Considering axiological integrity: a methodological analysis of qualitative evidence syntheses, and its implications for health professions education

Advances in Health Sciences Education : Theory and Practice
Martina KellyTim Dornan

Abstract

Qualitative evidence synthesis (QES) is a suite of methodologies that combine qualitative techniques with the synthesis of qualitative knowledge. They are particularly suited to medical education as these approaches pool findings from original qualitative studies, whilst paying attention to context and theoretical development. Although increasingly sophisticated use is being made of qualitative primary research methodologies in health professions education (HPE) the use of secondary qualitative reviews in HPE remains underdeveloped. This study examined QES methods applied to clinical humanism in healthcare as a way of advancing thinking around the use of QES in HPE in general. A systematic search strategy identified 49 reviews that fulfilled the inclusion criteria. Meta-study was used to develop an analytic summary of methodological characteristics, the role of theory, and the synthetic processes used in QES reviews. Fifteen reviews used a defined methodology, and 17 clearly explained the processes that led from data extraction to synthesis. Eight reviews adopted a specific theoretical perspective. Authors rarely described their reflexive relationship with their data. Epistemological positions tended to be implied rather than e...Continue Reading

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Citations

Sep 20, 2019·Perspectives on Medical Education·Javeed SukheraCristina M Gonzalez
Apr 13, 2021·Advances in Health Sciences Education : Theory and Practice·Rachel H Ellaway

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