Using meta ethnography to synthesise qualitative research: a worked example.

Using meta ethnography to synthesise qualitative research: a worked example.
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DOI:
10.1258/135581902320432732
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发表时间:
2002-10-01
影响因子:
2.4
通讯作者:
Pill, Roisin
Pill, Roisin
中科院分区:
医学3区
文献类型:
--
作者:
Britten, Nicky;Campbell, Rona;Pill, Roisin

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目的:通过一个工作的examination.METHODS:任意选择四篇关于药物的非专业含义的论文,展示应用Meta民族志学的好处。Noblit和Hare的Meta民族志的七个步骤的过程进行了employed.Results:六个关键概念被确定:坚持/遵守;自我调节;厌恶;替代应对策略;制裁;阅读的研究;选择性披露。四个二阶解释(来自选定的文件)被确定,在此基础上,四个三阶解释(基于关键概念和二阶解释)被构建。这些都是联系在一起的论点,占病人的服药行为和沟通,在不同的设置卫生专业人员。第三阶的解释,不仅与原来的结果一致,但也扩展到超越them.CONCLUSIONS:它是可能的,使用Meta人种志综合的定性研究的结果。这个例子已经产生了中等范围的理论,这些理论以假设的形式出现,可以被其他研究人员检验。
OBJECTIVES: To demonstrate the benefits of applying meta ethnography to the synthesis of qualitative research, by means of a worked example.METHODS: Four papers about lay meanings of medicines were arbitrarily chosen. Noblit and Hare's seven-step process for conducting a meta ethnography was employed: getting started; deciding what is relevant to the initial interest; reading the studies; determining how the studies are related; translating the studies into one another; synthesising translations; and expressing the synthesis.RESULTS: Six key concepts were identified: adherence/compliance; self-regulation; aversion; alternative coping strategies; sanctions; and selective disclosure. Four second-order interpretations (derived from the chosen papers) were identified, on the basis of which four third-order interpretations (based on the key concepts and second-order interpretations) were constructed. These were all linked together in a line of argument that accounts for patients' medicine-taking behaviour and communication with health professionals in different settings. Third-order interpretations were developed which were not only consistent with the original results but also extended beyond them.CONCLUSIONS: It is possible to use meta ethnography to synthesise the results of qualitative research. The worked example has produced middle-range theories in the form of hypotheses that could be tested by other researchers.