ethnographic research proposal example

How to Write an Ethnographic Research Proposal

How to Write a Study Report

As an ethnographer, you're concerned with studying a culture and writing about it. Your study may focus on human society and history (i.e., cultural anthropology) or might instead deal with a subset of society (for example, an institutional or business culture). Whatever the case, you will look at how culture and behavior are related, and conduct your research while living and/or working within the environment you study. This means you should have a plan for "blending in"; you should dress, communicate and engage in activities just as your subjects do. But first comes the research proposal.

Define what your study is and where it will happen. Explain your logic (i.e., why you will conduct your study this way and not that way) and include descriptions of how you will collect your data. Discuss the benefits of your proposed study and why it is important to you. Complete and include all of the necessary permission and release forms.

Organize your inquiry. Include research questions and try to answer them -- even if, at this point, you're making an educated guess. If you're studying village life, you may want to ask about hierarchy with regard to age and fitness or gender. If you plan to study the writing culture at a local company, you could ask how the presence or absence of resources or procedures affects written communication such as email and memos.

Create and describe your data collection plan. This section specifically describes what your research is and where you will engage in the study. Describe how you will conduct your research; do you have or need special access to the site? Blending in with the community you study is essential; there should be no plans to change anything in any way during the course of the study.

Mention authors and academics who inspire your study. It's critical to avoid doing the same research twice. Previous material published on your research subject -- academics call this "scholarship" -- will help you to frame your study.

Prepare for a variety of grading techniques. The nature of the ethnography varies, so don't get lost in the details. Instead, take into account any cues from your instructor. Some instructors focus on structure and methodology; others are more concerned with proposed benefits and discussion. Finally, ask yourself if your proposal is organized and easy to understand; make sure your plan is doable before you commit to it.

• Introduce the proposal with an anecdote. Providing a practical and/or interesting scenario in the beginning will help your reader understand the context of your study. A little entertainment never hurts, either.
• Don't get in over your head. Sometimes it's best to begin with a small and focused project rather than a broad and complex one. Take into consideration time frame and resources, and be able to juggle your other academic and life responsibilities accordingly.
• Don't spoil the results. Because clean ethnographic research depends on objectivity, don't do or say anything that could upset the natural flow of your subject community. For this type of research, it's best to be the proverbial fly on the wall.

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Christopher de la Torre has been writing about science and communication since 1998. His work appears on websites including Singularity Hub and in "Vogue." He holds a Bachelor of Science in biology and a Bachelor of Arts in English from Eastern Connecticut State University and is pursuing a master's degree in English from George Mason University.

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Ethnographic Research – Complete Guide with Examples

Published by Carmen Troy at August 14th, 2021 , Revised On August 29, 2023

What is Ethnographic Research?

Ethnography is a  type of research where a researcher observes people in their natural environment.

Ethnographers spend time studying people and their day-to-day lives and cultural activities carefully. It takes a long-term commitment and exciting methods of data collection .

It has two unique features

• The researcher carries out ethnographic research in a natural environment.
• A researcher acts as a participant and researcher at the same time.

History of Ethnographic Research

During the period of colonialism, anthropology emerged as a formal and notable discipline. Anthropologists started to study traditional people and their cultures. There are many types of ethnographic studies used for various purposes.

Uses of Ethnographic Research    

Ethnographic research has the following uses;

• Documentation of endangered cultures
• Studying distant or new cultures.
• Studying and observing people’s behaviour in a specific society or community over a more extended period with changing circumstances.

Example: Malinowski’s six years of research on the people of Trobriand islands in Melanesia.

Today ethnographic research is also used in social sciences.

Examples:                                                                                                                                  Investigations done by detectives, police officers to solve any criminal mystery.        Investigations are carried out to learn the history and details of culture, community, religion, or games. The research was performed to understand the social interactions of the people.                Research to understand the roles of families and organisations.

Advantages of Conducting Ethnographic Research

There are various  methods of research  based on the requirements and aim of the investigation. Here is the list of the key features of  ethnographic research

• You can conduct ethnographic research alone.
• It allows you to observe the changes in people’s behaviour and culture over time and record it.
• You can conduct it in any place.
• It allows you to be a part of the community as a participant and take a close look at their lifestyle.
• You can gather a piece of detailed information with abundant experience, which helps you in further research.
• It provides the opportunity and pleasure of adventure as well as research.
• You don’t need to spend anything on the setup and equipment.
• You can learn to use any language of your choice during the research.
• You can find out about historical  changes and events.
• You can use and enhance your skills and knowledge.
• You are solely responsible for experimenting.
• You get the opportunity to get to know the underlying realities and opinions of the people.
• You get the chance to focus on the verbal and non-verbal behavior of the people.

Disadvantages of Ethnographic Research

• It requires a lot of time.
• It is challenging to conclude the results.
• The researcher needs to work alone.
• It requires patience, skills to interact with people, and staying within the community as a community member.
• Personal safety and privacy would be at risk.

Does your Research Methodology Have the Following?

• Great Research/Sources
• Perfect Language
• Accurate Sources

If not, we can help. Our panel of experts makes sure to keep the 3 pillars of Research Methodology strong.

What to do Before Starting your Ethnographic Research?

You need to identify your  research question(s)  and decide the mode of data collection. It’s better to choose a small group of people and aim to complete your studies within a short period. 

It would help if you asked a few questions to yourself.

• Who will be your target participants?
• Do you have enough time to conduct the research?
• What’s the purpose of your study?
• What kinds of resources do you have?
• Do you have enough funds to conduct your research?
• Do you have access to the community you want to study?

Types of Ethnographic Research

Realistic ethnographic research.

It is unbiased documentation written in the third person. You can use the collected notes for interpretations. 

A  case study is a documented history and detailed analysis of a situation concerning organisations, industries, and markets. It aims at discovering new facts of the condition under observation. 

It includes data collection from multiple sources over time.

Critical Ethnographic Research

It focuses on the marginalised community to study inequality and dominance.

How to Conduct Ethnographic Research?

Step 1: problem formulation.

Before conducting any research, the essential step is selecting the problem  you want to carry out your study.

Step 2: Select a Research Setting

After Selecting a research problem, you need to select the location of your research. It will help if you prefer a familiar place and community in which you can fit comfortably.

Step 3: Get Access to the Community

You need to get access to the community you want to study. How do you reach the community you want to study? 

You need to get official permission to conduct your research on a specific group of people. You can also join the community as a volunteer instead of a researcher.

There are two types of access, such as:

Open access: You don’t need to seek permission to conduct your research and  collect data in this type of access. You can observe the population. You need to get accepted by the group to proceed with your research.

Example: Public in market places, parties, concerts, etc., are regarded as open-access groups.

Closed-access:  In this type of access, you need to get permission from the gatekeeper of the community you want to study. 

Example:  Schools, colleges, corporations, etc.

Step 4: Represent yourself to the Group

It would help if you asked yourself a few questions before introducing yourself to the group members.

• How will you introduce yourself to the community you want to study?
• What would be your role in the group?
• How actively do you want to participate in the group’s day-to-day activities?
• Will the group accept you as a researcher and allow you to conduct your research?

