Week 6 – flying : )

This week is about data collection. It is do-able. Every thing is now calming down and I have general feeling of control again, I know what I am doing and what is expected of me, I just need to do it! I have decided not to take up a career in playing games on my phone and feel relieved about this decision.

It will be so much easier now I have decided to concentrate on my Personal Development Plan and my line of enquiry in to my area of interest: –

hypnoacupuncture or hypnopuncture or hypnosisacupuncture or hypnotherapy and acupuncture combined. Maybe synergy, mind-body connection, suggestibility, patient/client expectation as key words also.

This blog should just flow now with a chronological record of my thought processes regarding my research question and ultimately my dissertation. I will publish my reflections and maybe my thoughts on doing the assignments, or even the assignments if not too lengthy and felt appropriate.

What methods of data collection might be particularly relevant to your area of research interest/research question?

Since there is not a lot of research around hypnopuncture then it would be useful to look at case reflection research. I have a learning need here as I don’t know much about it. I know about reflection and it seems a wonderful idea to utilise this skill and incorporate it in to a useful piece of work. Reflection on action, building on what works and developing what doesn’t. Of source case studies would also be relevant to me question. I want to know how I make a difference.

How are this/these method(s) of particular relevance? Because I am interested in subjective experience. I want an in-depth view; detailed, rich data; context and meaning; the participants view; it would have to start out as a narrower application at first. This is the beginning of looking at the therapy and will need to be built up in stages, RCT’s come at the end

What else do you need to know to implement your preferred method(s) in the field?

I need to know more about reflective case study design, find some papers for examples and maybe access the Rolfe 1998 article from Journal of Advanced Nursing.

http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2648.1998.00806.x/full

Rolfe (1998)The Theory-Practice Gap in Nursing: from research based practice to practitioner-based research. Journal of Advanced Nursing 28 (3)

Is this not grounded theory? I will have to look in to this and find out.

I have ordered a book by Rolfe also ( Rolfe 1998, Expanding Nursing Knowledge: Butterworth Heinmann), I find it easy to relate to as it originates from the nursing profession. The theory -practice gap in nursing is different to other disciplines, in nursing it’s a ‘top down’ approach. The powers that be inflict their findings but nursing is a personal discipline, having to mould theory in to real life practice with real life people, depending on prior knowledge and professional and personal appearance to provide best care. This can be transferred to CAM therapies too so the idea of reflection-in-action sits perfectly with my philosophical view and qualitative tendencies to elicit rich and meaningful data.

I need be prepared to discuss the following topic in the video conference session:-Developing my research question/hypothesis for my ‘Scoping Review’ by reflecting on my potential area of research and the question(s) for  my review.

My tentative research question: –

What are patients perceived outcomes after experiencing hypnopuncture?

Use PICO to define my keywords

Population: human, adult, anxiety, pain

Intervention: hypnotherapy, hypnosis, acupuncture, hypnopuncture, hypnoacupuncture

Compare: ? To what? – not applicable

Outcome: patient perspective, client perspective, subjective view, patient satisfaction, quality of life, treatment effectiveness, health outcome, health improvement , synergy, mind-body connection, placebo, patient expectation, perceived outcome, suggestibility.

Sampling (replication strategy) – case studies chosen for their differences in outcome – comparative.

Conceptual framework: What do I want to know about – holistic or embedded? That is, the whole thing or concentrate on one area – expectation perhaps?

What affects the other, explain assumptions. Is it cyclical – iteritive.  Be selective, this could be too big – a case study – my whole clinic. Based on theory (not if using grounded theory – inductive). The context. The clinician , the client, the relationship, the intervention, the technique, the therapy, the whole experience, clinician behaviour, client behaviour, client expectation, practitioner expectation.

RESEARCH QUESTION: WHAT DO I NEED TO KNOW? Client – patient expectation? Structured, focused, answerable, informs the data collection.

Use MYMOP to identify one successful out come and one not so successful one. Do in-depth, open-ended interviews, observational studies, case notes I can even interview myself! Analyse themes for similarities and differences in the 2 interviews- theoretical replication strategy. (Graham Gibbs lecture 3 on case studies – YouTube).

The reflective case study could be my clinic, me, my clients, the whole experience, not just the intervention, I can then look at therapeutic relationship, patient and practitioner expectation, the placebo effect. This can be subjective, if the reader can apply it to their practice then it’s generisable, if the data is collected and analysed systematically then it is valid.

Lots of thought provoking information, things are looking up!

 

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