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1. Introduction

4.5 Data analysis

4.5.3 Data management

Data management was a lengthy but essential process as themes and concepts were

generated by labelling, sorting and synthesising the ‘raw’ data. The purpose of this stage of the analysis was to enhance the familiarisation necessary to portray a full picture of the

phenomenon under investigation. Consistently referring back to the aim and objectives of the

study during data analysis strengthened the rigour of the framework approach. Throughout

the process of data analysis an analytical log was kept in the form of a data analysis notebook.

Notes were made of the processes and memos of changes to the emerging categories and

themes as the analysis developed. These notes and memos provided an audit trail of the data

analysis process and strengthened the transparency of reasoning (Smith & Firth, 2011; Ritchie

et al, 2013).

A range of computer assisted methods for qualitative data analysis (CAQDAS) that are

compatible with the framework approach and were available to support the data management

processes. Whilst significant benefits have been suggested in using CAQDAS, particularly in

relation to labelling and retrieval, at the time when data analysis commenced there was not a

software package specifically developed for use with the framework approach. Using

CAQDAS to support data analysis must be congruent with the epistemological underpinnings

of the study (Spencer et al., 2013). The purpose of this study was to explore in depth

descriptions of occupational therapists practice, these were contained in fieldwork notes and

interview transcripts. Therefore, I decided not to use CAQDAS in favour of extended

immersion in the data to strengthen the analytic process and explore the relationship between

the categories found in both data collection methods.

Data management began with recording initial thoughts and issues generated from the

participant observations to inform the conversational interviews. On completion of the

observations the fieldwork notes were photocopied from the fieldwork notebook and combined

129 and I transcribed verbatim, using Express Scribe©, to enhance my familiarisation and

immersion in the data, which aimed to achieve a deeper understanding of the interview data

and enhance the analysis. The transcripts were cleansed of all identifying information and

were made available for the participants to check for accuracy. The pseudonyms, which had

been selected by each participant, were inserted in place of names. The recordings were

repeatedly listened to, and initial thoughts along with summarising the issues discussed with

my supervisory team were documented. One of the challenges with the large volume of data

collected by participant observation related to creating order and management of the analytical

processes.

The data were annotated line by line using a highlighter and memos to note initial ideas and

thoughts during a process of listening many times to the recordings. The same process was

applied to the fieldwork notes, after each episode of observation the notes were reviewed and

a note was made of what was perceived to be occurring. These notes were then used to

develop an interview guide for the follow up interviews, so that themes could be clarified or

explored in more depth. For example, participant 1 (Patsy) spoke a lot about “journeying” with her patients, and this was explored further in the interview. The strength of the framework

approach is that it stays close to the language of the participants (Ritchie et al 2013). The

framework approach provides a “scaffold” that supports the integrity of the data analysis. After familiarisation with the data a coding matrix was developed. Figure 9 presents an

example of how the coding matrix was developed to identify the ‘in-vivo’ codes and initial categories. In order to remain close to the data the ‘in-vivo’ codes were constructed from the participants own words or direct extracts of the fieldwork notes. Following the construction of ‘in-vivo’ codes preliminary thoughts were developed to explain the meaning of the ‘in-vivo’ code. This process of refinement supported the final stage developing ‘initial categories’.

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Figure 9: Example of coding matrix

Interview transcript (IN)/ Fieldwork Notes (FN)

Page no/ identifying position in

data

In-vivo code Preliminary thoughts (What is this about?)

Initial Categories

Observation/ Participant 1/ Day 1 “…exploring recent weekend away to celebrate a family member 90th birthday”

FN -1 Exploring a weekend away Patient’s experiences

are part of the

therapeutic encounter with the OT.

Valuing the individual in the therapeutic

encounter

“…explored fatigue management techniques with patient. Traffic light allegory. Discussed how to improve quality of life and manage fatigues.”

FN -2 Exploring with patient meaning of

fatigue and working on an individual coping strategy

Patients experiences of symptoms are

addressed by the OT considering the

individual meaning and how to cope

Addressing the

meaning of symptoms

“Discussed multiple losses and anxiety experienced by the patient…“ “...(patient) given Kubler Ross grief theory to understand the grief process and its effect on her”

FN – 2 Multiple losses. Anxiety.

Understanding grief and effect on patient.

Patient helped to understand the impact of multiple loss on her and information to explain this provided

Recognised the meaning of grief

Providing hope for individuals

Using theory to

normalise and educate “Patient became tearful at this point”

“OT was reassuring, placing her hand on patient’s shoulder as she became upset”

OT said “affects something deep down in your spirit”.

FN – 2

Hand on shoulder – physical reassurance

“deep down in your spirit”

Observed listening skills and responding; reflecting significant impact of patient’s situation, providing reassurance

Observed verbal and non-verbal

development of

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Interview 1 - Participant 1 “I just think that that I think it’s (spirituality) the essence of what we do as occupational therapists…….”

IN -1 Spirituality is the “essence of OT

practice” Spirituality is valued as the essence of occupational therapy practice

Spirituality valued in practice

“mind and body interact with one another …. get someone to a better place……”

IN-1 “mind body interact” The interaction between

the mind and body facilitates practice

Values embedded in practice

“Physical dysfunction the whole thing

about quality of life …” IN-1 “quality of life” OT promotes quality of life for people with physical dysfunction

Promotes quality of life

“To enable someone no matter how little they have in terms of physical function to have quality in their life.”

IN-1 “…how little in terms of physical

function…. qualityof life”

OT promotes quality of life for people with physical dysfunction

Promotes quality of life

“…it doesn’t matter how small your life becomes there’s something very sweet at the essence of it.”

IN -2 Quote supports above

“…. going to look at how this person and getting their tights on……. bigger picture……goes to vintage fairs and found some Mary Quant

tights……..put on a pair of tights and do it independently.”

“...essence ofwho I am”

“so how to teach people that and that’s the frustration for me.” “… I think it’s how you do it.”

IN -2 IN-2 IN-2 IN -3 “…bigger picture….do it independently.”

“Essence of who I am” “…how to teach people…”

“how you do it”

Intervention, seemingly insignificant demonstrates attention to individual concerns of the patient. Individual values personal to the OT’s practice

How practice is enacted

Attention to the individual concerns of the patient

Values influence practice

Valuing the individual is difficult to teach

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