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The journey to radiographer advanced practice: a methodological reflection on the use of interpretative phenomenological analysis to explore perceptions and experiences

Published online by Cambridge University Press:  20 August 2019

Lynn M. Cuthbertson Open the ORCID record for Lynn M. Cuthbertson [Opens in a new window]
Lynn M. Cuthbertson*
Affiliation:
School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, G4 0BA
*
Author for correspondence: Lynn M. Cuthbertson. E-mail: Lynn.Cuthbertson@hotmail.com
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Abstract

Introduction:

This paper is a methodological reflection on the use of interpretative phenomenological analysis (IPA) utilised in the context of a qualitative research project that explored perceptions and experiences of the journey to radiographer advanced practice.

Methods and materials:

A two-phase qualitative research explored the perceptions and experiences. Phase 1 reviewed reflective diaries (n = 12) kept during the educational phase of the practitioner journeys. Phase 2 included one-to-one, semi-structured interviews (n = 6) which were recorded, transcribed verbatim and reviewed using the IPA six-stage thematic analysis for practitioners embedded in the advanced practice role.

Findings:

Key themes arising from reflective diary analysis informed the interview content; and following interview transcription, data immersion and IPA, 12 emergent sub-themes generated 3 superordinate themes.

Discussion:

Theoretical perspectives and application of the methodology are discussed. The phenomenological and interpretative qualities of IPA have the potential to provide unique and valuable insights into lived experiences of individuals. It is hoped that this researchers’ reflections are transferrable for those interested in employing a qualitative methodology for radiotherapy and oncology research.

Conclusion:

Therapeutic radiographers work within rapidly changing environments from technological, treatment and care perspectives. With continued development and change, the impact of research utilising an IPA methodology may allow exploration of perceptions and experiences from a range of key stakeholders with the potential to increase the research base.

Keywords

advanced practiceinterpretative phenomenological analysismethodologyperception and experiencequalitative researchreflection
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 19 , Issue 2 , June 2020 , pp. 116 - 121
Copyright
© Cambridge University Press 2019

