







This article introduces the reader to the concepts of identity, positionality and reflexivity and outlines their relevance to research paramedics. We outline how a researcher’s identity and positionality can influence all aspects of research, including the research question, study design, data collection and data analysis. We discuss that the ‘insider’ position of paramedics conducting research with other paramedics or within their specific clinical setting has considerable benefits to participant access, understanding of data and dissemination, while highlighting the difficulties of role duality and power dynamics. While positionality is concerned with the researcher clearly stating their assumptions relating to the research topic, the research design, context and process, as well as the research participants; reflexivity involves the researcher questioning their assumptions and finding strategies to address these. The researcher must reflect upon the way the research is carried out and explain to the reader how they moved through the research processes to reach certain conclusions, with the aim of producing a trustworthy and honest account of the research. Throughout this article, we provide examples of how these concepts have been considered and applied by a research paramedic while conducting their PhD research studies within a pre-hospital setting, to illustrate how they can be applied practically.
Qualitative research: standards, challenges, and guidelines
Qualitative research methods could help us to improve our understanding of medicine. Rather than thinking of qualitative and quantitative strategies as incompatible, they should be seen as complementary. Although procedures for textual interpretation differ from those of statistical analysis, because of the different type of data used and questions to be answered, the underlying principles are much the same. In this article I propose relevance, validity, and reflexivity as overall standards for qualitative inquiry.

Evidence appraisal: a scoping review, conceptual framework, and research agenda
Abstract Objective Critical appraisal of clinical evidence promises to help prevent, detect, and address flaws related to study importance, ethics, validity, applicability, and reporting. These research issues are of growing concern. The purpose of this scoping review is to survey the current literature on evidence appraisal to develop a conceptual framework and an informatics research agenda. Methods We conducted an iterative literature search of Medline for discussion or research on the critical appraisal of clinical evidence. After title and abstract review, 121 articles were included in the analysis. We performed qualitative thematic analysis to describe the evidence appraisal architecture and its issues and opportunities. From this analysis, we derived a conceptual framework and an informatics research agenda. Results We identified 68 themes in 10 categories. This analysis revealed that the practice of evidence appraisal is quite common but is rarely subjected to documentation, organization, validation, integration, or uptake. This is related to underdeveloped tools, scant incentives, and insufficient acquisition of appraisal data and transformation of the data into usable knowledge. Discussion The gaps in acquiring appraisal data, transforming the data into actionable information and knowledge, and ensuring its dissemination and adoption can be addressed with proven informatics approaches. Conclusions Evidence appraisal faces several challenges, but implementing an informatics research agenda would likely help realize the potential of evidence appraisal for improving the rigor and value of clinical evidence.

Being a curious leader
Being a curious leader, by Emma Wilson, explores how curiosity can reshape leadership in research environments. Drawing on personal experience, this piece highlights the value of listening, asking questions, and embracing uncertainty as strengths rather than weaknesses. It reflects on how curiosity, reflexivity, and openness to different perspectives can foster more inclusive, collaborative, and supportive research cultures.
Care as methodology
On being a researcher in the strategy industry. And reflections on how care becomes a valuable scarcity in a world where speed and ego erode the sincerity of knowledge.

