An Ethnographic Meta-Synthesis of Three Southwestern Rural Studies.
1College of Nursing, University of New Mexico, Albuquerque, New Mexico.
Public Health Nursing (Boston, Mass.)
|September 30, 2015
Summary
Synthesizing three rural studies using meta-ethnography revealed that health is self-care and work capacity. Key themes include relationships, discrimination, literacy barriers, and food insecurity in rural health.
Area of Science:
- Public Health
- Rural Health
- Qualitative Research
Background:
- Three ethnographic, community-partnered studies were conducted in the southwestern United States.
- These studies engaged 129 participants in rural Colorado and New Mexico, involving community organizations as partners.
Purpose of the Study:
- To synthesize findings from three critical ethnographic studies.
- To describe the meta-ethnography process used for analysis.
Main Methods:
- Meta-ethnography followed Noblit and Hare's design, incorporating community-based participatory research and Stringer's Look-Think-Act strategy.
- Methods included detailed review, concept mapping, and cross-study analysis and interpretation.
Main Results:
- Identified key themes: health as capacity for self-care and work, importance of relationships in healthcare, persistent rural discrimination, literacy barriers, and growing food insecurity among older rural adults.
Conclusions:
- Effective resolutions require integrated practice, policy, and research involving all rural stakeholders.
- A participatory approach is crucial for addressing inequities and promoting cultural understanding in rural contexts.
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