Qualitative research methodologies: ethnography

Reeves, Scott; Kuper, Ayelet; Hodges, Brian

doi:10.1136/bmj.a1020

Cited by 558 publications

(480 citation statements)

References 13 publications

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“…2,11,12 An understanding of the interprofessional relationships that shape care delivery in intensive care units (ICUs) is fundamental to improving the relationships. 13,14 Several authors have encouraged greater use of qualitative research methods in confronting health care challenges generally [15][16][17][18][19] and critical care quality and safety projects more specifically. 20,21 Ethnography is the study, through a systematic collection of detailed observations and interviews, of social interactions, behaviors, and perceptions that occur within teams, organizations, and communities.…”

mentioning

confidence: 99%

Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies

Paradis¹,

Leslie²,

Puntillo³

et al. 2014

American Journal of Critical Care

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BackgroundThe sustained clinical and policy interest in the United States and worldwide in quality and safety activities initiated by the release of To Err Is Human has resulted in some high-profile successes and much disappointment. Despite the energy and good intentions poured into developing new protocols and redesigning technical systems, successes have been few and far between, leading some to argue that more attention should be given to the context of care. Objective To examine the insights provided by qualitative studies of interprofessional care delivery in intensive care. Methods A total of 532 article abstracts were reviewed. Of these, 24 met the inclusion criteria. Results Articles focused on the nurse-physician relationship, patient safety, patients' families and end-of-life care, and learning and cognition. The findings indicated the complexities and nuances of interprofessional life in intensive care and also that much needs to be learned about team processes. Conclusion The fundamental insight that interprofessional interactions in intensive care do not happen in a historical, social, and technological vacuum must be brought to bear on future research in intensive care if patient safety and quality of care are to be improved.

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mentioning

confidence: 99%

Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies

Paradis¹,

Leslie²,

Puntillo³

et al. 2014

American Journal of Critical Care

Self Cite

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“…Those who volunteered were provided with a form at the start of the design event on which they could note any observations and/ or reflections that they had throughout the two-days of each design events. This was intended to be an informal data collection exercise and volunteers were requested not to formally ask other members for feedback on their experience, although they were encouraged to document insights from conversations they had [23].…”

Section: Chapter 2 Methods and Data Collectionmentioning

confidence: 99%

An evaluation of the first phase of Q: Engaging the founding cohort in a co-designed approach to health care improvement

Garrod¹,

Exley²,

Harte³

et al. 2016

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“…Key characteristics of ethnography include embedding the researcher as an active participant in the population under study to obtain detailed and rich insights into people's views and actions. 20 Structured observations of MDT meetings and semistructured interviews with key stakeholders and MDT champions at two metropolitan hospitals in Sydney (NSW, Australia) were conducted by three researchers (TR, AJ, KM). This included observing breast, upper gastrointestinal tract, lower gastrointestinal tract, lung, melanoma, gynaecological oncology and metastatic breast tumour team meetings.…”

Section: Methodsmentioning

confidence: 99%

Embedding continuous quality improvement processes in multidisciplinary teams in cancer care: exploring the boundaries between quality and implementation science

Robinson

Janssen

Harnett

et al. 2017

Aust. Health Review

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Objective. The aim of the present study was to identify key enabling factors for engaging multidisciplinary teams (MDTs) in cancer care across the spectrum of translational research and quality improvement (QI) projects.Methods. The study was conducted in two large Sydney metropolitan hospitals. Qualitative methods, including structured observations of MDT meetings and semi-structured interviews with MDT leaders and champions, were used to identify how teams interact with and generate research and implementation initiatives. Enabling factors for and barriers to the engagement of MDTs in translational research and QI were identified.Results. Four key enabling factors emerged from the analysis of data generated from observing 43 MDT meetings and 18 semi-structured interviews: (1) access to high-quality data around individual and team performance; (2) researchactive team leaders; (3) having experts, such as implementation scientists, embedded into teams; and (4) having dedicated research or QI-focused meetings. Barriers included a lack of time, administrative support, research expertise and access to real-time data.Conclusions. The identification of enabling factors for and barriers to translational research and QI provides evidence for how multidisciplinary cancer care teams may best be engaged in research and QI that aims to improve service and care outcomes.What is known about the topic? MDTs are key to the delivery of cancer care in Australia, but there is scant research into how teams can best be engaged in translating research from basic science through to implementation science and QI. What does this paper add? This paper provides new evidence from an immersive study of cancer care MDTs in two large metropolitan hospitals in Sydney (NSW, Australia), regarding the key enabling factors for and barriers to successful engagement in translational research and QI in cancer care. What are the implications for practitioners? Cancer care professionals in MDTs are presented with an opportunity to embed translational research and QI into cancer care. MDTs can operate as an ideal vehicle to look beyond individual patient outcomes to broader trends and population health outcomes.

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Qualitative research methodologies: ethnography

Cited by 558 publications

References 13 publications

Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies

Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies

An evaluation of the first phase of Q: Engaging the founding cohort in a co-designed approach to health care improvement

Embedding continuous quality improvement processes in multidisciplinary teams in cancer care: exploring the boundaries between quality and implementation science

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