Reciprocal Translation Research Articles

Public Sociology and the Democratization of Technology: Drawing on User -led Research to Achieve Mutual Education

In an effort to further advance public sociology and its relationship with technology, this paper looks at a democratic model of collaboration within the technological sciences. We draw on the concept of user- led research to demonstrate how sociologists, scientists and various stakeholders within the public sphere can achieve reciprocal, meaningful and sustained knowledge translation. Furthermore, we argue that by acknowledging participants’ technological needs and reducing unnecessary complexity, the user -led method advances Burawoy’s “dialogue as mutual education” within public sociology.

Contradictions and conflict: A meta-ethnographic study of migrant women’s experiences of breastfeeding in a new country

BackgroundStudies report mixed findings about rates of both exclusive and partial breastfeeding amongst women who are migrants or refugees in high income countries. It is important to understand the beliefs and experiences that impact on migrant and refugee women’s infant feeding decisions in order to appropriately support women to breastfeed in a new country. The aim of this paper is to report the findings of a meta-ethnographic study that explored migrant and refugee women’s experiences and practices related to breastfeeding in a new country.MethodsCINAHL, MEDLINE, PubMed, SCOPUS and the Cochrane Library with Full Text databases were searched for the period January 2000 to May 2012. Out of 2355 papers retrieved 11 met the inclusion criteria. A meta-ethnographic synthesis was undertaken using the analytic strategies and theme synthesis techniques of reciprocal translation and refutational investigation. Quality appraisal was undertaken using the Critical Appraisal Skills Programme (CASP) tool.ResultsEight qualitative studies and three studies reporting both qualitative and quantitative data were included and one overarching theme emerged: ‘Breastfeeding in a new country: facing contradictions and conflict’. This theme comprised four sub-themes ‘Mother’s milk is best’; ‘Contradictions and conflict in breastfeeding practices’; ‘Producing breast milk requires energy and good health’; and ‘The dominant role of female relatives’. Migrant women who valued, but did not have access to, traditional postpartum practices, were more likely to cease breastfeeding. Women reported a clash between their individual beliefs and practices and the dominant practices in the new country, and also a tension with family members either in the country of origin or in the new country.ConclusionMigrant women experience tensions in their breastfeeding experience and require support from professionals who can sensitively address their individual needs. Strategies to engage grandmothers in educational opportunities may offer a novel approach to breastfeeding support.

Women's experiences following severe perineal trauma: a meta‐ethnographic synthesis

This article presents a meta-ethnographic synthesis of studies on women's experiences of sustaining a third or fourth degree tear during childbirth. It has been reported that for women who sustain third or fourth degree perineal tears (severe perineal trauma) some may experience extensive physical and psychological outcomes. A meta-ethnographic synthesis. The CINAHL, PubMed, Scopus, MD Consult, and SocIndex with Full Text databases were searched for the period January 1996-June 2011. Out of 478 papers retrieved four met the review aim. A meta-ethnographic synthesis approach was undertaken using analytic strategies and theme synthesis techniques of reciprocal translation and refutational investigation. Quality appraisal was undertaken using the Critical Appraisal Skills Programme (CASP) tool. Four qualitative papers were included, with three major themes identified: 'I am broken and a failure', 'Dismissed, devalued and disregarded', and 'The practicalities of the unpredictable perineum'. There is evidence to suggest that for women who experience severe perineal trauma during childbirth the physical and psychological outcomes can be complex, with some women experiencing social isolation and marginalization due to their ongoing symptomatology. Severe perineal trauma appeared to affect not only physiological and psychological well-being but also altered the women's understanding of their identity as sexual beings. Health professionals should be mindful of the language that they use and their actions during suturing and the postpartum period to avoid causing unnecessary distress.

