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    Analysis methods in hermeneutic phenomenological research: interpretive profiles

    2021-01-25 04:40:42SarahOerther
    Frontiers of Nursing 2020年4期

    Sarah Oerther

    Trudy Busch Valentine School of Nursing, Saint Louis University, Saint Louis, Missouri 63103-2097, United States

    Abstract: Objective: To describe the development of interpretive profiles for a hermeneutic phenomenological research study.

    Keywords: methodology · qualitative research · hermeneutics · phenomenology

    1.Introduction

    Hermeneutic phenomenology is a qualitative research method that allows researchers to study how experiences, traditions, and culture shape ordinary, everyday practices.1-4This method elicits stories from participants as a source of understanding.1-4Hermeneutic phenomenology is a beneficial research method since it allows researchers to describe and articulate how ordinary, everyday practices and routines of parents are shaped by their family relationships, childhood experiences, day-to-day challenges,and the resources that support them in raising their child.1-4For instance, SmithBattle used hermeneutic phenomenology to study parenting practices of teenage mothers.5Pohlman used hermeneutic phenomenology to increase the understanding of fathers of preterm infants.6She analyzed the influence of their work on their early transition to fatherhood and explored their meanings of work.6

    Hermeneutic phenomenological research is rooted in hermeneutics, a method of interpretation of philosophical text.Initially, the term hermeneutics was referred to the interpretation or understanding of written texts.7In the second half of the nineteenth century,Wilhelm Dilthey (1833-1911), a German philosopher,took up hermeneutics in his effort to explicate a philosophy of human sciences.He viewed hermeneutics as amethodology that could be used to reveal the unseen world of lived experiences.4

    2.Experts

    2.1.Francis Bacon

    At first, it is important to understand traditional philosophies of knowledge and to appreciate why hermeneutic phenomenology offers an alternative approach to developing knowledge.Francis Bacon (1561-1626), an English philosopher, and Rene Descartes(1596-1650), a French mathematician and scientist,influenced the modern study of epistemology, or the philosophy of theoretical knowledge.8They both shared the belief that nature could be explained by experimentation and abstract reasoning.8This base of knowledge has influenced research, practice, and education of the natural and human worlds.

    During the seventeenth century, contrary to the dominant Aristotelian ideas of deductive reasoning, Bacon argued for an empirical, inductive approach.His work contributed to the development of the scientific method.8He developed and promoted inductive practices for scientific investigation, which led to the notion that science can be objective, quantifiable, replicable, applicable,predictable, and impartial or free of prejudices.8,9He argued that experimental evidence could be used to dispute contradictory theories.8

    2.2.Rene Descartes

    Descartes thought that the universe operated like a machine, and if we were able to find the laws of the universe, then bodily actions could be deduced and fixed, just like a machine.8His philosophical arguments led to the notion that the body and mind are separate.10Decartes was the first to describe the body as a machine, which gave rise to the mechanistic view of the body.11The living patient is treated in a machine like fashion, and the body is separated into its component parts and their interactions.12This led to what is known as Cartesian dualism, which is a view in philosophy where the body and mind, the subject and the object,and the person and the world are considered as separate and distinct entities.13

    Medical field began to be see knowledge as something which is totally exist in the mind and separate from the body.12As healthcare professionals developed greater knowledge of the mechanics of bodily processes, it led to the scientific diagnosis and treatment of disease.11This knowledge permeates medicine and often influences how healthcare providers focus on the mechanical body while overlooking the patient’s meanings or experience of illness.As an example, if a patient has hypertension, a combination of drugs is often used to improve and prolong life.11This approach does not consider the impact that a stressful job, a difficult divorce, or a poor diet may also have on the occurrence of hypertension in an individual.12

    2.3.Maurice Merleau-Ponty

    In contrast to the above, Maurice Merleau-Ponty(1908-1961), a French phenomenological philosopher,was interested in the concept of “being in the world.”14,15All knowledge, according to Merleau-Ponty, is embodied, meaning that there is union of the body and mind.14Although Descartes’ mechanistic view of the body provides a framework to understand pathophysiology and disease mechanisms, the mechanistic view of the body consider that the body is separate from the mind, and the person from the world.So, health care providers tend to focus the mechanical body without understanding the patient’s experience of illness as shaped by social contexts and historical understanding.16

    As an alternative to Descartes’ mechanistic framework, Merleau-Ponty provided the foundations for understanding embodiment and the lived body.9,12,15Embodiment can be understood in the way the body embodies meaning.9,15The lived body was referred as an intending entity that grasps the world directly and is dynamically interrelated with the lived world and other relationships.16

    Merleau-Ponty maintained the belief that hermeneutic phenomenological research methods provide a perceptual lens for overcoming Cartesian dualism.9,12,15In contrast to the mechanistic view of the body which emphasizes pathophysiology and body parts, the hermeneutic stance assumes that a person’s background provide the basis for understanding.A parent may take up meanings that are embedded in particular skills and practices of parenting without ever being aware of those meanings.For example, family meals are skillful in elaborating the meaning of family connection, and can remain be meaningful from one generation to the next generation, as embodied skills shift as children age.Meanings such as these are inherent in parenting practices; they are best studied by examining actual events using hermeneutic phenomenology, a qualitative research method.

