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 ...
(Glaser and Strauss 1967), the researcher begins with an area of study, and issues relevant to the area are allowed to develop from the data as data collection and analysis progress (Strauss and Corbin 1990). Two techniques are regarded as being at the core of grounded theory. The first is the constant comparative method (Glaser and Strauss 1967), where data that is collected is coded, and then compared to those from previous interviews. Data collection ceases when saturation, which is when no more new data is forthcoming, has been reached (Morse 1995; Morse 1998). The second technique is theoretical sampling (Guba and Lincoln 1985; Kuzel 1992; Morse 1989; Patton 1980; Strauss and Corbin 1990), where subsequent participants are chosen because of the possible contribution they can make in the already developing story line. The constant comparative method and theoretical sampling were both used in the study. The next section discusses issues of obtaining ethical approval to conduct the study, access to the study population, sampling, contacting the participants and the actual interview process. Access to participants Ethical considerations During the planning stage of the research, the researcher wrote a letter to the directors of midwifery at the two hospitals where she wanted to conduct the study. The letter explained the purpose of the study, and included a short proposal. The directors advised the researcher to also inform the women's General practitioners about the study, and they together gave their support to seek ethics approval for the study. The ethics committee approval was obtained, the process involved submitting a research proposal according to the requirements of the committee. The proposal included information about the aims of the study, 97
potential participants, as well as information about the protection of human subjects. Information about the protection of human participants, as presented in the consent form (see Appendix 3a and 3b), addresses the participants' right to voluntarily participate in the study, and to withdraw at any time during the process. The consent form also included the central aim of the investigation, procedures used in data collection, confidentiality and any known risks associated with participation in the study. Details of the pilot study were included in the proposal. One of the conditions of the committee when they gave their approval was that the consent form should be in two parts. The first part, to be signed prior to the interview, indicating the women's consent to be interviewed (Appendix 3a) and, the second part, to be signed after the interview, representing women's agreement that information obtained from their interview can be used in the study, and stored for a specified period for research purposes. The committee also recommended that women should not be contacted directly by the researcher in the first instance, but by their midwives. They felt that this would ensure that only those women who are interested in the study have contact with the researcher. Once ethical approval was obtained, the researcher met with community midwives at the two hospitals to discuss details of the study and how it was to be conducted. Only the midwives who were on duty on the day of the meeting attended. It was decided that since the ethics committee advised against the researcher contacting women directly, midwives would act as gatekeepers for access to the women. The plan was that they would distribute information leaflets about the study (Appendix 1) to all pregnant women who did not have any complications. Those women who expressed an interest in taking part in the study would inform them, and give their written permission to be contacted by the 98
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potential participants, as well as information about the protection of human<br />
subjects. Information about the protection of human participants, as presented in<br />
the consent form (see Appendix 3a and 3b), addresses the participants' right to<br />
voluntarily participate in the study, and to withdraw at any time during the<br />
process. The consent form also included the central aim of the investigation,<br />
procedures used in data collection, confidentiality and any known risks associated<br />
with participation in the study. Details of the pilot study were included in the<br />
proposal. One of the conditions of the committee when they gave their approval<br />
was that the consent form should be in two parts. The first part, to be signed prior<br />
to the interview, indicating the women's consent to be interviewed (Appendix 3a)<br />
and, the second part, to be signed after the interview, representing women's<br />
agreement that information obtained from their interview can be used in the study,<br />
and stored for a specified period for research purposes. The committee also<br />
recommended that women should not be contacted directly by the researcher in<br />
the first instance, but by their midwives. They felt that this would ensure that<br />
only those women who are interested in the study have contact with the<br />
researcher.<br />
Once ethical approval was obtained, the researcher met with community<br />
midwives at the two hospitals to discuss details of the study and how it was to be<br />
conducted. Only the midwives who were on duty on the day of the meeting<br />
attended. It was decided that since the ethics committee advised against the<br />
researcher contacting women directly, midwives would act as gatekeepers for<br />
access to the women. The plan was that they would distribute information leaflets<br />
about the study (Appendix 1) to all pregnant women who did not have any<br />
complications. Those women who expressed an interest in taking part in the study<br />
would inform them, and give their written permission to be contacted by the<br />
98