Framework analysis: A worked example from a midwifery research

Framework analysis: A worked example from a midwifery research
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DOI:
10.1016/j.enfcli.2019.04.112
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发表时间:
2019-09-01
期刊:
影响因子:
0.5
通讯作者:
Pien, Lee Siew
Pien, Lee Siew
中科院分区:
其他
文献类型:
--
作者:
Arifin, Siti Roshaidai Mohd;Cheyne, Helen;Pien, Lee Siew

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目的:框架分析是一种实用的方法,为现实世界的调查,并已普遍用于卫生保健研究。虽然框架分析的理论部分已经有了很好的记录,但描述其实际应用的文献有限。本文的目的是通过一个探讨妇女产后抑郁症经历的研究实例,展示使用框架分析的系统和明确的指导。方法:本文的数据来自对33名女性的半结构化访谈(来自三种不同文化背景的人)在六个专门选定的妇幼保健机构接受儿童或产后护理结果:采用框架分析法对数据进行分析,该分析包括三个相互关联的阶段。在第一阶段(数据管理),仔细选择了要审查的数据(记录本)。最初的类别是根据选定的成绩单确定的,最初的主题也已确定(称为主题框架)。在第二阶段(描述性叙述),对专题框架进行了调查,以查明一个类别与另一个类别之间的任何联系和相似之处。分析的第三阶段(解释性说明)涉及准确检查现象之间的匹配程度如何分布在整个数据集中。使用框架分析,确定了四个主题,以解释妇女的经验,产后抑郁症,即变化,因果解释,处理产后抑郁症,和感知impactions.Conclusions:每个阶段的分析的细节进行解释,以指导研究人员进行框架分析的基本步骤。卫生保健研究人员可能会发现本文中提到的一个工作实例在分析定性数据时很有用。皇冠版权所有(C)2019由Elsevier Espana,S.L.U. All rights reserved.
Objective: Framework analysis is a pragmatic approach for real-world investigations and has been commonly used in health care research. Although the theoretical part of framework anal ysis has been well documented, there is limited literature describing its practical use. The objective of this paper is to demonstrate systematic and explicit guidance in using framework analysis by giving an example of a study exploring women's experience of postnatal depression.Method: Data presented in this paper comes from semi-structured interviews of 33 women (from three different cultural backgrounds) attending for a child or postnatal care in six purposively selected maternal and child health (MCH) clinics in Kuala Lumpur.Results: Data were analyzed using framework analysis, which consists of three interrelated stages. In the first stage (data management), a careful selection of the data (transcripts) to be reviewed was made. The initial categories were developed based on the selected transcripts, and the initial themes were decided (known as a thematic framework). In the second stage (descriptive accounts), the thematic framework was investigated to identify any linkage and similarity between one category to another. The third stage of the analysis (explanatory accounts) involved checking exactly how the level of matching between the phenomena was distributed across the whole set of data. Using framework analysis, four themes were identified to explain the women's experience of postnatal depression namely the changes, causal explanations, dealing with postnatal depression, and perceived impacts.Conclusions: The details of each stage of the analysis were explained to guide researchers through essential steps in undertaking framework analysis. Health care researchers may find a worked example addressed in this paper as useful when analyzing qualitative data. Crown Copyright (C) 2019 Published by Elsevier Espana, S.L.U. All rights reserved.