Conducting Qualitative Research in/on Health Systems: Ethical Tensions, Confounders, and Silences

2018 ◽  
pp. 107-120
Author(s):  
Surekha Garimella ◽  
Lakshmi K. Josyula
Keyword(s):  
Qualitative Research ◽  
Health Systems

scholarly journals Fair publication of qualitative research in health systems: a call by health policy and systems researchers

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Karen Daniels ◽  
◽  
Rene Loewenson ◽  
Asha George ◽  
Natasha Howard ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Health Policy ◽  
Health Systems ◽  
Health Policy And Systems

scholarly journals Barriers and facilitators to the integration of digital technologies in mental health systems: A protocol for a qualitative systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259995
Author(s):  
Chiara Berardi ◽  
Madeleine Hinwood ◽  
Angela Smith ◽  
Adrian Melia ◽  
Francesco Paolucci
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Qualitative Research ◽  
Health Systems ◽  
Digital Technology ◽  
Data Extraction ◽  
Digital Technologies ◽  
Barriers And Facilitators ◽  
Mental Health Systems ◽  
Qualitative Evidence

Introduction Digital technology has the potential to improve health outcomes and health system performance in fragmented and under-funded mental health systems. Despite this potential, the integration of digital technology tools into mental health systems has been relatively poor. This is a protocol for a synthesis of qualitative evidence that will aim to determine the barriers and facilitators to integrating digital technologies in mental health systems and classify them in contextual domains at individual, organisational and system levels. Methods and analysis The methodological framework for systematic review of qualitative evidence described in Lockwood et al. will be applied to this review. A draft search strategy was developed in collaboration with an experienced senior health research librarian. A systematic search of Medline, Embase, Scopus, PsycInfo, Web of Science and Google Scholar, as well as hand searching of reference lists and reviews will identify relevant studies for inclusion. Study selection will be carried out independently by two authors, with discrepancies resolved by consensus. The quality of selected studies will be assessed using JBI Critical Appraisal Checklist for Qualitative Research. Data will be charted using JBI QUARI Data Extraction Tool for Qualitative Research. Findings will be defined and classified both deductively in a priori conceptual framework and inductively by a thematic analysis. Results will be reported based on the Enhancing transparency in reporting the synthesis of qualitative research. The level of confidence of the findings will be assessed using GRADE-CERQual. Ethics and dissemination This study does not require ethics approval. The systematic review will inform policy and practices around improving the integration of digital technologies into mental health care systems.

scholarly journals The production of critical theories in Health Systems Research and Education. An epistemological approach to emancipating public research and education from private interests

2011 ◽  
Vol 1 (1) ◽  
pp. 1-28 ◽  
Author(s):  
Jean-Pierre Unger ◽  
Pierre De Paepe ◽  
Patrick Van Dessel ◽  
Alicia Stolkiner
Keyword(s):  
Qualitative Research ◽  
Health Systems ◽  
Health Systems Research ◽  
Care Organization ◽  
Critical Sociology ◽  
Research Methodologies ◽  
Systems Research ◽  
French School ◽  
Research And Education ◽  
Do So

This paper aims at offering alternative methodological perspectives in health systems research, to produce critical, theoretical knowledge in domains such as health policy and management of health care, organization of disease control, political economy of health and medical practice.We first examined the reasons to believe that worldwide economic agents have driven publicly funded schools of public health to adopt their preferred policies and to orient their priority research topics. We then studied whether this hidden leadership has also contributed to shape research methodologies, which we contrasted with the epistemological consequences of a quest for intellectual independence, that is, the researcher’s quest to critically understand the state of health systems and generalize results of related action-research. To do so, we applied concepts of what could be named the ‘French School of Critical Sociology’ to qualitative research methodologies in descriptive health systems research. To do so, we applied concepts of what could be named the ‘French School of Critical Sociology’ to qualitative research methodologies in descriptive health systems research.

Why allied health professionals use evidence-based clinical guidelines in stroke rehabilitation: A systematic review and meta-synthesis of qualitative studies

2021 ◽  
pp. 026921552110123
Author(s):  
Dayna Halls ◽  
Carolyn Murray ◽  
Ben Sellar
Keyword(s):  
Qualitative Research ◽  
Health Systems ◽  
Health Professionals ◽  
Clinical Guidelines ◽  
Stroke Rehabilitation ◽  
Allied Health ◽  
Clinical Guideline ◽  
Good Reason ◽  
Evidence Based ◽  
Allied Health Professionals

Objective: To capture qualitative research about the perspectives and reasoning of allied health professionals about variability in the use of clinical guidelines in stroke rehabilitation. Data sources: Ovid Medline, Psychinfo, Cochrane, Ovid Emcare, Scopus and Web of Science. Method: The review protocol followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. Qualitative or mixed methods research that provided qualitative data about use of clinical guidelines delivered by allied health professionals in stroke rehabilitation was included. Clinical guidelines included any evidence-based documents that guided allied health stroke rehabilitation practice. All studies were screened in duplicate at title and abstract and then at full text. Included studies were appraised using the McMaster Critical Appraisal Tool. Results: Data from 850 allied health professionals in 22 qualitative research studies from seven different countries were analysed and synthesised. Four themes were developed including: context necessitates strategy, all clients are different, systemic changes are needed and need a good reason to change something. The findings aligned with the four arms of evidence-base practice. Allied health professionals use clinical guidelines when they align with their reasoning and match the ‘sweet spot’ for client goals and circumstance. Clinical guideline use is attributed to sufficient resourcing, time and motivation and a strong research culture within health systems. Conclusions: Variabilities in clinical guideline use by allied health professionals are due to their clinical reasoning, contextual factors, client characteristics and enabling health systems.

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