Reflexivity Across the Research Process: A Metasynthesis and Integration Model of Exemplary Practices.

Area of Science:

• Health Services Research
• Qualitative Research Methods
• Research Integrity

Background:

• Reflexivity is increasingly recognized as crucial for trustworthy research and evaluations.
• Navigating the breadth of positionality exercises can be challenging due to their interdisciplinary nature.

Purpose of the Study:

• To synthesize existing literature on reflexivity practices in research.
• To develop a model for integrating reflexivity across the research cycle.
• To identify strategies and exemplary cases for enhancing research trustworthiness.

Main Methods:

• A metasynthesis approach was used to analyze 89 citations on reflexivity.
• Citations were conceptualized around defined reflexivity practices.
• The synthesis focused on identifying interdisciplinary strategies and scaffolding practices.

Main Results:

• Three core concepts emerged: strategies for integrating reflexivity, exemplary cases, and scaffolding practices.
• A model was developed for integrating reflexivity activities across the research cycle.
• Each research stage offers opportunities for leveraging reflexive tools to enhance insights and trustworthiness.

Conclusions:

• Intentional engagement with reflexivity helps researchers acknowledge and manage biases.
• This leads to more meaningful engagement with research subjects, collaborators, and participants.
• Reflexivity strengthens the overall trustworthiness and impact of health services research.