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MIDWIFERY-RESEARCH  October 2009

MIDWIFERY-RESEARCH October 2009

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Subject:

Re: Vignettes for discussion prompts in

From:

Carol Lambert <[log in to unmask]>

Reply-To:

A forum for discussion on midwifery and reproductive health research." <[log in to unmask]>

Date:

Fri, 16 Oct 2009 17:54:26 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (246 lines)

Hi Helen,

I emailed you direct, I aren't sure whether you have seen this as it tells
you what I wish to explore as part of my study. I am familiar with you and
your colleagues work (2006) this study is part of my lit review.

It is the 'where do these scenarios come from 'I am thinking about. You said
you transcribed these from real life cases, how did you argue the validity
of them as i guess you could not reference them, just that they were taken
from case notes? I wondered if it was possible to take excepts from
documented real cases from within in publications or from anecdotal stories
but didn't know how this could be validated.

I appreciate this

Carol

-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] On Behalf Of Helen Cheyne
Sent: 16 October 2009 16:35
To: [log in to unmask]
Subject: Re: Vignettes for discussion prompts in

Hi Carol, I've used vignettes in various studies over the last couple of
years, they are commonly used in decision making research often combined
with the "think aloud" method. The good thing about them  is that the same
informational cues are presented to each participant, their weakness, of
course,  is that they can never replicate the real life situation- although
I have found that midwives do  get quite into them and are pretty good at
picturing themselves in the situation.  I've used different formats -in  the
one described below with Vanora -as she says, we just transcribed real cases
and I thought that that would avoid concerns about content validity. As
Vanora describes, although we piloted them with quite a few midwives we
still didn't identify all the ambiguous wording, so I agree with Vanora and
Jo, you should spend a bit of time on the content.

I have also used vignettes in an online format - in which midwives looked at
a series (5)  of slowly unfolding cases and had to make a judgement at five
different time points for each case.  Because these were on a computer
programme we had quite a lot of flexibility and in this study the vignettes
looked like the labour partogramme and case record which the midwives were
familiar with.

Of course vignettes can take all sorts of formats and even pictures could be
included.  

I hope this helps, let me know if you want me to send you any more
information.

Helen
________________________________________
From: A forum for discussion on midwifery and reproductive health research.
[[log in to unmask]] On Behalf Of Vanora Hundley
[[log in to unmask]]
Sent: 16 October 2009 14:46
To: [log in to unmask]
Subject: Re: Vignettes for discussion prompts in

Apologies for coming late to this discussion. Helen Cheyne does have a lot
of knowledge on the use of vignettes - I know she is travelling at the
moment but I'm sure will get back to you on her return.

We used a vignette study to test the inter-rater reliability of an algorithm
to assist with decision making in early labour. A set of forty vignettes
were developed by transcribing and anonymising real case histories of women
admitted to a maternity unit. The vignettes were designed to resemble the
admission page of a woman's case record and contained all the information
recorded by midwives on the admission assessment including; a brief summary
of the woman's medical and antenatal history, her self reported admission
history, the midwives' findings including a general, abdominal and vaginal
examination. As with Jo's study the real cases were suitably disguised for
anonymity.

You can get details of the process here:
Cheyne H, Dowding D, Hundley V, et al. (2008) The development and testing of
an algorithm for diagnosis of active labour. Midwifery 24 (2): 199-213.

I agree with Jo's advice about precision and clear language. This is really
important for the focus group participants to assess all the relevant
information. In our first test we discovered that the vignette did not
include sufficient information about pain. The transcripts of the real
histories included descriptions such as "coping well" or "distressed" (as
this was how pain was recorded) which meant that the midwives could not
assess the level of pain and were unable to complete the algorithm.

