Thoughts that breathe, and words that burn: poetic inquiry within health professions education

Perspectives on Medical Education - Tập 10 - Trang 257-264 - 2021
Megan E. L. Brown1,2, Martina Kelly3, Gabrielle M. Finn1,4
1Health Professions Education Unit, Hull York Medical School, University of York, York, UK
2Medical Education Innovation and Research Centre, Imperial College London, London, UK
3Department of Family Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada
4School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK

Tóm tắt

Qualitative inquiry is increasingly popular in health professions education, and there has been a move to solidify processes of analysis to demystify the practice and increase rigour. Whilst important, being bound too heavily by methodological processes potentially represses the imaginative creativity of qualitative expression and interpretation—traditional cornerstones of the approach. Rigid adherence to analytic steps risks leaving no time or space for moments of ‘wonder’ or emotional responses which facilitate rich engagement. Poetic inquiry, defined as research which uses poetry ‘as, in, [or] for inquiry’, offers ways to encourage creativity and deep engagement with qualitative data within health professions education. Poetic inquiry attends carefully to participant language, can deepen researcher reflexivity, may increase the emotive impact of research, and promotes an efficiency of qualitative expression through the use of ‘razor sharp’ language. This A Qualitative Space paper introduces the approach by outlining how it may be applied to inquiry within health professions education. Approaches to engaging with poetic inquiry are discussed and illustrated using examples from the field’s scholarship. Finally, recommendations for interested researchers on how to engage with poetic inquiry are made, including suggestions as to how to poetize existing qualitative research practices.

