Immy Holloway

The Status of Method: Flexibility, Consistency and Coherence

Many elements of qualitative research are shared between the variety of approaches, and often the overlap of epistemology, ethics and procedures encourages a generic and flexible view of this type of inquiry. This article argues that there is an essential tension between flexibility on the one hand, and consistency and coherence on the other. Such tension may encourage qualitative researchers to consider the intentions and philosophical underpinnings of the different approaches in greater depth in order to arrive at an epistemological position that can coherently underpin its empirical claims. This article is intended to encourage a more thoughtful engagement with different qualitative approaches by highlighting distinctive elements of three of the most common approaches. We suggest that the researcher be contextsensitive and flexible as well as considerate of the inner consistency and coherence that is needed when engaged in qualitative research.

The Initial Stage of the International Sojourn: Excitement or Culture Shock?.

ABSTRACT This paper presents findings from an ethnographic study of the adjustment journey of international postgraduate students at a university in the South of England, which involved interviews and participant observation over a 12-month academic year. It was discovered that the initial stage of the sojourn1 was not characterised by feelings of excitement, as suggested by the U-curve model (and its successors): though such feelings were present, they were overwhelmed by negative symptoms more commonly associated with culture shock. The implications of these findings for support structures in higher education are discussed.

The humanization of healthcare: A value framework for qualitative research

Qualitative research, through its illumination of peoples perspectives and experiences, has contributed a particular kind of useful evidence for caring practices. Until now however, it has found its location in healthcare without making the powerful impact on humanizing practice that is its key strength. Our paper develops a conceptual framework for humanizing care, and through examples illustrates an emerging agenda that moves qualitative research into its next and overdue phase: to enter policy-making; curricula in professional education; and to be meaningfully translated into practice in ways that place people as human beings at the centre of care. This paper provides eight philosophically informed dimensions of humanization, which together, form a framework that constitutes a comprehensive value base for considering both the potentially humanizing and dehumanizing elements in caring systems and interactions. In each case, we show, with reference to published studies, how qualitative research findings are already consistent with the humanizing focus articulated in our conceptual framework. We finally describe a reciprocal relationship in which the humanizing value framework guides a dedicated focus for qualitative research, and in which qualitative research in its turn, supports the humanising emphasis because of its intrinsic features.

Being a qualitative researcher.

This article, from a keynote address, is the result of some of the things which I learned about qualitative research during my many years of doing and teaching it. The main point I make is that qualitative researchers should present a good story which is based on evidence but focused on meaning rather than measurement. In qualitative inquiry, the researchers’ selves are involved, their experiences become a resource. Researchers cannot distance themselves from the other participants, although they cannot fully present their meaning and experience. I also discuss voice, paradigm, and innovation as potentially problematic issues in qualitative research. These are terms often used but not always examined for their meaning in qualitative inquiry. If researchers are aware and sensitive, rather than overemotional or self-absorbed, qualitative research can be enlightening, person-centered, and humanistic.

The stigmatisation of people with chronic back pain

Purpose. This study responded to the need for better theoretical understanding of experiences that shape the beliefs, attitudes and needs of chronic back patients attending pain clinics. The aim was explore and conceptualise the experiences of people of working age who seek help from pain clinics for chronic back pain. Methods. This was a qualitative study, based on an interpretative phenomenological approach (IPA). During in-depth interviews in their homes, participants were invited to ‘tell their story’ from the time their pain began. Participants were twelve male and six female patients, aged between 28 and 62 years, diagnosed as having chronic benign back pain. All had recently attended one of two pain clinics as new referrals. The interview transcripts were analysed thematically. Findings. Stigmatisation emerged as a key theme from the narrative accounts of participants. The findings expose subtle as well as overt stigmatising responses by family, friends, health professionals and the general public which appeared to have a profound effect on the perceptions, self esteem and behaviours of those interviewed. Conclusions. The findings suggest that patients with chronic back pain feel stigmatised by the time they attend pain clinics and this may affect their attitudes and behaviours towards those offering professional help. Theories of chronic pain need to accommodate these responses, while pain management programmes need to address the realities and practicalities of dealing with stigma in everyday life.

Ethical Issues in Qualitative Nursing Research

This article is concerned with ethical issues that have to be considered when under taking qualitative research. Some of the issues - such as informed consent, the dignity and privacy of the research subjects, voluntary participation and protection from harm - are the same as in other types of research and have their basis in moral and ethical principles. Qualitative research, however, generates specific ethical problems because of the close relationship that researchers form with participants. Qualitative research with patients is especially difficult because of their vulnerability and lack of power in the clinical situation. Therefore the potential conflict between the dual role of the nurse - the professional and the research roles - has to be solved. Researchers also learn how to cope with the tension of subjective and objective elements of the research. Nurses who attempt qualitative research have to consider a variety of complex ethical issues, which are addressed in this paper.

