Applying Multiple Methods of Systematic Evaluation in Narrative Analysis for Greater Validity and Deeper Meaning

1. Locating Narrative Inquiry in the Interdisciplinary Context Scientific Research and Qualitative Research in Tandem Narrative Inquiry Narrative Inquiry in Different Disciplines Some Cautionary Tales About Narrative Inquiry Narrative Inquiry as the Synergy of Interdisciplinarity Learning to be a Storyteller in the Interdisciplinary Context Conclusion: A Falling Apple 2. Philosophical/Theoretical Underpinnings of Narrative Inquiry The Role of Theory Philosophical/Theoretical/Interpretive Paradigm Theory and Narrative Inquiry Critical Theory Critical Race Theory Feminist Theory Phenomenology Poststructuralism/Postmodernism/Deconstruction Dewey's Theory of Experience Bakhtin's Theory of Novelness Conclusion: No Theory Used as a Procrustean Bed 3. Narrative Research Design: Engaging in Aesthetic Play Engaging in Aesthetic Play Standards for Humanities-Oriented Research Learning to Think Narratively Plowing Before Sowing: On Reviewing the Literature Developing Good Research Questions Imagining the Researcher-Participant Relationship: From Spy to Friend Ethical Issues in Narrative Inquiry Qualitative Writing vs. Scientific Writing Imagining Narrative Writing as Aesthetic Play Conclusion: Where Your Heart Belongs 4. Narrative Research Genres: Meditating Stories Into Being Narrative Inquirer as a Midwife Narrative Research Genres Autobiographical Narrative Inquiry Biographical Narrative Inquiry Arts-Based Narrative Inquiry Literary-Based Narrative Inquiry Visual-Based Narrative Inquiry Conclusion: Blurring Genres 5. Narrative Data Collection Methods: Excavating Stories Narrative Thinking Interview Logistics Types of Qualitative Interview Narrative Interviewing Fieldwork Artifacts: Cabinets of Curiosities or Cabinets of Wonder Visual Data Digital Archival Data Conclusion: Excavating Stories as Data 6. Narrative Data Analysis and Interpretation: Flirting With Data On Flirtation Qualitative Data Analysis Theorizing Narrative Data Analysis and Interpretation Methods of Narrative Data Analysis Narrative Analysis in Narrative Genres Conclusion: Variegations of Narrative Analysis and Interpretation 7. Narrative Coda: Theorizing Narrative Meaning On Coda Researching Signature Answering the Question So What? Desiring and Audience Avoiding an Epic Closure Theorizing Findings Planting the Seed for Social Justice Becoming a Scheherazade Conclusion: Ongoing Stories 8. Critical Issues in Narrative Inquiry: Looking Into a Kaleidoscope Looking into a Kaleidoscope Contradicting Stories: The Rashomon Effect Temptation of Backyard Research On Reflexivity On Bricolage and Bricoleur On Small Stories Storytelling as Performance Conclusion: Pushing the Boundary of Narrative Inquiry 9. Examples of Narrative Inquiry: Theory Into Practice Narrative Inquiry as Phenomenon and Method Narrative Inquiry as Oral History Narrative Inquiry as Life Story Narrative Inquiry as Autoethnography Narrative Inquiry as Creative Fiction Narrative Inquiry as Fiction Conclusion: Learning to be a Storyteller 10. Epilogue

1. Michelle Butina, PhD, MLS(ASCP)CM[⇑][1] 1. University of Kentucky, College of Health Sciences, Lexington, KY 1. Address for Correspondence: Michelle Butina, PhD, MLS(ASCP)CM, Assistant Professor and Program Director, Medical Laboratory Science, University of Kentucky, College of Health Sciences, 900 South Limestone Street, CTW Bldg. Rm. 126E, Lexington, KY 40536-0200, (859) 218-0852, Michelle.Butina{at}uky.edu 1. Provide an example of when narrative inquiry would be the most appropriate qualitative research approach. 2. Identify the activities involved in data collection. 3. Define and describe narrative thematic data analysis. 4. Discuss data verification and validation strategies used in qualitative research approaches. INTRODUCTION When selecting a research design, such as quantitative, qualitative, or mixed methods, Patton (2002) suggested reflecting on the purpose of the inquiry and the types of answers you seek.1 Qualitative methods allow the researcher to study issues in depth with data collection often occurring through open-ended questions permitting “one to understand and capture the points of view of other people without predetermining those points of view through prior selection of questionnaire categories”.1 Results include a wealth of detailed information about a small number of people; therefore, leading to an increase in the depth of understanding of these select individuals. As Creswell (2013) stated, “Those undertaking qualitative studies have a baffling number of choices of approaches”.2 Qualitative approaches of inquiry are diverse and can be numerous depending upon how they are classified as some classification schemes include 20 plus approaches.2 Regardless of how they are classified, the traditional 5 approaches are represented, in some fashion, in all classification schemes. These include case studies, ethnography, grounded theory, narrative, and phenomenology. This article will provide the reader with a better understanding of narrative approach or narrative inquiry. Narrative inquiry is the approach of which I have the most knowledge and the most experience with as it was the approach I selected for my doctoral research study. Narrative inquiry is a form of qualitative research in which the stories themselves become the raw data.3 This approach has been used in many disciplines to learn more about the culture, historical experiences, identity, and lifestyle… 1. Provide an example of when narrative inquiry would be the most appropriate qualitative research approach. 2. Identify the activities involved in data collection. 3. Define and describe narrative thematic data analysis. 4. Discuss data verification and validation strategies used in qualitative research approaches. [1]: #corresp-1

