Methodological Conventions in Transition: Shifting the Balance between Theorizing and Application Centre for Critical Qualitative Health Research Lawrence S. Bloomberg Faculty of Nursing University of Toronto Sept 27, 2010 Sally Thorne, RN, PhD, FCAHS Professor and Director UBC School of Nursing Vancouver, BC Location Discipline Training Conceptual Orientation Nursing Methodological Affinities Phenomenology Philosophy/ Psychology Ethnography Anthropology Grounded Theory Sociology Confronting Resistance • • • • Health science community Social scientist colleagues Grant reviewers/Journal editors Paradigm thinking Methodolatry “slavish attachment and devotion to method” “a preoccupation with selecting and defending methods to the exclusion of the actual substance of the story being told.” Janesick, V. J. (1994). The dance of qualitative research design: Metaphor, methodolatry, and meaning. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 209–219). Thousand Oaks, CA: Sage. Rule-Alignment The Entrée: Tabula Rasa “Nothing is known…” Researcher Role Abdication “The data speak for themselves….” The Convenient Exit “Saturation was achieved…” The Primacy of Abstraction “The overarching metaphor….” Narrative Imperative “My study participants speak their truth…” The Meaning of Meaning “My journey…..” Truth Claim Grandiosities Lachrymal validity Adulatory credibility Theory in Qualitative Health Research Epistemological Differences Social Science Health Science What Theory Privileges and What it Obscures The Fallout of Borrowed Theoretical Tradition • • • Losing the disciplinary grip Manipulating language signifiers Discrediting the field with fuzziness and irrelevance A Necessary but Not Sufficient Schism? Emancipation of Qualitative Health Research Applied Qualitative Methodology The Next Generation Venturing Beyond Description and Theorizing Using Research to Bring a Clinical Angle of Vision into the EvidenceBased Context • Limits of conventional science • Experiential phenomena not amenable to measurement • Patterns in experience • Commonalities and variations • Critical reflection on context Applied Qualitative Research as a Corrective to Big Science Illuminator Variance Interpreter Challenger Humanizer