School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Qual Health Res. 2011 Apr;21(4):443-53. doi: 10.1177/1049732310392595. Epub 2010 Dec 16.
In this article, I trace the historical groundings of what have become methodological conventions in the use of qualitative approaches to answer questions arising from the applied health disciplines and advocate an alternative logic more strategically grounded in the epistemological orientations of the professional health disciplines. I argue for an increasing emphasis on the modification of conventional qualitative approaches to the particular knowledge demands of the applied practice domain, challenging the merits of what may have become unwarranted attachment to theorizing. Reorienting our methodological toolkits toward the questions arising within an evidence-dominated policy agenda, I encourage my applied health disciplinary colleagues to make themselves useful to that larger project by illuminating that which quantitative research renders invisible, problematizing the assumptions on which it generates conclusions, and filling in the gaps in knowledge needed to make decisions on behalf of people and populations.
在本文中,我追溯了在应用健康学科中使用定性方法来回答问题的方法惯例的历史基础,并倡导一种替代逻辑,这种逻辑在专业健康学科的认识论取向中有更具战略性的基础。我主张越来越重视根据应用实践领域的特殊知识需求来修改传统的定性方法,质疑对可能成为不必要的理论化的支持。我鼓励我的应用健康学科同事们通过阐明定量研究无法揭示的内容、对其得出结论所依据的假设提出质疑以及填补代表个人和人群做出决策所需的知识空白,使自己对以证据为主导的政策议程中出现的问题有用,从而使我们的方法工具包重新定位。