You can either inform the participants about the experiment, and it’s called the overt approach. You can hide the research and oversee people’s behaviour. It’s called a covert approach.

You can also act as a participant of the community performing the activities like the group, called active observation. It allows the community to feel more comfortable with the researcher.

Similarly, you can keep yourself away from the group without performing any activities like them and observe them as a researcher. It is called passive observation.

It would help if you tried various approaches until you find a suitable method to proceed with your research.

Step 5: Collecting and Recording the Information

You can collect the data by the following methods;

Observation: You can participate in the group activities or observe the group’s behavior, either informing them about the experiment or keeping them unaware of the investigation.

Interviewing:  You can carry out direct conversations with all group members or obtain information from a specific member of the group. It’s better not to rely on the informants as they may interpret the data according to their perception rather than delivering in its actual context. 

Archival Research:  You can also use existing information stored in the previous researchers’ records to proceed with your research.

It becomes difficult to gather and record the information at the same time. 

What should you do in this situation?

You can maintain a notepad to record your observation immediately or sometimes wait until you leave the setting to record your observation. It’s better to note down your observations as soon as possible before you forget them and struggle to recall them. You can write down your field notes or record the people’s audios or videos while talking to them.

Your notes should include the following features:

Running/Field Notes:  these are the observations that you note down daily. The idea is to record your observation immediately after observing it. It would help if you observed the individual activities of the group members and perspectives.

How to describe Ethnographic Research?

Ethnographic research involves immersing in a community or culture to understand its nuances. Researchers observe, participate, and interview to grasp social practices, beliefs, and behaviors. It provides rich insights into how people experience and interpret their world.

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Human Relations Area Files

Cultural information for education and research, ethnographic and ethnological research project.

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View exercise overview

Ryan o. begley, human relations area files, powerpoint 1 powerpoint 2 powerpoint 3 powerpoint 4 powerpoint 5, anthropology 351 | cultures of the world research project (220 points total).

This is a three-part research project that involves choosing a cultural behavior and comparing it across three cultures: choosing two nonlocal cultures in which to read about the behavior and a third local culture in which to study it in-person.

Part A. Research Proposal: Due to Moodle by the start of class on October 22 nd .

Part B. Research Report: Due to Moodle by the start of class on December 3 rd .

Part C. Presentation: Due to Moodle by [TBA] .

Part A. Research Proposal (70 points)

Due to Moodle by the start of class on October 22 nd .

Part A involves performing background research on a cultural behavior as it exists in two nonlocal cultures and using what was learned to propose a plan for studying it in the field.

Topic Selection [“What is my project going to be about?”]. Select a cultural behavior to be the topic of your research project. The behavior must fit the description of an “Outline of Cultural Materials” (OCM) subject code. A list of codes and descriptions can be found on eHRAF World Cultures (under “Browse Subjects”) and via: https://hraf.yale.edu/resources/reference/outline-of-cultural-materials/ . Choose from the 180-890 OCM code range.

Research Question [“What is the most important/interesting question I have about this topic?”]. Develop a research question about the topic that you could answer with your research project. It is okay if the question changes based on what you read about the behavior (see below); there will be time to use what you learn to refine the question before submitting the proposal.

Text-Based Research. Read a scholarly or news article on your topic and use eHRAF World Cultures to read about specific examples of the behavior in two cultures.

a. Article. Find and read an article on the chosen topic: either a peer-reviewed journal article or a news or magazine article from a legitimate media or educational outlet. The idea is to choose an article that will allow you to learn (more) about the topic in general rather than as it exists in a given culture. It might provide a history of the topic, or make an argument about it, or offer an explanation of it. It must be at least 2500 words long.

b. HRAF Documents. Choose two nonlocal cultures from different continents in which to read about the behavior using eHRAF World Cultures . A simplified list of HRAF cultures with photographs is posted on Moodle (see “Cultures-in-eHRAF-7-23-19.pdf”) and a more detailed list can be found at https://hraf.yale.edu/products/ehraf-world-cultures/cultures-covered/ . There should be at least 25 pages of reading per culture (could be from a longer single source or multiple sources with shorter descriptions). Note that each culture has a document called “Culture Summary: [Name of Culture]”; while useful to read, culture summaries are not primary sources and thus cannot be used for this part of the project. Be sure to take notes and paste useful information (along with citations) into a Word document.

Structure of the Submitted Proposal

Write-up a research proposal that contains the following items:

• Overview of Topic (5 points/at least 150 words). Introduce the chosen cultural behavior and discuss why you are interested in it.
• Research Question (5 points) . State a research question about the behavior to be answered in the research report ( Part B ). Explain why it is an important or interesting question to pursue.
• a. Article (10 points/at least 150 words) . Summarize the main point(s) of the article and explain how this information will be useful to your project.
• b . Culture Wikis (30 points/at least 250 words per culture). Write a Wikipedia section for each of the two chosen HRAF cultures that provides a description of the behavior in each. Cite the information with the HRAF source(s). Sections do not need to be posted to Wikipedia, but those who do (and do a good job with it) could earn up to 10 bonus points.
• Local Culture Selection (5 points/at least 125 words). Describe the culture/subculture/way that you chose and explain why you chose it.
• Participant Observation Plan (5 points/at least 125 words). Describe at least one context in which you could do participant observation related to the research topic and explain how doing so would help answer the research question.
• Interview Plan (5 points/at least 125 words). Describe at least one member of the culture/subculture/way of life that you could interview about the research topic and explain how doing so would help answer the research question.
• References and Formatting (5 points). Include in-text citations and a reference list for all quoted and unquoted material referenced for this proposal. Format citations in the entire assignment according one of the following formal citation styles:

American Psychological Association (APA)

Chicago Manual of Style (CMOS)

Modern Language Association (MLA)

Cultural Behavior/Topic: Tattoos

Research Question: Do people from different cultures get tattoos for the same reasons? Article: Reading an article on the history and function of tattoos from Smithsonian Magazine . HRAF Documents: Reading ethnographic descriptions of the reasons people get tattoos amongst the Maori (OZ04) [1] and the Central Thai (AO07) [2] . Local Culture Selection: The tattoo subculture in Huntingdon, Pennsylvania. Interview Plan: A person with tattoos. Participant Observation Plan: Making observations at a tattoo parlor while getting a tattoo.

eHRAF World Cultures: http://ehrafworldcultures.yale.edu/ehrafe/

A “how-to” help guide is available in .pdf form on Moodle (see “HRAF-User-Guide-v1”) or online as a searchable index . You may also refer the video tutorials posted on the Human Relations Area Files YouTube channel .

Part B. Research Report (100 points)

Due to Moodle by the start of class on December 3 rd .

Part B involves conducting ethnographic research on the behavior in local culture and writing a report that describes the fieldwork and compares the behavior across all three cultures.

Conduct a participant observation and an interview related to the research topic as proposed in Part A .

