Qualitative approaches

Morse, Janice M.; Field, Peggy Anne

doi:10.1007/978-1-4899-4471-9_7

Cited by 167 publications

(169 citation statements)

References 9 publications

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“…Any written qualitative comments received under each item were extracted onto a main sheet and a process of content analysis, as described by Morse and Field,20 was used to identify recurring issues within and across both the MAI items and each of the consultations. Any qualitative comments were generally limited to a sentence or two, and usually pertained to justification for experts’ decisions about certain MAI items applied within the sample consultations.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the clinical appropriateness of nurses' prescribing practice: method development and findings from an expert panel analysis

Latter

Maben²,

Myall³

et al. 2007

Quality and Safety in Health Care

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Background: The number of nurses independently prescribing medicines in England is rising steadily. There had been no attempt systematically to evaluate the clinical appropriateness of nurses' prescribing decisions. Aims: (i) To establish a method of assessing the clinical appropriateness of nurses' prescribing decisions; (ii) to evaluate the prescribing decisions of a sample of nurses, using this method. Method: A modified version of the Medication Appropriateness Index (MAI) was developed, piloted and subsequently used by seven medical prescribing experts to rate transcripts of 12 nurse prescriber consultations selected from a larger database of 118 audio-recorded consultations collected as part of a national evaluation. Experts were also able to give written qualitative comments on each of the MAI dimensions applied to each of the consultations. Analysis: Experts' ratings were analysed using descriptive statistics. Qualitative comments were subjected to a process of content analysis to identify themes within and across both MAI items and consultations. Results: Experts' application of the modified MAI to transcripts of nurse prescriber consultations demonstrated validity and feasibility as a method of assessing the clinical appropriateness of nurses' prescribing decisions. In the majority of assessments made by the expert panel, nurses' prescribing decisions were rated as clinically appropriate on all nine items in the MAI. Conclusion: A valid and feasible method of assessing the clinical appropriateness of nurses' prescribing practice has been developed using a modified MAI and transcripts of audio-recorded consultations sent to a panel of prescribing experts. Prescribing nurses in this study were generally considered to be making clinically appropriate prescribing decisions. This approach to measuring prescribing appropriateness could be used as part of quality assurance in routine practice, as a method of identifying continuing professional development needs, or in future research as the expansion of non-medical prescribing continues.

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Section: Methodsmentioning

confidence: 99%

Evaluating the clinical appropriateness of nurses' prescribing practice: method development and findings from an expert panel analysis

Latter

Maben²,

Myall³

et al. 2007

Quality and Safety in Health Care

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“…It has been seen as a way of accessing beliefs and practices, allowing these to be viewed in the context in which they occur and thereby aiding understanding of behaviour surrounding health and illness. 11 17 It is therefore particularly valuable as patients' views on the experience of illness or delivery of service are becoming recognised as central to a modernised NHS. Ethnography can show, for example, how the effectiveness of therapeutic interventions can be influenced by patients' cultural practices18 and how ethnocentric assumptions on the part of professionals can impede effective health promotion (box 3).…”

Section: Ethnography and Health Carementioning

confidence: 99%

“…In addition, ethnography is particularly useful in understanding the organisation of health care 17. For example, communication and information management within the NHS have been described as chaotic 20.…”

Section: Ethnography and Health Carementioning

confidence: 99%

Ethnography and health care

Savage

2000

BMJ

322

269

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Development of a culture of evidence based medicine depends on a body of research that draws from both qualitative and quantitative approaches.1 Recent BMJ articles have usefully questioned a stark polarity between qualitative and quantitative research and helped to demystify qualitative approaches.2 3 4 There has been little mention of ethnography, however, and little argument for its use in health research.I have examined some of these omissions, giving a broad indication of the nature of ethnography and arguing for its greater use within health care. I have given examples of ethnographic studies to suggest some of the issues that ethnography can help to explore, together with a brief outline of limitations of the approach.

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“…The aim of the current study was to investigate the patients' view of relapse and recovery utilising a qualitative, phenomenological approach (Holloway & Wheeler, 2002;Morse & Field, 1995;Van Manen, 1997). Specifically, we sought to identify how patients conceptualise and understand their ability or desire to maintain change in the first year following intensive treatment.…”

Section: Introductionmentioning

confidence: 99%