Ethnography in Nursing Research: A Reflective Methodological Perspective

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-03-29 DOI:10.1111/jan.16940

Khulood Kayed Shattnawi

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Abstract

Aims

To reflect on ethnography as a qualitative research methodology in nursing, examining its conceptual, theoretical and practical applications. It offers insights into its effective adoption in nursing research, particularly in culturally diverse healthcare settings, emphasising the integration of ethnonursing and critical ethnography.

Design

This methodological reflection draws on the author's research experience and extensive review of ethnography's principles and practices.

Methods

This paper examines key components of ethnography, including participant observation, semi-structured interviews and field notes. Ethical considerations, data analysis processes and strategies to ensure trustworthiness and reflexivity are discussed. Special attention is given to the application of ethnonursing in culturally specific care and the use of critical ethnography to analyse power dynamics and institutional structures.

Results

Ethnography, particularly ethnonursing and critical ethnography, provides an invaluable framework for understanding healthcare's cultural and social dynamics. The paper presents reflections on methodological challenges encountered during an ethnographic study of neonatal intensive care units in Jordan, offering practical insights for nursing researchers.

Conclusion

Ethnography enables nursing researchers to explore the complexities of human experiences within cultural contexts, contributing to the advancement of culturally informed and evidence-based nursing practices. The combination of ethnonursing and critical ethnography enhances the ability to uncover both cultural influences on care and the structural factors shaping healthcare experiences.

Implications for the Profession and/or Patient Care

This paper provides methodological insights that can guide nursing researchers to adopt ethnography effectively, promote culturally sensitive care that aligns with patients' social and cultural needs, and contribute to healthcare equity and improved patient outcomes.

Reporting Method

This paper follows the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines.

Patient or Public Contribution

No patient or public contribution.

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护理研究中的民族志：反思性方法论视角

目的反思民族志作为一种定性研究方法在护理中，检查其概念，理论和实际应用。它提供了洞察其在护理研究中有效采用，特别是在文化多样化的医疗保健环境中，强调民族护理和关键民族志的整合。这种方法上的反思借鉴了作者的研究经验和对民族志原则和实践的广泛回顾。方法本文考察了民族志的关键组成部分，包括参与性观察、半结构化访谈和实地记录。伦理考虑，数据分析过程和策略，以确保可信度和反身性进行了讨论。特别关注民族护理在文化特定护理中的应用，并使用关键民族志来分析权力动态和制度结构。结果民族志，特别是民族护理学和批判性民族志，为理解医疗保健的文化和社会动态提供了宝贵的框架。本文提出了在约旦新生儿重症监护病房的人种学研究中遇到的方法挑战的反思，为护理研究人员提供了实际的见解。民族志使护理研究人员能够在文化背景下探索人类经历的复杂性，有助于文化知情和基于证据的护理实践的进步。民族护理和批判性民族志的结合增强了揭示文化对护理的影响和塑造医疗保健经验的结构因素的能力。对专业和/或患者护理的影响本文提供了方法上的见解，可以指导护理研究人员有效地采用民族志，促进符合患者社会和文化需求的文化敏感护理，并有助于医疗公平和改善患者预后。报告方法本文遵循COREQ（报告定性研究的综合标准）指南。病人或公众捐款：没有病人或公众捐款。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.