Observational studies in health professional education research

Joanna Tai; Juan Fischer; Christy Noble

doi:10.11157/fohpe.v22i1.536

Authors

Joanna Tai Deakin University (CRADLE)
Juan Fischer Deakin University (CRADLE)
Christy Noble The University of Queensland

DOI:

https://doi.org/10.11157/fohpe.v22i1.536

Keywords:

observational studies, qualitative research, methodology, research methods, ethnography

Abstract

Observational studies are not uncommon in health professional education and are frequently associated with ethnography as a methodology. This article aims to provide an overview of how observational studies are used in health professional education research. Firstly, we explore some ways in which observational methods can be used in association with a range of qualitative research stances, and then we focus on the practicalities of undertaking observational research. Next, we use two case studies to illustrate some of the key decision points when designing observational research. Finally, we collate resources and consider the implications of contemporary world events on observational research.

References

Ajjawi, R., Hilder, J., Noble, C., Teodorczuk, A., & Billett, S. (2020). Using video‐reflexive ethnography to understand complexity and change practice. Medical Education, 54(10), 908–914. https://doi.org/10.1111/medu.14156

Angrosino, M. V. (2007). Doing ethnographic and observational research. Sage. https://doi.org/10.4135/9781849208932

Atkinson, P., & Pugsley, L. (2005). Making sense of ethnography and medical education. Medical Education, 39(2), 228–234. https://doi.org/10.1111/j.1365-2929.2004.02070.x

Becker, H. S., Geer, B., Hughes, E. C., & Strauss, A. L. (1961). Boys in white: Student culture in medical school. University of Chicago Press.

Billett, S. (2006). Relational interdependence between social and individual agency in work and working life. Mind, Culture, and Activity, 13(1), 53–69. https://doi.org/10.1207/s15327884mca1301_5

Bosk, C. (2003). Forgive and remember: Managing medical failure (2nd ed.). University of Chicago Press.

Bradbury-Jones, C. (2007). Enhancing rigour in qualitative health research: Exploring subjectivity through Peshkin’s I’s. Journal of Advanced Nursing, 59(3), 290–298. https://doi.org/10.1111/j.1365-2648.2007.04306.x

Bunniss, S., & Kelly, D. R. (2010). Research paradigms in medical education research. Medical Education, 44(4), 358–366. https://doi.org/10.1111/j.1365-2923.2009.03611.x

Burm, S., & MacLeod, A. (2020). Focus on methodology: A sense of sociomaterialism: How sociomaterial perspectives might illuminate health professions education. Focus on Health Professional Education: A Multi-Professional Journal, 21(1), 1. https://doi.org/10.11157/fohpe.v21i1.443

Cameron, P., MacLeod, A., Tummons, J., Kits, O., & Ajjawi, R. (2019). Unpacking practice: The challenges and possibilities afforded by sociomaterial ethnography. In J. Lynch, J. Rowlands, T. Gale, & S. Parker (Eds.), Practice methodologies in education research (pp. 187–205). Routledge. https://doi.org/10.4324/9780429202063

Carroll, K., & Mesman, J. (2018). Multiple researcher roles in video-reflexive ethnography. Qualitative Health Research, 28(7), 1145–1156. https://doi.org/10.1177/1049732318759490

Creswell, J. W. (2013). Qualitative inquiry & research design: Choosing among five approaches. Sage.

Fletcher, A. J. (2017). Applying critical realism in qualitative research: Methodology meets method. International Journal of Social Research Methodology, 20(2), 181–194. https://doi.org/10.1080/13645579.2016.1144401

Glesne, C., & Peshkin, A. (1992). Being there: Developing understanding through participant observation. In C. Glesne & A. Peskin (Eds.), Becoming qualitative researchers: An introduction (pp. 39–62). Longman.

Hammersley, M., & Atkinson, P. (2007). Ethnography: Principles in practice (3rd ed.). Routledge. https://doi.org/10.4324/9780203944769

Hopwood, N. (2014). A sociomaterial account of partnership, signatures and accountability in practice. Professions and Professionalism, 4(2). https://doi.org/10.7577/pp.604

Hopwood, N. (2017). Practice architectures of simulation pedagogy: From fidelity to transformation. In K. Mahon, S. Francisco, & S. Kemmis (Eds.), Exploring education and professional practice (pp. 63–81). Springer Singapore. https://doi.org/10.1007/978-981-10-2219-7_4

Iedema, R., Carroll, K., Collier, A., Hor, S., Mesman, J., & Wyer, M. (2019). Video-reflexive ethnography in health research and healthcare improvement. CRC Press. https://doi.org/10.1201/9781351248013

Iedema, R., Mesman, J., & Carroll, K. (2013). Visualising health care practice improvement: Innovation from within. Radcliffe.

