Article

Focus on qualitative methods. Qualitative metasynthesis: issues and techniques.

Department of Women's and Children's Health, School of Nursing, University of North Carolina at Chapel Hill 27599, USA.
Research in Nursing & Health (Impact Factor: 1.16). 09/1997; 20(4):365-71.
Source: PubMed

ABSTRACT There has been an accumulation of qualitative studies in recent years, but little cumulation of the understandings gained from them. Qualitative research appears endangered both by efforts to synthesize studies and by the failure to do so. Techniques used have included reciprocal translations of key metaphors and concepts and qualitative and quantitative comparative analyses to produce narrative and theoretical integrations. The major problem yet to be resolved is developing usable and communicable systematic approaches to conducting metasynthesis projects that maintain the integrity of individual studies.

Download full-text

Full-text

Available from: Sharron L Docherty, Jul 01, 2015
2 Followers
 · 
341 Views
  • Source
    The International Journal of Children s Rights 04/2015; 23(1):109-132.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Presentations of self-harm to paramedic and emergency staff are increasing, and despite being the first professionals encountered, patients who self-harm report the quality of care and attitudes from these staff are unsatisfactory. Understanding this care may provide opportunities to improve services. The aim of this study is to enhance knowledge building and theory generation in order to develop practice and policy through a metasynthesis of qualitative research relating to perceptions of paramedic and emergency care for people who self-harm. The metasynthesis draws on Evolved Grounded Theory Methodology (EGTM). A search was undertaken of CINAHL®, MEDLINE®, OVID ® and Psych INFO®, and grey literature. Subject headings of 'self-harm' were used alongside key words 'suicide', 'paramedic' 'emergency', 'overdose', 'pre-hospital' mental health, ambulance, perceptions of care, emergency. A total of 1103 papers were retrieved; 12 were finally included. No papers investigated paramedic care for self-harm. The following metaphors emerged: (a) frustration, futility and legitimacy of care; (b) first contact in the pre-hospital environment: talking, immediate and lasting implications of the moral agent; (c) decision making in self-harm: balancing legislation, risk and autonomy; (d) paramedics' perceptions: harnessing professionalism and opportunities to contribute to the care of self-harm. Paramedics are often the first health professional contact following self-harm, yet limited qualitative literature has explored this encounter. Metaphors revealed in this paper highlight challenges in decision making and legislation, also opportunities to improve care through professionalization and tailored education. Copyright © 2015 Elsevier Inc. All rights reserved.
    Journal of psychosomatic research 03/2015; 78(6). DOI:10.1016/j.jpsychores.2015.03.007 · 2.84 Impact Factor
  • Source
    Dataset: 8-H00038