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    8/25/12

    Thinking and

    writing critically

    Dr Elaine Ball University ofSalford

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    The session aims to help:

    Formulate ideas concerning the interpretation of newknowledge through the research process, of a quality tosatisfy formative assessment

    Develop the capacity to make connections betweenrelevant theoretical constructs (and practice interventions)

    An advanced ability to make links across subject areas,paradigms and theoretical orientations and present, discuss

    and defend these in a viva voceProvide a highly developed defence of your thesis

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    o you recogn se s

    thinking?

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK EVALUATION

    EVIDENCE

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment

    & practice

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK EVALUATION

    EVIDENCE

    TWO YEAR ACTION RESEARCH STUDY

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment

    & practice

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATIONEVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment

    & practice

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES HORIZONTAL VIOLENCE

    OPPRESSION

    TRUST SUPPORT (or lack of)

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older peoplePain assessment

    & practice

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES

    OPPRESSION HORIZONTAL VIOLENCE

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTION S

    Organisation of care } Factors that compromise pain management practicesCoping strategies } with older people

    Pain assessment& practice

    Autonomy

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES

    HORIZONTAL VIOLENCE

    OPPRESSION

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTIONS

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment& practice

    Horizontalviolence

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES

    HORIZONTAL VIOLENCE

    OPPRESSION

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTIONS

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment

    & practice

    Oppression

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES

    HORIZONTAL VIOLENCE

    OPPRESSION

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTIONS

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment

    & practice

    Psychologicalsafety

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEME

    HORIZONTAL VIOLENCE

    OPPRESSION

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTIONS

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment

    & practice

    Distortedperceptions

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIONS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES

    OPPRESSION HORIZONTAL VIOLENCE

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTIONS

    Organisation of care } Factors that compromise pain management practices

    Coping strategies } with older people

    Pain assessment& practice

    Power

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    ETHNOGRAPHY

    FACILITATION CONTEXT

    CULTURE

    LEADERSHIP

    PARIHS

    FRAMEWORK

    EVALUATION

    EVIDENCE

    REFLECTIVE COMMUNICATION INTERRUPTIO NS PAIN ASSESSMENT

    CYCLES

    POWER AUTONOMY

    CONCEPTUAL

    THEMES

    OPPRESSION HORIZONTAL VIOLENCE

    TRUST SUPPORT (or lack of)

    DISTORTED PERCEPTION S

    Organisation of care } Factors that compromise pain management practicesCoping strategies } with older peoplePain assessment

    & practice

    Leadership

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    All connections

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    Identification of need instages

    Where are you in the PhD process?:Are you in the planning phase?The gathering of information

    phase? Interpreting and understanding

    theories?Organising and structuring your

    information?Paragraph formation and writing

    up?

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    Original thought / combination andselection

    Metaphysical philosophy

    Structuralist & post-structuralist thought (i.e.Roland Barthes, 1960s-

    70s)Capturing Diachronic &

    Synchronic moments intime

    Wi h h i

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    With synthesis youdevelop an importantdoctoral study skill:

    organizeinformation andrelate it to theresearch you aredeveloping

    synthesizeresultsinto a summary of

    what is and is notknown

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    Construct synthesis table

    Author Purpose Methods Sample Findings Critical

    comments

    Baptiste

    and

    Drennan

    (1999)

    Explore

    relationship

    between

    members of

    primary health

    care teams &school nurses

    Qualitative

    postal

    questionnaire +

    1 FG of 6 SNs

    HVs, DNs,

    PNs, GPs

    42%

    response

    (n=57)

    4 themes -

    awareness of

    service,

    perceptions of

    SN role, inter

    professionalrelationships,

    improving

    communication.

    Limited

    methods but

    FG

    confirmatory

    . Important

    to project.