Tài liệu tham khảo

Foley J. How to read an oral poem. Chicago: University of Illinois Press; 2002. Havelock E. Review: the ancient art of oral poetry. Philos Rhetor. 1979;12:187–202. Lacoue-Labarthe P. Poetry as experience. Stanford: Stanford University Press; 1999. Wolters F, Wijnen-Meijer M. The role of poetry and prose in medical education: the pen as mighty as the scalpel? Perspect Med Educ. 2012;1:43–50. Muszkat M, Yehuda A, Moses S, Naparstek Y. Teaching empathy through poetry: a clinically based model. Med Educ. 2010;44:503. Finn G, Brown M, Laughey W. Holding a mirror up to nature: the role of medical humanities in postgraduate primary care training. Educ Prim Care. 2021;32:73–7. Vincent A. Is there a definition? Ruminating on poetic inquiry, strawberries and the continued growth of the field. Art Res Int Transdiscipl J. 2018;3:48–76. Wu B. My poetic inquiry. Qual Inq. 2021;27:283–91. Faulkner S. Poetic inquiry: craft, method and practice. New York: Routledge; 2019. Prendergast M. The phenomenon of poetry in research. “Poem is what?” Poetic inquiry in qualitative social science. In: Prendergast M, Leggo C, Sameshima P, editors. Poetic inquiry: vibrant voices in the social sciences. Rotterdam: Sense; 2009. pp. 19–21. Sjollema S, Hordyk S, Walsh C, Hanley J, Ives N. Found poetry – finding home: a qualitative study of homeless immigrant women. J Poet Ther. 2012;25:205–17. Eisner E. The enlightened eye. New York: Macmillan; 1991. Freeman M. “Between eye and eye stretches an interminable landscape”: the challenge of philosophical hermeneutics. Qual Inq. 2001;7:646–58. Fitzpatrick E, Fitzpatrick K. What poetry does for us in education and research. In: Fitzpatrick E, Fitzpatrick K, editors. Poetry, method and education research: doing critical, decolonising and political inquiry. Oxon: Routledge; 2020. Nichols T, Biederman D, Gringle M. Using research poetics “responsibly”: applications for health promotion research. Int Q Community Health Educ. 2014;35:5–20. Schwandt T. Three epistemological stances for qualitative inquiry: interpretativism, hermeneutics and social constructionism. In: Denzin N, Lincoln Y, editors. The landscape of qualitative research: theories and issues. Thousand Oaks: SAGE; 2003. pp. 292–331. Kiger M, Varpio L. Thematic analysis of qualitative data: AMEE guide No. 131. Med Teach. 2020;42:846–54. Vaismoradi M, Jones J, Turunen H, Snelgrove S. Theme development in qualitative content analysis and thematic analysis. J Nurs Educ Pract. 2016;6:100–10. Neubauer B, Witkop C, Varpio L. How phenomenology can help us learn from the experiences of others. Perspect Med Educ. 2019;8:90–7. MacLure M. Classification or wonder? Coding as an analytic practice in qualitative research. In: Coleman R, editor. Deleuze and research methodologies. Edinburgh: Edinburgh University Press; 2013. pp. 164–83. MacLure M. The wonder of data. Cult Stud Crit Methodol. 2013;13:228–32. Kleiman S. Phenomenology: to wonder and search for meanings. Nurse Res. 2004;11:7–19. Janesick V. Intuition and creativity: a pas de deux for qualitative researchers. Qual Inq. 2001;7:531–40. Bothe A, Andreatta R. Quantitative and qualitative research paradigms: thoughts on the quantity and the creativity of stuttering research. Adv Speech Lang Pathol. 2004;6:167–73. Veen M, Cianciolo A. Problems no one looked for: philosophical expeditions into medical education. Teach Learn Med. 2020;32:337–44. Pate J. Found poetry: poetizing and the ‘art’ of phenomenological inquiry. SAGE Res Methods Cases. 2014; https://doi.org/10.4135/978144627305013512954. Stapleton SR. Data analysis in participatory action research: using poetic inquiry to describe urban teacher marginalization. Action Res. 2021;19(2):449–71. Rapport F, Hartill G. Making the case for poetic inquiry in health services research. In: Galvin KT, Prendergast M, editors. Poetic inquiry II – seeing, caring, understanding. Rotterdam: Brill Sense; 2016. pp. 211–26. Öhlén J. Evocation of meaning through poetic condensation of narratives in empirical phenomenological inquiry into human suffering. Qual Health Res. 2003;13:557–66. Wiebe N. Mennocostal musings: poetic inquiry and performance in narrative research. Forum Qual Soc Res. 2008;9(2):42. Anderson T. Through phenomenology to sublime poetry: Martin Heidegger on the decisive relation between truth and art. Res Phenomenol. 1996;26:198–229. Bruns G. Heidegger’s estrangements. Language, truth, and poetry in the later writings. New Haven: Yale University Press; 1989. Freshwater D. The poetics of space: researching the concept of spatiality through relationality. Psychodyn Pract. 2005;11:177–87. Heidegger M. Being and time. Albany: Suny Press; 2010. Koskela J. Truth as unconcealment in Heidegger’s Being and Time. Minerva. 2012;16:116–28. Galvin K, Todres L. Research based empathic knowledge for nursing: a translational strategy for disseminating phenomenological research findings to provide evidence for caring practice. Int J Nurs Stud. 2011;48:522–30. Van Manen M. Philological methods: the vocative. Phenomenology of practice: meaning-giving methods in phenomenological research and writing. Walnut Creek: Left Coast Press; 2014. pp. 240–81. Van Manen M. Researching the lived experience: human science for an action sensitive pedagogy. London: University of Western Ontario; 1997. Sass L. Three dangers: phenomenological reflections on the psychotherapy of psychosis. Psychopathology. 2019;52:126–34. Kelly M, Svrcek C, King N, Scherpbier A, Dornan T. Embodying empathy: a phenomenological study of physician touch. Med Educ. 2020;54:400–7. Leavy P. Method meets art: arts-based research practice. New York: Guilford; 2020. Tse V. A review of poetic inquiry: vibrant voices in the social sciences. Education. 2014;20:177–81. Bynum W, Varpio L. When I say … hermeneutic phenomenology. Med Educ. 2017;52:252–3. van Luyn A, Gair S, Saunders V. ‘Transcending the limits of logic’: poetic inquiry as a qualitative research method for working with vulnerable communities. In: Gair S, van Luyn A, editors. Sharing qualitative research: showing lived experience and community narratives. New York: Routledge; 2016. pp. 95–111. Willis K, Bishop E. “Hope is that fiery feeling”: using poetry as data to explore the meanings of hope for young people. Forum Qual Soc Res. 2014;15:9. Connelly K. ‘What body part do I need to sell?’: Poetic re-presentations of experiences of poverty and fear from low-income Australians receiving welfare benefits. Creat Approaches Res. 2010;3:16. Gair S, Van Luyn A. Sharing qualitative research: showing lived experience and community narratives. New York: Routledge; 2016. Furman R, Langer C, Davis C, Gallardo H, Kulkarni S. Expressive, research and reflective poetry as qualitative inquiry: a study of adolescent identity. Qual Res. 2007;7:301315. Glesne C. That rare feeling: re-presenting research through poetic transcription. Qual Inq. 1997;3:202–21. Brown ME, Proudfoot A, Mayat NM, Finn GM. A phenomenological study of new doctors’ transition to practice, utilising participant-voiced poetry. Adv Health Sci Educ Theory Pract. 2021; https://doi.org/10.1007/s10459-021-10046-x. Gilligan C, Spencer R, Weinberg M, Bertsch T. On the listening guide: a voice centred relational method. In: Camic PM, Rhodes JE, Yardley L, editors. Qualitative research in psychology: expanding perspectives in methodology and design. Washington, DC: American Psychological Association; 2003. pp. 157–72. Edwards R, Weller S. I‑poems as a method of qualitative interview data analysis: young people’s sense of self. London: SAGE; 2015. Balmer D, Devlin M, Richards B. Understanding the relation between medical students’ collective and individual trajectories: an application of habitus. Perspect Med Educ. 2017;6:36–43. Petrovic S, Lordly D, Brigham S, Delaney M. Learning to listen: an analysis of applying the listening guide to reflection papers. Int J Qual Methods. 2015;14:1609406915621402. Gilligan C, Eddy J. Listening as a path to psychological discovery: an introduction to the listening guide. Perspect Med Educ. 2017;6:76–81. Varpio L, Paradis E, Uijtdehaage S, Young M. The distinctions between theory, theoretical framework, and conceptual framework. Acad Med. 2020;95:989–94. Lambert K. ‘Capturing’ queer lives and the poetics of social change. Continuum. 2016;30:576–86. Owton H. Doing poetic inquiry. London: Palgrave Macmillan; 2017. Varpio L, Martimianakis M, Mylopoulos M. Qualitative research methodologies: embracing methodological borrowing, shifting and importing. In: Cleland J, Durning S, editors. Researching medical education. 1st ed. Chichester, West Sussex: Wiley; 2015. Cahnmann M. The craft, practice, and possibility of poetry in educational research. Educ Res. 2003;32:29–36. Mills C. The sociological imagination. Oxford: Oxford University Press; 2000. Lahman M, Richard V. Appropriated poetry. Qual Inq. 2013;20:344–55. Sullivan A. Defining poetic occasion in inquiry: concreteness, voice, ambiguity, emotion, tension and associative logic. Poetic inquiry, vibrant voices in the social sciences. Rotterdam: Brill Sense; 2009. pp. 111–26.