Best wishes

Vanora
________________________________
From: A forum for discussion on midwifery and reproductive health research.
[[log in to unmask]] On Behalf Of Debbie Carrick-Sen
[[log in to unmask]]
Sent: 16 October 2009 11:39
To: [log in to unmask]
Subject: Re: Vignettes for discussion prompts in

Dear Carol

I know that Helen Cheyne has successfully used vignettes in a midwifery
project. I don't have her email address but I think she is still working in
Scotland and I think she is still actively involved in the Iolanthe
Midwifery Trust, so you may be able to get her email from their website

kind regards

Debbie


Dr Debbie Carrick-Sen
Head of Nursing and Midwifery Research
research Midwives Office
c/o Clinical Research Facility
4th Floor
Leazes Wing
Royal Victoria Infirmary
Newcastle upon Tyne
NE1 4LP

Telephone: DECT 29311
Mobile: 07843441631

Secretarial support for Education & Training: telephone: (0191 28) 20073;
email: Gillian Weir via [log in to unmask] (Please note Gillian only
works on a Friday)

From: A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] On Behalf Of Jo Green
Sent: 16 October 2009 11:22
To: [log in to unmask]
Subject: Re: Vignettes for discussion prompts in

Dear Carol

I have used vignettes very effectively to stimulate focus group discussions.
I would recommend that the vignettes be quite carefully constructed (a) to
reflect the real world as experienced by your participants and (b) to elicit
quite precise information for example about how they would deal with a
particular dilemma.  RE (a) we have always based these on previous
qualitative work in the field, for example in one study we got professionals
to keep 'critical incident' diaries for us over a few months and then based
our vignettes on the examples given (suitably disguised for anonymity).  In
another we analysed postings on an internet discussion board. Try and be
fairly precise in your description otherwise people will just say 'it
depends' - although then you can probe as to what it depends on and why. Re
(b) We would typically present one scenario and then, following discussion
move on to a second one which is similar expect for one key piece of
information to see if this changes people's responses. Repeat as necessary!

Good luck

Jo

jenny hall wrote:
Hello Carol
You probably have this but if not it may be useful
The Use of Vignettes in Qualitative Research
Christine Barter and Emma Renold
http://sru.soc.surrey.ac.uk/SRU25.html

I personally have not experience with this but have used photo-elicitation
as a form to stimulate discussion. Sometimes I think what you have to do is
to 'go for it'- create a vignette, do a pilot study and see if it needs
tweaking.
Hope it sort of helps!
Best wishes
jenny



Jennifer Hall

The Practising Midwife

For information on subscriptions, advertising and contributors guides please
contact [log in to unmask]<mailto:[log in to unmask]> or
www.thepractisingmidwife.com<http://www.thepractisingmidwife.com/>



________________________________
From: A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] On Behalf Of Carol Lambert
Sent: 16 October 2009 11:00
To:
[log in to unmask]<mailto:[log in to unmask]>
Subject: Vignettes for discussion prompts in

Hello everyone,

I emailed previously asking if anyone knows anything about using/devising
vignettes, for use in semi structured interview. I want to devise these for
use as a discussion prompt for my qualitative study and wondered if anyone
had any experience in using these. This is a second call for information as
I have had no response at all.

Thank you again

Carol Lambert
PhD student
Faculty of Health and Social care
University of Hull

No virus found in this incoming message.
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--

 Josephine M Green

 Professor of Psychosocial Reproductive Health

 Mother and Infant Research Unit

 Department of Health Sciences, Area 4, Seebohm Rowntree Building

 University of York, Heslington, YORK, YO10 5DD



     Affiliated with the Hull York Medical School



 Tel.  MIRU: 01904 32 1832; direct line 01904 32 1823

 Fax 01904 32 1820,  email:  [log in to unmask]<mailto:[log in to unmask]>



 http://www.york.ac.uk/healthsciences/miru/

________________________________
The Sunday Times Scottish University of the Year 2009/2010
The University of Stirling is a charity registered in Scotland, number SC
011159.

-- 
The Sunday Times Scottish University of the Year 2009/2010
The University of Stirling is a charity registered in Scotland, 
 number SC 011159.

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