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    Synthesis table contd example:Definitions of community development

    Definition Key concepts Author

    A process that stresses working withpeople as they define their own goals,mobilise resources, and develop actionplans for addressing problems that theycollectively have identified

    Working with people.Community defines own goals andproblems.Help community to mobiliseresources and develop action plans

    Minkler1999. p.261

    A process of voluntary cooperation andself-help/mutual aid among residents of alocale aimed at the improved physical,social and economic conditions.

    Community self help to improveconditions.

    Chavis &Florin 1990p.2

    A way of tackling a communitys problems

    by using the energy and leadership of thepeople who live there. It is based on thebelief that the local people understand bestthe direct nature of the problems facingthem

    Energy and leadership of local

    people.Local people know best what isneeded.

    Black 1996

    p.5

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    With synthesis you develop an important study skill:

    information gathering: the

    ability to scan the literatureefficiently using manual orcomputerized methods toidentify a set of potentiallyuseful articles and books

    analysis: the ability to applyprinciples of critical analysis toidentify those studies which arerelevant to your argument

    You will need more than adescriptive list of articles andbooks you will need also a

    justification

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    Interrogate the literature

    Is there a consensus regarding the meaning, nature or

    constitution of the topic?Are there counter-arguments as to the meaning, nature and

    constitution of the topic, if so what are they?

    Do you agree with these counter-arguments?

    If there are no counter-arguments, can you think of any?These could be based upon theory or experience.

    Implications for your methodology

    Did the methodology of one study produce more valid resultsthan another study?

    Does one study have more practical relevance to your projectthan another?

    In other words, what is the justification for organising and

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    Common problems with literaturereviews

    Insufficiently analytical or critical or primary reports

    Fail to make explicit selection criteria for inclusion ofliterature

    Publication bias in favour of studies showing positive results

    Little evidence for reader to judge rigour of review process

    Simplistic/erroneous conclusions drawn from findings

    Recommendations not always explicitly drawn from findings.

    (Cullum 1994)

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    To answer the how did you get here questionsyou need to be able, in stages, to:

    1. Examine, Identify and Plan2. What should you have learnt from examining, identifying and

    planning?

    3. That you have identified other theorists positions, argumentsand conclusions and, importantly, that you can evaluate theirwork fairly

    4. Spelling test Height & Freight

    5. What language, genre, style, grammatical structure is the writerusing?

    2424

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    Find a guiding concept

    Organsie your findings according to aguiding concept such as yourresearch objective, or the

    problem/issue you wish to address Use the language of that guiding

    concept

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    The Story

    Every research project has at least one major"story" in it

    Sometimes the story centres around a specificresearch finding

    Sometimes it is based on a methodologicalproblem or challengeWhen you write your thesis, you should attempt

    to tell the "story" to your reader. Even in veryformal journal articles where you will berequired to be concise and detailed at the sametime, a good "storyline" can help make anotherwise very dull report interesting to thereader

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    The objective: Your objective is not to rack up points by

    listing as many articles as possible; youwant to demonstrate your ability torecognise relevant information, and to

    synthesise and evaluate criticallyinformation according to the guidingconcepts you set

    You want to show what literature exists,but also your informed critical evaluationof the literature. To meet both of theseneeds, you must employ critical appraisal

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    Definition of criticalappraisal A systematic way of

    considering thetruthfulness of a piece ofresearch, the results andhow relevant and

    applicable they are Bury and Mead (1998)

    Evaluate evidence,judgement about

    truthfulness and usefulness

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    How good is your critical appraisal: Analyse thefollowing statements and decide whether they areclaims stating opinions or facts. Be prepared to

    support your choices with the group:

    1. It has, for example, been suggested thatwhereas health promotion programmes at thenational level have successfully met their

    targets, at more local levels similar programmeshave failed to accommodate the needs of agrowing population

    1. Previous studies have strongly supported the

    initiative of helping pregnant women stopsmoking. However, some of these studies haveproduced inconclusive evidence in relation totheir efficacy of support programmes forpregnant smokers (e.g. Kelly et al 2001, Melvinet al 2010, Gaffney 2011)

    oc ora eve ere are ree ey

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    A distinguishing feature of any doctorate is your

    application of knowledge to the research setting. Youposition yourself within the research, & are involvedwith the delivery of change

    You are enmeshed in the research topic.

