Conducting qualitative research in the context of pre-existing peer and collegial relationships

McDermid, Fiona; Peters, Kathleen; Jackson, Debra; Daly, J. J.

doi:10.7748/nr.21.5.28.e1232

Cited by 71 publications

(75 citation statements)

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“…In research of this nature, particularly when the material is sensitive, it is a standard to acknowledge the influence of the researchers; their relationship with the participants; and their role in the community from which the participants come. 26 Women may have may have felt more comfortable in reporting certain experiences because the interviewer was also a woman. The role of the interviewer as a participant observer might result in participants emphasizing and elaborating themes of gender-based challenges to women surgical residents.…”

Section: Limitationsmentioning

confidence: 99%

A qualitative study of gender differences in the experiences of general surgery trainees

Myers

Hill

Nicholson

et al. 2018

Journal of Surgical Research

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Section: Limitationsmentioning

confidence: 99%

A qualitative study of gender differences in the experiences of general surgery trainees

Myers

Hill

Nicholson

et al. 2018

Journal of Surgical Research

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“…It might be considered a limitation of this study that the selection of participants was made among colleagues. Several researchers (e.g., McDermid, Peters, Jacksom, & Daly, 2014;McEvoy, 2002) have addressed the methodological and ethical issues concerning the insider and outsider perspective among interviewees. They emphasise that shared experiences might help to generate new insights by opening up and extending the depth of a discussion.…”

Section: Methodological Discussionmentioning

confidence: 99%

Nurses' Experiences of Assessing Suicide Risk in Specialised Mental Health Outpatient Care in Rural Areas

Jansson

Graneheim

2018

Issues in Mental Health Nursing

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This study describes nurses' experiences of assessing suicide risk in specialised mental health outpatient care in rural areas in Sweden. We used a qualitative, descriptive design based on twelve interviews that were subjected to qualitative content analysis. The results showed that the nurses felt anguish due to a lack of control. They expressed uncertainty and loneliness, and they struggled with ethical issues and organisational challenges. Having the sole responsibility to assess suicide risk can increase a person's emotional vulnerability and moral stress. Consequently, in order to prevent ill health among these nurses, there is a need for a tolerant work climate and an organisation that provides support to its employees. Assessing suicide risk is a demanding task within mental health outpatient care. Further, nurses operating in rural areas have to initiate and conduct assessments on their own, and they are, together with the physician in charge, also held individually responsible for their assessments. Consequently, it is important to describe nurses' experiences of how they deal with questions concerning suicide risk. Their experiences can foster awareness of the responsibility and the ethical standpoints related to assessing suicide risk, can help outline the need for further education and supervision, and can improve support from co-workers and management.

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“…The first author (NG), who conducted the interviews and analysed the data is a general surgery resident and therefore an insider‐outsider relative to the study participants. This pre‐existing relationship allows for an easily established rapport and the ability to use a common language and experience base, but can also pose a risk in terms of the quality of the data collected and analysed . The second author (LC), who independently analysed the data, had no surgical training or relationship with the participants and used a background in applied linguistics to view the data from a unique and complementary perspective.…”

Section: Methodsmentioning

confidence: 99%

“…This pre-existing relationship allows for an easily established rapport and the ability to use a common language and experience base, but can also pose a risk in terms of the quality of the data collected and analysed. 31 The second author (LC), who independently analysed the data, had no surgical training or relationship with the participants and used a background in applied linguistics to view the data from a unique and complementary perspective. The interview data and findings were also reviewed and discussed with the other study authors (IR, TJW), a staff general surgeon with experience in qualitative methodology and a professor in cognitive psychology, respectively.…”

Section: Research Teammentioning

confidence: 99%

The cognitive process of test takers when using the script concordance test rating scale

et al. 2020

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Context Clinical decision making (CDM) skills are important to learn and assess in order to establish competence in trainees. A common tool for assessing CDM is the script concordance test (SCT), which asks test takers to indicate how a new clinical finding influences a proposed plan using a Likert‐type scale. Most criticisms of the SCT relate to its rating scale but are largely theoretical. The cognitive process of test takers when selecting their responses using the SCT rating scale remains understudied, but is essential to gathering validity evidence for use of the SCT in CDM assessment. Methods Cases from an SCT used in a national validation study were administered to 29 residents and 14 staff surgeons. Semi‐structured cognitive interviews were then conducted with 10 residents and five staff surgeons based on the SCT results. Cognitive interview data were independently coded by two data analysts, who specifically sought to elucidate how participants mapped their internally generated responses to any of the rating scale options. Results Five major issues were identified with the response matching cognitive process: (a) the meaning of the ‘0' response option; (b) which response corresponds to agreement with the planned management; (c) the rationale for picking ‘±1' versus ‘±2'; (d) which response indicates the desire to undertake the planned management plus an additional procedure, and (e) the influence of time on response selection. Conclusions Studying how test takers (experts and trainees) interpret the SCT rating scale has revealed several issues related to inconsistent and unintended use. Revising the scale to address the variety of interpretations could help to improve the response process validity of the SCT and therefore improve the SCT's ability to be used in CDM skills assessments.

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Conducting qualitative research in the context of pre-existing peer and collegial relationships

Abstract: It is imperative that dual roles are declared and acknowledged. Researchers need to be mindful of the difficulties that may occur and prioritise participants' confidentiality and privacy.

Cited by 71 publications

References 0 publications

A qualitative study of gender differences in the experiences of general surgery trainees

A qualitative study of gender differences in the experiences of general surgery trainees

Nurses' Experiences of Assessing Suicide Risk in Specialised Mental Health Outpatient Care in Rural Areas

The cognitive process of test takers when using the script concordance test rating scale

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