Evidence map›Paper›PMID 34056611›Full record

ArticleImplementation research and practice

A scoping review of the use of ethnographic approaches in implementation research and recommendations for reporting.

Alex K Gertner, Joshua Franklin, Isabel Roth, Gracelyn H Cruden, Amber D Haley, Erin P Finley, Alison B Hamilton, Lawrence A Palinkas, Byron J Powell

Registry-linked trialAbstract readScoping Review
In one paragraph

Article in Implementation research and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07356843 (Implementing Community Palliative Care for People With Heart Failure), which is not on this map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07356843 recruitingnot on this map

Implementing Community Palliative Care for People With Heart Failure

TypeobservationalSponsorIndiana UniversityRan2025 to 2028Enrolled20ConditionsCongestive Heart Failure, Congestive Heart Failure(CHF), Congestive Heart Failure (CHF), Congestive Heart Failure ChronicArmsADAPT
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alex K GertnerDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0001-7781-3681
Joshua FranklinPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Isabel RothDepartment of Physical Medicine and Rehabilitation, Program on Integrative Medicine, UNC School of Medicine, Chapel Hill, NC, USA.
Gracelyn H CrudenOregon Social Learning Center, Eugene, OR, USA.ORCID 0000-0002-1737-5867
Amber D HaleyDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Erin P FinleyVA Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Alison B HamiltonVA Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Lawrence A PalinkasDepartment of Children, Youth and Families, University of Southern California, Los Angeles, CA, USA.
Byron J PowellBrown School and School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0001-5245-1186

Funding

IMPROVING THE IMPLEMENTATION AND SUSTAINMENT OF EBPS IN MENTAL HEALTH: DEVELOPING AND PILOTING THE COLLABORATIVE ORGANIZATIONAL APPROACH TO SELECTING AND TAILORING IMPLEMENTATION STRATEGIES (COAST-ISK01MH113806 · NIMH · WASHINGTON UNIVERSITY · PI POWELL, BYRON JAMES · 2017 to 2020
$697k
Utilization and Access to Buprenorphine Treatment for Opioid Use Disorder in MedicaidF30DA044668 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GERTNER, ALEX · 2018 to 2022
$176k
NIDA NIH HHS F30 DA044668NIMH NIH HHS K01 MH113806
6 · The paper itself

Abstract

backgroundResearchers have argued for the value of ethnographic approaches to implementation science (IS). The contested meanings of ethnography pose challenges and possibilities to its use in IS. The goal of this study was to identify sources of commonality and variation, and to distill a set of recommendations for reporting ethnographic approaches in IS.

methodsWe included in our scoping review English-language academic journal articles meeting two criteria: (1) IS articles in the healthcare field and (2) articles that described their approach as ethnographic. In March 2019, we implemented our search criteria in four academic databases and one academic journal. Abstracts were screened for inclusion by at least two authors. We iteratively develop a codebook for full-text analysis and double-coded included articles. We summarized the findings and developed reporting recommendations through discussion.

resultsOf the 210 articles whose abstracts were screened, 73 were included in full-text analysis. The number of articles increased in recent years. Ethnographic approaches were used within a wide variety of theoretical approaches and research designs. Articles primarily described using interviews and observational methods as part of their ethnographic approaches, though numerous other methods were also employed. The most cited rationales for using ethnographic approaches were to capture context-specific phenomena, understand insiders' perspective, and study complex interactions. In reporting on ethnographic approaches, we recommend that researchers provide information on researcher training and position, reflect on researchers' positionality, describe observational methods in detail, and report results from all the methods used.

conclusionThe number of IS studies using ethnography has increased in recent years. Ethnography holds great potential for contributing further to IS, particularly to studying implementation strategy mechanisms and understanding complex adaptive systems.

Indexed as

ethnographyMethodologyqualitative methodsScoping review

Identifiers

PMID34056611
PMCPMC8153409

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.