Lazzari Carlo, Nikolou-Walker Elda, Liu Liang
Department of Psychiatry, International Centre for Healthcare and Medical Education (ICHME), London, UK.
Department of Health, Social Care and Education, Middlesex University, London, UK.
Iran J Nurs Midwifery Res. 2025 May 8;30(3):413-420. doi: 10.4103/ijnmr.ijnmr_5_24. eCollection 2025 May-Jun.
Hospitals are experiencing a surge in social admissions, saturating beds required for more severe pathologies. Nurses, midwives, and other health care workers can explore this issue by using self-reflective practice to research this phenomenon in depth. This study presents primary qualitative research methods in nursing and midwifery to explore novel hospital presentations.
The study was conducted from February 2023 to January 2024. We describe the theoretical and practical applications of qualitative inquiry, including Kolb's self-reflective practice, storytelling, autoethnography, and critical incident analysis, to improve research practice in nursing and generate practice-based evidence and strategies for policy.
We crafted and analyzed four prototypical vignettes of people who typically present with social illnesses, epitomized by borderline personality disorder and its impact. By merging patient stories with nurses' autoethnographies, we can expand insider views and research tools in qualitative research.
Qualitative exploratory analysis provided robust and convincing accounts of how nurses and midwives can face and relate to problematic situations in health care. Nurses can use both patients' narratives and their own to extract salient points and guidance for understanding, theorizing, changing, and policymaking.
医院正面临社会因素导致的入院人数激增的情况，致使更严重病症所需的床位趋于饱和。护士、助产士及其他医护人员可通过自我反思实践深入研究这一现象。本研究展示了护理学和助产学中用于探索新型医院就诊情况的主要定性研究方法。
该研究于2023年2月至2024年1月进行。我们描述了定性探究的理论和实际应用，包括科尔布的自我反思实践、叙事法、自我民族志和关键事件分析，以改进护理研究实践，并生成基于实践的证据和政策策略。
我们精心编写并分析了四个典型案例，这些案例的主人公通常患有社会因素导致的疾病，以边缘性人格障碍及其影响为典型代表。通过将患者故事与护士的自我民族志相结合，我们可以在定性研究中拓展内部视角和研究工具。
定性探索性分析有力且令人信服地说明了护士和助产士如何面对医疗保健中的问题情况并与之建立联系。护士可以利用患者的叙述以及自己的叙述来提取要点，并为理解、理论化、变革和政策制定提供指导。
