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Erschienen in: Archives of Orthopaedic and Trauma Surgery 2/2014

01.02.2014 | Trauma Surgery

Understanding osteoporosis and fractures: an introduction to the use of qualitative research

verfasst von: A. Hoang-Kim, E. Schemitsch, J. E. M. Sale, D. Beaton, K. Warmington, A. V. Kulkarni, S. Reeves

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 2/2014

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Abstract

Background

Qualitative research has been recognized in recent years as a field of inquiry used to understand people’s beliefs, attitudes, behaviors, culture or lifestyle. While quantitative results are challenging to apply in everyday practice, the qualitative paradigm can be useful to fill in a research context that is poorly understood or ill-defined. It can provide an in-depth study of interactions, a way to incorporate context, and a means to hear the voices of participants. Understanding experiences, motivation, and beliefs can have a profound effect on the interpretation of quantitative research and generating hypotheses. In this paper, we will review different qualitative approaches that healthcare providers and researchers may find useful to implement in future study designs, specifically in the context of osteoporosis and fracture.

Methods

We will provide insight into the qualitative paradigm gained from the osteoporosis literature on fractures using examples from the database Scopus. Five prominent qualitative techniques (narratives, phenomenology, grounded theory, ethnography, and case study) can be used to generate meanings of the social and clinical world.

Discussion and conclusion

We have highlighted how these strategies are implemented in qualitative research on osteoporosis and fractures and are anchored to specific methodological practices. We focus on studies that explore patient psychosocial experiences of diagnosis and treatment, cultural boundaries, and interprofessional communication. After reviewing the research, we believe that action research, that is not frequently used, could also effectively be used by many professions to improve programs and policies affecting those dealing with osteoporosis issues.
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Literatur
1.
Zurück zum Zitat Rabar S, Lau R, O’Flynn N et al (2012) Risk assessment of fragility fractures: summary of NICE guidance. BMJ 345:e3698PubMedCrossRef Rabar S, Lau R, O’Flynn N et al (2012) Risk assessment of fragility fractures: summary of NICE guidance. BMJ 345:e3698PubMedCrossRef
2.
Zurück zum Zitat Marsh D, Akesson K, Beaton DE et al (2011) Coordinator-based systems for secondary prevention in fragility fracture patients. Osteo Int 22:2051–2065CrossRef Marsh D, Akesson K, Beaton DE et al (2011) Coordinator-based systems for secondary prevention in fragility fracture patients. Osteo Int 22:2051–2065CrossRef
3.
Zurück zum Zitat Papaioannou A, Morin S, Cheung AM et al (2010) 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 182:1864–1873PubMedCentralPubMedCrossRef Papaioannou A, Morin S, Cheung AM et al (2010) 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 182:1864–1873PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Schurman L, Bagur A, Claus-Hermberg H et al (2013) Guidelines for the diagnosis, prevention and treatment of osteoporosis, 2012. Medicina (B Aires) 73:55–74 Schurman L, Bagur A, Claus-Hermberg H et al (2013) Guidelines for the diagnosis, prevention and treatment of osteoporosis, 2012. Medicina (B Aires) 73:55–74
5.
Zurück zum Zitat Boonen S, Wahl DA, Nauroy L et al (2011) Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures. Osteoporos Int 22(12):2915–2934PubMedCrossRef Boonen S, Wahl DA, Nauroy L et al (2011) Balloon kyphoplasty and vertebroplasty in the management of vertebral compression fractures. Osteoporos Int 22(12):2915–2934PubMedCrossRef
6.
Zurück zum Zitat Audran M, Jakob FJ, Palacios S et al (2013) A large prospective European cohort study of patients treated with strontium ranelate and followed up over 3 years. Rheumatol Int. doi:10.1007/s00296-012-2594-y Audran M, Jakob FJ, Palacios S et al (2013) A large prospective European cohort study of patients treated with strontium ranelate and followed up over 3 years. Rheumatol Int. doi:10.​1007/​s00296-012-2594-y
8.