Conducting a Qualitative Document Analysis
Document analysis has been an underused approach to qualitative research. This approach can be valuable for various reasons. When used to analyze pre-existing texts, this method allows researchers to conduct studies they might otherwise not be able to complete. Some researchers may not have the resources or time needed to do field research. Although videoconferencing technology and other types of software can be used to reduce some of the obstacles qualitative researchers sometimes encounter, these tools are associated with various problems. Participants might be unskillful in using technology or may not be able to afford it. Conducting a document analysis can also reduce some of the ethical concerns associated with other qualitative methods. Since document analysis is a valuable research method, one would expect to find a wide variety of literature on this topic. Unfortunately, the literature on documentary research is scant. This paper is designed to close the gap in the literature on conducting a qualitative document analysis by focusing on the advantages and limitations of using documents as a source of data and providing strategies for selecting documents. It also offers reasons for using reflexive thematic analysis and includes a hypothetical example of how a researcher might conduct a document analysis.
Reflexive discourse analysis: A methodology for the practice of reflexivity
How to implement reflexivity in practice? Can the knowledge we produce be emancipatory when our discourses recursively originate in the world we aim to challenge? Critical International Relations (IR) scholars have successfully put reflexivity on the agenda based on the theoretical premise that discourse and knowledge play a socio-political role. However, academics often find themselves at a loss when it comes to implementing reflexivity due to the lack of adapted methodological and pedagogical material. This article shifts reflexivity from meta-reflections on the situatedness of research into a distinctive practice of research and writing that can be learned and taught alongside other research practices. To do so, I develop a methodology based on discourse: reflexive discourse analysis (RDA). Based on the discourse analysis of our own discourse and self-resocialisation, RDA aims to reflexively assess and transform our socio-discursive engagement with the world, so as to render it consistent with our intentional socio-political objectives. RDA builds upon a theoretical framework integrating discourse theory to Bourdieu’s conceptual apparatus for reflexivity and practices illustrated in the works of Comte and La Boétie. To illustrate this methodology, I used this very article as a recursive performance. I show how RDA enabled me to identify implicit discriminative mechanisms within my discourse and transform them into an alternative based on love, to produce an article more in line with my socio-political objectives. Overall, this article turns reflexivity into a critical methodology for social change and demonstrates how to integrate criticality methodologically into research and writing.

We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research
Four hundred and nineteen experienced qualitative researchers from 32 countries invite readers of Qualitative Inquiry to consider their position on use of generative artificial intelligence (GenAI) for qualitative research. We hold the position that analytic approaches such as reflexive thematic analysis are human research practices requiring a subjective, positioned, and reflexive researcher and therefore the use of GenAI in such approaches is not methodologically congruent. We additionally reject GenAI for reflexive qualitative approaches on the grounds of social and environmental justice.

We Reject the Use of Generative Artificial Intelligence for Reflexive Qualitative Research
Four hundred and nineteen experienced qualitative researchers from 32 countries invite readers of Qualitative Inquiry to consider their position on use of generative artificial intelligence (GenAI) for qualitative research. We hold the position that analytic approaches such as reflexive thematic analysis are human research practices requiring a subjective, positioned, and reflexive researcher and therefore the use of GenAI in such approaches is not methodologically congruent. We additionally reject GenAI for reflexive qualitative approaches on the grounds of social and environmental justice.

Contextual Inquiry: Inspire Design by Observing and Interviewing Users in Their Context
Through observation and collaborative interpretation, contextual inquiry uncovers hidden insights about customer’s work that may not be available through other research methods.

Social Uses of Personal Health Information Within PatientsLikeMe, an Online Patient Community: What Can Happen When Patients Have Access to One Another’s Data
Background: This project investigates the ways in which patients respond to the shared use of what is often considered private information: personal health data. There is a growing demand for patient access to personal health records. The predominant model for this record is a repository of all clinically relevant health information kept securely and viewed privately by patients and their health care providers. While this type of record does seem to have beneficial effects for the patient–physician relationship, the complexity and novelty of these data coupled with the lack of research in this area means the utility of personal health information for the primary stakeholders—the patients—is not well documented or understood. Objective: PatientsLikeMe is an online community built to support information exchange between patients. The site provides customized disease-specific outcome and visualization tools to help patients understand and share information about their condition. We begin this paper by describing the components and design of the online community. We then identify and analyze how users of this platform reference personal health information within patient-to-patient dialogues. Methods: Patients diagnosed with amyotrophic lateral sclerosis (ALS) post data on their current treatments, symptoms, and outcomes. These data are displayed graphically within personal health profiles and are reflected in composite community-level symptom and treatment reports. Users review and discuss these data within the Forum, private messaging, and comments posted on each other’s profiles. We analyzed member communications that referenced individual-level personal health data to determine how patient peers use personal health information within patient-to-patient exchanges. Results: Qualitative analysis of a sample of 123 comments (about 2% of the total) posted within the community revealed a variety of commenting and questioning behaviors by patient members. Members referenced data to locate others with particular experiences to answer specific health-related questions, to proffer personally acquired disease-management knowledge to those most likely to benefit from it, and to foster and solidify relationships based on shared concerns. Conclusions: Few studies examine the use of personal health information by patients themselves. This project suggests how patients who choose to explicitly share health data within a community may benefit from the process, helping them engage in dialogues that may inform disease self-management. We recommend that future designs make each patient’s health information as clear as possible, automate matching of people with similar conditions and using similar treatments, and integrate data into online platforms for health conversations.
Is replication <i>possible</i> in qualitative research? A response to Makel et al. (2022)
There has been much debate in recent years about how open research practices, which have been promoted in efforts to improve research robustness, may (not) be appropriate for qualitative methodolog...