Incontinência urinária feminina: revisão sistemática de estudos qualitativos

Urinary incontinence has broad repercussions on female daily life. The objective of this study was to conduct a systematic review seeking to analyze results of qualitative research concerning female urinary incontinence published prior to 2009. After an electronic search, 53 research reports were identified with 30 fulfilling the exclusion and inclusion criteria. After classification according to the Critical Appraisal Skills Program, 13 constituted the analytical body for review. The data were synthesized according to the meta-ethnographical approach through reciprocal translation. Two categories emerged: life experiences among incontinent women; and proposals for care models for incontinent women. The restructuring of one's personal life metacategory points to individual adjustments necessary for dealing with the problem. In essence, the results reveal the option of the majority of women facing the loss of urine "silently" and point to the need for professionals to understand family perceptions in order to better comprehend the personal, family, and social implications involved in female urinary incontinence.

Management of Emergent Networks during Disasters: A Meta-synthesis

Meta-synthesis is an approach to reviewing qualitative research results. Many research results dealing with improvements to emergency management can be integrated into strategies for network management in emergencies. This meta-synthesis used a keyword search and survey of experts to identify representative studies of emergency response. It then used the reciprocal translation approach to synthesizing the studies. The synthesis is captured in a two-by-two matrix, one axis distinguishing between activity- and network-level interventions and the other between planning and improvisation strategies.

What Lies behind the Wish to Hasten Death? A Systematic Review and Meta-Ethnography from the Perspective of Patients

BackgroundThere is a need for an in-depth approach to the meaning of the wish to hasten death (WTHD). This study aims to understand the experience of patients with serious or incurable illness who express such a wish.Methods and FindingsSystematic review and meta-ethnography of qualitative studies from the patient's perspective. Studies were identified through six databases (ISI, PubMed, PsycINFO, CINAHL, CUIDEN and the Cochrane Register of Controlled Trials), together with citation searches and consultation with experts. Finally, seven studies reporting the experiences of 155 patients were included. The seven-stage Noblit and Hare approach was applied, using reciprocal translation and line-of-argument synthesis. Six main themes emerged giving meaning to the WTHD: WTHD in response to physical/psychological/spiritual suffering, loss of self, fear of dying, the desire to live but not in this way, WTHD as a way of ending suffering, and WTHD as a kind of control over one's life (‘having an ace up one's sleeve just in case’). An explanatory model was developed which showed the WTHD to be a reactive phenomenon: a response to multidimensional suffering, rather than only one aspect of the despair that may accompany this suffering. According to this model the factors that lead to the emergence of WTHD are total suffering, loss of self and fear, which together produce an overwhelming emotional distress that generates the WTHD as a way out, i.e. to cease living in this way and to put an end to suffering while maintaining some control over the situation.ConclusionsThe expression of the WTHD in these patients is a response to overwhelming emotional distress and has different meanings, which do not necessarily imply a genuine wish to hasten one's death. These meanings, which have a causal relationship to the phenomenon, should be taken into account when drawing up care plans.

Social determinants of iron supplementation among women of reproductive age: a systematic review of qualitative data.

Iron supplementation for women of reproductive age is a main part of an interdisciplinary strategy recommended for the control and prevention of iron deficiency and the treatment of mild-to-moderate iron-deficiency anaemia. This systematic review reports the findings from a meta-synthesis of qualitative data concerning the experiences and perceptions of iron supplementation among women of reproductive age and health service providers worldwide. Qualitative systematic review methods were used to conduct a search of published literature, define inclusion and exclusion criteria, appraise quality of studies and extract data on the use of iron supplementation among women of reproductive age. Coding, thematic analysis, reciprocal translation and line of argument synthesis were used to synthesize data. Twelve studies spanning 17 countries met inclusion criteria and were included in the analysis. Seven domains emerged from the review: cultural norms and societal values including explanatory models and medical pluralism; political and socio-economic circumstances; education and communication; social organization and social relationships; health care access and supplement supply; food and nutrition availability; and adherence. In addition, 16 sub-domains are highlighted. Connecting review findings to a conceptual framework of social determinants of health highlights salient issues that policy makers must consider when adapting global iron supplementation recommendations to the local context.