Zurück zum Zitat von der Linden P, Gisep A, Boner V et al (2006) Biomechanical evaluation of a new augmentation method for enhanced screw fixation in osteoporotic proximal femoral fractures. J Orthop Res 24:2230–2237PubMedCrossRef von der Linden P, Gisep A, Boner V et al (2006) Biomechanical evaluation of a new augmentation method for enhanced screw fixation in osteoporotic proximal femoral fractures. J Orthop Res 24:2230–2237PubMedCrossRef
9.
Zurück zum Zitat Wylie CD (2010) Setting a standard for a ‘silent’ disease: defining osteoporosis in the 1980s and 1990s. Stud Hist Philos Biol Biomed Sci 41:376–385PubMedCrossRef Wylie CD (2010) Setting a standard for a ‘silent’ disease: defining osteoporosis in the 1980s and 1990s. Stud Hist Philos Biol Biomed Sci 41:376–385PubMedCrossRef
10.
Zurück zum Zitat Sale J, Gignac A, Hawker G et al (2011) Decision to take osteoporosis medication in patients who have had a fracture and are ‘high’ risk for future fracture. BMC Musculoskelet Disord 12:92PubMedCentralPubMedCrossRef Sale J, Gignac A, Hawker G et al (2011) Decision to take osteoporosis medication in patients who have had a fracture and are ‘high’ risk for future fracture. BMC Musculoskelet Disord 12:92PubMedCentralPubMedCrossRef
11.
Zurück zum Zitat Gooberman-Hill R, Fox R (2011) What can qualitative approaches bring to trauma outcome research? Injury. Int J Care Injured 42:321–323CrossRef Gooberman-Hill R, Fox R (2011) What can qualitative approaches bring to trauma outcome research? Injury. Int J Care Injured 42:321–323CrossRef
12.
Zurück zum Zitat Kuper A, Reeves S, Levinson W (2008) An introduction to reading and appraising qualitative research. BMJ 337:404–407 Kuper A, Reeves S, Levinson W (2008) An introduction to reading and appraising qualitative research. BMJ 337:404–407
13.
Zurück zum Zitat Morse JM (2003) A review committee’s guide for evaluating qualitative proposals. Qual Health Res 13:833–851PubMedCrossRef Morse JM (2003) A review committee’s guide for evaluating qualitative proposals. Qual Health Res 13:833–851PubMedCrossRef
14.
Zurück zum Zitat More J, Field PA (1995) Qualitative research methods for health professionals, 2nd edn. Sage Publications, Thousand Oaks More J, Field PA (1995) Qualitative research methods for health professionals, 2nd edn. Sage Publications, Thousand Oaks
15.
Zurück zum Zitat Patton MQ (2002) Variety of qualitative inquiry in qualitative research and evaluation methods, 3rd edn. Sage Publications, Thousand Oaks Patton MQ (2002) Variety of qualitative inquiry in qualitative research and evaluation methods, 3rd edn. Sage Publications, Thousand Oaks
16.
Zurück zum Zitat Berger PL, Luckmann T (1966) The social construction of reality: a treatise in the sociology of knowledge. Doubleday, Garden City Berger PL, Luckmann T (1966) The social construction of reality: a treatise in the sociology of knowledge. Doubleday, Garden City
17.
Zurück zum Zitat Creswell JW (2007) Qualitative inquiry and research design: choosing among five approaches, 2nd edn. Sage, Thousand Oaks Creswell JW (2007) Qualitative inquiry and research design: choosing among five approaches, 2nd edn. Sage, Thousand Oaks
18.
19.
Zurück zum Zitat Ballard K (2002) Understanding risk: women's perceived risk of menopause-related disease and the value they place on preventive hormone replacement therapy. Fam Pract 19(6):591–595PubMedCrossRef Ballard K (2002) Understanding risk: women's perceived risk of menopause-related disease and the value they place on preventive hormone replacement therapy. Fam Pract 19(6):591–595PubMedCrossRef
20.
