Interpretive description: A flexible qualitative methodology for medical education research.

Julie Thompson Burdine, Sally Thorne, Gurjit Sandhu
Author Information
  1. Julie Thompson Burdine: Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA. ORCID
  2. Sally Thorne: School of Nursing, University of British Columbia, Vancouver, BC, Canada.
  3. Gurjit Sandhu: Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA.

Abstract

BACKGROUND: Qualitative research approaches are increasingly integrated into medical education research to answer relevant questions that quantitative methodologies cannot accommodate. However, researchers have found that traditional qualitative methodological approaches reflect the foundations and objectives of disciplines whose aims are recognizably different from the medical education domain of inquiry (Thorne, 2016, Interpretive description. New York, NY: Routledge). Interpretive description (ID), a widely used qualitative research method within nursing, offers an accessible and theoretically flexible approach to analysing qualitative data within medical education research. ID is an appropriate methodological alternative for medical education research, as it can address complex experiential questions while producing practical outcomes. It allows for the advancement of knowledge surrounding educational experience without sacrificing methodological integrity that long-established qualitative approaches provide.
PURPOSE: In this paper, we present interpretive description as a useful research methodology for qualitative approaches within medical education. We then provide a toolkit for medical education researchers interested in incorporating interpretive description into their study design. We propose a coherent set of strategies for identifying analytical frameworks, sampling, data collection, analysis, rigour and the limitations of ID for medical education research. We conclude by advocating for the interpretive description approach as a viable and flexible methodology for medical education research.