    Methodologically, this must lead to the adoption of acritical and writerly approach. For example, do youtake a constructivist grounded theory approach, orontological position, or an interpretivist theoreticalperspective for analysis?Your personal experiences will exert a level ofinfluence on your thesis / research, this brings theconcept of reflexivity to the fore (Alvesson and

    Skoldberg, 2009)

    oc ora eve ere are ree eyprocesses: knowledge generation,supervision and assessment

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    COMMUNICATION

    Management:

    Although functions of management such asplanning, organising and controlling can be

    isolated, communication impacts on allmanagement activities and cuts across allaspects of the management process

    How do you articulate issues and concerns

    so that co-workers do not become confusedabout priorities?

    Being critically aware also means

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    Being critically aware also meanstranslating accurately the needs of the(patient/client) domainOrganisational communication is even more complex than

    interpersonal or group communication: why? Micro management: anger management; self management

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    Identification of need at theend needs reflection

    We need to reflect on our own researchpractices in terms of:

    what role we played in producingcertain kinds of knowledgeshow and why we came to the

    conclusions we didhow the resultant knowledges function

    to shape the world and how weoptimally organise our arguments tothink and write critically

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    Why?.. To make unexamined metatheoretical commitments,and remain unaware of their origins, amounts to anabdication of intellectual responsibility which results inpoor research practices. (Johnson & Duberley, 2003)

    Reflexivity helps us to attend to this:

    Reflexivity requires an awareness of the researcher'scontribution to the construction of meanings throughoutthe research process, and an acknowledgment of theimpossibility of remaining 'outside of' one's subject

    matter while conducting research. Reflexivity then, urgesus "to explore the ways in which a researcher'sinvolvement with a particular study influences, acts uponand informs such research." (Nightingale & Cromby,1999, p. 228).

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    It helps us tothink abouttheimplications ofsuch

    assumptionsfor theresearch andits findings."(Willig, 2001)

    Epistemologicalreflexivityencourages us toreflect upon theassumptions (about

    the world, aboutknowledge) that wehave made in thecourse of theresearch and thewriting up

    Engage withquestionssuch as:

    How has the research question defined and limited what can be'found?' How has the design of the study and the method of analysis'constructed' the data and the findings? How could the researchquestion have been investigated differently? To what extent would thishave given rise to a different understanding of the phenomenon underinvestigation?

    Epistemological reflexivity

    Is it any

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    Is it any

    clearer?Communication iscritical tosuccessfullywriting yourcriticalanalysis andtranslatingthe facts

    Th C iti l C t f

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    The Critical Components ofCommunication

    The critical components of communicationcentre upon understanding

    Expressing oneself successfully and being

    understood depend upon how the messageis formulated as much as the messagecontent.

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    Thinking & writing critically (acrossboundaries)

    Leadership Roles

    Hamm(2006)

    1.Understands & appropriately uses informalcommunication network in the organisation

    2.Communicates clearly in language others willunderstand

    3.Is sensitive to the internal & external climate ofsender/ receiver

    4.Role models assertive communication & activelistening

    5.Recognises status, power, authority as barriers tomanager-subordinate communication; usescommunication strategies to overcome those barriers

    6.Seeks a balance between technological

    Obama

    http://www.youtube.com/watch?v=WFNt_pV2RNk&feature=emailhttp://www.youtube.com/watch?v=WFNt_pV2RNk&feature=email
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    In Conclusion

    Thinking and writing critically isextremely complex compared toother practices, the health servicepresents a unique personalchallenge, where you have to beaware of how your thesis and its

    content will be received. You needto consider: The range of literature informing

    your thesis The range and diversity of

    professional, technical and general

    ideas relating to your work The expectations of your audience

    (service users, examiners etc)