136/qhc.11.2.148

Cited by 493 publications

(419 citation statements)

References 16 publications

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“…Interviews are a widely used method for such research and allow access to the private, often contradictory and complex beliefs people hold (Pope & Mays, 1995). Interviews provide the opportunity to obtain more detail about an issue or experience and can uncover concerns that had not previously been anticipated or considered (Pope, Van Royen, & Baker, 2002). Elicitation of such information is essential in identifying perceived barriers to accessing preventative healthcare services.…”

Section: Introductionmentioning

confidence: 99%

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Rockliffe

Chorley

Marlow

et al. 2018

International Journal of Qualitative Studies on Health and Well

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In this article, we discuss the challenges faced in recruiting “hard-to-reach” groups for interview studies, specifically those who do not access preventative healthcare services. We do this by reflecting on the varying success of different recruitment methods we have used in two recent studies; one investigating ethnic disparities in human papillomavirus vaccination uptake and another exploring difference in cervical screening non-participation. Engaging new community groups to help with recruitment proved particularly difficult, as did recruiting online. Our most successful recruitment methods included recruiting through community groups with whom we had previously established relationships, recruiting through schools and re-contacting participants who previously completed a related survey. We conclude that successful recruitment is dependent on study awareness and engagement. We urge others to be transparent in reporting recruitment methods in order to benefit the qualitative research community and suggest that details are published as supplementary material alongside qualitative articles in future.

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Section: Introductionmentioning

confidence: 99%

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Rockliffe

Chorley

Marlow

et al. 2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…1 It looks at X in terms of how X varies in different circumstances rather than how big is X or how many Xs are there? 2 Textbooks often subdivide research into qualitative and quantitative approaches, furthering the common assumption that there are fundamental differences between the 2 approaches. With pharmacy educators who have been trained in the natural and clinical sciences, there is often a tendency to embrace quantitative research, perhaps due to familiarity.…”

Section: Introductionmentioning

confidence: 99%

Presenting and Evaluating Qualitative Research

Anderson

2010

American Journal of Pharmaceutical Education

793

562

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“…[16][17][18] We obtained physician information based on our knowledge of the faculty pool. We sampled across the year excluding July or August to allow resident team members to settle in to their roles.…”

Section: Setting and Study Participantsmentioning

confidence: 99%

The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients’ Outcomes

et al. 2015

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BACKGROUND: Sensemaking is the social act of assigning meaning to ambiguous events. It is recognized as a means to achieve high reliability. We sought to assess sensemaking in daily patient care through examining how inpatient teams round and discuss patients. OBJECTIVE: Our purpose was to assess the association between inpatient physician team sensemaking and hospitalized patients' outcomes, including length of stay (LOS), unnecessary length of stay (ULOS), and complication rates. DESIGN: Eleven inpatient medicine teams' daily rounds were observed for 2 to 4 weeks. Rounds were audiotaped, and field notes taken. Four patient discussions per team were assessed using a standardized Situation, Task, Intent, Concern, Calibrate (STICC) framework. PARTICIPANTS: Inpatient physician teams at the teaching hospitals affiliated with the University of Texas Health Science Center at San Antonio participated in the study. Outcomes of patients admitted to the teams were included. MAIN MEASURES: Sensemaking was assessed based on the order in which patients were seen, purposeful rounding, patient-driven rounding, and individual patient discussions. We assigned teams a score based on the number of STICC elements used in the four patient discussions sampled. The association between sensemaking and outcomes was assessed using Kruskal-Wallis sum rank and Dunn's tests. KEY RESULTS: Teams rounded in several different ways. Five teams rounded purposefully, and four based rounds on patient-driven needs. Purposeful and patient-driven rounds were significantly associated with lower complication rates. Varying the order in which patients were seen and purposefully rounding were significantly associated with lower LOS, and purposeful and patient-driven rounds associated with lower ULOS. Use of a greater number of STICC elements was associated with significantly lower LOS (4.6 vs. 5.7, p=0.01), ULOS (0.3 vs. 0.6, p=0.02), and complications (0.2 vs. 0.5, p=0.0001).CONCLUSIONS: Improving sensemaking may be a strategy for improving patient outcomes, fostering a shared understanding of a patient's clinical trajectory, and enabling high reliability.

show abstract

Qualitative methods in research on healthcare quality

Cited by 493 publications

References 16 publications

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Presenting and Evaluating Qualitative Research

The Association Between Sensemaking During Physician Team Rounds and Hospitalized Patients’ Outcomes

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