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Published in: Medicine, Health Care and Philosophy 4/2019

01-12-2019 | Care | Scientific Contribution

In search of good care: the methodology of phenomenological, theory-oriented ‘N=N case studies’ in empirically grounded ethics of care

Authors: Guus Timmerman, Andries Baart, Frans Vosman

Published in: Medicine, Health Care and Philosophy | Issue 4/2019

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Abstract

This paper proposes a new perspective on the methodology of qualitative inquiry in (care) ethics, especially the interaction between empirical work and theory development, and introduces standards to evaluate the quality of this inquiry and its findings. The kind of qualitative inquiry the authors are proposing brings to light what participants in practices of care and welfare do and refrain from doing, and what they undergo, in order to offer ‘stepping stones’, political-ethical insights that originate in the practice studied and enable practitioners to deal with newly emerging moral issues. As the authors’ aim is to study real-life complexity of inevitably morally imprinted care processes, their empirical material typically consists of extensive and comprehensive descriptions of exemplary cases. For their research aim the number of cases is not decisive, as long as the rigorous analysis of the cases studied provides innovative theoretical insights into the practice studied. Another quality criterion of what they propose that should be called ‘N=N case studies’ is the approval the findings receive from the participants in the practice studied.
Footnotes
1
An earlier version of this paper was presented at the European Congress of Qualitative Inquiry 2017 in Leuven (Belgium) and at a meeting of the Critical Ethics of Care research network in Utrecht (The Netherlands). We are grateful to our interlocutors at both meetings and to the three anonymous reviewers for their comments, criticisms, and suggestions.
 
2
We use the term care ethics to refer to the insights described by first- and second-generation frontrunners like Gilligan, Noddings, Held, Tronto, and Walker to name just a few, but also to the theory developed by European care ethicists (e.g., Brugère, Laugier, Paperman, Sevenhuijsen, Van Heijst, Conradi), including empirical work (e.g., Barnes). The specific contribution to care ethics from care ethicists in the Dutch speaking parts of the Low Countries we discuss in Vosman et al. 2018.
 
3
Similarly, Glaser and Strauss position their grounded theories ‘between the ‘minor working hypotheses’ of everyday life and the ‘all-inclusive’ grand theories’ (1967, p. 33).
 
4
The main publications on these studies are in Dutch: Baart (2001), Baart and Vosman (2015a), Timmerman and Baart (2016a). In English, the first study is discussed in Van Heijst (2011) and Baart and Vosman (2011). In German, the first study is discussed in Timmerman and Baart (2016b), and the outcome of the second study relevant to the current discussion is presented in Baart and Timmerman (2016).
 
5
In the first study, the two central case studies were embedded in a multiple case study (Baart 2001).
 
6
We are preparing a publication in English.
 
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Metadata
Title
In search of good care: the methodology of phenomenological, theory-oriented ‘N=N case studies’ in empirically grounded ethics of care
Authors
Guus Timmerman
Andries Baart
Frans Vosman
Publication date
01-12-2019
Publisher
Springer Netherlands
Keyword
Care
Published in
Medicine, Health Care and Philosophy / Issue 4/2019
Print ISSN: 1386-7423
Electronic ISSN: 1572-8633
DOI
https://doi.org/10.1007/s11019-019-09892-9

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