Interview. Make a list of ten semi-structured interview questions and at least five follow-up questions or probes (each of these should be attached to a specific question). Base these questions on what you learned from the article and HRAF readings from Part A and any prior knowledge that you have about the topic. Design the interview to elicit responses that help develop an answer to your research question and be sure to follow the guidelines given in class. Audio record the interview using a voice recording app (e.g., Voice Memos on iOS) and obtain oral consent at the beginning of the interview. Submit the audio file(s) and a document with the interview questions to Moodle as separate files.

Participant Observation. Follow the plan from Part A and conduct the proposed participant observation. Remember that cultural anthropologists use this method both to discover the emic perspective and to develop the etic perspective—to discover “what it is like” and to explain “why it is like that”. This involves taking in your surroundings with each of your senses and engaging with both body and mind. But it also involves remaining objective in your role as a researcher and focusing on that which is applicable to answering your research question.

Research Report

After completing your fieldwork, write a report that describes the behavior in each culture and compares it across all three in order to answer the research question. Use information sourced from the readings and t data collected in the field to support this answer. There is not enough space to include everything that was learned during the research process. Rather, the goal is to distill all of the information into a few key themes most relevant to answering the research question, focusing on the most interesting and best-supported aspects of the research.

• Introduction (5 points/at least 150 words) . Introduce the research topic to an imagined reader who is unfamiliar with it and the research question to be explored in the report. Offer some insight into what led to this topic and question.
• Background Information (10 points/at least 500 words) . Provide information on the topic based on what you learned from the readings in Part A . Feel free to reuse relevant written material from Part A but be sure to focus on information applicable to the research question.
• 3a. Description of Culture ( 5 points/at least 150 words). Describe the culture and field site. Explain why these were chosen to answer the research question.
• 3b. Description of Interview (15 points/at least 350 words) . Describe the interview and summarize the main takeaways (in paragraph form). Do not list the interview questions.
• 3c. Description of Participant Observation (15 points/at least 350 words) . Describe what was done for the participant observation and summarize the main information learned.
• Discussion (40 points/at least 750 words) . Write a detailed analysis that compares the behavior across all three cultures using at least two relevant concepts defined in the readings from Part A and/or covered in course lectures. Use specific examples from the HRAF readings and your fieldwork to build towards and illustrate an answer to your research question.
• Conclusion (5 points/at least 150 words). Conclude the report by answering the research question. Explain your conclusion and support it with the most compelling reasons mentioned in the Discussion section.
• References and Formatting (5 points). Include in-text citations and a reference list for all quoted and unquoted material referenced for this report. Format the entire assignment according the formal citation styles used in Part A .

Grading Rubric

Part c. presentation (50 points).

Due to Moodle by 11:59 PM on the night before the scheduled presentation date [TBA] .

You are expected to give a 15-20-minute in-class PowerPoint Presentation based on Part B and should follow the same basic structure. The idea behind these presentations is to simulate the kind of talks scholars give before their peers at academic conferences. Submit the .ppt file to Moodle by the deadline and also bring a digital copy of it to class on a USB flash drive.

Structure of Presentation

• Introduction (2.5 points/1-2 minutes). Introduce the research topic to the class and the research question to be explored in the presentation.
• Background Information (7.5 points/2-3 minutes). Provide information on the topic based on what you learned from the readings.
• Methods and Results (7.5 points/4-5 minutes). This section should correspond to the Methods section of Part B .
• Discussion (20 points/5-6 minutes). This section should correspond to the Discussion section of Part B .
• Conclusion (2.5 points/1 minute). This section should correspond to Conclusion section of Part B .
• References and Formatting (2.5 points). Include in-text citations and a references list (at the end of the presentation) for all quoted and unquoted material referenced for this report. Format the presentation according the formal citation styles used in Part A and Part B .
• Q&A (2.5 points/2-3 minutes). Students in the audience should be prepared to ask questions and presenters should be prepared to answer them.
• Visuals (2.5 points). The presentation should contain photographs and other relevant visuals related to the topic and the three cultures.
• Exam Question (2.5 points). Write a multiple-choice question (four choices) based on your presentation and submit it on Moodle as a separate file. It might be included in Exam 3.
• Audio and/or Video Component [optional]. You may play a standalone audio and/or video clip during your presentation. Clips must not last more than ¼ of the total presentation time.

Note: Students will be notified of any changes made to these criteria.

[1] e.g., pp. 296-325 in Buck, P. H. (1952).  Coming of the Maori . Retrieved from https://ehrafworldcultures.yale.edu/document?id=oz04-003

[2] e.g., pp. 83-94 in Terwiel, B. J. (1975). Monks and Magic: An Analysis of Religious Ceremonies in Central Thailand . Retrieved from https://ehrafworldcultures.yale.edu/document?id=ao07-019

Ryan O. Begley

3- Proposing the Ethnographic Research Project

Chapter 3 provides basic information regarding the writing of a proposal for an ethnographic research project.

Ask the average college student where they usually conduct research and chances are the answers will be the internet and, maybe, the library.  Research understood this way is usually going to be secondary research, research that results in the gathering, summarizing and assessing of data that already exists.  It is most likely that most of the research you have conducted to date would be classified as secondary.  But, it’s also possible that you have some experience with primary research. Have you ever conducted an interview?  Have you ever designed and/or administered a survey? These sorts of actions are categorized as primary research, research that involves direct collection of data from real world interactions.

An ethnographic writing project is one that requires the melding of both primary and secondary research.  And, while secondary research is of definite importance, it is the primary research that serves to classify the kinds of projects discussed in this text as ethnographic in character.  In the case of an ethnographic research project, primary research will take place at a specific research site, one of your own choosing.  This chapter focuses on primary research by assisting you in choosing a research site, a first step in this process.  Chapter 4 focuses on the process of creating primary data—of converting observations made into fieldnotes.  Your fieldnotes will, in time, be analyzed and examined for patterns of meaning and behavior, patterns that may be the focus of a larger ethnographic essay. Chapter 5 outlines the process of collecting secondary resources in order to help you better understand and analyze your primary research data.

But, we’re getting ahead of ourselves.  In order to begin primary research, you must first select a research site.  But, even before you choose a research site, it’s a good idea for you to consider the primary object of focus for ethnographic research—the cultural text.

