Women's Decision-Making And Factors Affecting Their Choice Of ...
Women's Decision-Making And Factors Affecting Their Choice Of ... Women's Decision-Making And Factors Affecting Their Choice Of ...
Critique of constraints of qualitative research One of the questions raised about interviews in general is how one can be sure that what participants tell represents reality (Murphy, Dingwall, Greatbatch et al 1998). It is argued that qualitative interviews are contextual interactions providing opportunities for participants to present themselves as in control to those interviewing them (Goffman 1983). When research interviews are treated as social interactions, interview data are then treated not as accurate reports of external reality, but as occasions for participants to give accounts of their situations or their perception of reality (Dingwall 1997; Murphy, Dingwall, Greatbatch et al 1998). In a study that combined participant observations with interviews in general practice consultations, inconsistencies were found between reports given by patients about interactions with their doctors with what was actually observed (Stimson and Webb 1975). The patients were observed to be passive and rarely giving open expressions of disagreement or dissatisfaction in the presence of the doctor, on the other hand, patients themselves reported atrocity stories, which presented them as active, and the doctor as passive. While the inconsistency between the interview and observation could discredit the interview data as biased, Stimson and Webb (1975) took a different view in the analysis of the interview, and considered what the participants could be seen to be doing in giving the accounts that they did. They argue that the atrocity stories help to make the patient appear sensible and balanced, and thus help to redress the imbalance between patient and doctor (Stimson and Webb 1975). 89
There is an argument for analysing what people are doing in interview talk, rather than taking the data as representation of reality (Baker 1984; Silverman 1985). In this way, interview data would be analysed in terms of the assumptions, and moral and cultural forms that they display (Dingwall 1981; Silverman 1985). Murphy et al (1998) cite Silverman's work of contrasting two studies of children with serious diseases to illustrate the difference between treating interview data as representing reality versus analysing the data. One of the two studies involved parents of children with cystic fibrosis (Burton 1975), and the other included parents of children with congenital heart disease (Baruch 1981). Both studies reported that parents had expressed concerns about their children to health professionals before the children's diagnosis was made, and in both cases their concerns were dismissed as groundless. Approaches to the analysis of data in the two studies were different. In Burtods study, at interactionist approach was taken, and the reports were viewed as accurate representations of external events (Burton 1975). In contrast, Baruch (1981) analysed the interview data in terms of what the parents could be seen to be doing in the interviews. His argument is that the interview data represent parents' display of their moral responsibility. Murphy et al (1998) note that Baruch, like Stimson and Webb, was concerned with functions of the accounts rather than as straightforward reports of what happened. Hammersley and Atkinson (1995) do not accept that interview data may never be read for what they tell about the subject to which they refer. They contend that the trustworthiness of interview data should not be taken at face value, but understood in the context in which it was produced. By so doing, they 90
- Page 39 and 40: example, they worried that the valu
- Page 41 and 42: they can easily imagine or recall a
- Page 43 and 44: are not necessarily chosen because
- Page 45 and 46: make decisions that are not necessa
- Page 47 and 48: Chapter 3: Systematic review of fac
- Page 49 and 50: considered. Primary research design
- Page 51 and 52: If the question of the review is no
- Page 53 and 54: Cochrane Database of Systematic rev
- Page 55 and 56: Table 2: Search terms used Search t
- Page 57 and 58: Table 3: Journals that were hand se
- Page 59 and 60: solely on the basis of the study re
- Page 61 and 62: they were recruited, at what stage
- Page 63 and 64: ,,, ... .g eD .E 0 o 4,7; (.5 g .5
- Page 65 and 66: -o -cs •b a) ..o ,:" .., -0 ti-,
- Page 67 and 68: Quality of studies included in the
- Page 69 and 70: ole to play in their preferences fo
- Page 71 and 72: The next chapter discusses methodol
- Page 73 and 74: observable behaviour are used (Holl
- Page 75 and 76: known? What roles do values play in
- Page 77 and 78: male nursing home is used (Applegat
- Page 79 and 80: The procedure ensures a vigorous se
- Page 81 and 82: investigation have for the particip
- Page 83 and 84: In method triangulation, different
- Page 85 and 86: the context being studied. They fur
- Page 87 and 88: access to all settings, and the dat
- Page 89: access participants' private accoun
- Page 93 and 94: analysis, asking additional questio
- Page 95 and 96: that while such an approach can nev
- Page 97 and 98: Chapter 5: Qualitative Study of Wom
- Page 99 and 100: potential participants, as well as
- Page 101 and 102: either. Three months passed, there
- Page 103 and 104: The interview was transcribed the s
- Page 105 and 106: elevant. The environment of the hom
- Page 107 and 108: wanted to explore. Consequently, th
- Page 109 and 110: Most women offered coffee or tea, a
- Page 111 and 112: All women who participated in the s
- Page 113 and 114: The process of analysis was iterati
- Page 115 and 116: h4,u husbovzi would sou thnt lie fe
- Page 117 and 118: transcripts and compared them with
- Page 119 and 120: ecause they previously had short un
- Page 121 and 122: Figure 2: Analysis mind map Hospita
- Page 123 and 124: quotation in the transcript, denote
- Page 125 and 126: itiust put me off of birth, fuLL st
- Page 127 and 128: Gaolape brought up a number of fact
- Page 129 and 130: that presentation of much of the da
- Page 131 and 132: Table 7: Marital status Place of de
- Page 133 and 134: Table 9: Themes expressed by women
- Page 135 and 136: Table 11: Themes expressed about th
- Page 137 and 138: The results of the study therefore
- Page 139 and 140: Box 2: Pseudonyms of study particip
There is an argument for analysing what people are doing in interview<br />
talk, rather than taking the data as representation of reality (Baker 1984;<br />
Silverman 1985). In this way, interview data would be analysed in terms of the<br />
assumptions, and moral and cultural forms that they display (Dingwall 1981;<br />
Silverman 1985). Murphy et al (1998) cite Silverman's work of contrasting two<br />
studies of children with serious diseases to illustrate the difference between<br />
treating interview data as representing reality versus analysing the data. One of<br />
the two studies involved parents of children with cystic fibrosis (Burton 1975),<br />
and the other included parents of children with congenital heart disease (Baruch<br />
1981).<br />
Both studies reported that parents had expressed concerns about their<br />
children to health professionals before the children's diagnosis was made, and in<br />
both cases their concerns were dismissed as groundless. Approaches to the<br />
analysis of data in the two studies were different. In Burtods study, at<br />
interactionist approach was taken, and the reports were viewed as accurate<br />
representations of external events (Burton 1975). In contrast, Baruch (1981)<br />
analysed the interview data in terms of what the parents could be seen to be doing<br />
in the interviews. His argument is that the interview data represent parents'<br />
display of their moral responsibility. Murphy et al (1998) note that Baruch, like<br />
Stimson and Webb, was concerned with functions of the accounts rather than as<br />
straightforward reports of what happened.<br />
Hammersley and Atkinson (1995) do not accept that interview data may<br />
never be read for what they tell about the subject to which they refer. They<br />
contend that the trustworthiness of interview data should not be taken at face<br />
value, but understood in the context in which it was produced. By so doing, they<br />
90