Dilemmas in qualitative health research

Abstract

As the use of qualitative methods in health research proliferates, it becomes increasingly necessary to consider how the value of a piece of qualitative research should be assessed. This article discusses the problem posed by the novelty and diversity of qualitative approaches within health psychology and considers the question of what criteria are appropriate for assessing the validity of a qualitative analysis. In keeping with the ethos of much qualitative research, some open-ended, flexible principles are suggested as a guide to the quality of a qualitative study: sensitivity to context; commitment and rigour; transparency and coherence; impact and importance. Examples are given of the very different ways in which various forms of qualitative research can meet these criteria.     

The Influence of Predeployment Training on Coordination in Multinational Headquarters: The Moderating Role of Organizational Obstacles to Information Sharing

Coordination is critical to the success of multinational military operations and may be fostered by predeployment training. We argue that whether such training is related to a high degree of perceived coordination at the individual level is likely to depend on whether individuals experience a low degree of organizational obstacles to information sharing. We examined this using data from the North Atlantic Treaty Organization (NATO) Kosovo Force headquarters (survey: n = 131). We controlled for whether it was the participants’ first deployment, the participants’ background (military or civilian), the amount of time spent in the headquarters by participants, whether differences pertaining to culture and opinions were valued by the organization, the quality of supervisor/subordinate relationships, and the degree of national cultural obstacles to information sharing. The results showed no significant direct effects on coordination from 3 different training configurations: national training, multinational training, and a combination of national and multinational training. However, we found a negative direct effect from organizational obstacles to information sharing on coordination, and support for organizational obstacles to information sharing as negatively moderating the multinational predeployment training and coordination relationship. Qualitative interviews (n = 14) indicated that informal information sharing, and the problems exchanging information from tactical to operational levels could hinder coordination. Interventions to foster coordination could benefit from a focus on multinational training and lowering organizational obstacles to information sharing. Our findings contribute to more precisely pinpointing the types of training that are useful in multinational operations, as well as the factors upon which training transfer is contingent.     

Hedonic Evaluation over Short and Long Retention Intervals: The Mechanism of the Peak–End Rule

The peak–end rule is used to explain how people make retrospective hedonic evaluations. This study advances our understanding of its mechanism by identifying the different effects of the rule on such evaluations over short and long retention intervals. The results of two experiments show that (i) respondents constructed their retrospective hedonic evaluations on the basis of the peak and end affects only over a short retention interval, not over a long one; and (ii) respondents relied on episodic information to construct their evaluations over a short retention interval, whereas they relied on both semantic and episodic information to construct their evaluations over a long retention interval. Our study also suggests that the “watershed” between short and long retention intervals is likely to lie between 3 and 7 weeks. Copyright © 2012 John Wiley & Sons, Ltd.     

United Kingdom Mission Training Through Distributed Simulation

This paper presents the findings of a United Kingdom (UK) research program carried out over the last decade. This research has explored the benefits of using networks of simulators for collective training known in the UK as mission training through distributed simulation (MTDS). The paper provides an overview of trials carried out to date, identifies the research issues addressed, and discusses the key findings. The conclusion is that MTDS provides an immersive training environment that has the potential to support not only single service collective training, but also joint and coalition training requirements.     

Visual-Propriocetive Correspondence in the Para-Median Plane

2 experiments in which Ss matched a proprioceptively perceived stylus to a visual target in the para-median plane show that Ss make idiosyncratic errors which are stable over periods of at least several days. A technique for comparing visual and proprioceptive spaces is used to Show how matching errors vary within the para-median plane. These errors are interpreted as the result of inadequate inter-calibration of visual and proprioceptive space perception, and their implications for movement control are discussed.     

Stereotypes and stereotyping: What's the brain got to do with it?

Influential social-psychological models suggest that perceivers frequently use information-processing strategies that result in the stereotype-based construal and treatment of other people. To elucidate in greater detail when, why, and how social encounters elicit stereotyping, researchers have begun to incorporate neuroscientific tools into their repertoire of investigative methods. The current article reviews these studies and considers their significance in light of existing theories of person perception, knowledge representation, and impression formation. Finally, using the concrete example of stereotyping, benefits and pitfalls of adopting a social neuroscience approach are discussed.     

Understanding the Construct of Maximizing Tendency: A Theoretical and Empirical Evaluation

More attention is being given to the stable, dispositional tendency to maximize when making decisions. Within the growing body of research has been an exchange regarding the appropriate means of measuring maximizing tendency. Guided primarily by psychometric and statistical analyses, these studies have critiqued and revised existing maximizing tendency scales and/or introduced new measures. Importantly, many of these discussions seem to ignore theoretical considerations of the construct of maximizing. In this article, we revisit the original work of Herbert Simon, from where the theory of maximizing tendency was developed, and provide a theoretical account for how maximizers can be distinguished from satisficers and the implications therein for the measurement of maximizing tendency. Across two studies, we provide an updated psychometric, correlational, and behavioral comparison of the two most popular maximizing tendency scales: the Maximization Scale and the Maximizing Tendency Scale. Results demonstrate that the Maximizing Tendency Scale is more theoretically and psychometrically valid than the Maximization Scale. Copyright © 2015 John Wiley & Sons, Ltd.     

Evaluating Ethics Education Programs: A Multilevel Approach

Although education in the responsible conduct of research is considered necessary, evidence bearing on the effectiveness of these programs in improving research ethics has indicated that, although some programs are successful, many fail. Accordingly, there is a need for systematic evaluation of ethics education programs. In the present effort, we examine procedures for evaluation of ethics education programs from a multilevel perspective: examining both within-program evaluation and cross-program evaluation. With regard to within-program evaluation, we note requisite designs and measures for conducting systematic program evaluation have been developed and multiple measures should be applied in program evaluation. With regard to cross-program evaluation, we argue that a meta-analytic framework should be employed where analyses are used to identify best practices in ethics education. The implications of this multilevel approach for improving responsible conduct of research educational programs are discussed.