Kemmis, S., Wilkinson, J., Edwards-Groves, C., Hardy, I., Grootenboer, P., & Bristol, L. (2014). Changing practices, changing education. Springer. https://doi.org/10.1007/978-981-4560-47-4

MacLeod, A., Cameron, P., Ajjawi, R., Kits, O., & Tummons, J. (2019). Actor-network theory and ethnography: Sociomaterial approaches to researching medical education. Perspectives on Medical Education, 8(3), 177–186. https://doi.org/10.1007/s40037-019-0513-6

Merriam, S. B. (1998). Qualitative research and case study applications in education (2nd ed.). Jossey-Bass.

Merton, R. K., Reader, G. G., & Kendall, P. (1957). The student-physician: Introductory studies in the sociology of medical education. Harvard University Press.

Molloy, E., & Bearman, M. (2019). Embracing the tension between vulnerability and credibility: “Intellectual candour” in health professions education. Medical Education, 53(1), 32–41. https://doi.org/10.1111/medu.13649

National Health and Medical Research Council (NHMRC). (2018). National statement on ethical conduct in human research 2007. https://www.nhmrc.gov.au/about-us/publications/national-statement-ethical-conduct-human-research-2007-updated-2018

Noble, C., Billett, S., Hilder, J., Teodorczuk, A., & Ajjawi, R. (2019). Enriching medical trainees’ learning through practice: A video reflexive ethnography study protocol. BMJ Open, 9(8), e031577. https://doi.org/10.1136/bmjopen-2019-031577

Noble, C., Coombes, I., Shaw, P. N., Nissen, L. M., & Clavarino, A. (2014). Becoming a pharmacist: The role of curriculum in professional identity formation. Pharmacy Practice [online], 12(1). https://doi.org/10.4321/S1886-36552014000100007

Paradis, E., & Sutkin, G. (2017). Beyond a good story: From Hawthorne effect to reactivity in health professions education research. Medical Education, 51(1), 31–39. https://doi.org/10.1111/medu.13122

Patton, M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. Health Services Research, 34(5, Part 2), 1189–1208.

Pawson, R. (2013). The science of evaluation: A realist manifesto. Sage. https://doi.org/10.4135/9781473913820

Pope, C. (2005). Conducting ethnography in medical settings. Medical Education, 39(12), 1180–1187. https://doi.org/10.1111/j.1365-2929.2005.02330.x

Reeves, S., Albert, M., Kuper, A., & Hodges, B. D. (2008). Why use theories in qualitative research? BMJ, 337, Article 949. https://doi.org/10.1136/bmj.a949

Reeves, S., Kuper, A., & Hodges, B. D. (2008). Qualitative research methodologies: Ethnography. BMJ, 337, Article 1020. https://doi.org/10.1136/bmj.a1020

Reeves, S., Peller, J., Goldman, J., & Kitto, S. (2013). Ethnography in qualitative educational research: AMEE guide no. 80. Medical Teacher, 35(8), e1365–e1379. https://doi.org/10.3109/0142159X.2013.804977

Roberts, J. (2006). Limits to communities of practice. Journal of Management Studies, 43(3), 623–639. https://doi.org/10.1111/j.1467-6486.2006.00618.x

Shenton, A. (2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, 22, 63–75. https://doi.org/10.3233/EFI-2004-22201

Tai, J., Canny, B. J., Haines, T. P., & Molloy, E. K. (2017). Identifying opportunities for peer learning: An observational study of medical students on clinical placements. Teaching and Learning in Medicine, 29(1), 13–24. https://doi.org/10.1080/10401334.2016.1165101

Wong, G., Greenhalgh, T., Westhorp, G., & Pawson, R. (2012). Realist methods in medical education research: What are they and what can they contribute? Medical Education, 46(1), 89–96. https://doi.org/10.1111/j.1365-2923.2011.04045.x

Wyer, M., Iedema, R., Hor, S.-Y., Jorm, C., Hooker, C., & Gilbert, G. L. (2017). Patient involvement can affect clinicians’ perspectives and practices of infection prevention and control. International Journal of Qualitative Methods, 16(1). https://doi.org/10.1177/1609406917690171

Yin, R. K. (2003). Case study research: Design and methods (3rd ed.). Sage. https://doi.org/10.1177/1609406919862424