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Harmonizing Qualitative Data Across Multiple Health Systems to Identify Quality Improvement Interventions: A Methodological Framework Using PROSPR II Cervical Research Center Data as Exemplar 协调多个卫生系统的定性数据以确定质量改进干预措施:以prosper II子宫颈研究中心数据为例的方法框架
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-14 DOI: 10.1177/16094069231157345
Robin T. Higashi, G. Kruse, J. Richards, Anubha Sood, Patricia Chen, L. Quirk, Justin Kramer, Jasmin A. Tiro, L. Tuzzio, J. Haas, Marlaine S Figueroa Gray, S. Lee
Background: Heterogeneity in healthcare systems’ organizational structures, policies and decisions influences practice implementation and care delivery. While quantitative data harmonization has been used to compare outcomes, few have conducted cross-site qualitative inquiry of healthcare delivery; thus, little is known about how to harmonize qualitative data across multiple settings. Objective: We illustrate a methodological approach for a theory-driven qualitative data harmonization process for the PROSPR II Cervical Research Center, a large multi-site, mixedmethods study evaluating cervical cancer screening across three diverse healthcare settings. Methods: We compared three geographically, socio-demographically, and structurally diverse healthcare systems using a multi-modal qualitative data collection strategy. We grounded our sampling strategy in a cervical cancer screening process model, then tailored it for system-specific differences (e.g., clinic staffing structure and individual roles). Data collection tools included domains corresponding to shared research objectives (e.g., abnormal follow-up) while accommodating local context. Analysis drew on operational domains from the screening process model and constructs from the Consolidated Framework for Implementation Research and Normalization Process Theory. Results: Exemplars demonstrate how data harmonization revealed insights suggesting opportunities to improve clinical processes across healthcare systems. Discussion: This analysis advances the application of qualitative methods in implementation science, where assessing context is key to responding to organizational challenges and shaping implementation strategies across multiple health systems. We demonstrate how systematically collecting, analyzing and harmonizing qualitative data elucidates the impact of process factors and accelerates efforts to identify opportunities for quality improvement interventions.
背景:医疗系统的组织结构、政策和决策的异质性影响着实践的实施和医疗服务的提供。虽然定量数据协调已被用于比较结果,但很少有人对医疗保健服务进行跨站点的定性调查;因此,对于如何在多个设置中协调定性数据知之甚少。目的:我们阐述了一种理论驱动的定性数据协调过程的方法学方法,用于PROSPR II子宫颈研究中心,这是一项大型多地点,混合方法研究,评估三种不同医疗保健环境中的宫颈癌筛查。方法:我们使用多模式定性数据收集策略比较了三个地理上、社会人口统计学上和结构上不同的医疗保健系统。我们将抽样策略建立在宫颈癌筛查过程模型的基础上,然后根据系统特异性差异(例如,诊所人员配置结构和个人角色)对其进行调整。数据收集工具包括与共同研究目标相对应的领域(例如,异常随访),同时适应当地情况。分析利用筛选过程模型中的操作域和实施研究统一框架和规范化过程理论中的构造。结果:范例展示了数据协调如何揭示了建议改善医疗保健系统临床流程的机会的见解。讨论:这一分析促进了定性方法在实施科学中的应用,其中评估背景是应对组织挑战和制定跨多个卫生系统实施战略的关键。我们展示了如何系统地收集、分析和协调定性数据,阐明了过程因素的影响,并加快了识别质量改进干预机会的努力。
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引用次数: 0
Cultivating Qualitative Researchers: Lessons Learned During a Pandemic 培养定性研究人员:大流行期间的经验教训
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-12 DOI: 10.1177/16094069231157705
Cristina C. Parsons, Matthew T. Hehn, Andrea J. Loudenback, Hannah K. Burke, Aimee L. Fox, Laura M. Spratt, Mollie Brazile, Rana Alarawi, J. Zarestky
Under the best of circumstances, learning to conduct qualitative research is challenging, both intellectually and emotionally. Engaging in such learning in difficult situations, such as a global pandemic, may heighten challenges while creating opportunities for truly deep learning. The purpose of this paper is to provide methodological insights to guide the growth of new qualitative researchers and inform the design of introductory methods courses based on the learning experiences of a group of graduate students conducting their first qualitative research projects. We present students’ experiences with choosing and planning a project, navigating relationships with study participants, and conducting observations and interviews. Explicit connections to qualitative methodology are offered for every stage of student research engagement. An analysis of the student authors’ experiences highlights the associated learning and innovation necessary to adapt to adversity when conducting qualitative research. Advancements in research reciprocity and human connection are presented, as experienced by the student authors. We conclude with implications and insights for teaching and learning qualitative research and ethical considerations that transcend pandemic circumstances. It is the intent of this manuscript to support the development of deep reflexive practice for new qualitative researchers, effective instructional approaches for those who teach research methods, and an insight into the power of diverse student researchers learning new skills together for the global research community.
