Walsh Denis, Downe Soo
University of Central Lancashire, 366 Hinckley Road, Leicester LE3 OTN, UK.
Midwifery. 2006 Jun;22(2):108-19. doi: 10.1016/j.midw.2005.05.004. Epub 2005 Oct 21.
In the process of undertaking a meta-synthesis of qualitative studies of free-standing midwife-led units, the authors of this paper encountered a number of methodologically and epistemologically unresolved issues. One of these related to the assessment of the quality of qualitative research. In an iterative approach to scoping this issue, we identified eight existing checklists and summary frameworks. Some of these publications were opinion based, and some involved a synthesis of pre-existing frameworks. None of them provide a clear map of the criteria used in all their reviewed papers, and of the commonalities and differences between them. We critically review these frameworks and conclude that, although they are epistemologically and theoretically dense, they are excessively detailed for most uses. In order to reach a workable solution to the problem of the quality assessment of qualitative research, the findings from these frameworks and checklists were mapped together. Using a technique we have termed a 'redundancy approach' to eliminate non-essential criteria, we developed our own summary framework. The final synthesis was achieved through reflexive debate and discussion. Aspects of this discussion are detailed here. The synthesis is clearly rooted in a subjectivist epistemology, which views knowledge as constructed and hermeneutic in intent, encompassing individual, cultural and structural representations of reality.
在对独立助产士主导单位的定性研究进行元综合的过程中,本文作者遇到了一些在方法论和认识论上尚未解决的问题。其中一个问题与定性研究质量的评估有关。在以迭代方式界定这个问题时,我们确定了八个现有的清单和总结框架。这些出版物中有些是基于观点的,有些则涉及对现有框架的综合。它们都没有清晰地呈现出其所有综述论文中所使用的标准,以及这些标准之间的异同。我们对这些框架进行了批判性审视,并得出结论:尽管它们在认识论和理论上很密集,但对于大多数用途来说过于详细。为了找到定性研究质量评估问题的可行解决方案,我们将这些框架和清单的结果整合在一起。我们使用一种称为“冗余方法”的技术来消除非必要标准,从而开发出了我们自己的总结框架。最终的综合是通过反思性辩论和讨论实现的。这里详细阐述了讨论的各个方面。该综合显然植根于主观主义认识论,这种认识论将知识视为建构性的且具有诠释学意图,涵盖了现实的个体、文化和结构表征。