Zurück zum Zitat Berlin Hallrup L, Albertsson D, Bengtsson Tops A, Dahlberg K, Grahn B (2009) Elderly women's experiences of living with fall risk in a fragile body: a reflective lifeworld approach. Health Soc Care Commun 17(4):379–387 Berlin Hallrup L, Albertsson D, Bengtsson Tops A, Dahlberg K, Grahn B (2009) Elderly women's experiences of living with fall risk in a fragile body: a reflective lifeworld approach. Health Soc Care Commun 17(4):379–387
21.
Zurück zum Zitat Borkan JM, Quirk M, Sullivan M (1991) Finding meaning after the fall: injury narratives from elderly hip fracture patients. Soc Sci Med 33(8):947–957PubMedCrossRef Borkan JM, Quirk M, Sullivan M (1991) Finding meaning after the fall: injury narratives from elderly hip fracture patients. Soc Sci Med 33(8):947–957PubMedCrossRef
22.
Zurück zum Zitat Congdon JG (1994) Managing the incongruities: The hospital discharge experience for elderly patients, their families, and nurses. App Nurs Res 7(3):125–131PubMedCrossRef Congdon JG (1994) Managing the incongruities: The hospital discharge experience for elderly patients, their families, and nurses. App Nurs Res 7(3):125–131PubMedCrossRef
23.
Zurück zum Zitat de Souza LB, da Silva Mazeto GMF, Bocchi SCM (2010) Self-managing osteoporosis treatment for well-being recovery mediated by the (in)visibility of the disease signs. [Autogerindo o tratamento da osteoporose no regaste do bem-estar, mediado pela (in)visibilidade de indicadores da doença] Revista Latino-Americana De Enfermagem 18(3):398–405 de Souza LB, da Silva Mazeto GMF, Bocchi SCM (2010) Self-managing osteoporosis treatment for well-being recovery mediated by the (in)visibility of the disease signs. [Autogerindo o tratamento da osteoporose no regaste do bem-estar, mediado pela (in)visibilidade de indicadores da doença] Revista Latino-Americana De Enfermagem 18(3):398–405
24.
Zurück zum Zitat Dickinson A, Horton K, Machen I, Bunn F, Cove J, Jain D, Maddex T (2011) The role of health professionals in promoting the uptake of fall prevention interventions: a qualitative study of older people's views. Age Ageing 40(6):724–730PubMedCrossRef Dickinson A, Horton K, Machen I, Bunn F, Cove J, Jain D, Maddex T (2011) The role of health professionals in promoting the uptake of fall prevention interventions: a qualitative study of older people's views. Age Ageing 40(6):724–730PubMedCrossRef
25.
Zurück zum Zitat Doherty D, Glover J, Davies S, Johnson T (2004) Preventing hip fracture in care homes 1: views of residents and staff. Br J Nurs (Mark Allen Publishing) 13(21):1242–1248 Doherty D, Glover J, Davies S, Johnson T (2004) Preventing hip fracture in care homes 1: views of residents and staff. Br J Nurs (Mark Allen Publishing) 13(21):1242–1248
26.
Zurück zum Zitat Erol M (2011) Melting bones: The social construction of postmenopausal osteoporosis in turkey. Soc Sci Med 73(10):1490–1497PubMedCrossRef Erol M (2011) Melting bones: The social construction of postmenopausal osteoporosis in turkey. Soc Sci Med 73(10):1490–1497PubMedCrossRef
27.
Zurück zum Zitat Green EE, Thompson D, Griffiths F (2002) Narratives of risk: women at midlife, medical 'experts' and health technologies. Health Risk Soc 4(3):273–286CrossRef Green EE, Thompson D, Griffiths F (2002) Narratives of risk: women at midlife, medical 'experts' and health technologies. Health Risk Soc 4(3):273–286CrossRef
28.
Zurück zum Zitat Helm T, Dickerson AE (1995) The effect of hand therapy on a patient with a colles' fracture: a phenomenological study. Occup Ther Health Care 9(4):69–77PubMed Helm T, Dickerson AE (1995) The effect of hand therapy on a patient with a colles' fracture: a phenomenological study. Occup Ther Health Care 9(4):69–77PubMed
29.
