Storytelling and the interpretation of meaning in qualitative research

被引:73
作者
Bailey, PH [1 ]
Tilley, S
机构
[1] Laurentian Univ, Sch Nursing, Sudbury, ON P3E 2C6, Canada
[2] Univ Edinburgh, Dept Nursing Studies, Edinburgh, Midlothian, Scotland
关键词
chronic obstructive pulmonary disease; discourse; meaning; narrative analysis; qualitative paradigm; quantitative; story; truth;
D O I
10.1046/j.1365-2648.2000.02224.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aim. This paper reviews literature on narrative analysis and illustrates the meaning-making function of stories of chronic illness through analysis and discussion of two case studies from a study of acute episodes of chronic obstructive pulmonary disease (COPD). Background. Individuals living with COPD experience acute exacerbations characterized by extreme dyspnea, but there has been little research to provide understanding of these events from the perspectives of individuals with COPD, family caregivers, and nurses. Narrative analysis - considered in the context of the aims of qualitative research - illuminates how these people make sense of acute exacerbation events by telling stories. Design and methods. In an ethnographic study, 10 patient-family nurse units in two Canadian general hospitals participated in interviews concerning acute episodes of COPD. Narrative analysis enabled identification of several story forms and their functions. Results. Examples were found of a story told twice with different meanings, and of a patient's 'death story' used to communicate distrust of the nurse's ability to recognize the seriousness of distress and implications for its potential course. These examples are presented, and interpreted with respect to issues of meaning. Conclusions. The analysis indicates that stories told by patients in the context of nurse-client interactions inform understanding of the individual's acute exacerbation events beyond the biophysical.
引用
收藏
页码:574 / 583
页数:10
相关论文
共 59 条
[1]   INTERPRETING DISCOURSE - COHERENCE AND THE ANALYSIS OF ETHNOGRAPHIC INTERVIEWS [J].
AGAR, M ;
HOBBS, JR .
DISCOURSE PROCESSES, 1982, 5 (01) :1-32
[2]   NATURAL PLANS - USING AI PLANNING IN THE ANALYSIS OF ETHNOGRAPHIC INTERVIEWS [J].
AGAR, MH ;
HOBBS, JR .
ETHOS, 1983, 11 (1-2) :33-48
[3]  
[Anonymous], 1985, HDB DISCOURSE ANAL
[4]  
[Anonymous], ESSAYS VERBAL VISUAL
[5]  
[Anonymous], 1981, NARRATIVE, DOI DOI 10.1086/448086
[6]  
[Anonymous], LECT CONVERSATION
[7]  
Antaki C, 1994, EXPLORING ARGUING SO
[8]   From individual to group: use of narratives in a participatory research process [J].
Aranda, S ;
Street, A .
JOURNAL OF ADVANCED NURSING, 2001, 33 (06) :791-797
[9]  
Atkinson P., 1992, QUAL HEALTH RES, V2, P451
[10]  
AVIS M, 1995, J ADV NURS, V22, P1203