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References

Osborne, J. Some similarities and differences among phenomenological and other methods of psychological qualitative research. Can Psychol 1994; 35 (2): 167–189.CrossRefGoogle Scholar
Denzin, N K, Lincoln, Y S. The SAGE Handbook of Qualitative Research. Thousand Oaks, CA: Sage publications, 2000.Google Scholar
Finlay, L. Going exploring: the nature of qualitative research. In: Finlay, L, Ballinger, C (eds). Qualitative Research for Allied Health, Professionals. Chichester: Whurr Publishers Ltd, 2006 pp. 4–8.Google Scholar
Creswell, J W. Qualitative Inquiry and Research Design: Choosing among Five Designs. Thousand Oaks, CA: Sage, 2007.Google Scholar
Creswell, J W, Hanson, W E, Clark Plano, V L, Morales, A. Qualitative research designs: selection and implementation. Couns Psychol 2007; 35 (2): 236–265.CrossRefGoogle Scholar
Byrne, M M. Understanding life experiences through a phenomenological approach to research. AORN J 2001; 73 (4): 830–832.CrossRefGoogle Scholar
Groenewald, T. A phenomenological research design illustrated. Int J Qual Methods 2004; 3 (1) article 4: 1–23.CrossRefGoogle Scholar
Finlay, L, Ballinger, C. Qualitative Research for Allied Health Professionals: Challenging Choices. Chichester, UK: Wiley, 2006.Google Scholar
Larkin, M, Eatough, V, Osborn, M. Interpretative phenomenological analysis and embodied, active, situated cognition. Theory Psychol 2011; 21 (3): 318–337.CrossRefGoogle Scholar
Smith, J A, Flowers, P, Larkin, M. Interpretative phenomenological analysis theory method and research. London, UK: Sage, 2009.Google Scholar
National Radiotherapy Advisory Group. Radiotherapy: Developing a world class service for England. Report to Ministers from National Radiotherapy Advisory Group 2007.Google Scholar
Department of Health. Radiography skills mix: A report on the four-tier service delivery model. London, UK: Department of Health, 2003.Google Scholar
Hutton, D, Eddy, A. How was it for you? What factors influence job satisfaction for band 5 and 6 therapeutic radiographers. Radiography 2013; 19: 97–103.CrossRefGoogle Scholar
Hardy, M, Nightingale, J. Paper 1: conceptualizing the transition from advanced to consultant practitioner: career promotion or significant life event? J Med Imag Radiat Sci 2014; 45 (4): 356–364.CrossRefGoogle ScholarPubMed
Hardy, M, Nightingale, J. Paper 2: conceptualizing the transition from advanced to consultant practitioner: role clarity, self-perception, and adjustment. J Med Imag Radiat Sci 2014; 45 (4): 365–372.CrossRefGoogle Scholar
Eddy, A, Duxbury, A. (2015). Advanced practice in radiotherapy and oncology: an interview with Angela Eddy. J Radiother Pract 2015; 14 (3): 296–302.Google Scholar
Hardy, M, Johnson, L, Sharples, R, Boynes, S, Irving, D. Does radiography advanced practice improve patient outcomes and health service quality: a systematic review. Br J Radiol 2016; 89 (1062): 20151066.CrossRefGoogle ScholarPubMed
Thom, S E. Does advanced practice in radiography benefit the healthcare system? a literature review. Radiography 2018; 24 (1): 84–89.CrossRefGoogle ScholarPubMed
Cuthbertson, L M. The journey to advanced practice and skeletal trauma reporting; an Interpretative Phenomenological Analysis of preparation for the role. Radiography. doi: 10.1016/j.radi.2019.02.013 (in press).CrossRefGoogle Scholar
Cuthbertson, L M. Skeletal trauma reporting; perceptions and experiences of radiographer practitioners exposed to the reporting role. Radiography. doi: 10.1016/j.radi.2019.06.010 (in press).CrossRefGoogle Scholar
Society and College of Radiographers Scope of Radiographic Practice Survey 2012. London: SCoR, 2013.Google Scholar
Bolderston, D, Lewis, D, Chai, M J. The concept of caring: perceptions of radiation therapists. Radiography 2010; 16: 198–208.CrossRefGoogle Scholar
Page, B, Bernoth, M, Davidson, R. Factors influencing the development and implementation of advanced radiographer practice in Australia – a qualitative study using an interpretative phenomenological approach. J Med Imaging Radiat Sci 2014; 61 (3): 142–150.CrossRefGoogle ScholarPubMed
Larkin, M, Watts, S, Clifton, E. Giving voice and making sense in interpretative phenomenological analysis. Qual Res Psychol 2006; 3 (2): 102–120.CrossRefGoogle Scholar
Biggerstaff, D L, Thompson, A R. Interpretative phenomenological analysis (IPA): a qualitative methodology of choice in healthcare research. Qual Res Psychol 2008; 5 (3): 173–183.CrossRefGoogle Scholar
Willig, C. Introducing Qualitative Research in Psychology: Adventures in theory. Buckingham, Philadelphia: Open University Press, 2001.Google Scholar
Glendinning, S. What is phenomenology? Philos Compass 2008; 3 (1): 30–50.Google Scholar
Giorgio, A. Concerning the phenomenological methods of Husserl and Heidegger and their application in psychology. Collection du Cirp 2007; 1: 63–78.Google Scholar
Smith, J A. Evaluating the contribution of interpretative phenomenological analysis. Health Psychol Rev; 2011: 5 (1): 9–27.CrossRefGoogle Scholar
Tompkins, L, Eatough, V. Reflecting on the use of IPA with focus groups: Pitfalls and potentials. Qual Res Psychol 2012; 7 (3): 244–262.CrossRefGoogle Scholar
Smith, J A. Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative psychology. Qual Res Psychol 2004; 1(1): 39–54.Google Scholar
Smith, J A, Osborn, M. Interpretative phenomenological analysis. In Smith, J A. (ed) Qualitative Psychology: A Practical Guide to Methods, 2nd edition. London: Sage, 2008Google Scholar
Cassidy, E, Reynolds, F, Naylor, S, De Souza, L H. Using interpretative phenomenological analysis to inform physiotherapy practice: an introduction with reference to the lived experience of cerebellar ataxia. Physiother Theory Pract 2010; 27 (4): 263–277.CrossRefGoogle ScholarPubMed
Husserl, E. The Phenomenology of Internal Time-Consciousness. Indiana, Bloomington: Indiana University Press, 1964: 177.Google Scholar
Barresi, J. Consciousness and intentionality. J Consciousness Studies 2007; 14 (1–2): 77–93.Google Scholar
Van Manen, M. Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. Ontario: Althouse Press 1990.Google Scholar
Van Manen, M. Phenomenology of Practice. Phenom Pract 2007; 1 (1): 11–30.Google Scholar
Willig, C. Reflections on the use of a phenomenological method. Qual Res Psychol 2007; 4 (3): 209–255.CrossRefGoogle Scholar
Rutt, J. On hermeneutics. E-Logos. (ISSN: 1121-0442) 2006. Retrieved from: http://nb.vse.cz/kfil/elogos/student/rutt.pdfGoogle Scholar
Smith, J A. Evaluating the contribution of interpretative phenomenological analysis. Health Psychol Rev 2011; 5 (1): 9–27.CrossRefGoogle Scholar
Gadamer, H G. Truth and Method. New York: Crossroad Publishing Company 1985.Google Scholar
Brocki, J M, Weardon, A J. A critical evaluation of the use of interpretive phenomenological analysis (IPA) in psychology. Psychol Health 2006; 21 (1): 87–108.CrossRefGoogle Scholar
Larkin, M, Eatough, V, Osborn, M. Interpretative phenomenological analysis and embodied, active, situated cognition. Theory Psychol 2011; 21 (3):1–20.CrossRefGoogle Scholar
Movahedi, S. Quantitative and qualitative analysis of reported dreams and the problem of double hermeneutics in clinical research. J Res Pract 2012; 8 (2) Article M12.Google Scholar
Gadamer, H G. Truth and Method 2nd rev. edition. Weinsheimer, J, Marshall, D (Trans.). New York: Continuum 1996.Google Scholar
Kuper, A, Lingard, L, Levinson, W. Critically appraising qualitative research. Br Med J 2008; 337: a1035.CrossRefGoogle ScholarPubMed
Krauss, S E. Research paradigms and meaning making: a primer. Qual Rep 2005; 10 (4): 758–770.Google Scholar
Finlay, L. Mapping methodology. In: Finlay, L, Ballinger, C (eds) Qualitative Research for Allied Health, Professionals. Chichester: Whurr Publishers Ltd, 2006: 9–29.Google Scholar
Yardley, L (ed.) Material Discourses of Health and Illness. London: Routledge, 2000.Google Scholar
Yardley, L. Dilemmas in qualitative health research. Psychol Health 2007; 15 (2): 215–228.CrossRefGoogle Scholar