Zurück zum Zitat Hicks E, Sims-Gould J, Byrne K, Khan KM, Stolee P (2012) “She was a little bit unrealistic”: choice in healthcare decision making for older people. J Aging Stud 26(2):140–148CrossRef Hicks E, Sims-Gould J, Byrne K, Khan KM, Stolee P (2012) “She was a little bit unrealistic”: choice in healthcare decision making for older people. J Aging Stud 26(2):140–148CrossRef
30.
Zurück zum Zitat Hjalmarson HV, Margaretha Strandmark K (2012) Forming a learning culture to promote fracture prevention activities. Health Educ 112(5):421–435 Hjalmarson HV, Margaretha Strandmark K (2012) Forming a learning culture to promote fracture prevention activities. Health Educ 112(5):421–435
31.
Zurück zum Zitat Hjalmarson HV, Strandmark M, Klässbo M (2007) Healthy risk awareness motivates fracture prevention behaviour: a grounded theory study of women with osteoporosis. Int J Qual Stud Health Well Being 2(4):236–245 Hjalmarson HV, Strandmark M, Klässbo M (2007) Healthy risk awareness motivates fracture prevention behaviour: a grounded theory study of women with osteoporosis. Int J Qual Stud Health Well Being 2(4):236–245
32.
Zurück zum Zitat Huang T, Acton, GJ (2009) Ways to maintain independence among taiwanese elderly adults with hip fractures: a qualitative study. Geriatr Nurs 30(1):28–35PubMedCrossRef Huang T, Acton, GJ (2009) Ways to maintain independence among taiwanese elderly adults with hip fractures: a qualitative study. Geriatr Nurs 30(1):28–35PubMedCrossRef
33.
Zurück zum Zitat Jeng C, Yang S, Chang P, Tsao L (2004) Menopausal women: perceiving continuous power through the experience of regular exercise. J Clin Nurs 13(4):447–454 Jeng C, Yang S, Chang P, Tsao L (2004) Menopausal women: perceiving continuous power through the experience of regular exercise. J Clin Nurs 13(4):447–454
34.
Zurück zum Zitat Jensen AL, Harder I (2004) The osteoporotic pain experience. Osteoporosis Int 15(3):204–208PubMedCrossRef Jensen AL, Harder I (2004) The osteoporotic pain experience. Osteoporosis Int 15(3):204–208PubMedCrossRef
35.
Zurück zum Zitat Kastner M, Li J, Lottridge D, Marquez C, Newton D, Straus SE (2010) Development of a prototype clinical decision support tool for osteoporosis disease management: a qualitative study of focus groups. BMC Med Inform Decis Mak 10(1) Kastner M, Li J, Lottridge D, Marquez C, Newton D, Straus SE (2010) Development of a prototype clinical decision support tool for osteoporosis disease management: a qualitative study of focus groups. BMC Med Inform Decis Mak 10(1)
36.
Zurück zum Zitat Koskenniemi J, Suhonen R (2010) A phenomenology-based content analysis on the experiences of older hip fracture patients and their next of kin on dignity in an acute hospital. Int J Orthop Trauma Nurs 14(4):222CrossRef Koskenniemi J, Suhonen R (2010) A phenomenology-based content analysis on the experiences of older hip fracture patients and their next of kin on dignity in an acute hospital. Int J Orthop Trauma Nurs 14(4):222CrossRef
37.
Zurück zum Zitat Li H, Shyu YL (2007) Coping processes of taiwanese families during the postdischarge period for an elderly family member with hip fracture. Nurs Sci Quart 20(3):273–279 Li H, Shyu YL (2007) Coping processes of taiwanese families during the postdischarge period for an elderly family member with hip fracture. Nurs Sci Quart 20(3):273–279
38.
