Meta-ethnography 25 years on: challenges and insights for synthesising a large number of qualitative studies
Meta-ethnography 25 years on: challenges and insights for synthesising a large number of qualitative studies
复制标题
元民族志 25 年来：综合大量定性研究的挑战和见解
DOI：
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发表时间：
2014
影响因子：
4
通讯作者：
K. Barker
中科院分区：
文献类型：
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作者：
F. Toye;K. Seers;N. Allcock;M. Briggs;E. Carr;K. Barker
系统地搜索和综合定性研究的研究在医疗保健中变得越来越明显，它们可以为患者护理做出重要贡献。我们的团队获得资助，以完成慢性肌肉骨骼疼痛患者经历的元民族志。自Noblit和Hare发表他们关于元民族志的核心文本以来已经有25年了，当前的健康研究环境给旨在综合定性研究的研究人员带来了额外的挑战。Noblit和Hare提出了元民族志的七个阶段，这七个阶段使研究者从形成研究想法到表达研究结果。这些阶段不是离散的，而是形成迭代研究过程的一部分。我们的目的是建立在Noblit和Hare的方法基础上，并探讨将大量定性研究纳入定性系统评价的挑战。这些挑战取决于认识论和实践问题，以及对决定高质量研究的期望。本文介绍了我们的方法，并探讨了这些挑战。我们的方法的核心是概念的协作解释过程，以及在我们无法破译概念的情况下排除原始材料的决定。我们使用我们的研究团队的自反性陈述的摘录来说明我们的方法的发展。
Studies that systematically search for and synthesise qualitative research are becoming more evident in health care, and they can make an important contribution to patient care. Our team was funded to complete a meta-ethnography of patients’ experience of chronic musculoskeletal pain. It has been 25 years since Noblit and Hare published their core text on meta-ethnography, and the current health research environment brings additional challenges to researchers aiming to synthesise qualitative research. Noblit and Hare propose seven stages of meta-ethnography which take the researcher from formulating a research idea to expressing the findings. These stages are not discrete but form part of an iterative research process. We aimed to build on the methods of Noblit and Hare and explore the challenges of including a large number of qualitative studies into a qualitative systematic review. These challenges hinge upon epistemological and practical issues to be considered alongside expectations about what determines high quality research. This paper describes our method and explores these challenges. Central to our method was the process of collaborative interpretation of concepts and the decision to exclude original material where we could not decipher a concept. We use excerpts from our research team’s reflexive statements to illustrate the development of our methods.