Swansea University, Swansea, United Kingdom.
Qual Health Res. 2010 Jul;20(7):922-30. doi: 10.1177/1049732309354282. Epub 2009 Dec 3.
This article presents four focus groups conducted with health professionals, part of a mixed-method evaluation of modernization of endoscopy services in England catalyzed by the UK National Health Service Modernisation Agency. Transcripts were analyzed adapting van Manen's "sententious" or "wholistic" approach to thematic analysis. Seven analysts worked to distil lengthy transcripts into summative paragraphs to capture the essentiality of text. Five major themes emerged: lack of senior management understanding and appropriate management systems, inadequate resources, loss of personal autonomy and erosion of professionalism, barriers and facilitators to change, and differences between English and Welsh units-the Welsh perspective. Achieving long-lasting, positive effects of modernization within complex systems demands senior management to actively support innovations, consider staff morale, and provide appropriate levels of funding. However, although professional morale was low, ambition to improve services was strong. The methodological framework offered a comprehensive and applicable approach to data analysis, and our analysis approach was inclusive and collaborative, with far-reaching possibilities for experimental studies and large-scale, mixed-method studies, including trials.
本文介绍了与卫生专业人员进行的 4 个焦点小组，这是英国国民保健署现代化机构催化的英国内镜服务现代化混合方法评估的一部分。采用范马南的“警句”或“整体”方法对转录本进行分析，以进行主题分析。7 名分析师致力于将冗长的抄本提炼成总结性段落，以捕捉文本的本质。出现了 5 个主要主题：缺乏高层管理人员的理解和适当的管理系统、资源不足、个人自主权丧失和职业操守侵蚀、变革的障碍和促进因素，以及英格兰和威尔士单位之间的差异——威尔士视角。要在复杂系统中实现现代化的持久积极影响，需要高级管理人员积极支持创新，考虑员工士气，并提供适当水平的资金。然而，尽管职业士气低落，但改善服务的愿望强烈。该方法框架提供了一种全面适用的数据分析方法，我们的分析方法具有包容性和协作性，对于实验研究和大规模混合方法研究，包括试验，具有深远的可能性。