Zurück zum Zitat Löfgren S, Hansson J, Øvretveit J, Brommels M (2012) Context challenges the champion: improving hip fracture care in a swedish university hospital. Int J Health Care Qual Assur 25(2):118–133PubMedCrossRef Löfgren S, Hansson J, Øvretveit J, Brommels M (2012) Context challenges the champion: improving hip fracture care in a swedish university hospital. Int J Health Care Qual Assur 25(2):118–133PubMedCrossRef
39.
Zurück zum Zitat Long AF, Kneafsey R, Ryan J (2003) Rehabilitation practice: Challenges to effective team working. Int J Nurs Stud 40(6):663–673PubMedCrossRef Long AF, Kneafsey R, Ryan J (2003) Rehabilitation practice: Challenges to effective team working. Int J Nurs Stud 40(6):663–673PubMedCrossRef
40.
Zurück zum Zitat Luptak M (2006) End-of-life care preferences of older adults and family members who care for them. J Soc Work End Life Palliat Care 2(3):23–44PubMedCrossRef Luptak M (2006) End-of-life care preferences of older adults and family members who care for them. J Soc Work End Life Palliat Care 2(3):23–44PubMedCrossRef
41.
Zurück zum Zitat Martin LL, Barkan H (1989) Clinical communication strategies of nurse practitioners with patients. J Am Acad Nurse Pract 1(3):77–83CrossRef Martin LL, Barkan H (1989) Clinical communication strategies of nurse practitioners with patients. J Am Acad Nurse Pract 1(3):77–83CrossRef
42.
Zurück zum Zitat Mauleon AL, Palo-Bengtsson L, Ekman S (2007) Patients experiencing local anaesthesia and hip surgery. J Clin Nurs 16(5):892–899PubMedCrossRef Mauleon AL, Palo-Bengtsson L, Ekman S (2007) Patients experiencing local anaesthesia and hip surgery. J Clin Nurs 16(5):892–899PubMedCrossRef
43.
Zurück zum Zitat McKenna J, Ludwig AF (2008) Osteoporotic caucasian and south asian women: a qualitative study of general practitioners’ support. J Roy Soc Promot Health 128(5):263–270CrossRef McKenna J, Ludwig AF (2008) Osteoporotic caucasian and south asian women: a qualitative study of general practitioners’ support. J Roy Soc Promot Health 128(5):263–270CrossRef
44.
Zurück zum Zitat McMillan L, Booth J, Currie K, Howe T (2012) A grounded theory of taking control after fall-induced hip fracture. Disabil Rehabil 34(26):2234–2241PubMedCrossRef McMillan L, Booth J, Currie K, Howe T (2012) A grounded theory of taking control after fall-induced hip fracture. Disabil Rehabil 34(26):2234–2241PubMedCrossRef
46.
Zurück zum Zitat Meadows LM, Mrkonjic LA, O’Brien MD, Tink W (2007) The importance of communication in secondary fragility fracture treatment and prevention. Osteoporos Int 18(2):159–166PubMedCrossRef Meadows LM, Mrkonjic LA, O’Brien MD, Tink W (2007) The importance of communication in secondary fragility fracture treatment and prevention. Osteoporos Int 18(2):159–166PubMedCrossRef
47.
Zurück zum Zitat Nahm E, Resnick B, Orwig D, Magaziner J, DeGrezia M (2010) Exploration of informal caregiving following hip fracture. Geriatr Nurs 31(4):254–262 Nahm E, Resnick B, Orwig D, Magaziner J, DeGrezia M (2010) Exploration of informal caregiving following hip fracture. Geriatr Nurs 31(4):254–262
49.
Zurück zum Zitat Pownall E (2004) Using a patient narrative to influence orthopaedic nursing care in fractured hips. J Orthop Nurs 8(3):151–159CrossRef Pownall E (2004) Using a patient narrative to influence orthopaedic nursing care in fractured hips. J Orthop Nurs 8(3):151–159CrossRef
50.