在最好的情况下,学习进行定性研究在智力和情感上都具有挑战性。在全球疫情等困难情况下进行此类学习,可能会增加挑战,同时为真正的深度学习创造机会。本文的目的是提供方法论见解,以指导新的定性研究人员的成长,并根据一群进行第一个定性研究项目的研究生的学习经历,为入门方法课程的设计提供信息。我们展示了学生在选择和规划项目、处理与研究参与者的关系以及进行观察和采访方面的经验。为学生研究参与的每个阶段提供了与定性方法论的明确联系。对学生作者经历的分析突出了在进行定性研究时适应逆境所需的相关学习和创新。根据学生作者的经验,介绍了研究互惠和人际关系方面的进步。最后,我们对教学质量研究和伦理考虑提出了超越疫情环境的启示和见解。这篇手稿的目的是支持新的定性研究人员发展深度反射实践,为教授研究方法的人提供有效的教学方法,并深入了解不同学生研究人员共同学习新技能的力量,为全球研究界服务。
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引用次数: 1
Exploring the Use of Photovoice in Understanding the Lived Experience of Neurological Conditions: A Scoping Review and Reflexive Thematic Analysis 探索光声在理解神经疾病生活体验中的应用:范围界定综述和反射性主位分析
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-07 DOI: 10.1177/16094069231156344
James Smith, Andre Nels, L. Emery, M. Stanley
People living with neurological conditions such as multiple sclerosis, Parkinson’s disease and dementia may experience physical impairment, social disengagement, cognitive issues, and emotional disturbances. While qualitative research utilising in-depth interviews can access lived experience perspectives, the use of photovoice has the potential to obtain rich insights that include images and raise community awareness. The purpose of this scoping review was to document salient themes relating to the lived experience of neurological conditions as reported in photovoice studies. Following established scoping review methods of the Joanna Briggs Institute, a comprehensive search of five electronic databases, including MEDLINE, EMBASE, PSYCHINFO, CINAHL, and SCOPUS was conducted, as well as relevant journals and reference lists of retrieved studies. References were sorted, screened, and evaluated for inclusion using Endnote and Rayyan. The search results and the study inclusion process were reported in full in the final scoping review and presented in a PRISMA-ScR flow diagram. Reflexive thematic analysis was managed through NVivo to identify and synthesise findings, as well as identify themes. Following the removal of duplicates, the search identified 109 articles for title and abstract screening. The final dataset consisted of 25 studies published between 2007 and 2021. Two themes were identified: 1) ‘Losses and benefit finding’ focuses on the lived experience of people with neurological conditions including being pushed aside by society, a progressive decline of self and growing as a result of losses; 2) ‘Challenges of using photovoice in neurological research’ covers the confusion of terminology and implementation complexities and adaption. Societal change is needed for greater inclusion of people living with neurological conditions. Future studies using photovoice need to pay attention to methodological issues and include the recommended final step of the photovoice process to hold gallery exhibits to disseminate findings to raise awareness and initiate social change.
