How Do We Work as Researchers in the Real World? Mapping the Trajectory of Methodological Decision Making in Health Services Research

Easpaig, Bróna Nic Giolla; Tran, Yvonne; Arnolda, Gaston; Clay‐Williams, Robyn; Delaney, Geoff; Braithwaite, Jeffrey

doi:10.1177/1609406920913678

Cited by 4 publications

(1 citation statement)

References 39 publications

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“…Data management: Data were managed securely and analysed using an inductive approach, as outlined elsewhere [ 29 – 31 ]. From this corpus of data, a sub-set relevant to care for CALD patients was extracted, collated, and a coding framework developed.…”

Section: Main Textmentioning

confidence: 99%

Providing outpatient cancer care for CALD patients: a qualitative study

et al. 2021

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Objective There have been few descriptions of how outpatient cancer care is provided to patients from culturally and linguistically diverse (CALD) communities. As populations who experience disparities in cancer care access and outcomes, deeper understanding is needed to help identify those factors which can shape the receipt of multidisciplinary care in ambulatory settings. This paper reports on data collected and analysed as part of a multicentre characterisation of care in Australian public hospital cancer outpatient clinics (OPCs). Results Analysis of data from our ethnographic study of four OPCs identified three themes: “Identifying CALD patient language-related needs”; “Capacity and resources to meet CALD patient needs”, and “Making it work for CALD communities.” The care team comprises not only clinicians but also families and non-clinical staff; OPCs serve as “touchpoints” facilitating access to a range of therapeutic services. The findings highlight the potential challenges oncology professionals negotiate in providing care to CALD communities and the ways in which clinicians adapt their practices, formulate strategies and use available resources to support care delivery.

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Section: Main Textmentioning

confidence: 99%

Providing outpatient cancer care for CALD patients: a qualitative study

et al. 2021

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Methodological Leeway and Obstacles in Qualitative Research: Reflections on Procedural and Practical Issues in Tanzania

Telaky,

Mwanyoka

2024

International Journal of Qualitative Methods

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Despite being subject to criticism, qualitative research methodology remains a unique and valuable approach in collecting rich and informative data. However, this may vary from one context to another and researchers understanding of the context. Grounded on the decolonization notion of qualitative research, this paper explains leeways and obstacles in conducting research, reflecting upon the procedural and practical aspects that represent the reality in Tanzania based on two cases. Our paper emphasizes that it is essential to understand and capture the real-world reflective of the voices of the population whom the study targets, which may be easier for local/native researchers. This is because the local/native researchers may be able to explain the research processes and findings in consideration of the socio-cultural settings and political environment. The paper acknowledges that qualitative research requires patience and time, which may have financial implications. It also acknowledges that some populations are facing research fatigue exacerbated by inadequate research dissemination plans. Understanding the context of the study area or topic and applying appropriate methodological approaches to overcome obstacles and gather required adequate and relevant information is thus of importance.

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The complexities, coordination, culture and capacities that characterise the delivery of oncology services in the common areas of ambulatory settings

Easpaig

Tran

Winata

et al. 2022

BMC Health Serv Res

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Background Relatively little is understood about real-world provision of oncology care in ambulatory outpatient clinics (OPCs). This study aimed to: 1) develop an understanding of behaviours and practices inherent in the delivery of cancer services in OPC common areas by characterising the organisation and implementation of this care; and 2) identify barriers to, and facilitators of, the delivery of this care in OPC common areas. Methods A purpose-designed ethnographic study was employed in four public hospital OPCs. Informal field scoping activities were followed by in-situ observations, key informant interviews and document review. A view of OPCs as complex adaptive systems was used as a scaffold for the data collection and interpretation, with the intent of understanding ‘work as done’. Data were analysed using an adapted “Qualitative Rapid Appraisal, Rigorous Analysis” approach. Results Field observations were conducted over 135 h, interviews over 6.5 h and documents were reviewed. Analysis found six themes. Staff working in OPCs see themselves as part of small local teams and as part of a broader multidisciplinary care team. Professional role boundaries could be unclear in practice, as duties expanded to meet demand or to stop patients “falling through the cracks.” Formal care processes in OPCs were supported by relationships, social capital and informal, but invaluable, institutional expertise. Features of the clinic layout, such as the proximity of departments, affected professional interactions. Staff were aware of inter- and intra-service communication difficulties and employed strategies to minimise negative impacts on patients. We found that complexity, coordination, culture and capacity underpin the themes that characterise this care provision. Conclusions The study advances understanding of how multidisciplinary care is delivered in ambulatory settings and the factors which promote or inhibit effective care practice. Time pressures, communication challenges and competing priorities can pose barriers to care delivery. OPC care is facilitated by: self-organisation of participants; professional acumen; institutional knowledge; social ties and relationships between and within professional groups; and commitment to patient-centred care. An understanding of the realities of ‘work-as-done’ may help OPCs to sustain high-quality care in the face of escalating service demand.

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How Do We Work as Researchers in the Real World? Mapping the Trajectory of Methodological Decision Making in Health Services Research

Cited by 4 publications

References 39 publications

Providing outpatient cancer care for CALD patients: a qualitative study

Providing outpatient cancer care for CALD patients: a qualitative study

Methodological Leeway and Obstacles in Qualitative Research: Reflections on Procedural and Practical Issues in Tanzania

The complexities, coordination, culture and capacities that characterise the delivery of oncology services in the common areas of ambulatory settings

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