A blog to capture some of the journey towards the completion of my PhD exploring the experiences of learning disability nurses using a biographical narrative approach.
Saturday, 2 April 2011
Catching up: Where am I now?
SO where am I now ?
Well data transcription took much longer than I had expected but I had been lucky to be able to have a transcriber. Whilst the interviews were being transcribed I listened to them - on my iPod, PC and anywhere that would play the audio files. I felt closer to who the people I had interviewed were. During this time too I also wrote up my field notes. These contained my 'first impressions' and notes about both verbal and non verbal communication during the interviews.
Data analysis began for me as soon as I heard the 'story' of each participant for the first time. identifying the 'themes' for each individual and accepting their narrative as a holistic account without the additions of other participants stories. This expanded as I was able to listen and re listen to the narratives of each participant.
Beyond this the transcriptions were reviewed with specific questions in mind around each theme (Described in a later blog). Using thematic analysis posed some challenges for me around maintaining the person as a whole rather than fragmenting them into a series of quotes. The use of 6 in depth 'cases' has helped me to maintain that 'focus on the whole' person. The other 14 peoples experiences are drawn in as appropriate.
Thematic analysis
- Becoming a learning disability nurse
- Role Diversity
- Identity
- change
1) Influences & choices
Influencing factors in thinking about becoming a nurse – people – parents/friends/girlfriends/boyfriends. Personality styles? – saw self as a ‘carer’. Wanted to ‘make a difference’. Deliberate or non deliberate decision to ‘choose’ LD nursing. What people wanted to be prior to this (if anything). At what point did they decide to apply to LD nursing? Educational background – failed A levels etc
2) Applying inc. Timing – life events etc
Timing – personal - At what age did they apply and what were the life events surrounding this. Ie needing to leave home/unemployment)
Timing – policy – where were we at in terms of policy? Were people making direct applications to hospitals or through an education establishment.?
3) Knowledge and experience of LD
Did an pre application experience of working with people with learning disabilities (pwld) influence the decision to apply. (In the main – yes) How do people describe this experience? Not just pwld but the staff who work with them as influencing too. The notion of ‘injustice’ and wanting to ‘make a difference’
4) Experiences during training
Type of training – joint training with mental health/ starting with another branch of nursing ie adult/ changing branches part way through a course (indecision – what led to this?) Both positive and negative experiences during training and the shaping of the nurse. Resilience
Phase 2
The theme was further reduced into two key categories:
- Influencing factors - The influence of people, timing and experience
- Experiences during training - types of training, decisions/indecision, resilience and change
The next steps 20 participants with interviews of on average 90 minutes generates a large data set and in order to undertake in depth analysis I am selecting 6 particpants as 'cases' to scrutinise in depth and the remaining 14 participant's experienceswill be drawn in to illustrate appropriate concepts and issues. Pen pictures or vignettes have been written for all participants to give the reader a feel for the careers of those involved.
Saturday, 25 September 2010
End of data collection
A range of diverse roles were represented - specialist nurses within the NHS including health facilitation roles, acute liaison roles, inpatient and non inpatient services. There were also management and leadership roles represented - a modern matron, locality manager, lead for public health and commissioning lead. In non NHS roles there were managers from within social services and the independent sector.
I have felt honoured to be able to listen to peoples stories of their careers and many of them echoed my own experiences.
The next phase is thematic analysis
A challenge too far!
So although the online interviews were a potential tool for follow ups I will be using email as an asynchronous route for any follow ups I need.
Thats the bad news .... next post the good news
Sunday, 29 August 2010
Challenges of online interviewing
The decision whether to use synchronous or asynchronous techniques is a key issue for the researcher to grapple with - synchronous will give a real time experience but can be difficult to manage particularly if it is a focus group and a number of participants are involved.
Mediating the conversation and ensuring that the research questions have been covered can be a challenge. Asynchronous (not real time) techniques (some studies using emails with interview questions posted to the participant directly or view a messageboard system) allow for a more considered response from the participant but is this what the researcher is looking for? For both there are a number of considerations and specifically for my study and the online interviews: The challenge of developing a reflective 'conversation' rather than a closed response to a series of questions. Also the recognition that synchronous 'conversations' use more of the conventions found in speech whilst asynchronous is more literate. For example synchronous conversations may include more references to humour and other emotions. The use of emoticons and phrases such as lol (Laughs Out Loud) replaces verbal utterances in the face to face interview.
For the study I am undertaking the challenge will be to create an environment which will enable synchronous 'conversation' as a follow up to a previous face to face interview. The development of rapport will be important but I will have met the participants prior to the online interview so the will have a mental picture of who they are 'talking to'. Some studies have also pointed to concerns around confidentiality, use of complex programmes and people being able to 'log into' a conversation. to address these issues I will be using a 'chatroom' environment called 'disposable chat'. The room is set up using a password and once the conversation has finished the 'room' disappears. No one can enter the room without the password so each participant will be sent by email their password and a link to access the room. I will also send telephone contact details in case of technical difficulties. We will meet in there at a mutually agreed time and date and have our conversation.Files of the conversation can then be saved to a secure server.
The online interviews will start in October and continue with those participants who want to be involved.
Monday, 10 May 2010
Annual Review
So where am I? Two interviews under my belt and another planned for Thursday afternoon. The interview technique is challenging and I have found that in order to gather the data I want I am adapting the BNIM method more and more. The first phase works well - using the SQUIN means there is am open opportunity to tell their story. In accordance with the method the second part of the interview develops particular incident narratives to explore aspects of their story further.
Another 7 interviews are planned for early June so Iam hoping there are no cancellations and these go to plan.
The next step after the interviews are to transcribe the interviews and email these back to the participant. At this time the particpants will be asked if they would like to take part in an online follow up interview, having found a 'chat room' environment that meets my needs.
to be continued.....
Thursday, 11 March 2010
Where did time go??
Ethical approval was followed by a pilot interview in July. A critical element in the research process. A chance to 'test out' the biographical narrative interview technique. The interview went well, a nurse who had worked within local authority provision for over 15 years. A key area of interest was how this individual maintained her identity as a learning disability nurse even working outside of the NHS for such a prolonged period.
The interview was recorded on a data recorder and transcribed. Following transcription I had the opportunity to send the transcription to Tom Wengraf for comments. The comments received were useful and provided critical feedback. The process of interview will be discussed elsewhere in the blog as this was a steep learning curve.
August and September saw me writing the transfer report required but the University to transfer from MPhil to PhD. Initially I felt this was a 'hoop' to jump through as I already hold a Masters degree but the University regulations state that as it is more than 5 years old I had to register as a MPhil student then transfer. However, I found the process valuable and clarified my thoughts and work to date. The report was assessed and approved by early November.
With a break for Christmas, an interview for a new post, and a three week holiday in Australia I started March with a 'spring' in my PhD step.
I contacted 6 of the individuals who had agreed to take part in the study and sent out a 'final call' for further participants. This has lead to a renewed interest in the study and I am starting to 'book' interview dates and times.
A decision also needed to be made about the 3rd phase of the interview which is the online interview. I had been planning to use a 'chat room' environment but had become concerned about my lack of technical knowledge and ability to organise this. However I have discovered a website which offers simple, free and instant online chat rooms and have decided that I do want to continue to use this as part of my methodology.
So hopefully I am on track and will post around interview techniques shortly