The experience of chronic back pain: Accounts of loss in those seeking help from pain clinics

Background This study responded to the need for greater understanding of the experiences that help to shape the worldviews of chronic back patients as they seek help from pain clinics.

Meaning not measurement

Purpose – Events research is witnessing a gradual increase in experience‐related studies, reflecting a challenge to the dominance of positivist, quantitative‐based studies. This purpose of this paper is to support a paradigm shift to effect a more balanced examination of events within the existing body of literature.Design/methodology/approach – A search of events‐related publications in both events and non‐events journals is conducted in order to identify the level of use of the ethnographic approach by researchers in event studies. The literature on qualitative methods and on ethnography in particular is also examined, in a bid to show how ethnography can be used and how it is specifically suited to inquiry into the consumer experience of events and festivals.Findings – Ethnography is advocated as an appropriate research approach to the events field, and this paper details the extensive potential that this approach offers. Drawing from the wider literature on ethnography, a rationale for an alternative ...

The impact of recent primary care reforms in the UK on interprofessional working in primary care centres

This study comprises the perspectives of professionals in primary care regarding the impact of the changes in its organisation and interprofessional collaboration in the UK. General practitioners (GPs), nurses and practice managers were interviewed in three primary cares located within a 20-mile radius and in the same health authority. Interviews were analysed using the grounded theory approach of Glaser & Strauss (1967) as developed by Strauss & Corbin (1998). The separate ideologies and subcultures of GPs, nurses and managers influenced their perceptions of reforms in primary care. Professional identities and the traditional power structure generated some conflict between the three groups which affected collaboration in implementing the reforms. Based on the findings of the study, it seems probable that it will take a new generation of health professionals to bring about an interprofessional culture in the NHS.

Qualitative research in sport and physical activity

PART ONE: INTRODUCING QUALITATIVE RESEARCH IN SPORT Qualitative Research and Its Use in Sport and Physical Activity The Main Characteristics of Qualitative Research Qualitative Research in Sport and Physical Activity Ethical Considerations in Research Recruiting Participants Informed Consent Confidentiality and Anonymity Avoiding Harm Developing the Research Question and Writing the Proposal The topic and Research Question Writing the Proposal The Role of the Literature in Qualitative Research The Literature and the Proposal The Literature Overview The Inductive Approach The Ongoing Dialogue with the Literature Keeping Track of References Sampling Purposive Sampling Sampling Types Sampling Decisions Accessing the Sample Referring to the Sample PART TWO: COLLECTING QUALITATIVE DATA Interviews Types of Interview Variety of Interviews Asking Questions Interviewing Skills The Relationship Between Interviewer and Participants Practical Sspects of Interviewing Potential Problems in Interviewing Focus Groups The Origin and Purpose of Focus Groups Choosing the Sample: Size, Number and Composition Conducting Focus Group Interviews The Involvement of the Interviewer Analysing Focus Group Data Ethical Issues Advantages and Limitations of Focus Groups Participant Observation The research Setting Types of Observation Getting Started Keeping a Record Using Documentary Sources of Data Problematic Issues PART THREE: CHOOSING THE RESEARCH APPROACH Grounded Theory The Origins of Grounded Theory The Main Elements of Grounded Theory The Process of GT: Data Collection and Analysis The Developing Theory Problems in Grounded Theory Ethnography Fieldwork A Focus on Culture Ethnographic Methods Sample and Setting The Ethnographic Record Analysis and Interpretation Problems in Conducting Ethnographic Research Phenomenology Descriptive and Interpretive Phenomenology Eliciting Life-World Descriptions The Use of Bracketing and Sensitising The Findings of Phenomenological Research Sampling Phenomenological Interviews Analysis in Descriptive and Hermeneutic Phenomenology Interpretative Phenomenological Analysis (IPA) Limitations Narrative Research Stories and Their Structure Types of Story The Functions of Peoples Stories Collecting Data Narrative Analysis The Distinctive Nature of Narrative Research A Critique of Narrative Research Mixed Methods Research Adopting Mixed Methods Research Designing Mixed Methods Research The problems Inherent in Mixed Methods Research PART FOUR: ANALYSING AND REPORTING QUALITATIVE DATA Data Analysis Managing the Data Transcribing and Writing Memos Data Reduction and Conceptualisation: Codes, Categories and Themes Computer-aided Analysis of Qualitative Data Interpreting the Data The Quality of Qualitative Inquiry Validity and Reliability Alternative Criteria for Qualitative Research How to Ensure Trustworthiness Writing Up Qualitative Research Writing in the First Person The Format of the Report Checklist Before Submission Telling the Tale: Creativity and Originality Publishing and Presenting the Research Glossary References Index