患有多发性硬化症、帕金森氏症和痴呆症等神经系统疾病的人可能会经历身体损伤、社交脱离、认知问题和情绪障碍。虽然利用深度访谈进行定性研究可以获得生活体验的视角,但使用照片语音有可能获得包括图像在内的丰富见解,并提高社区意识。本范围审查的目的是记录与光声研究中报告的神经疾病生活经历有关的突出主题。根据乔安娜·布里格斯研究所既定的范围界定审查方法,对五个电子数据库进行了全面搜索,包括MEDLINE、EMBASE、PSYCHINFO、CINAHL和SCOPUS,以及相关期刊和检索研究的参考文献列表。使用Endnote和Rayyan对参考文献进行分类、筛选和评估。搜索结果和研究纳入过程在最终范围审查中得到了完整报告,并在PRISMA ScR流程图中给出。通过NVivo管理反射主题分析,以确定和综合研究结果以及确定主题。在删除重复之后,搜索确定了109篇文章,用于标题和摘要筛选。最终数据集由2007年至2021年间发表的25项研究组成。确定了两个主题:1)“损失和收益发现”关注的是患有神经系统疾病的人的生活经历,包括被社会排挤、自我逐渐衰退和因损失而成长;2) “在神经学研究中使用光语音的挑战”涵盖了术语的混乱、实施的复杂性和适应性。需要社会变革,以使患有神经系统疾病的人更多地融入其中。未来使用照片语音的研究需要注意方法论问题,并包括建议的照片语音过程的最后一步,即举办画廊展览,传播研究结果,以提高认识和发起社会变革。
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引用次数: 2
Linguistic Characteristics of Texts: Methodological Notes on a Missed Step in Critical Discourse Analysis 语篇的语言特征:批评语篇分析中一个失误的方法论注释
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-06 DOI: 10.1177/16094069231156343
C. López-Deflory, A. Perron, M. Miró-Bonet
Critical discourse analysis is a set of theoretical and methodological devices used to analyze and challenge how we construct reality by looking for meaning behind words. The process of conducting critical discourse analysis is complex and, in the field of nursing research, is often carried out without regarding the different dimensions entwined in discourse. In this vein, the dimension that concerns the linguistic characteristics of texts is a highly informative one, but all too often left out of study results by researchers in nursing. This article aims to present some methodological notes of our experience conducting an analysis of linguistic characteristics within a critical discourse analysis doctoral research. We discuss the theoretical and methodological reasons why these characteristics should be widely recognized as a fundamental dimension in the framework of critical discourse analysis. We propose general recommendations to make this dimension of analysis more easily accessible and encourage other critical researchers to include the analysis of linguistic characteristics of texts in their research.
批判性话语分析是一套理论和方法手段,用于分析和挑战我们如何通过寻找话语背后的意义来构建现实。进行批判性话语分析的过程是复杂的,在护理研究领域,通常不考虑话语中纠缠的不同维度。在这种情况下,关注文本的语言特征的维度是一个高度信息性的维度,但在护理研究人员的研究结果中往往被遗漏。本文旨在介绍我们在批判性话语分析博士研究中进行语言特征分析的经验。我们讨论了为什么这些特征应该被广泛认为是批评话语分析框架中的一个基本维度的理论和方法上的原因。我们提出了一般性建议,使这一维度的分析更容易获得,并鼓励其他关键的研究人员在他们的研究中包括对文本语言特征的分析。
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引用次数: 2
Staying Motivated: The Study Protocol for a Life-Course Analysis of the Career Paths of Canadian Public Servants 保持积极性:加拿大公务员职业道路生命历程分析的研究方案
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-03 DOI: 10.1177/16094069221149497
W. D. Wranik, R. McGowan, Linda DeRiviere, Isabelle Caron, J. Grace, M. Boulet, Katherine Sara Filbee
All Canadians benefit from a high quality of public service delivery, which is directly related to the motivation of public servants. A top priority for governments is to attract and retain a public sector workforce that is motivated and enthusiastic to serve the public good. The Public Service Motivation (PSM) theory offers a framework for the analysis of motivations of public servants. Knowledge is lacking on how motivations of public servants change over time and are shaped by the life-course dynamics of identities, roles, inequalities, and experiences. Our goal is to chronicle the motivations of individuals over a life course, specifically from the onset of their career in the public service to their current career stage. We will contribute to PSM theory by combining it with the Life Course Theory (LCT). This will allow for the analysis of change in PSM over time and in relation to other life events. We aim to further our understanding of determinants of motivation of public servants by unveiling the dynamic, gendered, and diverse nature of PSM, and its interconnections with professional and personal lives. Our approach is qualitative. We will interview 100 alumni of graduate public administration programs in four Canadian institutions with reference to their graduate program admissions letter as a point of departure. During reflexive interviews, participants will co-analyse their admissions letters, where our role will be to guide them along the PSM framework. We will hear from study participants how their motivations changed since those expressed in their admissions letter, to what extent motivations over time were influenced by the events in their professional and personal lives, their identities, and roles in the workplace and in society, and their personal characteristics. Interview transcripts will be analysed using reflexive thematic analysis and interpreted jointly with the study participants.