The aim of this article is to provide a case study example of the preopening phase of an interventional trauma operating room (ITOR) using systems-focused simulation and human factor evaluations for healthcare environment commissioning. Systems-focused simulation, underpinned by human factors science, is increasingly being used as a quality improvement tool to test and evaluate healthcare spaces with the stakeholders that use them. Purposeful real-to-life simulated events are rehearsed to allow healthcare teams opportunity to identify what is working well and what needs improvement within the work system such as tasks, environments, and processes that support the delivery of healthcare services. This project highlights salient evaluation objectives and methods used within the clinical commissioning phase of one of the first ITORs in Canada. A multistaged evaluation project to support clinical commissioning was facilitated engaging 24 stakeholder groups. Key evaluation objectives highlighted include the evaluation of two transport routes, switching of operating room (OR) tabletops, the use of the C-arm, and timely access to lead in the OR. Multiple evaluation methods were used including observation, debriefing, time-based metrics, distance wheel metrics, equipment adjustment counts, and other transport route considerations. The evaluation resulted in several types of data that allowed for informed decision making for the most effective, efficient, and safest transport route for an exsanguinating trauma patient and healthcare team; improved efficiencies in use of the C-arm, significantly reduced the time to access lead; and uncovered a new process for switching OR tabletop due to safety threats identified.

In Malawi, HIV and malnutrition are two of the most common causes of childhood morbidity and mortality. This qualitative study based in Nutrition Rehabilitation Units (NRU) in HIV-endemic Malawi explores caregiver's (staff and family) perspectives on quality of care for severely malnourished children. Three carer focus groups and 30 carer and staff in-depth interviews were conducted in two NRUs. The interviews and data analysis used a grounded theory approach, using both male and female Malawian researchers. Trustworthiness was enhanced through the researchers' prolonged engagement with the study setting and participants. The use of multiple methods - interviews, focus groups and observation - allowed for triangulation of the data. Data was then cross-referenced between staff and family caregiver reports. The analysis generated five themes. 'We have different blood' referring to staff attitudes and underperformance, 'What wrong did I do to God?' referring to stigma and chronic illness, 'My other children back home' referring to the carer's multiple responsibilities and challenges, 'Always in short supply' referring to resources available in the NRU (milk, medicine, space, hygiene) and 'you are always lagging behind' referring to the need for change and participants recommendations. Quality of care is a complex issue, bound by resources and capacity, influenced by stigma and hierarchy and limited by caregivers' conflicting responsibilities. Valuing and involving caregivers is essential in improving quality of care. Care should be patient and family centred and HIV services should be integrated into malnutrition care at the hospital and community level.

Psychologists are directed by ethical guidelines in most areas of their practice. However, there are very few guidelines for conducting data analysis in research. The aim of this article is to address the need for more extensive ethical guidelines for researchers who are post–data collection and beginning their data analyses. Improper data analysis is an ethical issue because it can result in publishing false or misleading conclusions. This article includes a review of ethical implications of improper data analysis and potential causes of unethical practices. In addition, current guidelines in psychology and other areas (e.g., American Psychological Association and American Statistical Association Ethics Codes) were used to inspire a list of recommendations for ethical conduct in data analysis that is appropriate for researchers in psychology.