Table of Contents

• Introduction
• 1a- Connecting to Ethnographic Writing
• 1b- Identifying with Ethnographic Writing
• 1c- Rhetorical Strate­gies for Ethnographic Writing
• 2a- Writerly Ethos
• 2b- Under­stand­ing Pla­gia­rism
• 2c- Eth­i­cal Conun­drums in Com­munity Research
• 3a- Examining Culture as Text
• 3b- Selecting a Research Site
• 3c- Access to Your Research Site
• 3d- Rhetorical Strategies for Research Proposals
• 4a- Rhetorical Strategies for Writing Observations
• 4b- Considering Types of Fieldnotes
• 4c- Expanding and Revising Fieldnotes and Observations
• 5a- Searching for Sources: Keywords, Databases, Catalogs, and Shelves
• 5b- Ethical Considerations when Conducting Research of Secondary Sources
• 5c- Impact of Technology on Conducting Research of Secondary Sources
• 5d- Sorting Sources and Eating Books
• 5e- Popular Culture Source Material
• 5f- Summarizing Sources
• 5g- Building an Annotated Bibliography
• 6a- Introducing your Research
• 6b- Presenting the Methodology and Focus
• 6c- Selecting Examples and Evidence
• 6d- Selecting Effective Secondary Source Evidence
• 6e- Quoting, Paraphrasing, and Documenting Source Material
• 6f- Concluding in a Meaningful Way
• 6g- Reviewing and Revising Your Essay
• Supplemental Modules
• How to Use this Textbook
• Teaching with EC
• How to Become a Contributing Author

What is Ethnographic Research? Definition, Methods, Examples

Appinio Research · 05.01.2024 · 38min read

Ever wondered how researchers immerse themselves in the intricacies of different cultures, communities, and human behaviors to uncover profound insights? In ethnographic research, the quest to understand the richness of human experience takes center stage. This guide will unravel the techniques, challenges, and transformative potential of ethnographic research. From delving into the foundations of this captivating methodology to exploring real-world applications, we'll journey through the captivating world of ethnography, offering you a passport to an in-depth understanding of people, societies, and the intricate tapestry of their lives.

What is Ethnographic Research?

Ethnographic research is a qualitative research method that seeks to understand and interpret the social and cultural behaviors, practices, and beliefs of individuals or groups within their natural context. Unlike other research approaches, ethnography emphasizes immersion in the research setting, allowing researchers to observe and interact with participants to gain deep insights into their lives. It is a holistic and participant-focused approach that aims to uncover the underlying meanings and significance of cultural phenomena.

The primary purpose of ethnographic research is to explore and describe the complexities of human behavior, culture, and society. This research method allows researchers to:

• Gain In-Depth Understanding : Ethnography enables researchers to immerse themselves in the lives of participants, gaining a profound understanding of their experiences, perspectives, and worldviews.
• Contextualize Behavior : By observing and interacting with individuals or groups within their natural settings, ethnographers can contextualize behavior and cultural practices, understanding why and how they occur.
• Uncover Hidden Insights : Ethnographic research often uncovers insights that may be hidden from traditional research methods. It sheds light on the nuances, contradictions, and subtleties of human behavior and culture.
• Inform Decision-Making : Findings from ethnographic studies can inform decision-making processes in various fields, such as education, healthcare, marketing, and community development. This research method provides practical insights that can drive positive change.
• Challenge Assumptions : Ethnography challenges preconceived notions and stereotypes, promoting a more nuanced and empathetic understanding of diverse cultures and societies.

Historical Context and Development

Ethnographic research has deep historical roots, dating back to the late 19th century when anthropologists and sociologists began conducting fieldwork among various cultures and societies. Pioneers like Bronisław Malinowski and Franz Boas played instrumental roles in shaping the discipline.

Over the years, ethnographic research has evolved and diversified. While its early focus was primarily on remote and non-Western societies, contemporary ethnographers explore various settings, including urban environments, workplaces, educational institutions, and healthcare facilities.

The development of ethnography has also been influenced by technological advances, allowing for new data collection and analysis methods. Ethnographers now have access to digital tools, audiovisual recording devices, and qualitative analysis software, enhancing the depth and breadth of their research.

Importance of Ethnographic Research

Ethnographic research holds immense importance in today's interconnected and multicultural world. Its significance lies in its ability to:

• Bridge Cultural Gaps : Ethnography fosters cross-cultural understanding by enabling researchers to immerse themselves in the lived experiences of others, transcending cultural barriers.
• Inform Policy and Practice : Findings from ethnographic studies inform the development of policies, interventions, and practices that are culturally sensitive and effective.
• Humanize Research : Ethnography humanizes research by focusing on the stories, voices, and perspectives of individuals, making research more relatable and impactful.
• Challenge Stereotypes : It challenges stereotypes and assumptions, promoting a more inclusive and respectful appreciation of diverse cultures and societies.
• Enhance Empathy : Ethnographic research cultivates empathy by encouraging researchers to see the world through the eyes of their participants, fostering a deeper connection and understanding of the human experience.

As we delve deeper into the world of ethnographic research, these foundational concepts, historical context, and the significance of this research method will serve as a solid framework for our exploration of its techniques, applications, and impact.

How to Prepare for Ethnographic Research?

Ethnographic research is a journey of discovery that begins long before you step into the field. Proper preparation is vital to ensure the success of your study. Let's delve into the essential aspects of preparation.

Research Planning and Objectives

Before embarking on your ethnographic research, you must clearly define your research objectives. Ask yourself what you hope to achieve through this study. Are you seeking to gain insights into consumer behavior, understand the dynamics of a particular community, or explore cultural practices within an organization? Your objectives will guide your research design and methodology.

To set effective objectives:

• Start with a clear and concise statement of what you want to learn.
• Ensure your objectives are specific, measurable, achievable, relevant, and time-bound (SMART).
• Consider the practical implications of your research and its potential impact on your field or industry.

Selection of Study Population

Choosing the right study population is a critical decision that will shape the trajectory of your ethnographic research. The demographics, location, and characteristics of your participants should align with your research objectives.

• Demographics : Who are the people you want to study? Consider factors such as age, gender, socio-economic status, and cultural background.
• Location : Where will you conduct your research? Is it a specific geographic area, an online community, or a workplace?
• Characteristics : What unique qualities or experiences do your participants possess that are relevant to your study?

Your study population is the lens through which you will observe and understand the world you are researching, so choose wisely.

Data Collection Methods and Tools

Ethnographic research relies on a variety of data collection methods to capture the richness of human experiences and behaviors. Familiarize yourself with these methods and select the ones that best align with your research objectives. Some standard methods include:

• Participant Observation : Immerse yourself in the community or setting you are studying, actively participating and recording your observations.
• In-depth Interviews : Conduct open-ended interviews to gather personal narratives and insights from participants.
• Focus Groups : Bring together a small group of participants to engage in discussions about specific topics, revealing group dynamics and shared beliefs.
• Surveys and Questionnaires : Use structured surveys to collect quantitative data alongside qualitative findings, allowing for broader insights.

Choosing the correct data collection methods and tools is essential for capturing the depth and breadth of your research subject. Each method has its strengths and limitations, so consider a mix of approaches to obtain a comprehensive view.

Ethical Considerations in Ethnographic Research

Ethical integrity is at the core of ethnographic research. As you immerse yourself in the lives and experiences of others, it's essential to uphold ethical principles and protect the well-being and rights of your participants.

• Informed Consent : Obtain informed consent from participants, ensuring they understand the purpose, scope, and potential consequences of the research.
• Anonymity and Confidentiality : Safeguard the identities and sensitive information of participants, using pseudonyms if necessary.
• Respect for Cultural Sensitivity : Be culturally sensitive and aware of potential biases when conducting research in diverse communities or settings.
• Balancing Observation and Intervention : Strive for a balance between observing and intervening, ensuring your presence does not harm or disrupt the environment.

Ethical dilemmas can arise during ethnographic research, and addressing them transparently and responsibly is essential. Seek guidance from ethical review boards or colleagues when faced with complex ethical decisions. Your commitment to ethical conduct will enhance the credibility and impact of your research.

