1,721,073 research outputs found
Doing a Literature Review
No full textThis is a book chapter in a textbook on social and cultural research. It covers how to proceed with a literature review. It is intended for students of the social sciences who are writing their BA/MA research dissertations or a PhD thesis
The challenge of communication in interpreted consultations in diabetes care: a mixed methods study
Full text linkBackground: the experience of diabetes care for individuals from minority ethnic groups, particularly individuals of Bangladeshi origin, shows they are at a significant disadvantage.Aim: to identify the challenges of interpreted consultations for healthcare providers and to explain the disadvantage experienced by patients from minority groups who have diabetes.Design and setting: comparison of 12 interpreted consultations with 24 consultations involving fluent English speakers in four primary healthcare centres in Tower Hamlets, east London, UK.Method: content analysis of video recordings of routine diabetes review consultations in primary care, involving 36 patients, nine nurses or healthcare assistants, and six interpreters.Result: interpreted consultations were as long as same-language consultations but patients said less. The incidence of misunderstandings was similar but patients in interpreted consultations asked fewer questions. Indicators of social distance in interpreted consultations included less humour and less discussion of the patient’s feelings or personal circumstances. Patients in interpreted consultations were less likely to raise issues unrelated to diabetes, to discuss their own ideas about health, or to talk about clinical parameters. Providers commonly addressed English-speaking patients directly but usually addressed patients through interpreters using the third person. Interpreters sometimes changed the meaning or did not translate speech, and they added their own comments.Conclusion: the findings explain some of the known problems of diabetes care for individuals from ethnic minorities. Effective training for interpreters and care providers is needed to reduce social distance and to facilitate patients’ involvement in self-managemen
Moral mediation in interpreted health care consultations
No full textThis paper reports on the moral work done in routine diabetes review consultations in primary care with nurses. Consultations with fluent English speakers are compared with consultations where an interpreter was present, largely involving patients of Bangladeshi origin. The study setting was Tower Hamlets in London, where type 2 diabetes is particularly common. Existing research has shown some dissatisfaction with diabetes care amongst Bangladeshi patients, and studies of care providers in other locations suggest that they at times experience the care of this group as particularly challenging. Through analysis of video-recorded consultations recorded in 2010–2011 we shed light on possible reasons for these difficulties. The 12 non-English speakers often experienced difficulties in raising issues that concerned them, particularly if their interpreter did not translate their utterance because it was deemed to be unrelated to diabetes. These difficulties were not shared by the 24 fluent English speakers, who also found it easier to convey a positive moral reputation and to excuse behaviour that deviated from recommended self-management practices. Interpreters at times also acted as moral mediators. For example, where a participant in the consultation made statements that appeared to convey a negative moral judgement of an other participant, these would often go untranslated. Probably, neither health care providers nor patients are fully aware of the nature of their communication difficulties. Given this, interpreters possess considerable power to influence matters. Understanding the moral work of consultations is important in explaining the findings of other studies showing difficulties in the provision of diabetes care to people with limited English language skill
The history of the social survey
No full textIn this undergraduate textbook, contributors describe and analyze the theoretical and practical issues of research on society and culture. General topics include research contexts, case studies of collecting and analyzing visual data, and a description of one researcher's practice. Essays discuss the history, policies and theories of social research; literature reviews and surveys; combining qualitative and quantitative data; conducting statistical reasoning and analysis; and preparing the final report. The book closes with a collection of workshop and discussion exercises
Analysing discourse
No full textIn this undergraduate textbook, contributors describe and analyze the theoretical and practical issues of research on society and culture. General topics include research contexts, case studies of collecting and analyzing visual data, and a description of one researcher's practice. Essays discuss the history, policies and theories of social research; literature reviews and surveys; combining qualitative and quantitative data; conducting statistical reasoning and analysis; and preparing the final report. The book closes with a collection of workshop and discussion exercises
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