References

Thorne S. Interpretive description. New York, NY: Routledge; 2016.
Thorne S, Kirkham SR, MacDonald-Emes J. Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health. 1997;20(2):169-177.
Dzurec LC. The necessity for and evolution of multiple paradigms for nursing research: a poststructuralist perspective. ANS Adv Nurs Sci. 1989;11(4):69-77.
Thorne S, Kirkham SR, O'Flynn-Magee K. The analytic challenge in interpretive description. Int J Qual Methods. 2004;3(1):1-11.
Carter R, Caldwell CH, Matusko N, Antonucci T, Jackson JS. Ethnicity, perceived pubertal timing, externalizing behaviors, and depressive symptoms among black adolescent girls. J Youth Adolesc. 2011;40(10):1394-1406.
Mitchell GJ, Cody WK. Nursing knowledge and human science: Ontological and epistemological considerations. Nurs Sci Quart. 1992;5(2):54-61.
Dreher M. From the reviewer's perspective. In: Morse JM, ed. Critical Issues in Qualitative Research Methods. Thousand Oaks, CA: Sage; 1994;281.
Hunt MR. Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health professionals in humanitarian work. Qual Health Res. 2009;19(9):1284-1292.
Sandelowski M, Barroso J. Classifying the findings in qualitative studies. Qual Health Res. 2003;13(7):905-923.
Caelli K, Ray L, Mill J. ‘Clear as mud’: toward greater clarity in generic qualitative research. Int J Qual Methods. 2003;2(2):1-13.
Thorne S, Jensen L, Kearney MH, Noblit G, Sandelowski M. Qualitative metasynthesis: reflections on methodological orientation and ideological agenda. Qual Health Res. 2004;14(10):1342-1365.
Maragh-Bass AC, Appelson JR, Changoor NR, Davis WA, Haider AH, Morris MA. Prioritizing qualitative research in surgery: a synthesis and analysis of publication trends. Surgery. 2016;160(6):1447-1455.
Kalengayi FKN, Hurtig A-K, Ahlm C, Ahlberg BM. “It is a challenge to do it the right way”: an interpretive description of caregivers’ experiences in caring for migrant patients in Northern Sweden. BMC Health Serv Res. 2012;12(1):433.
Kennedy TJ, Lingard LA. Making sense of grounded theory in medical education. Med Educ. 2006;40(2):101-108.
Holloway I, Todres L. The status of method: flexibility, consistency and coherence. Qual Res. 2003;3(3):345-357.
Atkinson P. The ethnography of a medical setting: reading, writing, and rhetoric. Qual Health Res. 1992;2(4):451-474.
Atkinson P. Some perils of paradigms. Qual Health Res. 1995;5(1):117-124.
St George S. Applied interpretation: a review of interpretive description by Sally Thorne. Qual Rep. 2010;15(6):1624-1628.
Olsen NR, Bradley P, Lomborg K, Nortvedt MW. Evidence based practice in clinical physiotherapy education: a qualitative interpretive description. BMC Med Educ. 2013;13(1):52.
Chan TM, Van Dewark K, Sherbino J, Schwartz A, Norman G, Lineberry M. Failure to flow: an exploration of learning and teaching in busy, multi-patient environments using an interpretive description method. Perspect Med Educ. 2017;6(6):380-387.
Archibald MM, Caine V, Ali S, Hartling L, Scott SD. What is left unsaid: an interpretive description of the information needs of parents of children with asthma. Res Nurs Health. 2015;38(1):19-28.
Lasiuk GC, Comeau T, Newburn-Cook C. Unexpected: an interpretive description of parental traumas’ associated with preterm birth. BMC Pregnancy Childbirth. 2013;13(1):S13.
Ryan C, McAllister M. The experiences of clinical facilitators working with nursing students in Australia: an interpretive description. Collegian. 2019;26(2):281-287.
Abdul-Razzak A, You J, Sherifali D, Simon J, Brazil K. ‘Conditional candour’ and ‘knowing me’: an interpretive description study on patient preferences for physician behaviours during end-of-life communication. BMJ Open. 2014;4(10):e005653.
Dmytryshyn AL, Jack SM, Ballantyne M, Wahoush O, MacMillan HL. Long-term home visiting with vulnerable young mothers: an interpretive description of the impact on public health nurses. BMC Nurs. 2015;14(1):12.
Krau SD. The difference between palliative care and end of life care: more than semantics. Nurs Clin. 2016;51(3):ix-x.
Lilley EJ, Cooper Z, Schwarze ML, Mosenthal AC. Palliative care in surgery: defining the research priorities. J Palliat Med. 2017;20(7):702-709.
Dunn G, Martensen R, Weissman D.Surgical palliative care: a resident's guide. 2009. American College of Surgeons website. 2018.
Hunt MR, Chan LS, Mehta A. Transitioning from clinical to qualitative research interviewing. Int J Qual Methods. 2011;10(3):191-201.
Oliver C. The relationship between symbolic interactionism and interpretive description. Qual Health Res. 2012;22(3):409-415.
Peshkin A. The goodness of qualitative research. Educ Res. 1993;22(2):23-29.
Mills CW. The Sociological Imagination. Oxford, UK: Oxford University Press; 2000.
Marshall C, Rossman GB. Designing Qualitative Research. Newbury Park, CA: Sage Publications. 2014.
Strauss AL. Qualitative Analysis for Social Scientists. Cambridge, UK: Cambridge University Press; 1987.
Ravitch SM, Riggan M. Reason & Rigor: How Conceptual Frameworks Guide Research. Thousand Oaks, CA: Sage Publications; 2016.
Le Guin UK. The Telling. New York, NY: Houghton Mifflin Harcourt; 2000.
Marshall MN. Sampling for qualitative research. Fam Pract. 1996;13(6):522-526.
Creswell JW, Miller DL. Determining validity in qualitative inquiry. Theory Pract. 2000;39(3):124-130.
Elmusharaf K. Qualitative Data Collection Techniques. Geneva, Switzerland: Training Course in Sexual and Reproductive Health Research. 2012.
Hutchinson SA, Wilson ME, Wilson HS. Benefits of participating in research interviews. Image. 1994;26(2):161-166.
Halaweh M. Integrating social media and grounded theory in a research methodology: a possible road map. Bus Inf Rev. 2018;35(4):157-164.
Emmons RA, King LA. Thematic analysis, experience sampling and personal goals. In: Smith CP, Atkinson JW, McClelland DC, & Veroff J, Eds. Motivation and Personality: Handbook of Thematic Content Analysis. Cambridge, UK: Cambridge University Press; 1992: 73-86.
King N. 21 Using templates in the thematic analysis of text. In: Cassell C, Symon G, eds. Essential Guide to Qualitative Methods in Organizational Research. London, UK: Sage; 2004:256-270.
Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. Thousand Oaks, CA: Sage; 1994.
Clark MI, Spence JC, Holt NL. In the shoes of young adolescent girls: understanding physical activity experiences through interpretive description. Qual Res Sport Exerc Health. 2011;3(2):193-210.
Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods. 2017;16(1):1609406917733847.
Giorgi A. Phenomenology and Psychological Research. Pittsburgh, PA: Duquesne University Press; 1985.
Koivisto K, Janhonen S, Väisänen L. Applying a phenomenological method of analysis derived from Giorgi to a psychiatric nursing study. J Adv Nurs. 2002;39(3):258-265.
Guba EG, Lincoln YS. Epistemological and methodological bases of naturalistic inquiry. ECTJ. 1982;30(4):233-252.
Thorne S. Data analysis in qualitative research. Evid Based Nurs. 2000;3(3):68-70.
Charmaz K, Belgrave LL. Grounded theory. In: Ritzer G, ed. The Blackwell Encyclopedia of Sociology. New York, NY: Blackwell Publishing; 2007.
Boeije H. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Qual Quant. 2002;36(4):391-409.
Grove RW. An analysis of the constant comparative method. Int J Qual Stud Educ. 1988;1(3):273-279.
Thorne S, Oliffe J, Kim-Sing C, et al. Helpful communications during the diagnostic period: an interpretive description of patient preferences. Eur J Cancer Care. 2010;19(6):746-754.
Brooks J, McCluskey S, Turley E, King N. The utility of template analysis in qualitative psychology research. Qual Res Psychol. 2015;12(2):202-222.
Norris N. Error, bias and validity in qualitative research. Educ Action Res. 1997;5(1):172-176.
Nolen L. How medical education is missing the bull’s-eye. N Engl J Med. 2020;382(26):2489-2491.
Varpio L, Ajjawi R, Monrouxe LV, O'Brien BC, Rees CE. Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking. Med Educ. 2017;51(1):40-50.
Mayan MJ. Essentials of Qualitative Inquiry. New York, NY: Routledge; 2016.
Morse JM, Barrett M, Mayan M, Olson K, Spiers J. Verification strategies for establishing reliability and validity in qualitative research. Int J Qual Methods. 2002;1(2):13-22.

MeSH Term

Biomedical Research
Education, Medical
Humans
Qualitative Research
Research Design
Research Personnel

Word Cloud

Similar Articles

Cited By