PubMed Health⌕ Search

PubMed · 10558357

Using reflexivity to optimize teamwork in qualitative research.

Abstract

Reflexivity is often described as an individual activity. The authors propose that reflexivity employed as a team activity, through the sharing of reflexive writing (accounts of personal agendas, hidden assumptions, and theoretical definitions) and group discussions about arising issues, can improve the productivity and functioning of qualitative teams and the rigor and quality of the research. The authors review the literature on teamwork, highlighting benefits and pitfalls, and define and discuss the role for reflexivity. They describe their own team and detail how they work together on a project investigating doctor-patient communication about prescribing. The authors present two reflexive tools they have used and show through examples how they have influenced the effectiveness of their team in terms of process, quality, and outcome.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

C A Barry, N Britten, N Barber, C Bradley, F Stevenson. 1999. Using reflexivity to optimize teamwork in qualitative research.. https://doi.org/10.1177/104973299129121677

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Patients' perceptions of entitlement to time in general practice consultations for depression: qualitative study.

OBJECTIVE: To investigate patients' perceptions of entitlement to time in general practice consultations for depression. DESIGN: Qualitative study based on interviews with patients with mild to moderate depression. SETTING: Eight general practices in the West Midlands and the regional membership of the Depression Alliance. PARTICIPANTS: 32 general practice patients and 30 respondents from the Depression Alliance. RESULTS: An intense sense of time pressure and a self imposed rationing of time in consultations were key concerns among the interviewees. Anxiety about time affected patients' freedom to talk about their problems. Patients took upon themselves part of the responsibility for managing time in the consultation to relieve the burden they perceived their doctors to be working under. Respondents' accounts often showed a mismatch between their own sense of time entitlement and the doctors' capacity to respond flexibly and constructively in offering extended consultation time when this was necessary. Patients valued time to talk and would often have liked more, but they did not necessarily associate length of consultation with quality. The impression doctors gave in handling time in consultations sent strong messages about legitimising the patients' illness and their decision to consult. CONCLUSIONS: Patients' self imposed restraint in taking up doctors' time has important consequences for the recognition and treatment of depression. Doctors need to have a greater awareness of patients' anxieties about time and should move to allay such anxieties by pre-emptive reassurance and reinforcing patients' sense of entitlement to time. Far from acting as "consumers," patients voluntarily assume responsibility for conserving scarce resources in a health service that they regard as a collective rather than a personal resource.

Communication↗