(PDF) Building a Conceptual Framework: Philosophy, Definitions, and Procedure
PDF | In this paper the author proposes a new qualitative method for building conceptual frameworks for phenomena that are linked to multidisciplinary... | Find, read and cite all the research you need on ResearchGate

Sample Size in Qualitative Interview Studies: Guided by Information Power
Sample sizes must be ascertained in qualitative studies like in quantitative studies but not by the same means. The prevailing concept for sample size in qualitative studies is “saturation.” Saturation is closely tied to a specific methodology, and the term is inconsistently applied. We propose the concept “information power” to guide adequate sample size for qualitative studies. Information power indicates that the more information the sample holds, relevant for the actual study, the lower amount of participants is needed. We suggest that the size of a sample with sufficient information power depends on (a) the aim of the study, (b) sample specificity, (c) use of established theory, (d) quality of dialogue, and (e) analysis strategy. We present a model where these elements of information and their relevant dimensions are related to information power. Application of this model in the planning and during data collection of a qualitative study is discussed.

Address research questions fast • Gems
Your qualitative study in one place, enhanced by AI.

Citizen involvement in research on technological innovations for health, care or well-being: a scoping review
Citizen science can be a powerful approach to foster the successful implementation of technological innovations in health, care or well-being. Involving experience experts as co-researchers or co-designers of technological innovations facilitates mutual learning, community building, and empowerment. By utilizing the expert knowledge of the intended users, innovations have a better chance to get adopted and solve complex health-related problems. As citizen science is still a relatively new practice for health and well-being, little is known about effective methods and guidelines for successful collaboration. This scoping review aims to provide insight in (1) the levels of citizen involvement in current research on technological innovations for health, care or well-being, (2) the used participatory methodologies, and (3) lesson’s learned by the researchers., A scoping review was conducted and reported in accordance with the PRISMA-ScR guidelines. The search was performed in SCOPUS in January 2021 and included peer-reviewed journal and conference papers published between 2016 and 2020. The final selection (N = 83) was limited to empirical studies that had a clear focus on technological innovations for health, care or well-being and involved citizens at the level of collaboration or higher. Our results show a growing interest in citizens science as an inclusive research approach. Citizens are predominantly involved in the design phase of innovations and less in the preparation, data-analyses or reporting phase. Eight records had citizens in the lead in one of the research phases., Researcher use different terms to describe their methodological approach including participatory design, co-design, community based participatory research, co-creation, public and patient involvement, partcipatory action research, user-centred design and citizen science. Our selection of cases shows that succesful citizen science projects develop a structural and longitudinal partnership with their collaborators, use a situated and adaptive research approach, and have researchers that are willing to abandon traditional power dynamics and engage in a mutual learning experience.

New study finds that when people help collect data or contribute to research it can build public trust by making scientists feel personally familiar and approachable, and that trust then spreads to how local and tangible the research feels. jcom.sissa.it/article/pubid/JCOM_2506_2026_…
How can citizen science reduce psychological distance to science? Insights from three projects in contested environmental contexts
jcom.sissa.it