所有加拿大人都受益于高质量的公共服务,这与公务员的积极性直接相关。政府的首要任务是吸引和留住有积极性和热情为公共利益服务的公共部门劳动力。公共服务动机理论为分析公务员的动机提供了一个框架。关于公务员的动机如何随时间而变化,以及如何受到身份、角色、不平等和经历等生命历程动态的影响,目前缺乏相关知识。我们的目标是记录个人一生的动机,特别是从他们开始从事公共服务到目前的职业阶段。我们将把PSM理论与生命历程理论(LCT)结合起来,为PSM理论做出贡献。这将允许分析PSM随时间的变化以及与其他生活事件的关系。我们的目标是进一步了解公务员的动机的决定因素,通过揭示动态,性别和多样化的PSM的性质,以及它与专业和个人生活的相互联系。我们的方法是定性的。我们将采访100名来自四所加拿大机构的研究生公共管理项目的校友,参考他们的研究生项目录取通知书作为起点。在反身性面试中,参与者将共同分析他们的录取通知书,我们的角色将是指导他们遵循PSM框架。我们将从研究参与者那里听到他们的动机是如何改变的,因为他们在录取信中表达了这些动机,随着时间的推移,动机在多大程度上受到了他们职业和个人生活中的事件的影响,他们的身份,他们在工作场所和社会中的角色,以及他们的个人特征。访谈记录将使用反身性主题分析进行分析,并与研究参与者共同解释。
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引用次数: 0
Mapping Places of Encounter: An Integrative Methodological Approach to Understanding Social Inclusion 映射相遇地点:理解社会包容的综合方法论方法
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-02 DOI: 10.1177/16094069231151304
David Spenger, S. Kordel, Tobias Weidinger
Physical places of encounter are nodes of social interaction in which moments of social inclusion and exclusion crystallize. On a methodological level, meeting places have in the past usually been associated either with firmly established spatial arrangements or with situational opportunities of encounter. Acknowledging the complexity of places of encounter and developing further a spatio-visual mapping tool conducted in various research projects on local inclusion of newcomers, we propose an integrative research approach to capturing, mapping and analyzing places of encounter via four dimensions: level of institutionalization, level of intentionality, level of inclusion and horizontal and vertical scale. The proposed place-based approach holds the chance to explicitly take into account a spatial perspective in the analysis of social interactions. Thus, it goes beyond mere network analysis, but is able to capture the socio-spatial conditions of encounters as pre-configurations of further social dynamics. In doing so, we address not only the methodological gap in research but also the practical relevance for identifying and evaluating locally important meeting places. More specifically, as part of a qualitative interview, the mapping tool can enable the participation of people whose voices are seldom heard, while the inclusion of multiple perspectives on places of encounter may facilitate local governance processes in the social realm.
相遇的物理场所是社会互动的节点,在这里,社会包容和排斥的时刻具体化了。在方法层面上,过去的会议地点通常要么与牢固的空间安排联系在一起,要么与相遇的情景机会联系在一起。我们认识到相遇地的复杂性,并在不同的新来者本地包容研究项目中进一步发展了一种空间视觉地图工具,我们提出了一种综合研究方法,通过制度化水平、意向性水平、包容水平以及水平和垂直尺度四个维度来捕捉、绘制和分析相遇地。提出的基于地点的方法有机会在分析社会互动时明确考虑空间视角。因此,它超越了单纯的网络分析,而是能够捕捉到相遇的社会空间条件,作为进一步社会动态的预配置。在这样做的过程中,我们不仅解决了研究方法上的差距,而且还解决了确定和评估当地重要会议场所的实际意义。更具体地说,作为定性访谈的一部分,地图工具可以使很少听到声音的人参与进来,而对相遇地点的多种观点的纳入可以促进社会领域的地方治理进程。
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引用次数: 2
The Voting Scheme Determines the Winner. Considering Possible Options for Designing a Delphi Study 投票方案决定获胜者。考虑设计德尔菲研究的可能选择
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-02 DOI: 10.1177/16094069221148871
Isabell Ehringfeld, Paula Steinhoff, Stefan Störk, A. Whittal, O. Herber
The Delphi technique is an important tool for structuring a group communication process among key stakeholders to inform the development of an intervention. However, when designing a Delphi study the scarcity of information on different voting schemes to analyse key stakeholders’ responses became evident, despite the fact that selecting the voting scheme a priori is paramount, since the selected method can influence the outcome. To fill that gap in literature, this article introduces key concepts derived from social choice theory to inform Delphi design. This includes optimising collective decisions by gaining deeper understandings of key stakeholders’ preferences, reducing avoidable unhappiness and minimising possibilities of insincere voting strategies. Four voting schemes (majority, approval, Borda, range) are presented and their implications are discussed. Since the purpose of each Delphi study is unique, we aim to increase awareness of the differential utility of voting schemes and encourage researchers to make an informed choice.
