Fuzzy cognitive mapping: An old tool with new uses in nursing research

Andersson, Neil; Silver, Hilah

doi:10.1111/jan.14192

Cited by 25 publications

(36 citation statements)

References 33 publications

(60 reference statements)

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“…Each concept is a node linked with arrows (edges) to its outcomes or consequences. 20 Each relationship in the map receives a weight to indicate the strength of the influence that each node exerts on another. The cause-weighted arrow-outcome set summarises each causal statement, which together make up a complex knowledge network.…”

Section: Methodsmentioning

confidence: 99%

Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review

et al. 2021

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ObjectivesCollate published evidence of factors that affect maternal health in Indigenous communities and contextualise the findings with stakeholder perspectives in the Mexican State of Guerrero.DesignScoping review and stakeholder fuzzy cognitive mapping.Inclusion and exclusionThe scoping review included empirical studies (quantitative, qualitative or mixed methods) that addressed maternal health issues among Indigenous communities in the Americas and reported on the role or influence of traditional midwives before June 2020. The contextualisation drew on two previous studies of traditional midwife and researcher perspectives in southern Mexico.ResultsThe initial search identified 4461 references. Of 87 selected studies, 63 came from Guatemala and Mexico. Three small randomised trials involved traditional midwives. One addressed the practice of traditional midwifery. With diverse approaches to cultural differences, the studies used contrasting definitions of traditional midwives. A fuzzy cognitive map graphically summarised the influences identified in the scoping review. When we compared the literature’s map with those from 29 traditional midwives in Guerrero and eight international researchers, the three sources coincided in the importance of self-care practices, rituals and traditional midwifery. The primary concern reflected in the scoping review was access to Western healthcare, followed by maternal health outcomes. For traditional midwives, the availability of hospital or health centre in the community was less relevant and had negative effects on other protective influences, while researchers conditioned its importance to its levels of cultural safety. Traditional midwives highlighted the role of violence against women, male involvement and traditional diseases.ConclusionsThe literature and stakeholder maps showed maternal health resulting from complex interacting factors in which promotion of cultural practices was compatible with a protective effect on Indigenous maternal health. Future research challenges include traditional concepts of diseases and the impact on maternal health of gender norms, self-care practices and authentic traditional midwifery.

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Section: Methodsmentioning

confidence: 99%

Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review

et al. 2021

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“…where a higher value for d represents greater differences between knowledge groups (Andersson & Silver, 2019). Consensus was greater between family physicians and birth companions ( d = 0:31) and lower between published literature and the birth companions ( d = 0:45): Published literature was updated with prior weighting densities from family physician perspectives, and separately from birth companion perspectives for each nonzero cell in the adjacency matrices (Bernardo & Smith, 2000;Joseph, 2000b).…”

Section: Preparatorymentioning

confidence: 99%

Weight of Evidence: Participatory Methods and Bayesian Updating to Contextualize Evidence Synthesis in Stakeholders’ Knowledge

Dion

Carini-Gutierrez

Jimenez

et al. 2021

Journal of Mixed Methods Research

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Mixed methods research is well-suited to grapple with questions of what counts as valid knowledge across different contexts and perspectives. This article introduces Weight of Evidence as a transformative procedure for stakeholders to interpret, expand on and prioritize evidence from evidence syntheses, with a focus on engaging populations historically excluded from planning and decision making. This article presents the procedure’s five steps using pilot data on perinatal care of immigrant women in Canada, engaging family physicians and birth companions. Fuzzy cognitive mapping offers an accessible and systematic way to generate priors to update published literature with stakeholder priorities. Weight of Evidence is a transparent procedure to broaden what counts as expertise, contributing to a more comprehensive, context-specific, and actionable understanding.

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“…In the final map, IS scaled the cumulative influences dividing them by the maximum cumulative influence in the map to obtain values between 0 and 1. 32 PA, EA and BO transcribed and translated the focus groups, the notes from the deliberative dialogues and the MSC narratives to English. LB used an inductive approach to design the coding structure; she and LR-R coded the data manually and drafted narrative reports from the three data collection methods.…”

Section: Msc Narratives Interviewsmentioning

confidence: 99%

Communities and service providers address access to perinatal care in postconflict Northern Uganda: socialising evidence for participatory action

Belaid

Atim

Atim³

et al. 2021

Fam Med Com Health

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ObjectivesDescribe participatory codesign of interventions to improve access to perinatal care services in Northern Uganda.Study designMixed-methods participatory research to codesign increased access to perinatal care. Fuzzy cognitive mapping, focus groups and a household survey identified and documented the extent of obstructions to access. Deliberative dialogue focused stakeholder discussions of this evidence to address the obstacles to access. Most significant change stories explored the participant experience of this process.SettingThree parishes in Nwoya district in the Gulu region, Northern Uganda.ParticipantsPurposively sampled groups of women, men, female youth, male youth, community health workers, traditional midwives and service providers. Each of seven stakeholder categories included 5–8 participants in each of three parishes.ResultsStakeholders identified several obstructions to accessing perinatal care: lack of savings in preparation for childbirth in facility costs, lack of male support and poor service provider attitudes. They suggested joining saving groups, practising saving money and income generation to address the short-term financial shortfall.They recommended increasing spousal awareness of perinatal care and they proposed improving service provider attitudes. Participants described their own improved care-seeking behaviour and patient–provider relationships as short-term gains of the codesign.ConclusionParticipatory service improvement is feasible and acceptable in postconflict settings like Northern Uganda. Engaging communities in identifying perinatal service delivery issues and reflecting on local evidence about these issues generate workable community-led solutions and increases trust between community members and service providers.

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Fuzzy cognitive mapping: An old tool with new uses in nursing research

Cited by 25 publications

References 33 publications

Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review

Maternal health and Indigenous traditional midwives in southern Mexico: contextualisation of a scoping review

Weight of Evidence: Participatory Methods and Bayesian Updating to Contextualize Evidence Synthesis in Stakeholders’ Knowledge

Communities and service providers address access to perinatal care in postconflict Northern Uganda: socialising evidence for participatory action

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