    3.Analysis

    Analysis for hermeneutic phenomenology involves a circular process since a researcher’s understanding of the data becomes enriched from the numerous readingsof the study data.2,17In 1975, Hans-Georg Gadamer, a well-known philosopher, pointed out that researchers cannot evade their “horizon” of temporal understanding by resorting to the “myth of objectivity,” but they can achieve is a “fusion of horizons.”18According to Abbey,the word “horizon” refers to the “zone of meaning in which a person operates.”19This “zone” is affected by a person’s culture and encompasses meanings that are mostly taken for granted or sometimes invisible.Fusion of horizons occurs when the claims of the text itself enrich and enlarge the initial understanding of a researcher.2,19For example, when a person engages in a conversation with another person, a different “horizon”is encountered.Ideally, when the conversation continues, a fusion of horizons results through careful questioning, watching, intuiting, and listening.2,19

    Given the circular nature of hermeneutic phenomenology, data pertaining to the study should be analyzed concurrently and archived, along with the researcher’s interpretations.2,17It can be challenging for emerging scholars to analyze a large amount of data from multiple interviews, field notes, and interpretive sessions.A convenient way to synthesize large amounts of data is by creating interpretive profiles for each case (Figure 1).An interpretive profile is a summary of all the data a researcher collects over the course of a study for each case.5

    3.1.Interpretive profiles

    Interpretive profiles can be used to weave details of a study together, just like a beautiful piece of tapestry, to provide a clear and coherent story about each case.Generally, interpretive profiles contain a case summary and address the aims of the researcher’s study.Interpretive profiles may also contain background material, coded excerpts, and interpretive comments.5,20Researchers should also use interpretive profiles to document any other relevant information that may assist in the understanding of the phenomenon, such as the interview setting, participants’ appearance, their non-verbal cues, and their expressions during the interview.5

    3.2.Creating interpretive profiles

    Researchers should ensure that all the interpretive profiles are configured and arranged in a similar manner to enable comparisons.When creating interpretive profiles, the researcher should begin by providing the definition of a case.A case may be an individual person,a family unit, or a group of people cohabitating together.As an example, a case may be defined as married-couple household (including biological, step, and adoptedchildren of the couple).In another example, an old woman between the ages of 60 years to 80 years may be considered as a case for a different study.

    Figure 1.Creation of an interpretive profile.

    The researcher should describe the participant’s personal history in the first section of an interpretive profile.This section may include demographics; key experiences of the participant; early ideas, feelings, or opinions about something or someone based on interviews, field notes, and survey data from participants;the researcher’s reactions to the participant that may have shaped their understanding; and interpretive comments and decisions.Researchers can also describe any surprises or unexpected circumstances they encountered in this section that were missing in the interview transcripts.The first section should contain the features such that researcher is able to find or remember immediately who the participant is since it provides a broad sketch of a participant’s demographics and circumstances.

    The next sections should be related to study aims,with major codes listed and with all relevant data related to that aim.Coded excerpts can be copied and moved as a block to interpretive profiles under the aims which they address.Major codes should be listed and with all relevant data related to that aim (Table 1).During this process, researchers should allow their voice to be heard strongly by avoiding the use of the passive voice.Occasionally, coded excerpts may be listed under several different codes, so excerpts may be duplicated under numerous aims.This is expected.

    Table 1.Example of an interpretive profile.

    4.Benefits of interpretive profiles

    Interpretive profiles have three main benefits.

    The first benefit of interpretive profiles is that they can facilitate case and cross-case analysis of a study.The data collected should provide an in-depth understanding of the complex lives of a particular population.Analysis assists researchers in understanding the practical lived experiences of their population and their needs.Interpretive profiles compacts lengthy interviews without sacrificing context, making it easier for a researcher to make comparisons and search for and retrieve data.

    Second, interpretive profiles can be used to ensure the rigor of a study and commitment to reflexivity.Morse suggests rigor may be demonstrated through attentiveness to participants during data collection and taking care in the analysis, and interpretive profiles can demonstrate these by providing an audit trail of analysis.21Researchers can use interpretive profiles to demonstrate reflexivity by showing how their forestructure has been revised or corrected over the course of the study.17,21

    Finally, interpretive profiles can assist in longitudinal qualitative research.Interpretive profiles can quickly orient a researcher to a past (old) participant when they are conducting a follow-up study.For instance, Smith-Battle accomplished this when she analyzed qualitative longitudinal data on teen mothers and housing instability.5She began her study in 1988 and followed teen mothers and their families for 28 years.Interpretive profiles allowed her to easily describe how housing trajectories were shaped by family resources, housing programs, and discrimination over the course of 28 years.She found white advantaged mothers were stably housed as children and adults.In contrast,she found housing instability was pervasive for black mothers who were from disadvantaged section of the society.5

    5.Conclusions

    Emerging scholars should be encouraged to create interpretive profiles in hermeneutic phenomenological research.Interpretive profiles can assist emerging scholars in describing self- world relations and experiential variations within and across participants.Interpretive profiles can facilitate the writing of dissertations and manuscripts since the data is systematically archived and easily retrievable.

    Ethical approval

    This study was approved by The Saint Louis University Institutional Review Board (Reference number:FWA00005304).

    Conflict of interest

    There is no conflict of interest.

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