10. Interviews
Key points
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• Interviews have many advantages over questionnaires. In midwifery, they also have the advantage of being compatible with a woman-centred approach to care. They can be used to collect quantitative data using a structured interview schedule, or qualitative data using a semi-structured, or unstructured format.
• Semi-structured and unstructured interviews have the advantage of collecting rich data through the interactive form of the interview. They provide a unique view of events as seen by those receiving services or those experiencing parenthood. The results are frequently unexpected, illuminating, and can differ from the perspective of health professionals.
• There are a number of disadvantages to interviews. They are costly and time consuming. The physical presence of the researcher can also be intimidating to some participants, and the resulting data can be consciously or subconsciously skewed in the direction of socially desirable answers. They also require a high level of skill on the part of the interviewer to avoid some of the pitfalls outlined.
• The time-consuming nature of interviews means that sample size is frequently smaller than that possible with questionnaires. However, this does not automatically limit their usefulness, especially within qualitative research.
The last chapter considered one of the two main methods of collecting survey data: the questionnaire. Although popular with researchers, this is not always the most appropriate choice for a number of reasons, such as the poor response rate. Certainly for the mothers of new babies, sitting down to complete a questionnaire may be difficult to fit into a hectic lifestyle. Questionnaires have also become an overused medium for collecting research data.
Interviews are the second method of collecting data in surveys. These are used in a variety of research designs including qualitative research. Interviews have a great deal to offer midwifery research as the type of data produced tends to be richer and has more depth than is generally possible with questionnaires. Interviews also make use of the midwife’s professional skill of sensitively, collecting information through a conversational medium. It can also increase the variation in the range of people included in a study.
In this chapter we examine some of the features of interviews, especially their advantages and disadvantages, and consider some of the skills involved in interviewing.
Definition
Interviews consist of data gathering through direct interaction between a researcher and respondent where answers to questions are gathered verbally. They can take the form of face-to-face encounters, the telephone or the web. Although usually conducted on a one-to-one basis, they can be carried out with a group of individuals in the form of a focus group. These are small groups of individuals who are facilitated by the researcher to discuss certain topics and experiences.
Interviews are one form of data collection that is used in both quantitative and qualitative studies, and have the ability to describe, explain and explore issues from the individual or ‘insider’ perspective (Tod 2010). The research approach will influence the type of data collected and method of data analysis. One important advantage of interviews over other methods of data collection is the higher response rate than with other methods (Burns and Grove 2009). In qualitative research, they have become the most common type of method of data collection (Holloway and Wheeler 2010). However, from the researcher’s perspective, they present some of the greatest challengers and the need for a high level of skills in their use. To a large extent, the researcher becomes the tool of data collection in studies using this method. This is because, although interviews may be recorded in writing on a printed form or in a notebook, or verbally on audio equipment and later transcribed, it is the researcher’s skills and personality that will encourage or discourage the interviewee to open up and select the information they feel willing to disclose. During interviews, it is also the researcher’s ability to know when to seek clarification or illustration that can make all the difference to the quality of the data collected.
Interview structure
Interviews can be categorised by the degree of structure they contain. This can range from a highly structured format of questioning, where they virtually take the form of reading out questions from a questionnaire and recording the answers. This approach is used in survey designs that concentrate on the production of quantitative data. Here, the list of questions is not called a questionnaire but an interview schedule (Jackson et al. 2008). The advantages of this format, according to Bryman (2008), include the standardisation in the way questions are asked and recorded. This increases the accuracy of the results and also makes analysis easier and more compatible with statistical computer analysis programmes. The disadvantage of a highly structured approach is that there is little scope for spontaneity and depth of information. This can result in them being somewhat superficial, leaving us with little understanding of a situation. We must also remember that, as a self-report method, we have to assume that what someone states in an interview is accurate.
At the other end of the interview structure continuum is the unstructured or non-standardised interview where questions develop as appropriate with a participant. This allows situations to be seen through the eyes of those involved, a point made by Polit and Beck (2008: 392):
Unstructured interviews encourage respondents to define the important dimensions of a phenomenon and to elaborate on what is relevant to them rather than being guided by the investigator’s a priori notions of relevance.
This means that rather than choose from what the researcher has decided are relevant options, the respondent can put what they see as important in their own words, so we get an insider’s description of events and issues. Such interviews have only a small number of prepared questions, called an interview guide; the rest will be requests for more detail or illustration. Often, they may start with a trigger question or grand tour question (Polit and Beck 2008), such as, ‘So what happened once you went into labour?’ The disadvantage of the approach is that it requires a great deal of personal skill from the researcher and generates a large amount of data to be analysed and coded, and so can be very time consuming and costly.