The experiences, needs and concerns of younger women with breast cancer: a meta‐ethnography

This meta-ethnography synthesises the evidence on the experiences, needs and concerns of younger women with breast cancer. Using a method called 'reciprocal translation' we developed a conceptual model to reflect the local and social contexts, issues, processes, needs and concerns of importance in this literature. Key findings relate to the particular point in the life-course at which young women with breast cancer stand. Issues for these women relate to feeling different as a result of cancer, fear of recurrence, feeling 'out of sync' and altered embodied subjectivity. Young women with breast cancer use three processes to integrate the changes that cancer brings, namely, balancing, normalising and changing. Our conceptual model also highlights young women's needs, primarily for support, information, childcare, counselling and spiritual support. Areas of reproduction, fertility and sexuality were also of particular concern. The included papers have methodological limitations that impact on our findings, such as opportunistic data analyses, lack of theoretical frameworks and limited reference to socio-cultural factors. The conceptual model developed as a result of this meta-ethnography provides a basis for practitioners to address these young women's concerns more adequately and comprehensively.

Fathers' experiences of their transition to fatherhood: a metasynthesis

This research aimed to synthesise the findings of recent qualitative studies which explored fathers' experiences of their transition to fatherhood. Noblit and Hare's (1988) seven‐step meta‐ethnographic approach was utilised to synthesise the findings of eight articles representing six qualitative studies published between 2002 and 2008. Through the process of reciprocal translation, three overarching themes were derived: (1) emotional reactions to phases of transition: ‘detached, surprise and confusion’, (2) identifying their role as father: the ‘approachable provider’, and (3) redefining self and relationship with partner: the ‘more united tag team’. Themes reflected fathers' experiences from pregnancy through to 14 months after the birth of their child. The findings from this synthesis highlighted several recommendations for clinical practice both in the antenatal and postnatal period. The limitations of this synthesis and recommendations for practice are discussed.

Combining adjusted and unadjusted findings in mixed research synthesis

Finding ways to incorporate disparate types of evidence into research syntheses has the potential to build a better evidence base for clinical practice and policy. Yet conducting such mixed research synthesis studies is challenging. Researchers have to determine whether and how to use adjusted and unadjusted quantitative findings in combination with each other and with qualitative findings. Among quantitative findings, adjustment for confounding, either via study design or statistical analysis, can be a considerable source of heterogeneity. Yet there is no consensus about the best way to synthesize findings resulting from different methods for addressing confounding. When synthesizing qualitative and quantitative findings, additional considerations include determining whether findings are amenable to synthesis by aggregation or configuration, which, in turn, depends on the degree of interpretive transformation of findings. Qualitative survey findings appear similar in form to unadjusted or minimally adjusted quantitative findings and, when addressing the same relationship, can be summed. More interpreted qualitative findings appear similar in form to adjusted findings found in, for example, structural equation models specifying the relationship among a host of latent variables. An option for synthesis of conceptually similar models is reciprocal translation. These decisions will ultimately be judged on the meaningfulness of their results to practice or policy.

Do Virtual Professors Dream of Electric Students? University Faculty Experiences with Online Distance Education

BackgroundFaculty acceptance of distance learning plays an important role in its success or failure in higher education. Information about faculty experiences of teaching online can improve understanding about this delivery mode's potential longevity in academe. Exploratory qualitative research has begun to uncover and unpack faculty experiences with online learning. Such studies provide a focused and detailed picture of faculty perceptions of teaching online; however, they have not been considered for what they add to cumulative knowledge.PurposeThe purpose of this research was to employ a rigorous and systematic approach to make meaning of individual studies that investigated faculty experiences of teaching online by considering the studies in aggregate.Research DesignThis study drew upon qualitative synthesis methods to investigate faculty experiences with online teaching. In particular, the study used metaethnography, an interpretive approach, to synthesize findings from nine original studies conducted by 23 researchers involving interviews with 117 faculty members with online teaching experience.Data Collection and AnalysisThis study involved searching electronic databases and tables of contents of key journals to gather relevant articles. It relied upon analysis techniques common to metaethnographic approaches, including reciprocal translation analysis (translating themes into each other), refutations synthesis (attempts to explain variations and contradictions), and lines-of-argument analysis (building a general interpretation from findings of separate studies through reliance on qualitative analysis such as constant comparison).FindingsThis article presents findings from a qualitative synthesis of university faculty experiences with online distance education. Results show that faculty members believe teaching online changes the way they approach and think about teaching, course design, time, instruction, and students.ConclusionsFinding new ways to understand existing literature was one of the chief goals of this study. These results represent a starting place for improving current practice as well as for guiding future research.