With these essential preparations in place, you are ready to embark on your ethnographic research journey with confidence and purpose.

How to Conduct Ethnographic Research?

Now that you've laid the groundwork in preparation, it's time to delve into the heart of ethnographic research: data collection and analysis. We will explore the various methods used to gather insights into the world you are studying.

Participant Observation

Participant observation is a hallmark of ethnographic research, where you become an active participant in the community or setting you are studying. It involves immersing yourself in the culture and environment, actively engaging with the people and events.

• Engage and Build Rapport : Establish trust and build relationships with the participants. Engage in conversations and activities to gain access to their perspectives.
• Taking Field Notes : Document your observations, experiences, and interactions meticulously. Keep a field journal to record your thoughts, emotions, and key events.
• Participate and Reflect : Actively participate in the community's activities while reflecting on your experiences. Be mindful of your role as an observer and its potential impact on the environment.
• Maintain Objectivity : Strive to maintain objectivity while acknowledging your own biases and perspectives. Balance immersion with the critical distance necessary for analysis.

In-depth Interviews

In-depth interviews provide a window into individual experiences and perspectives. They offer a deeper understanding of specific aspects of your research subject. To conduct effective in-depth interviews:

• Develop Open-ended Questions : Craft questions encouraging participants to share their stories, experiences, and insights. Avoid leading or closed-ended questions.
• Active Listening : Be an active listener, allowing participants to express themselves fully. Show empathy and curiosity to elicit rich responses.
• Establish Trust : Create a comfortable and non-judgmental environment. Assure participants of confidentiality and their right to withdraw from the interview at any time.
• Sampling Diversity : Consider diversity in your interviewee selection to capture a range of perspectives and experiences within the community or setting.

Focus Groups

Focus groups are a valuable method for understanding group dynamics, shared beliefs, and diverse opinions within a community or setting.

• Define Clear Objectives : Specify the goals of the focus group and the topics to be discussed. Ensure participants understand the purpose of the discussion.
• Moderation Skills : Be an effective moderator, guiding the conversation while allowing participants to interact freely. Encourage open dialogue and diverse viewpoints.
• Small and Diverse Groups : Keep focus groups small (typically 6-10 participants) and diverse to stimulate discussions and explore varying perspectives.
• Record and Analyze : Record focus group discussions and transcribe them for analysis. Identify common themes, disagreements, and emerging ideas.

Surveys and Questionnaires

Surveys and questionnaires can complement qualitative data with quantitative insights, allowing for a broader understanding of your research subject. To use surveys effectively:

• Design with Clarity : Craft clear and concise questions. Ensure survey items are free from ambiguity and bias. Pilot-test the survey to identify any issues.
• Sampling Strategy : Define your target audience and select a representative sample. Consider using random or stratified sampling techniques to minimize bias.
• Data Analysis : Use statistical tools to analyze survey data. Identify trends, correlations, and patterns that can enhance your qualitative findings.

Data Recording and Analysis

Accurate data recording and thorough analysis are essential to extract meaningful insights from your ethnographic research.

• Organized Data Collection : Maintain well-organized records of your data, including field notes, interview transcripts, and survey responses. Use digital tools to assist with data management.
• Thematic Coding : Employ thematic coding to categorize and organize qualitative data. Identify recurring themes, patterns, and concepts within your data.
• Narrative Analysis : Dive into the narratives and stories within your data. Explore the cultural context and underlying meanings embedded in the narratives.
• Triangulation : Consider using multiple data sources and methods to enhance the credibility and validity of your findings. Triangulation involves cross-referencing information to ensure accuracy.
• Iterative Process : Data analysis is often an iterative process. Continuously revisit your research questions and objectives as you delve deeper into your findings.

In ethnographic research, data collection and analysis are the tools that help you uncover the hidden layers of culture, behavior, and society. Remember that each method has its strengths and limitations, so choose and adapt your approach based on your research goals and the nature of your study population.

Data Analysis in Ethnographic Research

Once you've gathered a wealth of ethnographic data, the next crucial step is to analyze it effectively. Let's examine the various methods and tools used to make sense of the rich qualitative data you've collected.

Thematic Coding

Thematic coding is a systematic approach to organizing and categorizing qualitative data. It helps you identify recurring themes, patterns, and concepts within your data.

• Data Familiarization : Begin by thoroughly familiarizing yourself with your data—this may include field notes, interview transcripts, and survey responses.
• Code Development : Create a set of codes or keywords representing key ideas, concepts, or themes in your data. These codes serve as labels for different aspects of your data.
• Coding Process : Go through your data systematically, assigning relevant codes to specific portions of text or data points. Be consistent in your coding approach.
• Coding Software : Consider using qualitative data analysis software like NVivo or MAXQDA to streamline the coding process and manage large datasets.
• Theme Emergence : As you code, pay attention to emerging themes and patterns. These may be unexpected and can lead to deeper insights.
• Data Reduction : Once coding is complete, summarize and condense the data under each code. This helps in the later stages of analysis.
• Cross-referencing : Cross-reference coded data to see how themes relate to one another. This can reveal complex relationships within your data.

Thematic coding is a powerful tool for identifying the core ideas and concepts that emerge from your ethnographic research. It provides a structured framework for further analysis.

Narrative Analysis

Narrative analysis focuses on the stories and narratives within your ethnographic data. It delves into the cultural context and underlying meanings embedded in the narratives.

• Story Identification : Identify the narratives or stories within your data. Look for personal experiences, anecdotes, and accounts that reveal cultural insights.
• Contextualization : Understand the cultural, social, and historical context in which the narratives are situated. This context provides crucial insights into the meaning of the stories.
• Character Analysis : Analyze the characters within the narratives, their roles, and their relationships. Pay attention to how they shape the narrative.
• Plot and Structure : Examine the narrative structure, including the beginning, middle, and end. Identify any patterns or shifts in the storytelling.
• Themes and Motifs : Identify recurring themes, motifs, or symbols within the narratives. These elements often carry cultural significance.
• Interpretation : Interpret the narratives by considering the cultural norms, values, and ideologies embedded in the stories. Analyze the implications of these narratives for your research.

Narrative analysis allows you to dig deep into the storytelling aspect of your data, uncovering the cultural narratives that shape the experiences and perspectives of your participants.

Comparative Analysis

Comparative analysis involves comparing different cases or groups within your ethnographic study. This method can highlight variations and similarities, shedding light on significant trends.

• Case Selection : Select specific cases or groups within your study that you intend to compare. Ensure these cases are relevant to your research objectives.
• Data Comparison : Compare data from different cases or groups systematically. Look for patterns, differences, and commonalities in their behaviors, experiences, or beliefs.
• Pattern Recognition : Identify recurring patterns and themes that emerge through comparison. These patterns may relate to cultural practices, behaviors, or attitudes.
• Contextual Understanding : Consider the context in which each case or group operates. Understanding the unique context is crucial for accurate interpretation.
• Cross-case Analysis : Conduct a cross-case analysis to draw meaningful conclusions about the overarching themes or trends in your data.

Comparative analysis allows you to gain a broader perspective on your research subject by examining how different contexts or groups influence the phenomena you're studying.

Qualitative Data Software

Qualitative data analysis software is valuable for managing and analyzing ethnographic data, particularly when dealing with large datasets. These software programs, such as NVivo, MAXQDA, and Dedoose, offer several advantages:

• Data Management : Store and organize your data in a structured manner, making it easy to locate and retrieve specific information.
• Efficient Coding : Streamline the coding process by using features that allow you to tag and categorize data quickly.
• Cross-referencing : Easily cross-reference coded data, facilitating in-depth analysis and exploration of relationships.
• Visualization Tools : Create visual representations of your data, such as charts and graphs, to aid in data interpretation and presentation.
• Collaboration : Collaborate with other researchers by sharing your data and analysis within the software platform.
• Project Documentation : Keep track of your research process, coding decisions, and analysis notes within the software, ensuring transparency and reproducibility.

Using qualitative data software can save you time and enhance the rigor of your ethnographic data analysis. It offers a user-friendly interface and various features tailored to the needs of qualitative researchers.

With these tools and techniques at your disposal, you can confidently embark on the journey of data analysis in ethnographic research, unraveling the intricate tapestry of insights hidden within your qualitative data. Remember that the depth of your analysis will determine the richness of the stories you uncover.

How to Report Ethnographic Findings?

Having conducted your ethnographic research and analyzed the data, the next critical step is to communicate your findings effectively. Here are some strategies and techniques for reporting and presenting ethnographic insights.

Writing Ethnographic Research Reports

Writing a well-structured and comprehensive research report is essential for conveying the depth and significance of your ethnographic findings. To craft an impactful ethnographic research report:

• Clear Structure : Begin with an introduction that sets the stage for your research. Provide a clear statement of your objectives and research questions. Outline the structure of your report.
• Detailed Methodology : Describe your research methodology in detail, including data collection methods, participant selection, and ethical considerations. Transparency is key.
• Rich Description : Present your findings using rich descriptions, incorporating quotes, anecdotes, and narratives to illustrate key points. Paint a vivid picture of the cultural and social context.
• Thematic Presentation : Organize your report thematically, presenting key themes and patterns that emerged from your data. Use clear headings and subheadings to guide the reader.
• Interpretation and Analysis : Offer thoughtful interpretation and analysis of the themes, connecting them to your research objectives. Discuss the implications of your findings.
• Visual Aids : Supplement your text with visuals such as photographs, charts, and graphs where appropriate. Visual aids can enhance understanding and engagement.
• Recommendations : Provide practical recommendations or insights that can be applied in relevant fields, whether it's marketing, healthcare, education, or community development.
• Conclusion : Summarize your key findings and their significance. Highlight the contributions of your research and suggest avenues for future studies.
• Citations and References : Ensure proper citation of sources and references. Use a consistent citation style (e.g., APA, MLA) throughout your report.
• Appendices : Include any supplementary materials, such as interview transcripts, in an appendix for those who wish to delve deeper into your data.

Writing an ethnographic research report is not just about presenting facts; it's about telling a compelling and informative story that captures the essence of your research subject.

Visual Presentation of Data

In addition to a written report, visual presentation of data can be a powerful way to convey your ethnographic findings. Visuals can make complex information more accessible and engaging.

• Charts and Graphs : Use charts and graphs to illustrate quantitative data or show trends and comparisons. Bar charts, pie charts, and line graphs are commonly used for this purpose.
• Photographs and Images : Include relevant pictures and images that provide visual context to your findings. Ensure proper permissions and ethical considerations for using participant photos.
• Infographics : Create infographics that condense key information into visually appealing and easy-to-understand formats. Infographics can be particularly useful for summarizing complex data.
• Maps : If your research involves geographic elements, use maps to visually represent locations and spatial relationships. Geographic information systems (GIS) can assist in creating informative maps.
• Flowcharts and Diagrams : Utilize flowcharts and diagrams to illustrate processes, workflows, or relationships within your research subject.
• Visual Consistency : Maintain a consistent visual style throughout your presentation to enhance readability and professionalism. Use colors, fonts, and formatting consistently.
• Accessibility : Ensure your visual elements are accessible to all audiences, including those with disabilities. Provide alternative text for images and use accessible design principles.
• Captions and Labels : Include clear captions and labels for all visuals to provide context and explanations.

Visual presentation of data can be a powerful supplement to your ethnographic research report, enabling your audience to grasp the essence of your findings at a glance.

Effective Communication of Ethnographic Insights

Effectively communicating ethnographic insights goes beyond the written report and visual aids. It involves engaging with various stakeholders and tailoring your communication to your target audience.

• Know Your Audience : Understand who will be consuming your research findings. Are they academics, business professionals, community members, or policymakers? Tailor your communication to their needs and interests.
• Engage Stakeholders : Actively engage with stakeholders throughout your research process. Involve them in discussions, share preliminary findings, and gather their input.
• Storytelling : Use the power of storytelling to convey your ethnographic insights. Share compelling anecdotes and narratives that resonate with your audience and illustrate key points.
• Visual Presentations : When presenting your findings in person, consider using visual aids like slideshows or posters. Ensure these visuals complement your spoken narrative.
• Interactive Workshops : Organize workshops or interactive sessions to engage your audience actively. Encourage discussions and collaboration to deepen understanding.
• Plain Language : Avoid jargon and academic language. Use plain language that is accessible to a broader audience. Explain technical terms when necessary.
• Feedback and Q&A : Be open to questions and feedback from your audience . Address their inquiries with clarity and patience.
• Actionable Insights : Highlight actionable insights your audience can use in their respective fields or decision-making processes. Emphasize the practical implications of your research.

Effective communication ensures that your ethnographic insights have a meaningful impact and can drive positive change in the areas to which they apply. It bridges the gap between research and real-world application.

In summary, reporting and presenting ethnographic findings is about translating your in-depth research into formats that are accessible, engaging, and relevant to your intended audience. Whether through written reports, visual elements, or interpersonal communication, the goal is to convey the richness of your ethnographic research in a compelling and informative manner.

Ethnographic Research Applications

Ethnographic research is a versatile and robust method that can be applied across various fields and disciplines. We'll delve into some applications of ethnographic research, shedding light on how it can provide valuable insights in diverse areas.

Marketing and Consumer Behavior Studies

Ethnographic research is pivotal in understanding consumer behavior , preferences, and decision-making processes. By immersing researchers in the consumer's world, it uncovers hidden motivations and contextual factors that drive choices. Here's how ethnographic research is applied in marketing:

• Consumer Insights : Ethnography allows marketers to gain deep insights into the daily lives, habits, and aspirations of their target audience. This understanding helps in tailoring products and marketing strategies.
• Observing Purchase Behaviors : Researchers can observe and analyze how consumers behave in real-life shopping situations . This includes tracking shopping patterns, in-store navigation, and product selections.
• Brand Perception : Ethnography uncovers how consumers perceive and interact with brands . It provides insights into brand loyalty, trust, and the emotional connections that drive consumer choices.
• Product Innovation : Ethnographic research can inspire product innovation by identifying unmet needs and opportunities. By witnessing how products fit into consumers' lives, companies can design solutions that truly resonate.
• Market Segmentation : Ethnographic insights enable the creation of more refined market segments based on actual behaviors and lifestyles rather than demographic data alone.

Healthcare and Medical Anthropology

Ethnographic research is instrumental in healthcare and medical anthropology, offering a holistic understanding of health-related practices, patient experiences, and cultural factors influencing health outcomes.

• Patient-Centered Care : Ethnographic studies explore patient perspectives, beliefs, and healthcare-seeking behaviors. This information helps healthcare providers offer patient-centered care that respects cultural norms and values.
• Cultural Competency : Healthcare professionals and policymakers use ethnographic insights to develop cultural competency, ensuring that healthcare services are sensitive to diverse cultural backgrounds.
• Public Health Interventions : Ethnographic research informs the design and implementation of public health interventions. It identifies barriers to health behavior change and effective strategies for outreach.
• Medical Decision-Making : Understanding how patients and families make medical decisions helps medical professionals communicate effectively and provide tailored care plans.
• Healthcare Disparities : Ethnography uncovers disparities in access to healthcare, highlighting social, economic, and cultural factors that impact health outcomes.

Education and Classroom Observations

In education, ethnographic research provides valuable insights into classroom dynamics, teaching methods, and student experiences. It helps educators and researchers improve educational practices.

• Understanding Learning Environments : Ethnography offers a window into the daily experiences of students and teachers in the classroom. Researchers can observe interactions, teaching styles, and learning challenges.
• Curriculum Development : Insights from ethnographic research can inform curriculum development by tailoring educational content to meet the needs and interests of students.
• Teacher-Student Relationships : Ethnography allows for the exploration of teacher-student relationships, identifying factors that enhance or hinder effective teaching and learning.
• Cultural Awareness : Teachers can benefit from ethnographic studies highlighting cultural diversity within classrooms. This awareness helps create inclusive and culturally sensitive teaching practices.
• Policy and Reform : Ethnographic research provides data that informs education policy and reforms. It helps policymakers understand the realities of classrooms and make evidence-based decisions.

Urban Planning and Community Development

Ethnographic research is vital in urban planning and community development initiatives, offering insights into the dynamics of neighborhoods, communities, and urban spaces.

• Community Engagement : Ethnography involves engaging with community members, listening to their concerns, and involving them in the planning process. This participatory approach fosters community buy-in and empowers residents.
• Understanding Neighborhoods : Researchers use ethnographic methods to understand the social, economic, and cultural dynamics of neighborhoods. This knowledge informs urban development projects and revitalization efforts.
• Public Spaces : Ethnography can shed light on how public spaces are used and experienced by residents. It guides the design of parks, plazas, and other community areas.
• Social Services : Ethnographic research helps identify social service needs within communities, allowing for targeted interventions and support programs.
• Cultural Preservation : In culturally diverse urban areas, ethnography assists in preserving and celebrating cultural traditions, languages, and heritage.

Ethnographic research empowers urban planners and community developers to create more vibrant, inclusive, and sustainable urban environments by considering the perspectives and needs of the people who inhabit them.

Ethnographic Research Examples

To truly grasp the power and potential of ethnographic research, let's delve into some compelling real-world examples where this methodology has been employed to gain profound insights and drive impactful decisions.

Example 1: Enhancing User Experience in a Social Media Platform

Research Focus : Improving the user experience (UX) of a popular social media platform.

Methodology : Ethnographers embedded themselves within the platform's user community. They observed how users interacted with the platform, from posting content to engaging with others. In-depth interviews and surveys were conducted to understand user preferences and pain points.

Findings : The ethnographic study revealed that users valued real-time interaction and visual content. However, they felt overwhelmed by the sheer volume of information. Armed with these insights, the platform redesigned its algorithms to prioritize relevant content and introduced features that encouraged more meaningful interactions. As a result, user engagement and satisfaction significantly increased.

Example 2: Transforming Healthcare Delivery in Rural Areas

Research Focus : Improving healthcare delivery in underserved rural communities.

Methodology : Ethnographic researchers spent months immersed in rural healthcare clinics. They observed patient journeys, interactions with healthcare providers, and the challenges faced by both patients and medical staff. In-depth interviews and focus group discussions were conducted with community members.

Findings : The ethnographic study unveiled barriers such as limited access to transportation and healthcare information, which hindered timely medical care. Armed with these insights, healthcare organizations partnered with local transportation providers and launched educational outreach programs. These interventions led to improved healthcare access and better health outcomes for rural residents.

Example 3: Revitalizing an Urban Neighborhood

Research Focus : Revitalizing a declining urban neighborhood.

Methodology : Ethnographic researchers integrated themselves into the neighborhood's fabric, attending community events, engaging with residents, and documenting their daily lives. They also conducted surveys and interviews to understand the aspirations and concerns of residents.

Findings : The ethnographic study highlighted the importance of community pride and a desire for safer public spaces. With these insights, urban planners and community leaders initiated projects to refurbish parks, enhance street lighting, and promote local cultural events. These efforts not only transformed the neighborhood aesthetically but also fostered a sense of belonging and community cohesion.

These real-world examples demonstrate the versatility and impact of ethnographic research in diverse contexts. From digital platforms to healthcare and urban planning, ethnography uncovers hidden truths, informs strategic decisions, and drives positive change. It's a methodology that celebrates the human experience, one immersive observation at a time.

Ethnographic Research Best Practices

To overcome the challenges and maximize the effectiveness of ethnographic research, researchers can follow best practices that have evolved over time. These practices are instrumental in ensuring the quality and rigor of ethnographic studies.

• Clear Research Objectives : Begin with well-defined research objectives and questions to guide your study.
• Participant Observation : Immerse yourself in the research setting, actively engaging with participants and gaining their trust.
• Triangulation : Use multiple data sources and methods to enhance the reliability and validity of your findings.
• Ethical Considerations : Prioritize ethical conduct, obtain informed consent, and protect the privacy and dignity of participants.
• Continuous Reflexivity : Reflect on your role as a researcher and your potential biases throughout the research process.
• Transparency : Document your research methods, decisions, and any changes made during the study to ensure transparency and replicability.
• Member Checking : Consider involving participants in the research process by sharing findings with them and seeking their input.
• Pilot Testing : Pilot-test your data collection instruments and methods to identify and address potential issues.
• Data Management : Organize and manage your data systematically, using qualitative analysis software if needed.
• Collaboration : Collaborate with colleagues and seek peer feedback to enhance the quality of your research.
• Contextualization : Always place your findings in the broader cultural, social, and historical context to enhance their meaning and significance.
• Interdisciplinary Approach : Consider drawing from other disciplines and approaches to enrich your ethnographic research.

By adhering to these best practices, ethnographic researchers can navigate challenges and ensure the integrity and impact of their studies. Ethnography remains a dynamic and adaptable research method that continues to evolve and adapt to the complexities of the modern world.