德尔菲技术是一种重要的工具,用于在关键利益相关者之间构建群体沟通过程,以告知干预措施的发展。然而,在设计德尔菲研究时,分析关键利益相关者反应的不同投票方案的信息稀缺性变得明显,尽管先验地选择投票方案是至关重要的,因为所选择的方法会影响结果。为了填补这一空白,本文引入了来自社会选择理论的关键概念来为德尔菲设计提供信息。这包括通过更深入地了解关键利益相关者的偏好来优化集体决策,减少可避免的不愉快,并最大限度地减少不真诚投票策略的可能性。提出了四种投票方案(多数、赞成、Borda、范围),并讨论了它们的含义。由于每个德尔菲研究的目的都是独特的,我们的目标是提高对投票方案差异效用的认识,并鼓励研究人员做出明智的选择。
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引用次数: 0
The Power of a Camera: Fieldwork Experiences From Using Participatory Photovoice 相机的力量:使用参与式摄影语音的实地工作经验
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-02-01 DOI: 10.1177/16094069231154437
Elmond Bandauko, G. Arku
Conducting primary data collection can be a fulfilling and interesting adventure producing significant learning experiences particularly for early career researchers. However, fieldwork can be marred with complex challenges and frustrations, especially if conducted in dynamic and politically sensitive environments and with highly vulnerable urban populations. This paper contributes to and advances academic scholarship on fieldwork experiences in the social sciences. Drawing from the first author’s doctoral fieldwork experiences, we share our reflections on the application of the photovoice method in researching street traders in Harare, Zimbabwe. We engage with different issues that researchers could consider in the application of photovoice, especially with dynamic and marginalized urban populations like street traders. These include dealing with and managing complex and multiple ethical dilemmas, dealing with the content-quality conundrum, exploring ‘missing’ photographs and handling ‘leftover’ photographs, handling conflictual council-street trader relations, building rapport, and ensuring participant commitment, joint interpretation, and co-construction of meaning and methodological benefits of using photovoice with street traders. To the best of our knowledge, this is the first paper that reflects on the use of photovoice with street traders in Global South cities, and we hope that the insights presented here will be useful for future urban researchers working on similar topics.
进行初级数据收集可能是一次充实而有趣的冒险,产生重要的学习经验,尤其是对早期职业研究人员来说。然而,实地调查可能会受到复杂挑战和挫折的影响,尤其是在动态和政治敏感的环境中以及在高度脆弱的城市人口中进行的情况下。本文对社会科学领域的田野调查经验的学术研究做出了贡献并取得了进展。根据第一作者的博士实地考察经验,我们分享了我们对照片语音方法在津巴布韦哈拉雷街头商人研究中的应用的思考。我们参与了研究人员在应用摄影语音时可以考虑的不同问题,特别是对街头小贩等充满活力和边缘化的城市人口。其中包括处理和管理复杂和多重的道德困境,处理内容质量难题,探索“丢失”的照片和处理“剩余”的照片,处理冲突的议会-街头商人关系,建立融洽关系,确保参与者承诺、共同解释、,以及与街头小贩共同构建使用摄影语音的意义和方法优势。据我们所知,这是第一篇反思全球南方城市街头小贩使用照片语音的论文,我们希望这里提供的见解对未来从事类似主题的城市研究人员有用。
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引用次数: 2
Methods and Ethics in Qualitative Research Exploring Young Children’s Voice: A Systematic Review 幼儿声音定性研究的方法与伦理:系统综述
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-01-31 DOI: 10.1177/16094069231152449
Yihan Sun, C. Blewitt, S. Edwards, Alex Fraser, Shannon Newman, Julia Cornelius, H. Skouteris
Young children have rights; they are agents and active constructors of their social worlds. Despite well-established theoretical foundations, the ‘methods’ and ‘ethics’ of qualitative research to elicit young children’s voice require further exploration to ensure young children are central to our research endeavors. This systematic review examined studies that sought to capture young children’s (3–6 years) voice in Early Childhood Education and Care settings. Fifty-eight studies met the inclusion criteria. Interview was found to be the most common strategy; this is often coupled with other child-friendly methods. Findings suggest that young children are increasingly listened to; however, there appears to be a need to further promote children’s agency and the inclusion of assent-seeking as an ongoing process. Gaps in methods supporting the inclusion of children with additional needs and Indigenous children are also evident. In addition, advancing non-permanent methods of meaning making to support children’s participation appears ripe for methodological innovation.
