Department of Medicine, Faculty of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Centre for Research in Assessment and Digital Learning (CRADLE), Deakin University, Melbourne, Victoria, Australia.
Med Educ. 2017 Jan;51(1):40-50. doi: 10.1111/medu.13124.
CONTEXT: Qualitative research is widely accepted as a legitimate approach to inquiry in health professions education (HPE). To secure this status, qualitative researchers have developed a variety of strategies (e.g. reliance on post-positivist qualitative methodologies, use of different rhetorical techniques, etc.) to facilitate the acceptance of their research methodologies and methods by the HPE community. Although these strategies have supported the acceptance of qualitative research in HPE, they have also brought about some unintended consequences. One of these consequences is that some HPE scholars have begun to use terms in qualitative publications without critically reflecting on: (i) their ontological and epistemological roots; (ii) their definitions, or (iii) their implications. OBJECTIVES: In this paper, we share our critical reflections on four qualitative terms popularly used in the HPE literature: thematic emergence; triangulation; saturation, and member checking. METHODS: We discuss the methodological origins of these terms and the applications supported by these origins. We reflect critically on how these four terms became expected of qualitative research in HPE, and we reconsider their meanings and use by drawing on the broader qualitative methodology literature. CONCLUSIONS: Through this examination, we hope to encourage qualitative scholars in HPE to avoid using qualitative terms uncritically and non-reflexively.
背景:定性研究已被广泛认可为健康职业教育(HPE)领域探究的一种合理方法。为了确保其地位,定性研究人员开发了各种策略(例如,依赖后实证主义定性方法、使用不同的修辞技巧等),以促进 HPE 界接受其研究方法和手段。尽管这些策略支持了定性研究在 HPE 中的接受,但也带来了一些意料之外的后果。其中之一是,一些 HPE 学者开始在定性出版物中使用术语,而没有批判性地思考:(i)它们的本体论和认识论根源;(ii)它们的定义;或(iii)它们的含义。
目的:在本文中,我们分享了我们对 HPE 文献中常用的四个定性术语的批判性反思:主题出现、三角测量、饱和和成员核对。
方法:我们讨论了这些术语的方法论起源以及这些起源所支持的应用。我们批判性地反思了这四个术语如何成为 HPE 中定性研究的预期要求,并通过借鉴更广泛的定性方法学文献重新考虑它们的含义和用法。
结论:通过这次检查,我们希望鼓励 HPE 中的定性学者避免不加批判和反思地使用定性术语。
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