Monday, 4 April 2011

Annual review

Successfully negotiated this years annual review as I summarised 12 months of work. Data collection completed, thematic analysis started and two conference papers in. It felt good to review the years work as time passes so quickly and when you are so embedded in what you are doing it is useful to 'stand back' and see it as someone else may do. My goal of writing my first draft of my thesis in this year ahead was described as ambitious but I would rather work towards a goal and allow for a little slippage as if I set goals too far in the future I can lack motivation in the move towards those goals. So motivated and spurred on by the review this year I am full steam ahead with the analysis. Although trying to embed audio into my conference presentation has seemed more of a challenge these past few days.

Saturday, 2 April 2011

Catching up: Where am I now?

One of a number of posts and then I am really really going to try and keep up regularly with my blog!

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

A number of themes have been extracted from the data. The key ones picked out for the study are:

  • Becoming a learning disability nurse

  • Role Diversity

  • Identity

  • change
Within the first theme of 'becoming a learning disability nurse there were some key points and questions for me to use to scrutinise the data. Initially there were many questions but in phase two these were reduced further Phase 1

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

Friday saw the last of my interviews. I have completed 20 in all. across 9 counties of England with 13 staff from the NHS, 3 people who have retired and 4 who work in non NHS settings. In relation to length of career there were nurses representing all of the decades from the 60's through to 2008.

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!

The online interviews are off for this project. I just havent been able to get over the issue of blocks and firewalls. Most people of course want to undertake the interviews during working time and during the testing phase I cannot find a 'chat room' environment that the various firewalls will let in. There are systems through which I can develop my own but the time and technological skills required is not something that I have for this project.

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

An increasing number of researchers are using computer mediated communication (CMC) to undertake data collection. focus groups, interviews and the like are engaged with in the virtual world allowing for geographical distance and an inexpensive way to collect qualitative data but there are challenges.

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

The time has come again for my annual review - Thursday this week I will be reviewing the year and my progress.

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.....