Zurück zum Zitat Robinson SB (1999) Transitions in the lives of elderly women who have sustained hip fratures. J Adv Nurs 30(6):1341–1348PubMedCrossRef Robinson SB (1999) Transitions in the lives of elderly women who have sustained hip fratures. J Adv Nurs 30(6):1341–1348PubMedCrossRef
51.
Zurück zum Zitat Sale JEM, Beaton DE, Bogoch ER, Elliot-Gibson V, Frankel L (2010) The BMD muddle: the disconnect between bone densitometry results and perception of bone health. J Clin Densitom 13(4):370–378PubMedCrossRef Sale JEM, Beaton DE, Bogoch ER, Elliot-Gibson V, Frankel L (2010) The BMD muddle: the disconnect between bone densitometry results and perception of bone health. J Clin Densitom 13(4):370–378PubMedCrossRef
52.
Zurück zum Zitat Sale JEM, Beaton DE, Sujic R, Bogoch ER (2010) ‘If it was osteoporosis, i would have really hurt myself’. Ambiguity about osteoporosis and osteoporosis care despite a screening programme to educate fragility fracture patients. J Eval Clin Pract 16(3):590–596PubMed Sale JEM, Beaton DE, Sujic R, Bogoch ER (2010) ‘If it was osteoporosis, i would have really hurt myself’. Ambiguity about osteoporosis and osteoporosis care despite a screening programme to educate fragility fracture patients. J Eval Clin Pract 16(3):590–596PubMed
53.
Zurück zum Zitat Sale JEM, Gignac MA, Frankel L, Hawker G, Beaton D, Elliot-Gibson V, Bogoch E (2012) Patients reject the concept of fragility fracture—a new understanding based on fracture patients’ communication. Osteoporos Int 23:2829–2834 Sale JEM, Gignac MA, Frankel L, Hawker G, Beaton D, Elliot-Gibson V, Bogoch E (2012) Patients reject the concept of fragility fracture—a new understanding based on fracture patients’ communication. Osteoporos Int 23:2829–2834
54.
Zurück zum Zitat Santy J (2001) A phenomenological study of pain following fractured shaft of femur. J Clin Nurs 10(4):521–527PubMedCrossRef Santy J (2001) A phenomenological study of pain following fractured shaft of femur. J Clin Nurs 10(4):521–527PubMedCrossRef
55.
Zurück zum Zitat Schoenberg M, Shiloh S (2002) Hospitalized patients’ views on in-ward psychological counseling. Patient Educ Couns 48(2):123–129PubMedCrossRef Schoenberg M, Shiloh S (2002) Hospitalized patients’ views on in-ward psychological counseling. Patient Educ Couns 48(2):123–129PubMedCrossRef
56.
Zurück zum Zitat Shawler C (2007) Empowerment of aging mothers and daughters in transition during a health crisis. Qual Health Res 17(6):838–849PubMedCrossRef Shawler C (2007) Empowerment of aging mothers and daughters in transition during a health crisis. Qual Health Res 17(6):838–849PubMedCrossRef
57.
Zurück zum Zitat Shawler C (2006) The empowerment of older mothers and daughters: rehabilitation strategies following a hip fracture. Geriatr Nurs 27(6):371–377PubMedCrossRef Shawler C (2006) The empowerment of older mothers and daughters: rehabilitation strategies following a hip fracture. Geriatr Nurs 27(6):371–377PubMedCrossRef
58.
Zurück zum Zitat Taylor NF, Barelli C, Harding KE (2010) Community ambulation before and after hip fracture: a qualitative analysis. Disabil Rehabil 32(15):1281–1290PubMedCrossRef Taylor NF, Barelli C, Harding KE (2010) Community ambulation before and after hip fracture: a qualitative analysis. Disabil Rehabil 32(15):1281–1290PubMedCrossRef
59.
Zurück zum Zitat Toscan J, Mairs K, Hinton S et al (2012) Integrated transitional care: patient, informal caregiver and health care provider perspectives on care transitions for older persons with hip fracture. Int J Integr Care 12:e13 (epub) Toscan J, Mairs K, Hinton S et al (2012) Integrated transitional care: patient, informal caregiver and health care provider perspectives on care transitions for older persons with hip fracture. Int J Integr Care 12:e13 (epub)
60.
