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使用定性问卷进行医学教育研究。

Using Qualitative Questionnaires in Medical Education Research.

机构信息

C4ME, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, UK.

Centre for Trials Research, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, UK.

出版信息

Perspect Med Educ. 2024 May 6;13(1):280-287. doi: 10.5334/pme.1102. eCollection 2024.

DOI:10.5334/pme.1102
PMID:38737397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11086583/
Abstract

Most students in Health Profession Education courses are new to the world of qualitative research. Faced with the challenge of designing a research project, they are often drawn towards using the questionnaire as a data collection method, commonly assuming that utilising open-ended questions alone constitutes qualitative research design. Designing questionnaires that meet the standards of rigour is challenging, and this common assumption reflects inexperience with and misunderstandings of qualitative ontology, as well as the lack of methodological literature on designing and developing qualitative questionnaires. This paper is written with research supervisors as well as students in mind, as it is aimed to help elucidate the decision-making process and the justification for using a qualitative questionnaire. Drawing upon examples of research conducted by our students, and the wider literature, we demonstrate how qualitative questionnaires can produce rich and meaningful findings when they (1) prioritise qualitative research values, and (2) follow a rigorous design process when the questionnaire is developed. We conclude by offering a simple framework for developing rigorous qualitative questionnaires to those who may consider using this approach.

摘要

大多数医学专业学术文献课程的学生都对定性研究领域不熟悉。在面对设计研究项目的挑战时,他们往往倾向于使用问卷作为数据收集方法,通常认为仅使用开放式问题就构成了定性研究设计。设计符合严谨性标准的问卷极具挑战性,这种常见的假设反映了对定性本体论的经验不足和误解,以及缺乏关于设计和开发定性问卷的方法学文献。本文旨在为研究导师和学生提供帮助,阐明使用定性问卷的决策过程和理由。本文通过引用我们学生的研究示例和更广泛的文献,展示了当定性问卷(1)优先考虑定性研究价值观,以及(2)在开发问卷时遵循严格的设计流程时,如何产生丰富而有意义的发现。最后,我们为那些可能考虑使用这种方法的人提供了一个开发严谨的定性问卷的简单框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248f/11086583/de332d76ba38/pme-13-1-1102-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248f/11086583/de332d76ba38/pme-13-1-1102-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248f/11086583/de332d76ba38/pme-13-1-1102-g1.jpg

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本文引用的文献

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Teaching pre-clinical medical students remotely in Nigeria post Covid-19 pandemic: can past experiences shape future directions?尼日利亚新冠疫情后远程教授医学预科学生:过去的经验能否为未来指明方向?
BMC Med Educ. 2024 May 9;24(1):515. doi: 10.1186/s12909-024-05508-w.
2
'I'm unworthy of being in this space': The origins of shame in medical students.“我不配待在这里”:医学生羞耻感的起源。
Med Educ. 2021 Feb;55(2):185-197. doi: 10.1111/medu.14354. Epub 2020 Sep 13.
3
Ethical dilemmas and reflexivity in qualitative research.定性研究中的伦理困境与反身性。
Perspect Med Educ. 2018 Apr;7(2):69-75. doi: 10.1007/s40037-018-0412-2.
4
Why Open-Ended Survey Questions Are Unlikely to Support Rigorous Qualitative Insights.为什么开放式调查问题不太可能支持严谨的定性见解。
Acad Med. 2018 Mar;93(3):347-349. doi: 10.1097/ACM.0000000000002088.
5
"The Questions Shape the Answers": Assessing the Quality of Published Survey Instruments in Health Professions Education Research.“问题塑造答案”:评估健康专业教育研究中已发表调查工具的质量。
Acad Med. 2018 Mar;93(3):456-463. doi: 10.1097/ACM.0000000000002002.
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Sample Size in Qualitative Interview Studies: Guided by Information Power.定性访谈研究中的样本量:以信息力为导向
Qual Health Res. 2016 Nov;26(13):1753-1760. doi: 10.1177/1049732315617444. Epub 2016 Jul 10.
7
Quantitative and qualitative methods in medical education research: AMEE Guide No 90: Part II.医学教育研究中的定量与定性方法:AMEE指南第90号:第二部分。
Med Teach. 2014 Oct;36(10):838-48. doi: 10.3109/0142159X.2014.915297. Epub 2014 May 20.
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Developing questionnaires for educational research: AMEE Guide No. 87.为教育研究编制问卷:医学教育促进与发展协会指南第87号
Med Teach. 2014 Jun;36(6):463-74. doi: 10.3109/0142159X.2014.889814. Epub 2014 Mar 24.
9
Protecting respondent confidentiality in qualitative research.保护定性研究中被调查者的保密性。
Qual Health Res. 2009 Nov;19(11):1632-41. doi: 10.1177/1049732309350879.
10
Power relations in qualitative research.定性研究中的权力关系。
Qual Health Res. 2009 Feb;19(2):279-89. doi: 10.1177/1049732308329306.