128 Chapter 7 Table 1: [continued] Chapter Description of research methods Chapter 3: Structurally collecting patient feedback on trainee skills: a pilot study in Obstetrics and Gynecology A pilot study testing patient feedback tool: * Developed and employed a patient feedback tool consisting of a 6-item questionnaire capturing quantitative and qualitative feedback, including two validated feedback tools: CollaboRATE, [54, 55] and the Net Promoter Score. [56, 57] * Quantitative analysis performed by calculating differences in individual and group scores over time. * Conducted semi-structured interviews with participating residents. * Qualitative analysis was conducted using thematic content analysis, [58] employing the Reflexivity framework. [59] Chapter 4: Chapter 4: Knowing what the patient wants: a hospital ethnography studying physician culture in shared decision-making in the Netherlands Hospital ethnography: * Engaged in participant observations in the Gynecological Oncology department, utilizing an insider/outsider construction * Conducted semi-structured interviews with gynecologists, residents, and a nurse * Qualitative analysis of study data performed using Bourdieu’s ‘Theory of Practice’ as a lens. [13] Chapter 5: Is it fun or is it hard? Studying physician-related attributes of shared decision-making by ranking case vignettes Ordinal preference elicitation study: * Developed 10 case vignettes that purposefully addressed SDM, dealing with emotions or handling medical technical cases. * Conducted a ranking of case vignettes by physicians working in Obstetrics and Gynecology based on ‘job satisfaction’ or ‘complexity’ * Quantitative analysis included a comparison of the top three and down three ranked cases for each type of case using custom-made randomization tests Chapter 6: Unravelling clinicians’ shared decision-making adoption: a framework analysis through the lens of Diffusion of Innovations theory Modified framework analysis studying ethnographic and interview data: * Designed a framework using Rogers’ ‘Diffusion of Innovation’ theory as a guide and applied it to an existing ethnographic and interview data set. * Conducted additional semi-structured interviews to fill the framework. * Qualitative analysis followed the 5 phases in framework analysis. [60] Recognizing the physician’s role as intricately woven within a broader social context, we found immense value in collaborating with experts from diverse fields, including medical anthropology. This interdisciplinary collaboration broadened our horizons, minimizing potential biases and providing a more comprehensive understanding of the subject. Moreover,a substantialstrengthof our researchemergesfrom our adept use of established qualitative research methodologies such as hospital ethnography and framework analysis.
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