Women’s perceptions and experiences of a traumatic birth: a meta‐ethnography

This study presents the findings a meta-ethnographic study reporting women's perceptions and experiences of traumatic birth. Childbirth is viewed by many as a life transition that can bring a sense of accomplishment. However, for some women, birth is experienced as a traumatic event with a minority experiencing post-traumatic stress. A traumatic birth experience can have a significant impact on the physical and emotional well-being of a woman, her infant and family. The CINAHL, MEDLINE, Scopus and PubMed databases were searched for the period January 1994 to October 2009 using the keywords birth trauma, traumatic birth, qualitative research, birth narrative and birth stories. A meta-ethnographic approach was used. Quality appraisal was carried out. An index paper served as a guide in identifying particular findings and comparing them with other findings. This 'reciprocal translation' process started with a search for common themes, phrases and metaphors. Ten qualitative studies were included in the final sample. Six major themes were identified: 'feeling invisible and out of control', 'to be treated humanely', 'feeling trapped: the reoccurring nightmare of my childbirth experience', 'a rollercoaster of emotions', 'disrupted relationships' and 'strength of purpose: a way to succeed as a mother'. It is evident that a small percentage of women experience a traumatic birth. Although some women who experience a traumatic birth do not necessarily have physical or psychological adverse outcomes, others identify a significant personal impact. Healthcare professionals must recognize women's need to be involved in decision-making and to be fully informed about all aspects of their labour and birth to increase their sense of control.

The experiences of young carers: a meta-synthesis of qualitative findings

The aim of this meta-synthesis was to explore young carers' accounts of caring for a family member with an illness, difficulty or disability, and to promote a phenomenological understanding of their experiences. A meta-ethnographic method of meta-synthesis was adopted, utilising the process of reciprocal translation to synthesise 11 qualitative studies. The synthesis yielded four main concepts: (1) becoming a caring person; (2) the adult child – the marks of being different; (3) who is a carer? – others' expectations and stigmatisation; and (4) keeping caring as a secret – protecting the caring role and identity. The synthesis of translation generated the higher-order concept of ‘integrating caring into an emerging identity’. This concept considers the experiences of young carers as a process of identity formation in the face of persistent stressful experiences from both within and outside the caring role. The clinical implications of these findings are discussed.

10year retrospect on stage models of e-Government: A qualitative meta-synthesis

Growing interests in e-Government raise the question about the developmental stages of e-Government. Since the year 2000, a number of e-Government stage models have been suggested by international organizations, consulting firms, and individual researchers. However, these models seem to be incongruent with each other as these are based on different perspectives and use somewhat different metaphors. This presents a difficulty not only in understanding different research results, but also in planning future actions for e-Government. Without a common frame of reference for understanding the developmental stages and perspectives reflected in different models and stages, e-Government research may become fragmented and disconnected from each other. In this research, we have conducted a qualitative meta-synthesis of twelve e-Government stage models. Concepts, metaphors, and themes contained in these developmental models are extracted through a series of in-depth semantic analyses of descriptions and explanations. The first order concepts and themes are subjected to an interpretive synthesis identifying reciprocal relationships which in turn leads to the identification of implied metaphors and themes. Five metaphors are identified: presenting, assimilating, reforming, morphing and e-governance, while two underlying themes surface: citizen/service and operation/technology. These concepts, metaphors, and themes are synthesized into a common frame of reference using a reciprocal translation technique. A supportive line of argument is developed for this frame of reference so that different e-Government stage models can be translated into each other. This study contributes to current research through offering theoretical advances related to the stages of e-Government. Furthermore, the metaphors and themes identified in this study would be useful as a conceptual frame for researchers to evaluate and understand the development of e-Government, and as a base road map for practitioners in planning future e-Government projects.

Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity.

