Methodological and ethical issues related to qualitative telephone interviews on sensitive topics.

Methodological and ethical issues related to qualitative telephone interviews on sensitive topics.
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DOI:
10.7748/nr2014.03.21.4.32.e1229
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发表时间:
2014-03-01
期刊:
影响因子:
1.2
通讯作者:
Jones Rn, Jacqueline
Jones Rn, Jacqueline
中科院分区:
其他
文献类型:
--
作者:
Mealer, Meredith;Jones Rn, Jacqueline

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目的:探讨与重症监护护士就个人或职业创伤进行定性电话访谈的方法学和伦理学问题。背景:最常见的访谈方法是面对面。然而,有证据支持电话采访各种敏感话题,包括创伤后应激障碍(PTSD)。定性的电话采访可以限制情绪困扰,因为通过虚拟交流感受到的舒适感。重症监护护士由于在重症监护病房中累积暴露于与工作相关的压力,患创伤后应激障碍的风险增加。我们利用与一组重症护理护士交流的经验,探讨了进行定性电话访谈的方法和伦理问题。数据来源:对27名重症护理护士的定性研究访谈。14名护士符合创伤后应激障碍的诊断标准;13名护士没有达到高水平的复原力。综述方法:这是一篇关于作者通过电话就敏感话题采访重症监护护士的经验的方法论论文。讨论:作者发现与参与者建立融洽的关系和联系以及非语言沟通的治疗性使用是必不可少的,并培养了信任和同情心。这种沟通方式的伦理问题包括保护与泄露敏感信息相关的隐私和机密性,以及将对研究人员和参与者造成心理伤害的风险降至最低。结论:定性电话采访是收集敏感话题信息的一种有价值的方法。研究/实践应用:本文探索了一种在工作场所进行采访的方法。它将有助于为在重症监护病房暴露于创伤后促进健康适应的干预措施提供信息。
AIM: To explore the methodological and ethical issues of conducting qualitative telephone interviews about personal or professional trauma with critical care nurses.BACKGROUND: The most common method for conducting interviews is face-to-face. However, there is evidence to support telephone interviewing on a variety of sensitive topics including post-traumatic stress disorder (PTSD). Qualitative telephone interviews can limit emotional distress because of the comfort experienced through virtual communication. Critical care nurses are at increased risk of developing PTSD due to the cumulative exposure to work-related stress in the intensive care unit. We explored the methodological and ethical issues of conducting qualitative telephone interviews, drawing on our experiences communicating with a group of critical care nurses.DATA SOURCES: Qualitative research interviews with 27 critical care nurses. Fourteen of the nurses met the diagnostic criteria for PTSD; 13 did not and had scores consistent with high levels of resilience.REVIEW METHODS: This is a methodology paper on the authors' experiences of interviewing critical care nurses on sensitive topics via the telephone.DISCUSSION: The authors found that establishing rapport and connections with the participants and the therapeutic use of non-verbal communication were essential, and fostered trust and compassion. The ethical issues of this mode of communication include protecting the privacy and confidentiality associated with the disclosure of sensitive information, and minimising the risk of psychological harm to the researcher and participants.CONCLUSION: Qualitative telephone interviews are a valuable method of collecting information on sensitive topics.IMPLICATIONS FOR RESEARCH/PRACTICE: This paper explores a method of interviewing in the workplace. It will help inform interventions to promote healthy adaptation following trauma exposure in the intensive care unit.