Somewhere between these two extremes are semi-structured interviews, which are a mixture of the two. They contain some standard questions covering issues or topic areas that are asked of everyone (Holloway and Wheeler 2010), but there is also the flexibility to probe and explore areas that seem appropriate to the individual concerned. The semi-structured approach ensures that important areas are covered with everyone, but still allows other areas to arise spontaneously.
Advantages and disadvantages of interviews
Why choose interviews as a data collection method? There are a number of very clear advantages to using interviews, as can be seen from Box 10.1. According to Polit and Beck (2008: 424), these strengths far outweigh those of questionnaires. They are suitable for a wider variety of individuals than questionnaires, are less likely to lead to misinterpretations of the questions, and provide richer data. The presence of the interviewer can also be an asset as they can clarify questions and answers and gently probe where more information may be needed to gain a complete and accurate answer. This has been recognised by Burns and Grove (2009: 405), who suggest that interviews allow the researcher to explore a greater depth of meaning than can be obtained with other methods.
BOX 10.1
Suitable for a wide range of people including those who have a problem with literacy, visual problems, and are suitable for mothers and health professionals who have little time to complete questionnaires
Response rate is usually higher than with questionnaires
Presence of an interviewer reduces misunderstandings and the number of missed questions
Participants can feel more in control in semi-structured and unstructured interviews and therefore feel more valued
In-depth responses can be gained, allowing the participants ‘voice’ to emerge
Information is immediately available for analysis
Overall better quality data in comparison to questionnaires
Interviews have a particular relevance in midwifery as they provide an opportunity to pursue a woman-centred approach to issues and situations. This is particularly the case in semi-structured and unstructured interviews, as their purpose is to hear ‘the voice’ of the participants, so as to enable an understanding of the situation from their perspective (Holloway and Wheeler 2010).
As with all the other methods of data collection presented in this book, we have to be aware of their disadvantages. The main issues are outlined in Box 10.2. One of the main issues is that successful interviews not only depend on the high skill levels of the interviewer, but also depend on the interviewee being articulate and reflective on their experiences or thoughts (Jackson et al. 2008). A number of other issues relate to the practicalities of the technique. They require a great deal of time per interview in terms of both gathering the data and their analysis, particularly where the interview is semi-structured or unstructured. This naturally increases the cost of such research.
BOX 10.2
Interviewing is a highly skilled activity that requires careful training and practice
Time consuming and costly to carry out and analyse in comparison to questionnaires
Danger of participants providing ‘socially acceptable’ answers
Participants can be influenced by the interviewer’s status, characteristics or behaviour
Participants can feel put on the spot, ‘tested’, or worry they will ‘look a fool’ if they answer completely honestly and so suffer from ‘stage-fright’ – as can the interviewer
Some participants may not be used to expressing deep feelings or emotions openly to others or on reflecting on events or feelings
A further problem is the influence of the interviewer on the information produced. The fact that this is a social situation means that the characteristics of each of the individuals concerned can play a part in the reliability and validity of the information produced. There is inevitably a conscious or subconscious influence on the selection and editing of information by the participant. Where the interviewer is a midwife or other health professional, no matter how much they encourage participants to see them as just someone interested in their experiences, there is a hierarchical position of the interviewer over the interviewee that may influence the outcome of some interviews. For example, ‘socially desirable’ answers (those that put the person in a positive light) may be selected to impress or avoid possible criticism or rebuke from health staff. One final problem is where the participants ‘second guesses’ the answers on the basis of what they think the interviewer wants to hear. All these elements will have a negative effect on the validity of interview data.
Principles in the use of interview
Interviewing is a skill frequently practiced outside the gaze of those who need to learn from those who do it well. Although asking questions and receiving answers sounds deceptively easy as a method of data collection, like everything else in research, things are never that simple. However, it is possible to overcome some of the difficulties through knowledge of the pitfalls and by following some essential principles.
A major step is to recognize that research interviews are not like ordinary conversations, as their purpose is to elicit research data. Burns and Grove (2009: 404) warn that nurses and midwives may feel that because they frequently use the interview in clinical assessments, the dynamics of the interview are familiar; however, they emphasise that using the technique in research requires a greater sophistication. They go on to provide the following essential advice: