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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

by returning them to the patients for comment, analysis <strong>of</strong> the data<br />

was begun. Decisions were made as to what meaning could be<br />

attributed to the words and what implications the words had in<br />

relation to the topic under investigation, which was the<br />

development <strong>of</strong> a conditioning response in patients completing daily<br />

diary cards.<br />

The questions from the diary cards were used as a framework to<br />

obtain the information that had been collected (see table 2).<br />

Table 2 - Reference coding <strong>of</strong> questions from the taped<br />

interviews<br />

1. How did they find the presentation <strong>of</strong> the diary card and<br />

how easy did they find them to use?<br />

2. Did they recall how many episodes <strong>of</strong> sickness that they<br />

had during their chemotherapy<br />

3. Was their sleep pattern disturbed?<br />

4. Did their fluid or dietary intake alter?<br />

5. If so was it due to nausea or vomiting?<br />

6. Were their normal activities disrupted?<br />

7. Did they use rescue sickness medication and if so did it<br />

help?<br />

8. Did they ever feel sick before their treatment started? (ie<br />

24hrs before)<br />

9. When did they complete the diary card?<br />

10. Any other comments?<br />

By using this method, a reference code could be put on the raw<br />

material very easily. Each piece <strong>of</strong> raw material was allocated with a<br />

reference code ranging from one to ten as indicated in table 2. Each<br />

separate item could then be identified exactly in terms <strong>of</strong> where it<br />

should be located. The importance <strong>of</strong> this was tw<strong>of</strong>old: when<br />

analysing the data it enabled a return to points in the data which<br />

were <strong>of</strong> particular interest and it also avoided getting muddled and<br />

losing the place where the raw data was originally located.<br />

It was then possible to begin ‘open coding’ and categorising the<br />

data. The aim <strong>of</strong> open coding is to discover, name and categorise<br />

phenomena and also to develop categories in terms <strong>of</strong> their<br />

properties and dimension (Strauss and Corbins 1990). Following<br />

close scrutiny <strong>of</strong> the transcripts, field notes and text from the diary<br />

cards, comments and reflections were added in the margins<br />

alongside the raw data, and as the analysis progressed new<br />

interpretations were added to some <strong>of</strong> the data. Memos were kept<br />

as reminders <strong>of</strong> any new thinking on facets <strong>of</strong> the research. The<br />

memos also provided a log <strong>of</strong> the developing line <strong>of</strong> thinking which<br />

helped with an audit trail. In this way patterns and processes,<br />

commonalities and differences were identified (Miles and Huberman<br />

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