Qualitative Research in Practice : Stories From the Field - Blogs Unpad
Qualitative Research in Practice : Stories From the Field - Blogs Unpad Qualitative Research in Practice : Stories From the Field - Blogs Unpad
Epilogue [it] was dragging me along unfamiliar pathways. This was because the time was ripe for the sort of study I ended up doing. Leading maternal and child health nurses were becoming concerned about post-natal depression and keen to broaden their role to encompass maternal emotional and social well-being. The shift in nursing education from a hospital-based apprenticeship model to a university-based professional education some years earlier had helped to create a new generational cohort of nurse practitioners who were more psychologically oriented and who were eager to work in different ways. The study described and conceptualised the clinical judgement of exemplary maternal and child health nurses at a time when the nurses themselves had a strong desire to broaden their role and enhance the status of their profession. A paper I published in the Australian Journal of Advanced Nursing (1987b) was positively received and I was invited to give addresses at maternal and child health conferences and in-service education courses where I was introduced as an ‘honorary maternal and child health nurse’. These presentations were recorded on audio cassettes and videos so they could be used to reach nurses in rural areas. I also published papers in child welfare and mental health journals to reach other professional audiences and educate them about the central role of the maternal and child health nurse. During the decade following the study there was a marked growth in professional and public awareness and concern about post-natal depression and this also increased the profile of the study. [Mine] was one of the first studies on maternal depression and most [of those] that followed were large quantitative studies. Interestingly, these studies strongly supported the causal significance of the factors which I had identified the nurses using in assessing whether a mother was depressed (infant temperament and sleeping and eating problems; poor maternal family background; low level of support from partner and/or her own mother; and a number of situational stressors such as moving house, 187
Qualitative research in practice illness, financial worries). The cumulative weight of the now large body of research carries consistent implications for policy and practice, and supports a broadened role for maternal and child health nurses. The transformation which had occurred in the maternal and child health service in Victoria, however, was threatened in the early 1990s by the election of the Kennett Government, which introduced policies which limited access to the service and narrowed the focus to one of ‘paediatric surveillance’. Hence the campaign to protect the service and the mobilisation of mothers and their prams on the steps of Parliament. I think that the moral of this story for me is that researchers in the human services may well find themselves involved in giving a voice to those who have not been heard, and in joining a struggle for social justice. Comments As some of our inside stories illustrate, qualitative research is rarely a linear process and it often takes the researcher down unexpected pathways. The impact of the research may start very early on, and be part and parcel of the research itself, even in studies which are not thought of as ‘action research’. Alternatively, the effects of the research may not register until some time after it has been completed and the impact will be largely determined by the receptivity of the prevailing climate. Above all, our inside stories demonstrate that qualitative research in the human services is, as we have said before, not an end in itself but a means to an end. In that sense it is indeed ‘missionoriented research’, and this book has drawn upon the experience of some particularly committed and enthusiastic missionaries! The journey into the swampy lowlands of research, to use the phrase of Donald Schon with which we began the book, is more akin to a mystery tour than a trip which progresses along a set route from the start to the end. Because of this it is not possible to provide the aspiring qualitative researcher in the human services with a detailed map and a set of instructions which, if followed faithfully, will ensure that they get to their destination. Instead, we hope that 188
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Epilogue<br />
[it] was dragg<strong>in</strong>g me along unfamiliar pathways. This<br />
was because <strong>the</strong> time was ripe for <strong>the</strong> sort of study<br />
I ended up do<strong>in</strong>g. Lead<strong>in</strong>g maternal and child health<br />
nurses were becom<strong>in</strong>g concerned about post-natal<br />
depression and keen to broaden <strong>the</strong>ir role to encompass<br />
maternal emotional and social well-be<strong>in</strong>g. The<br />
shift <strong>in</strong> nurs<strong>in</strong>g education from a hospital-based<br />
apprenticeship model to a university-based professional<br />
education some years earlier had helped to<br />
create a new generational cohort of nurse practitioners<br />
who were more psychologically oriented and who<br />
were eager to work <strong>in</strong> different ways. The study<br />
described and conceptualised <strong>the</strong> cl<strong>in</strong>ical judgement<br />
of exemplary maternal and child health nurses at a<br />
time when <strong>the</strong> nurses <strong>the</strong>mselves had a strong desire<br />
to broaden <strong>the</strong>ir role and enhance <strong>the</strong> status of <strong>the</strong>ir<br />
profession. A paper I published <strong>in</strong> <strong>the</strong> Australian<br />
Journal of Advanced Nurs<strong>in</strong>g (1987b) was positively<br />
received and I was <strong>in</strong>vited to give addresses at<br />
maternal and child health conferences and <strong>in</strong>-service<br />
education courses where I was <strong>in</strong>troduced as an<br />
‘honorary maternal and child health nurse’. These<br />
presentations were recorded on audio cassettes and<br />
videos so <strong>the</strong>y could be used to reach nurses <strong>in</strong> rural<br />
areas. I also published papers <strong>in</strong> child welfare and<br />
mental health journals to reach o<strong>the</strong>r professional<br />
audiences and educate <strong>the</strong>m about <strong>the</strong> central role<br />
of <strong>the</strong> maternal and child health nurse. Dur<strong>in</strong>g <strong>the</strong><br />
decade follow<strong>in</strong>g <strong>the</strong> study <strong>the</strong>re was a marked growth<br />
<strong>in</strong> professional and public awareness and concern<br />
about post-natal depression and this also <strong>in</strong>creased <strong>the</strong><br />
profile of <strong>the</strong> study. [M<strong>in</strong>e] was one of <strong>the</strong> first studies<br />
on maternal depression and most [of those] that<br />
followed were large quantitative studies. Interest<strong>in</strong>gly,<br />
<strong>the</strong>se studies strongly supported <strong>the</strong> causal significance<br />
of <strong>the</strong> factors which I had identified <strong>the</strong> nurses<br />
us<strong>in</strong>g <strong>in</strong> assess<strong>in</strong>g whe<strong>the</strong>r a mo<strong>the</strong>r was depressed<br />
(<strong>in</strong>fant temperament and sleep<strong>in</strong>g and eat<strong>in</strong>g problems;<br />
poor maternal family background; low level of<br />
support from partner and/or her own mo<strong>the</strong>r; and a<br />
number of situational stressors such as mov<strong>in</strong>g house,<br />
187