Zurück zum Zitat Vik K, Lilja M, Nygård L (2007) The influence of the environment on participation subsequent to rehabilitation as experienced by elderly people in norway. Scand J Occup Therap 14(2):86–95PubMedCrossRef Vik K, Lilja M, Nygård L (2007) The influence of the environment on participation subsequent to rehabilitation as experienced by elderly people in norway. Scand J Occup Therap 14(2):86–95PubMedCrossRef
61.
Zurück zum Zitat Vik K, Nygrd L, Lilja M (2009) Encountering staff in the home: three older adults’ experience during six months of home-based rehabilitation. Disabil Rehabil 31(8):619–629PubMedCrossRef Vik K, Nygrd L, Lilja M (2009) Encountering staff in the home: three older adults’ experience during six months of home-based rehabilitation. Disabil Rehabil 31(8):619–629PubMedCrossRef
62.
Zurück zum Zitat Volkman JE, Parrott RL (2012) Expressing emotions as evidence in osteoporosis narratives: effects on message processing and intentions. Human Commun Res 38(4):429–458CrossRef Volkman JE, Parrott RL (2012) Expressing emotions as evidence in osteoporosis narratives: effects on message processing and intentions. Human Commun Res 38(4):429–458CrossRef
63.
Zurück zum Zitat Wilkins S (2001) Women with osteoporosis: strategies for managing aging and chronic illness. J Women Aging 13(3):59–77PubMedCrossRef Wilkins S (2001) Women with osteoporosis: strategies for managing aging and chronic illness. J Women Aging 13(3):59–77PubMedCrossRef
64.
Zurück zum Zitat Williams M (2010) The patient’s experience in a plaster cast. Int J Orthop Trauma Nurs 14(3):132–141CrossRef Williams M (2010) The patient’s experience in a plaster cast. Int J Orthop Trauma Nurs 14(3):132–141CrossRef
65.
Zurück zum Zitat Willson H (2000) Factors affecting the administration of analgesia to patients following repair of a fractured hip. J Adv Nurs 31(5):1145–1154PubMedCrossRef Willson H (2000) Factors affecting the administration of analgesia to patients following repair of a fractured hip. J Adv Nurs 31(5):1145–1154PubMedCrossRef
66.
Zurück zum Zitat Polkinghorne DE (1989) Phenomenological research methods. In: Valle RS, Halling S (eds) Existential-Phenomenological Perspectives in Psychology. Plenum Press, New York pp 41–60 Polkinghorne DE (1989) Phenomenological research methods. In: Valle RS, Halling S (eds) Existential-Phenomenological Perspectives in Psychology. Plenum Press, New York pp 41–60
67.
Zurück zum Zitat Spiegelberg H (1970) On some human uses of phenomenology. In: Smith FJ (ed) phenomenology in perspective. Martinus Nijhoff, The Hague Spiegelberg H (1970) On some human uses of phenomenology. In: Smith FJ (ed) phenomenology in perspective. Martinus Nijhoff, The Hague
69.
Zurück zum Zitat Strauss AL, Corbin J (1990) Basics of qualitative research: grounded theory procedures and techniques. Sage, Newbury Park, CA Strauss AL, Corbin J (1990) Basics of qualitative research: grounded theory procedures and techniques. Sage, Newbury Park, CA
70.
Zurück zum Zitat Strauss AL, Corbin J (1994) Grounded theory methodology: An overview. In: Denzin NK, Lincoln YS (eds) Handbook of qualitative research. Sage, Thousand Oaks, CA Strauss AL, Corbin J (1994) Grounded theory methodology: An overview. In: Denzin NK, Lincoln YS (eds) Handbook of qualitative research. Sage, Thousand Oaks, CA
71.
