Department of health and care sciences, University of Gothenburg, Göteborg, Sweden.
Freelancer, Emeritus, Sjömarken, Sweden.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2382809. doi: 10.1080/17482631.2024.2382809. Epub 2024 Jul 25.
To describe how (QMA), based on a lifeworld theoretical approach, can be made accessible to students and researchers not well-versed in the philosophy of science or qualitative research. Additionally, to demonstrate that it is a more rigorous approach than qualitative content analysis in guiding healthcare inquiries.
In recent years, qualitative approaches in nurse education and research have increasingly relied on various content analytical procedures. Liberated from clear philosophical underpinnings, they offer a seemingly pragmatic stance to nursing inquiries. However, by prioritizing 'sorting content' over the exploration of meaning, there's a risk of adopting a mechanistic approach to qualitative analysis. This is problematic because we contend that the search for meaning lies at the heart of qualitative inquiry in nursing and healthcare research, dealing with existential phenomena surrounding health, illness, and care.
This paper explores the search for meaning in health care research, particularly in nursing, and introduces key epistemological aspects. It also discusses practical considerations to further familiarize and encourage the use of QMA in graduate nursing education and research.
Qualitative inquiry with a focus on meaning is a powerful means when the intention is to develop person-centered care, and the relationship between the professionals and patients is in focus. Such an approach has the potential to illuminate existential suffering as well as innate health capacities in patients.
描述基于生活世界理论方法的定性现象学分析(QMA)如何能够为不精通科学哲学或定性研究的学生和研究人员所理解和应用。此外,还将展示 QMA 在指导医疗保健研究方面比定性内容分析更具严谨性。
近年来,护理教育和研究中的定性方法越来越依赖于各种内容分析程序。这些方法摆脱了明确的哲学基础,为护理研究提供了一种看似实用的立场。然而,通过将“分类内容”置于意义探索之上,有可能采用一种机械的定性分析方法。这是有问题的,因为我们认为,在护理和医疗保健研究中,对意义的探索是定性研究的核心,涉及与健康、疾病和护理相关的存在现象。
本文探讨了医疗保健研究中(尤其是护理领域)对意义的探索,并介绍了关键的认识论方面。还讨论了一些实际考虑因素,以进一步熟悉和鼓励在研究生护理教育和研究中使用 QMA。
关注意义的定性研究是一种有力的方法,当意图是发展以患者为中心的护理,并且专业人员和患者之间的关系是焦点时。这种方法有可能阐明患者的存在性痛苦和内在健康能力。