幼儿有权利;他们是社会世界的代理人和积极建设者。尽管有着坚实的理论基础,但引发幼儿声音的定性研究的“方法”和“伦理”需要进一步探索,以确保幼儿是我们研究工作的核心。这篇系统综述考察了旨在捕捉幼儿(3-6岁)在幼儿教育和护理环境中的声音的研究。58项研究符合纳入标准。访谈被发现是最常见的策略;这通常与其他儿童友好的方法相结合。调查结果表明,幼儿越来越多地被倾听;然而,似乎有必要进一步促进儿童代理权,并将寻求同意纳入一个持续的过程。在支持纳入有额外需求的儿童和土著儿童的方法方面也存在明显差距。此外,推进意义创造的非永久性方法以支持儿童的参与似乎已经成熟,可以进行方法创新。
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引用次数: 4
‘They Say it was Her Fault… This is Not True!’ Using Vignettes With Adolescent Girls to Collectively Address Norms About Sexual Violence “他们说这是她的错……这不是真的!”与青春期女孩一起使用Vignets集体解决性暴力规范
IF 5.4 2区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2023-01-30 DOI: 10.1177/16094069221147447
K. Pincock, Dianne Verhoeven, N. Jones, Roberte Isimbi
This article discusses the piloting of vignette research tools within focus group discussions involving 34 adolescent girls aged 15–19 in Rwanda. The purpose of the research was to elucidate norms around sexual violence. Through a ‘collective capabilities’ lens, which focuses on ways to move beyond change at the individual level towards empowerment processes that benefit all girls, we reflect on the opportunities this methodological tool offers for expanding girls’ understanding of the norms that enable sexual violence, and the context-specific ways they can respond. After providing an overview of the vignettes exercise and the way in which the vignette on sexual violence was used with participants, we present girls’ accounts of sexual violence drawn from discussions based around the vignettes and our analysis of these findings. We find that gendered social norms around gender, sexuality, age, and responsibility for safety that apportion blame to girls who experience sexual violence play a role in preventing girls from using reporting mechanisms. Although girls have a strong sense of this being unfair, they realise they must also find ways to navigate these norms to avoid being blamed for their own victimisation. Based on this data, we suggest that the use of vignettes in the context of qualitative longitudinal research offers insights into norms about the drivers and causes of sexual violence that are otherwise challenging to elicit because of the sensitivity of the topic. We find that vignettes can be an empowering tool, both in raising ‘unspoken’ issues girls face and in creating the opportunity for girls to collectively work out pathways to accountability in a context where sexual violence is widespread but underreported. However, strategies to address sexual violence must account for barriers to reporting that include the social implications for girls of identifying perpetrators and exposing themselves to stigma and blame.
本文讨论了在卢旺达34名15-19岁少女的焦点小组讨论中试行小插曲研究工具的问题。这项研究的目的是阐明有关性暴力的规范。通过“集体能力”的视角,重点关注如何超越个人层面的变革,实现惠及所有女孩的赋权进程,我们反思了这一方法工具为扩大女孩对导致性暴力的规范的理解以及她们可以应对的具体情况提供的机会。在概述了小插曲练习以及参与者使用关于性暴力的小插曲的方式后,我们展示了女孩对性暴力的描述,这些描述是基于小插曲的讨论以及我们对这些发现的分析得出的。我们发现,围绕性别、性取向、年龄和安全责任的性别社会规范,将责任归咎于遭受性暴力的女孩,在阻止女孩使用报告机制方面发挥了作用。尽管女孩们强烈意识到这是不公平的,但她们意识到,她们也必须找到驾驭这些规范的方法,避免因自己的受害而受到指责。基于这些数据,我们认为,在定性纵向研究的背景下使用小插曲,可以深入了解性暴力的驱动因素和原因的规范,因为主题的敏感性,这些规范在其他方面很难引出。我们发现,小插曲可以成为一种赋权工具,既可以提出女孩面临的“隐性”问题,也可以为女孩创造机会,让她们在性暴力普遍存在但报告不足的情况下集体制定问责途径。然而,解决性暴力问题的战略必须考虑到报告的障碍,其中包括查明施暴者和使自己遭受耻辱和指责对女孩的社会影响。
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International Journal of Qualitative Methods
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