The Study’s Purpose, Research Design, and Methodology
Agyemang et al.’s (2020) study aimed to understand why Ghanaian women with breast cancer were not given information about their diagnosis. It explored cultural and structural factors contributing to this issue and identified ways to improve women’s health in Ghana. The study used an ethnographic research design involving observing and interpreting people’s culture and behavior to understand how cultural and structural factors affect women’s access to information about breast cancer. The approach involved in-depth interviews with various respondents to understand their experiences with information access, diagnosis, and treatment. Secondly, the researchers observed interactions between healthcare professionals and patients to understand cultural behaviors and beliefs. The data were analyzed thematically, and a narrative framework was used to present the study’s findings.
Ozkan and Taylan’s (2021) study aimed to determine the obstacles hindering women from breast cancer screening in various nations. The study incorporated the meta-synthesis research design of multiple studies to find similar themes and trends across several countries. The authors searched several databases for research addressing barriers to breast cancer screening for women aged 40 and over, published between 2000 and 2019. The selected studies had to adhere to an inclusion criterion. The data collection and analysis processes used in this study’s methodology included a literature search to find papers that satisfied the inclusion criteria and a systematic approach to analyzing the findings for the common themes and sub-themes to be synthesized.
Data Collection
Agyemang et al.’s (2020) study collected data through semi-structured interviews and observations from different respondents. The participants were selected using purposive maximal variation sampling for diversity purposes. The observation focused on interactions and information exchange between healthcare providers, patients, and their families. Interview guides were used for all participant interviews. In total, 31 and 29 participants were observed and engaged in semi-structured interviews. The data were thematically analyzed, and three overarching themes were identified: unequal power relationships, language barriers, and structural constraints.
Ozkan and Taylan (2021) conducted a comprehensive search of electronic databases and identified 16 qualitative studies that met the inclusion criteria. The studies were conducted in different countries and used various qualitative research methods, such as focus groups, interviews, and ethnography. The researchers synthesized the common themes and sub-themes linked to the barriers to breast cancer screening after using a systematic strategy to assess the findings of the included studies.
Credibility and Trustworthiness
The credibility and trustworthiness of these studies would be assured by their dependability, confirmability, and transferability. Dependability refers to how consistently and steadily the research findings can hold over time (Galaitsi et al., 2021). A study’s confirmability refers to the objectivity of the research findings and the degree to which the researcher’s prejudices and values impact them. A study’s transferability describes how well the study’s conclusions can be applied to various situations or settings (Kyngäs et al., 2020).
In Agyemang et al.’s (2020) study, dependability was ensured through multiple data collection techniques, including interviews and observations, and an iterative data analysis method. The use of diverse respondents enabled triangulation and a more thorough comprehension of the contextual elements impacting the adoption of breast cancer treatment. Its ethnographic approach and reflexivity ensured the researchers suspended their biases and allowed them to immerse themselves in the study, assuring its confirmability. The researchers provided a thorough description of the study’s context and participants to increase transferability, enabling other researchers to evaluate the applicability of the findings in their contexts. They also explain the structural and cultural elements affecting Ghanaian breast cancer patients’ access to information, which can guide research in other low- and middle-income nations.
Ozkan and Taylan’s (2021) study is also credible and trustworthy due to its precise and methodical data collection and analysis approach. To confirm the accuracy of their conclusions, the researchers conducted numerous iterations of coding and discussions. They also used direct quotations to support their main points. The study’s confirmability was evident in how the authors reduced their personal biases and values in the analysis and grounded their findings in the data. However, the study’s transferability is constrained because the chosen studies were carried out in particular nations and cultural contexts.
Results and Clinical Implications
According to Agyemang et al. (2020), Ghanaian women would experience “hidden information” on their alternatives for treatment after receiving a breast cancer diagnosis due to cultural and structural issues, which would negatively affect their capacity for decision-making. The study emphasizes the significance of comprehending these factors that will affect these women’s access to health care and information in low-resource settings and the requirement for tailored interventions to remove these obstacles.
Ozkan and Taylan’s (2021) study identified common barriers to breast cancer screening in different countries, including lack of information, fear, cultural and religious prejudices, and logistical difficulties. The findings highlighted the need for healthcare professionals to prioritize educating women on the importance of breast cancer screening and addressing myths and concerns. Governments should consider implementing measures to make screening more accessible by reducing financial and practical barriers such as transportation costs.
The Level of Evidence and Quality of Evidence
An ethnographic research design is typically considered to have a low degree of evidence, especially for this research topic. Nonetheless, the quality of the evidence provided by Agyemang et al. (2020) is high due to this study’s proper planning and execution. Using various data collection methods, including different viewpoints, and applying rigorous data analysis procedures improve the quality of the evidence in this study. Notably, the results become applicable to the study’s particular environment or other environments with similar characteristics. This limits the transferability of the study’s findings to other contexts due to the study design’s constraints. However, the study offers insightful information about the structural and cultural elements that affect Ghanaian women with breast cancer’s access to information. The results can help Ghanaian authorities and healthcare professionals plan to increase breast cancer patients’ access to information.
Ozkan and Taylan’s (2021) use of the methodical approach to data collection, analysis, and interpretation gives its evidence high and high-quality levels. The study employed various techniques to reduce bias, including using numerous databases to find relevant studies written in various languages and reviewing study quality. To confirm the correctness of their conclusions, the writers also employed a detailed and iterative coding and discussion procedure, which included direct quotations to support their themes.
References
Agyemang, L. S., Foster, C., McLean, C., Fenlon, D., and Wagland, R. (2020). The cultural and structural influences hiding information from women diagnosed with breast cancer in Ghana: An ethnography. Health Expectations, 23(2), 351-360. Web.
Galaitsi, S. E., Keisler, J. M., Trump, B. D., & Linkov, I. (2021). The need to reconcile concepts that characterize systems facing threats. Risk Analysis, 41(1), 3-15. Web.
Kurnia, H., Jaqin, C., & Purba, H. H. (2022). Quality improvement with PDCA approach and experiment method design in Indonesia’s single socks industry. In AIP Conference Proceedings 2470(1), p. 020007). Web.
Kyngäs, H., Kääriäinen, M., & Elo, S. (2020). The trustworthiness of content analysis. The application of content analysis in nursing science research, 41-48. Web.
Ozkan, I., and Taylan, S. (2021). Barriers to women’s breast cancer screening behaviors in several countries: A meta-synthesis study. European Journal of Oncology Nursing, 51, 101942. Web.