Part 2 - Criticality Last week I offered an all too brief potted history of qualitative health research (QHR), in the hope that what follows makes more sense.There are a lot of misconceptions about QHR. Hopefully these blogposts will help clarify some core principles, and inspire people to see how incredibly powerful and useful good quality QHR can be. Now you could say the first principle I want to tackle today’s is so important that it almost defines the difference between what is true qualitative health research and what is a pale imitation. And that is criticality. More than any other principle, good QHR has always been critical. It has challenged convention; held a mirror held … [Read more...] about Qualitative health research 101
Part 1 The changes now taking place in healthcare should provide great material for really thoughtful, well-conduced qualitative health research (QHR). But sadly little of it is being produced, especially in physiotherapy, where the amount and quality of much of the qualitative research we have available is really quite poor. So over the course of the next few weeks, I thought I’d try to tackle some of this in a similar way to the way I hacked at the biomedical model last year (see here). My hope is that in doing this, people will understand more about QHR, and that might, in turn, lead to some new and exciting research. Before I begin, I should acknowledge that there are literally … [Read more...] about Qualitative Health Research – a guide for the perplexed
Two articles published over the last two weeks suggest that we might be having some problems talking to our patients. The first, by Sullivan, Hebron and Vuoskoski (Sullivan, Hebron, & Vuoskoski, 2019) looks at the anxiety experienced by physiotherapists ‘selling’ their own explanations of chronic pain to patients. The therapists were trying to be patient-centred, but their efforts were undermined by ‘an underlying paternalistic wish to get patients “on board”’ (ibid). The authors attribute this anxiety to the confidence that the therapists feel in their biomedical understanding for pain, coming up against the patient’s values and beliefs that either contradict or destabilise their … [Read more...] about Having trouble talking to your patients?
We had our annual Strategic Planning meeting for the CPN Exec last week and had most of our present and past Exec members present. Here is a brief summary of the CPN in 2019: Current Eight-member Exec: Co-chairs Viviana Silva Guerrero (Australia/Colombia) and Dave Nicholls (New Zealand), supported by Tone Dahl-Michelsen (Norway), Jeanette Praestegaard (Denmark), Anna Rajala (Finland/UK), Aydee Luisa Robayo (Colombia), Nicky Wilson (UK), and Adriane Vieira (Brazil)650 members in 57 countriesUK by far the largest members group (120), followed by Australia (50), Canada (42), New Zealand (38), Denmark (32), Norway (28) and USA (26) This year's work: Authors drafting 15 chapters for … [Read more...] about CPN end-of-year quick review
Last week we asked what kind of Critical Physiotherapy Course format you would be most interested in next year. Here are the results: 23 people voted for one of the four options. 9 voted for the idea of using clinical scenarios as the basis for thinking through theories and ideas. 7 voted for inviting non-physiotherapy speakers to introduce us to unfamiliar ideas and theories. 4 for using YouTube videos of theories and ideas as a prompt for discussion. And 3 for inviting clients/patients to present as a starting point to thinking through theories and ideas. What does this tell us? Perhaps firstly that people are still struggling to find the practical use for … [Read more...] about Should a Critical Physiotherapy Course be practically useful?
There is a lot of poor qualitative research out there. Recently I reviewed an article in which the authors had spent three years studying people's experiences of chronic pain. They didn't identify any particular philosophy guiding their analysis, they just interviewed seven people and, somehow, came up with three 'themes': that pain was unpleasant; that it was aversive (something to be avoided); and it disrupted their lives. This is a good example of bad qualitative research. And there is a simple test you can apply if ever you're in doubt. All you need to do is to ask whether the research tells you anything you didn't already know. This study took three years, but told us … [Read more...] about Patient work
A recent study in Physiotherapy Canada looked to try to identify core physiotherapy professional values from both primary and grey literature and the views of physiotherapists attending the 2016 CPA Congress. The findings of the study perhaps unsurprising, with 10 values coming out most strongly: accountabilityadvocacyaltruismcompassion and caringequityexcellenceintegritypatient and client centredrespectsocial responsibility What is interesting about these values is not so much that they are stated at all - after all, most established health professions could and do claim similar values - but rather how they are acquired. Physiotherapy training programmes go to inordinate amounts … [Read more...] about Professional values