Qualitative research in vascular surgery

Ma, Gar-Way; Botros, Daniel; deLuca, Leslie Summers; Kayssi, Ahmed

doi:10.1053/j.semvascsurg.2022.10.005

Cited by 1 publication

(1 citation statement)

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“…Whilst the power of QI is well-established, it is a relatively new field of research in surgery and most vascular surgeons would not be familiar with the methodology and paradigms involved. 21 By implementing rigorous methodology and analytical processes, we demonstrate the merits of a Big Q qualitative mindset to delve deeper into shared implicit meanings of QOL. Transparency is provided in our analytical process and thematic development.…”

Section: Discussionmentioning

confidence: 99%

Patient perspectives of quality of life in chronic limb‐threatening ischemia: a qualitative study

Shan,

Telianidis,

Westcott

et al. 2023

ANZ Journal of Surgery

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BackgroundQuality of life (QOL) is an outcome that matters to patients with chronic limb‐threatening ischemia (CLTI). However, we identified the lack of and need for a CLTI‐specific QOL instrument. Our group is developing this instrument which requires a deep understanding of patient perspectives of QOL in CLTI.MethodsQualitative inquiry with patient and public involvement was performed in accordance with the Standards for Reporting Qualitative Research. Reflexive thematic analysis of semi‐structured interviews was conducted within a constructivist‐interpretivist research paradigm. Data were organized and managed in NVivo. Techniques to enhance trustworthiness included maintaining an audit trail, member checking, mentoring, and peer‐debriefing. Patient and the public were consulted for feedback on codes, themes, and thematic maps.ResultsThirteen participants (median age: 74 years, range: 43–90 years) with a variety of patient demographics were interviewed. Four themes were developed on QOL in CLTI: (i) ‘independence as key to life satisfaction’, (ii) ‘change in identity when continuity is needed’, (iii) ‘coping with intractable disease’, and (iv) ‘not wanting to be alone’. Member checking with patient and public involvement confirmed the relevance and centrality of these themes to the lived experiences of patients with CLTI.ConclusionsThe thematic outputs contribute important insights into what QOL truly means to patients with CLTI and what matters for their QOL. The content validity of the new CLTI‐specific QOL instrument is improved by giving patients voice. This study highlights the value of qualitative inquiry and patient and public involvement in vascular surgical research.

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Section: Discussionmentioning

confidence: 99%