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如何……在健康促进研究中使用理论作为方法。

How to … use theory as method in HPE research.

机构信息

Academic Affairs, Association of American Medical Colleges, Washington, D.C., USA.

Emergency Pediatric Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

出版信息

Clin Teach. 2023 Dec;20(6):e13615. doi: 10.1111/tct.13615. Epub 2023 Aug 7.

Abstract

Recognising that scholars in health professions education (HPE) are often unfamiliar with theory-informed research, we provide guidance on a robust method for using theory as a method to inform every aspect of research design from research question formation to data analysis and reporting. Using the Figured Worlds theory to illustrate the process, we mapped six concepts of particular importance to HPE: the figured world, agency, improvisation, discourse, positionality and power. Together the concepts were helpful analytic tools for our topic of interest. The concept of the figured world informed the construction of our program of research. Agency was useful in exploring the ways that subjects acted or did not act. We crafted interview questions to illustrate participants' unique improvisations. Discourse, or the world's artefacts both verbal and embodied, informed our understanding of the world's norms. Positionality allowed us to compare the agentic action of different participants. Finally, power offered an opportunity to recognise the intersection of the positional identities of participants and their stories of action or inaction. While theory-informed analytic tools offer an opportunity to construct nuanced understanding, generating new insights into study subjects and their worlds, caution is necessary as qualitative inquiry is an evolving process of give and take. Everything from the study's questions, methods and even theories might need to flex in response to the data. Ultimately, though initially intimidating, theories offer concrete methodological tools HPE scholars can rely on.

摘要

认识到健康职业教育(HPE)领域的学者通常不熟悉理论导向的研究,我们提供了关于使用理论作为方法的指导,以告知从研究问题形成到数据分析和报告的各个方面的研究设计。我们使用 Figured Worlds 理论来说明这个过程,映射了对 HPE 特别重要的六个概念: figured world、agency、improvisation、discourse、positionality 和 power。这些概念共同成为了我们研究主题的有用分析工具。Figured world 的概念为我们的研究计划的构建提供了信息。Agency 有助于探索主体行动或不行动的方式。我们精心设计了访谈问题,以说明参与者独特的即兴创作。话语,或者说是世界上的言语和有形的人工制品,使我们能够理解世界的规范。Positionality 使我们能够比较不同参与者的代理行动。最后,权力为认识参与者的位置身份及其行动或不行动的故事的交集提供了机会。虽然理论导向的分析工具提供了构建细致入微的理解的机会,为研究对象及其所处世界带来新的见解,但需要谨慎,因为定性研究是一个不断发展的给予和接受的过程。从研究的问题、方法甚至理论,一切都可能需要根据数据进行调整。尽管理论最初可能令人生畏,但它们为 HPE 学者提供了可以依赖的具体方法论工具。

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