Section 1: The nature of narratives. Chapter 1 What is a narrative?. Chapter 2 The appropriateness of narratives for nursing and health care. Chapter 3 Social construction, postmodernism and narrative identity. Chapter 4 Rigour in narrative research. Section 2: Strategies and procedures in narrative research. Chapter 5 The art of sampling. Chapter 6 Data collection in narrative research. Chapter 7 Narrative analysis: Contextualising narratives. Chapter 8 Presenting the findings. Section 3: Quality and authenticity in narrative research. Chapter 9 Narrative and ethics. Chapter 10 Critical review and problems. Chapter 11 The evaluation of narrative research reports and articles. Chapter 12 Publication and dissemination. Section 4: The practicalities of narrative research. Chapter 13 The skills of the narrative researcher. Chapter 14 Transcribing narrative data. Chapter 15 Writing a proposal for narrative research nursing

Research studies and information design lifecycles often include surveys, interviews, and user testing as part of the process-oriented approach to sharing research outcomes with the world. However, there is a lack of research regarding inclusive instrument design, which would help remove barriers experienced by people with and without a disability when taking surveys or participating in interviews or usability testing required for a research study. Using human-centered design, human-computer interaction, and disability studies perspectives, web-based instruments can become more inclusive and accessible. This sequentially phased 4-article dissertation presents lessons learned of inclusive instrument design as a solution-based framework that enables access to knowledge and helps create a positive research study experience for the broadest representation of humans possible. Everyone is impacted by a disability, impairment, or limitation at some point in their life, whether visible, invisible, permanent, temporary, or situational. Therefore, starting the design of instruments used in research studies with a human-centered and inclusive design mindset can increase the chances of creating more usable surveys and interview protocols. The research approach includes people with disabilities and disability advocates as part of the research process and uses multiple methods of co-design sessions, surveys, interviews, observation, document analysis, and automated and manual accessibility evaluation (including user and expert testing). This approach is a form of universal, participatory, and co-design, with researchers and stakeholders working together on various aspects of the research and design process. In addition to uncovering challenges and design flaws of web design, existing survey tools, or instrument question formats in an exploratory manner (Study 1), critical review of the literature (Study 2), and domain analysis and survey accessibility conformance evaluation (Study 3), this research will also identify user challenges with instruments and instrument preferences from surveys and interviews used in a co-design multiple methods study (Study 4). The themes, findings, and criticality counts across the four studies helped to inform my interpretation of the dissertation research, yielding eight conceptualizations which are used to address the research questions. This knowledge informed my model for inclusive instrument design practices, adding procedures, precedent, and new knowledge to the literature on disability and HCI research. This enriched understanding will assist researchers and designers in utilizing an inclusive instrument for conducting research studies that use online surveys and conduct interviews or test web-based products. Additionally, improving such web-based experiences for people with a disability, impairment, or chronic condition may lead to better experiences for everyone. Resulting recommendations include (1) an alternative to traditional medical-based demographic questions used in data collection for the ability status, (2) co-design as a research method, and (3) a model for inclusive instrument design. The inclusive instrument design recommendations can be adapted to future instrument designs, including procedures for multiple method survey accessibility evaluation and instrument design tenets by criticality. Ultimately, this qualitative study uses multiple methods to learn, create, test, and evaluate an inclusive instrument design model that enables a more inclusive research study experience for everyone.

A survey was conducted of 7,111 primary and secondary school teachers nationwide using an online questionnaire during the COVID-19 epidemic. The results show that national and provincial online education resources and platforms have played a leading role during the COVID-19 epidemic, but it is difficult for existing resources to meet actual needs. Online teaching modes are diverse, but the participation of primary and secondary school teachers in online educational research is seriously inadequate. There have been evaluations of online teaching, but the evaluation method and teacher participation rate do not give cause for optimism. Online teaching has achieved clear results, but the problems and difficulties that it faces should not be ignored. Given this, this article proposes some countermeasures, such as building up online education resources, adopting multiple online teaching evaluation methods, and establishing online teaching incentives and compensation mechanisms.

Personal narratives’ relation to social change is a frequent topic in the narrative-psychological and wider narrative social science literature. It is, indeed, a driving interest for many of those doing and reading narrative social research. This book aims to analyze not only the strong but also qualified significance of personal stories for progressive social change. It pursues this analysis by investigating particular aspects of narratives that narrative psychological research describes and explains and that seem to contribute importantly to narratives’ ability to make or catalyze social change. While narratives’ relation to social change is a common assumption and preoccupation of narrative researchers, fewer publications take this relationship as a central and explicit focus. This book aims to deepen narrative research’s engagement with progressive social change by addressing it consistently and from a number of different narrative-psychological research perspectives. The book acknowledges the strength and the importance of regressive and discriminatory narratives, narratives’ limitations, and research on these. However, it focuses on progressive social change possibilities, which seem especially important to consider at the current time. The book comprises three sections: Personal Stories and Social Change; The Language of Social Change Narratives; and Narrating Histories of the Past, Present, and Future. Throughout, the book foregrounds the multimodalities of narratives; the value of the multiplicity of stories, genres, positions, and intersectionalities; recent work on decolonialities; and the interdisciplinarity, historical reach, and transnationalism of narrative research.