Community-based participatory research (CBPR) has emerged in the last decades as a transformative research paradigm that bridges the gap between science and practice through community engagement and social action to increase health equity. CBPR expands the potential for the translational sciences to develop, implement, and disseminate effective interventions across diverse communities through strategies to redress power imbalances; facilitate mutual benefit among community and academic partners; and promote reciprocal knowledge translation, incorporating community theories into the research. We identify the barriers and challenges within the intervention and implementation sciences, discuss how CBPR can address these challenges, provide an illustrative research example, and discuss next steps to advance the translational science of CBPR.

Nurses’ experiences with telephone triage and advice: a meta‐ethnography

This study is a meta-ethnography of nurses' experiences with telephone triage and advice and factors that facilitate or impede their decision-making process. Telephone triage and advice services are a rapidly expanding development in health care. Unlike traditional forms of nursing practice, telenurses offer triage recommendations and advice to the general public without visual cues. Published qualitative research on telephone triage and advice were sought from interdisciplinary research databases (1980-2008) and bibliographical reviews of retrieved studies. Our systematic search identified 16 relevant studies. Two researchers independently reviewed, critically appraised, and extracted key themes and concepts from each study. We followed techniques of meta-ethnography to synthesize the findings, using both reciprocal and refutational translation to compare similar or contradictory findings, and a line-of-arguments synthesis. We identified five major themes that highlight common issues and concerns experienced by telenurses: gaining and maintaining skills, autonomy, new work environment, holistic assessment, and stress and pressure. A line-of-arguments synthesis produced a three-stage model that describes the decision-making process used by telenurses and highlights how assessments largely depend on the ability to 'build a picture' of the patient and the presenting health issue. Telenurses experience a range of common concerns and issues which either impede or facilitate the decision-making process. Although 'building a picture' of the patient is key to making assessments over the telephone, final triage decisions are influenced by balancing the conflicting demands of being both carer and gatekeeper to limited healthcare services.

A meta-synthesis of women's perceptions and experiences of breastfeeding support.

Breastfeeding conveys significant health benefits to infants and mothers yet in many affluent nations breastfeeding rates continue to decline across the early months following birth. Both peer and professional support have been identified as important to the success of breastfeeding. What is not known are the key components or elements of support that are effective in increasing the duration of breastfeeding? The aim of this meta-synthesis was to examine women's perceptions and experiences of breastfeeding support, either professional or peer, in order to illuminate the components of support that they deem 'supportive'. A secondary aim was to describe any differences between components of Peer and Professional support. Both primiparous and multiparous women who initiated breastfeeding were included in the study. Studies that included a specific demographic sub-group, such as adolescents, were included. Studies focused on a specific clinical sub-group, such as women post-caesarean, were not included. This meta-synthesis focused on maternal experiences of breastfeeding support. The meta-synthesis included both formal or 'created' peer and professional support for breastfeeding women but excluded studies of family or informal support for breastfeeding. Primarily qualitative studies were included in the review. Studies such as large scale surveys were also included if they reported in sufficient detail the analysis of qualitative data gathered through open ended responses or included in depth interviews. Only studies published or available in English, in peer reviewed journals and undertaken between 1990 and December 2007 were included. Key data bases were searched. The following search terms were individually added to the main keyword - breastfeeding: qualitative research, breast feeding support, peer support, professional support, postnatal support, post-natal support, volunteer support, lay support, breastfeeding counsellors, lactation consultants, social support, health education, breastfeeding education and lactation. Delimiters applied were humans, English language and years 1990-2007. JBI-QARI (Qualitative Assessment and Review Instrument) was used to assess the quality of 38 articles selected for full review. Seven were excluded primarily because they included little qualitative data relevant to the review focus. The studies reviewed were generally of reasonable quality in terms of clarity, appropriate methodology, credibility and evidence cited to support the conclusions drawn. However, most included relatively limited discussion of theoretical or conceptual perspectives, discussion of relevant literature and reflection on the roles of the researchers. JBI-QARI was used to manage and appraise textual data, Meta-ethnographic methods were used to develop 'interpretive explanations and understanding of breastfeeding support. Each study was systematically reviewed, reading and re-reading papers to create a list of themes through 'reciprocal translation'. Both first order and second order constructs were used to create the themes and these were then synthesised into four interpretive categories. The meta-synthesis resulted in four categories comprising a total of 20 themes. The synthesis indicates that support for breastfeeding occurs along a continuum from authentic presence at one end, perceived as effective support, to disconnected encounters at the other, perceived as ineffective or even discouraging and counter productive. Second, the synthesis identified a facilitative approach, versus a reductionist approach as contrasting styles of support women experienced as helpful or unhelpful. The findings of this meta-synthesis emphasise the importance of person-centred communication skills and of relationships in supporting a woman to breastfeed. Authentic presence is best supported by building a trusting relationship, demonstrating empathy, listening and being responsive to a woman's needs. Organisational systems and services that facilitate continuity of care/r and time spent with the woman, for example continuity of midwifery care or peer support models, are more likely to facilitate an authentic presence. The findings suggest the need to increase opportunities to offer women across all social groups access to peer support. The review indicates several changes in direction for practice to foster provision of support that women consider helpful and enabling, rather than disabling. These include service design that facilitates effective relationships to be established between supporters and the woman, including greater continuity of carer, Midwives need to work in service models that enable them to provide more individualised, rather than standard care and advice, to spend time and provide practical help to those women who need it. Antenatal education needs to be more learner-centred, using pedagogic models based on adult-learning principles, and should provide women with information that is realistic, detailed and positively encouraging. Midwifery education needs to integrate sufficient focus on developing midwives' communication and information giving skills. Schemes to offer peer support should be developed further, using a pro-active approach, including home visits and support groups. Further research is warranted on schemes to develop peer models of support. Research is also needed to investigate in more depth the service models and conditions that are conducive to midwives' ability to offer effective support for breastfeeding.