Zurück zum Zitat Strauss AL, Corbin J (2008) Basics of qualitative research: techniques and procedures for developing grounded theory, 2nd edn. Sage, Thousand Oaks, CA Strauss AL, Corbin J (2008) Basics of qualitative research: techniques and procedures for developing grounded theory, 2nd edn. Sage, Thousand Oaks, CA
72.
Zurück zum Zitat Strauss AL (1987) Qualitative analysis for social scientists. Cambridge University Press, New YorkCrossRef Strauss AL (1987) Qualitative analysis for social scientists. Cambridge University Press, New YorkCrossRef
73.
Zurück zum Zitat Glaser BG (1994) More grounded theory: a reader. Sociology Press, Mill Valley, CA Glaser BG (1994) More grounded theory: a reader. Sociology Press, Mill Valley, CA
74.
Zurück zum Zitat Charmaz K (2006) Constructing grounded theory. Sage, London Charmaz K (2006) Constructing grounded theory. Sage, London
75.
Zurück zum Zitat Denzin NK, Lincoln YS (2003) Strategies of Qualitative Inquiry, 2nd edn. Sage Publications, Thousand Oaks Denzin NK, Lincoln YS (2003) Strategies of Qualitative Inquiry, 2nd edn. Sage Publications, Thousand Oaks
76.
Zurück zum Zitat Turner BA (1981) Some practical aspects of qualitative data analysis: one way of organizing the cognitive processes associated with the generation of grounded theory). Qual Quant 15:225–247CrossRef Turner BA (1981) Some practical aspects of qualitative data analysis: one way of organizing the cognitive processes associated with the generation of grounded theory). Qual Quant 15:225–247CrossRef
77.
Zurück zum Zitat Reeves S, Kuper A, Hodges B (2008) Qualitative research methodologies: ethnography. BMJ 337:a1020PubMedCrossRef Reeves S, Kuper A, Hodges B (2008) Qualitative research methodologies: ethnography. BMJ 337:a1020PubMedCrossRef
78.
Zurück zum Zitat Sanday PR (1983) The ethnographic paradigm. In: Van Maanen J (ed) Qualitative methodology. Sage, Beverly Hills, CA, pp 19–36 Sanday PR (1983) The ethnographic paradigm. In: Van Maanen J (ed) Qualitative methodology. Sage, Beverly Hills, CA, pp 19–36
79.
Zurück zum Zitat Spradley J (1980) Participant observation. Holt, New York Spradley J (1980) Participant observation. Holt, New York
80.
Zurück zum Zitat Gomm R, Hammersley M, Foster P (2000). Case study method. Sage, London, Thousand Oaks, California Gomm R, Hammersley M, Foster P (2000). Case study method. Sage, London, Thousand Oaks, California
81.
Zurück zum Zitat Stake R (1995) The art of case study research. Sage, Thousand Oaks, CA Stake R (1995) The art of case study research. Sage, Thousand Oaks, CA
82.
Zurück zum Zitat Whyte WF (ed) (1989) Action research for the twenty-first century: participation, reflection, and practice. Special issue of American Behavioral Scientist, vol 32 (5 May/June) Whyte WF (ed) (1989) Action research for the twenty-first century: participation, reflection, and practice. Special issue of American Behavioral Scientist, vol 32 (5 May/June)
83.
Zurück zum Zitat Mills GE (2000) Action research: a guide for the teacher researcher. Prentice Hall, Upper Saddle River, NJ Mills GE (2000) Action research: a guide for the teacher researcher. Prentice Hall, Upper Saddle River, NJ
84.
Zurück zum Zitat Kemmis S, McTaggart R (1982) The action research planner, Deakin University Press, Victoria Kemmis S, McTaggart R (1982) The action research planner, Deakin University Press, Victoria
Metadaten
Titel
Understanding osteoporosis and fractures: an introduction to the use of qualitative research
verfasst von
A. Hoang-Kim
E. Schemitsch
J. E. M. Sale
D. Beaton
K. Warmington
A. V. Kulkarni
S. Reeves
Publikationsdatum
01.02.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 2/2014
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-013-1799-1

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