Which dose-response model best explains low-dose responses is a critical issue in toxicology, pharmacology, and risk assessment. The present paper utilized the U.S. National Cancer Institute yeast screening database that contains 56,914 dose-response studies representing the replicated effects of 2189 chemically diverse possible antitumor drugs on cell proliferation in 13 different yeast strains. Multiple evaluation methods indicated that the observed data are inconsistent with the threshold model while supporting the hormetic model. Hormetic response patterns were observed approximately four times more often than would be expected by chance alone. The data call for the rejection of the threshold model for low-dose prediction, and they support the hormetic model as the default model for scientific interpretation of low-dose toxicological responses.

Background: Numerous investigations indicate that the way of evaluating knowledge exerts a substantial influence on the change in the learning styles of students. Both the training of future professionals and their evaluation must be considered as one of the fundamental pillars on which the teaching-learning process must be based. The valid and reliable evaluation of clinical reasoning during the medical training process is essential. Determining which assessment method is the most useful for assessing clinical reasoning ability in medical students is not an easy task. Methods: An explanatory, observational, cross-sectional study with a prospective approach will be carried out. A SCRIPT test will be carried out on the students of the last year of the Medicine career, in order to measure the reliability, validity, educational impact and acceptability of said method. Results: Evaluations were carried out on a total of 81 students.59.3% were women and 40.7% were men. The general average of all those surveyed, taking into account deferrals, is 7.41. After having uploaded the data obtained and giving the corresponding score to each answer, according to the value designated by the experts, we have obtained a Cronbach's Alpha of 0.33. Conclusion: The results obtained in this study, although the authors propose a minimum of 20 clinical vignettes, were not the expected. Both the utility and the reliability of the SCRIPT tests are not sufficient by themselves to allow a correct evaluation of clinical analysis in medical students. We believe it is necessary that clinical reasoning be evaluated in an integrated, longitudinal, and coherent manner, using multiple evaluation methods and periodic and constructive feedback.

BackgroundAs a rare tumor, surgery is the best treatment for primary spinal tumors. However, for elderly patients who cannot undergo surgery, the prognosis is often difficult to evaluate. The purpose of this study was to identify the risk factors that may lead to death and predict the prognosis of elderly patients with primary spinal tumors who have not undergone surgical treatment. MethodsIn this study, 426 patients aged 60 years or older diagnosed with a primary spinal tumor between 1975 and 2015 were selected and included from the Surveillance, Epidemiology, and End Results database. A retrospective analysis was performed by using the Cox regression algorithm to identify independent prognostic factors. A nomogram model was developed based on the results. Multiple evaluation methods (calibration curve, receiver operating characteristic curve, and decision curve analyses) were used to evaluate and validate the performance of the nomogram.ResultsA nomogram was developed, with age, histological type, and stage as independent prognostic factors. The results indicated that the prognostic risk tended to increase significantly with age and tumor spread. Osteosarcoma was found to have the most prominent risk prognosis in this patient group, followed by chondrosarcoma and chordoma. The area under the curve and the C-index of the model were both close to or greater than 0.7, which proved the high-differentiation ability of the model. The calibration curve and decision curve analyses showed that the model had high predictive accuracy and application value.ConclusionsWe successfully established a practical nomogram to assess the prognosis of elderly patients with primary spinal tumors who have not undergone surgical treatment, providing a scientific basis for clinical management.

Assessing the efficacy of gutiferone E in photodynamic therapy for oral candidiasis

Effect of Fe on the oxidation, sulfidation and carburization behaviors of alloys in CO2 containing SO2

This article examines the challenges of linking smallholders to high-value food markets by looking at the experience of the Plataformas programme in the Ecuadorian Sierra. Multiple evaluation methods are employed to ensure identification of program impact. The findings suggest that the programme successfully improved the welfare of beneficiary farmers, as measured by yields and gross margins. These benefits are achieved through improving the efficiency of agricultural production and through selling at higher prices. No significant secondary health or environmental effects were found. Overall, the programme provides clear evidence that combining production support with facilitating market access can be successful.