A meta-synthesis of womenʼs perceptions and experiences of breastfeeding support

A meta-synthesis of womenʼs perceptions and experiences of breastfeeding support

Translational instability of a spherical bubble in a standing ultrasound wave

Translational bubble dynamics is much less studied than the dynamics of radial bubble oscillation, while in many scientific and engineering applications the control of space location of cavitation bubbles is of great practical importance. This paper aims at the theoretical study of various aspects of the translational motion of a spherical gas bubble in a high-frequency standing wave. In particular, it is shown that the translational instability that gives rise to the reciprocal translation of a spherical bubble between the pressure antinode and the pressure node is caused by the hysteresis in the main resonance of the bubble. Different types of translational trajectories that can occur in a standing wave are illustrated by numerical simulations. A general classification of the observed translational trajectories is proposed.

Understanding Australian rural women's ways of achieving health and wellbeing - a metasynthesis of the literature

Although Australian rural women appear to be coping well despite a lack of services, harsh environmental conditions and overall rural health disadvantage, there is little research into the factors which promote good health among them. The aim of this article is to document and analyse current understandings about how rural Australian women maintain health and wellbeing, by conducting a metasynthesis of peer reviewed empirical qualitative research. Searches were conducted of CINAHL, MEDLINE, Proquest, Blackwell Synergy, Informit, Infotrac, National Rural Health Alliance and Indigenous Health Infonet data bases. A definition of health and wellbeing as a positive concept emphasising social and personal resources as well as physical capacities, provided a framework for the review. Six studies published in rural health, nursing and sociology journals between 2001 and 2006 were selected. Common and recurring themes from the original studies were identified. Reciprocal translation was used to synthesise the findings among the studies, leading to interpretations beyond those identified in the original studies. Four themes emerged from the metasynthesis: isolation, belonging, coping with adversity, and rural identity. The findings of this study exhibit a tension between a sense of belonging and the experience of social and geographical isolation. The study findings also reveal tension between adherence to a strong gendered rural identity which fosters a culture of stoicism and self reliance and feelings of resistance to societal expectations of coping with adversity. Metasynthesis enabled a deeper understanding of the health and wellbeing of rural women in Australia. The social experiences of rural women influence the way they construe their health and wellbeing. Understanding how women maintain health and wellbeing is critical in ensuring that policies and services meet the needs of rural women and do not entrench existing inequalities.