Ethnographic Research Challenges and Limitations

While ethnographic research offers invaluable insights, it also presents unique challenges and limitations researchers must navigate. Understanding these challenges is essential to conduct ethnographic research effectively.

• Time-Intensive : Ethnographic research can be time-consuming, requiring extended periods of immersion and data collection. Researchers must commit to long-term fieldwork.
• Resource Demands : Conducting ethnography often demands significant resources, including funding, research assistants, and access to the research site.
• Subjectivity : The researcher's presence and subjectivity can influence the data collected. It's essential to acknowledge and manage biases and maintain objectivity.
• Access and Trust : Gaining access to certain communities or settings may be challenging, and building trust with participants can take time.
• Ethical Dilemmas : Ethnographic research may present ethical dilemmas, especially when observing sensitive or vulnerable populations. Researchers must navigate these ethical complexities.
• Generalizability : Ethnographic findings are often context-specific and may not be easily generalized to broader populations. Researchers must be cautious about overgeneralization.
• Limited Sample Size : Due to the intensive nature of ethnography, sample sizes tend to be small. This limits the statistical power of the research.
• Data Management : Managing and analyzing qualitative data from ethnographic research can be complex, requiring specialized skills and tools.
• Researcher Fatigue : Prolonged fieldwork can lead to researcher fatigue, potentially affecting the quality of data collected.
• Interpretation Challenges : Interpreting ethnographic data can be challenging, as it often involves qualitative analysis that may be open to multiple interpretations.

Conclusion for Ethnographic Research

Ethnographic research serves as a powerful compass for exploring human cultures, behaviors, and societies. It enables researchers to step into the shoes of those they study, uncovering hidden stories and perspectives that might otherwise remain concealed. By embracing the principles and best practices outlined in this guide, you too can embark on journeys of discovery, fostering a deeper appreciation for the diverse world we inhabit. Ethnography is not merely a research method; it is a bridge that connects researchers to the lived experiences of others. It empowers us to break down barriers, foster empathy, and drive positive change in a multitude of fields. So, whether you are a student, a professional, or a curious explorer of the human condition, remember that ethnographic research offers a profound lens through which to view and understand the world around us. Embrace the journey, and may your ethnographic endeavors yield meaningful insights and lasting impacts.

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130 Ethnographic Essay Topic Ideas & Examples

Inside This Article

Ethnographic research is a method used by anthropologists and sociologists to study and understand different cultures and societies. This type of research involves immersing oneself in the culture being studied, participating in everyday activities, and observing social interactions. Ethnographic essays are written based on this research, providing a detailed and in-depth analysis of a particular culture or community. If you are looking for inspiration for your ethnographic essay, here are 130 topic ideas and examples to consider:

• The impact of globalization on a remote indigenous community
• Gender roles in a traditional African tribe
• Rituals and ceremonies in a Mexican village
• Youth culture in urban Japan
• Food traditions in a Middle Eastern country
• Religious practices in a Hindu temple
• Family dynamics in a Hispanic immigrant community
• Education system in a rural African village
• Healthcare practices in a Native American tribe
• Social hierarchy in a Southeast Asian society
• Dating and courtship rituals in a European country
• Art and music in a Caribbean island
• Traditional healing methods in an Aboriginal community
• Political activism in a South American country
• LGBTQ+ rights in a Middle Eastern society
• Indigenous land rights in Australia
• Community festivals in a European city
• Language preservation in an African tribe
• Traditional crafts in a Southeast Asian village
• Environmental conservation practices in a Pacific island
• Indigenous storytelling traditions in North America
• Street food culture in a South Asian city
• Marriage customs in a Middle Eastern country
• Urban migration in a Latin American city
• Traditional dance forms in an African country
• Social media use in a Western society
• Traditional clothing in a South Asian culture
• Teenage subcultures in a European city
• Aging population in a developed country
• Indigenous governance in a Pacific island nation
• Homelessness in a North American city
• Gender equality in a Scandinavian country
• Cultural assimilation in an immigrant community
• Folklore and mythology in an Asian country
• Climate change adaptation in a coastal community
• Music festivals in a Western country
• Indigenous resistance movements in a Latin American country
• Traditional farming practices in an African village
• Youth activism in a Southeast Asian society
• Cultural appropriation in a Western society
• Traditional medicine in an Asian country
• Community policing in a Caribbean island
• Dance clubs in a European city
• Gender identity in a South American culture
• Traditional architecture in a Middle Eastern city
• Street art in a North American city
• Indigenous languages in a Pacific island nation
• Social welfare programs in a Scandinavian country
• Refugee integration in a European country
• Youth unemployment in a developing country
• Indigenous art forms in an African tribe
• LGBTQ+ representation in a South Asian society
• Urban planning in a Middle Eastern city
• Environmental activism in a Pacific island nation
• Indigenous rights movements in Australia
• Traditional music in a Caribbean island
• Social media influencers in a Western society
• Traditional healing practices in an Asian country
• Community gardens in a Latin American city
• Gender-based violence in a Southeast Asian society
• Cultural heritage preservation in a European city
• Traditional clothing in a North American indigenous community
• Peer pressure in a Western high school
• Indigenous storytelling traditions in a Pacific island nation
• Urban gentrification in a Scandinavian city
• Refugee camps in a Middle Eastern country
• Indigenous land disputes in a South American country
• Traditional dance forms in an African village
• Social media activism in a Western society
• Gender roles in a South Asian family
• Traditional crafts in a Caribbean island
• Cultural diversity in a European city
• Youth empowerment programs in a Latin American country
• Indigenous education initiatives in Australia
• Traditional music in a Southeast Asian village
• Gender equality in a Pacific island nation
• Community policing in a North American city
• LGBTQ+ representation in a Scandinavian society
• Traditional medicine in an African tribe
• Climate change adaptation in a South American community
• Music festivals in a Middle Eastern country
• Indigenous resistance movements in an Asian country
• Traditional farming practices in a Pacific island nation
• Youth activism in a European city
• Cultural assimilation in a North American immigrant community
• Folklore and mythology in a South Asian culture
• Street food culture in a Latin American city
• Marriage customs in a Caribbean island
• Indigenous governance in a Western society
• Homelessness in an African village
• Gender equality in a Southeast Asian

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Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review

Georgia b. black.

Department of Applied Health Research, UCL, London, UK

Sandra van Os

Samantha machen, naomi j. fulop, associated data.

All papers included in the review are listed in Additional file 4 and are publicly available from their publishers’ websites.

The relationship between ethnography and healthcare improvement has been the subject of methodological concern. We conducted a scoping review of ethnographic literature on healthcare improvement topics, with two aims: (1) to describe current ethnographic methods and practices in healthcare improvement research and (2) to consider how these may affect habit and skill formation in the service of healthcare improvement.

We used a scoping review methodology drawing on Arksey and O’Malley’s methods and more recent guidance. We systematically searched electronic databases including Medline, PsychINFO, EMBASE and CINAHL for papers published between April 2013 – April 2018, with an update in September 2019. Information about study aims, methodology and recommendations for improvement were extracted. We used a theoretical framework outlining the habits and skills required for healthcare improvement to consider how ethnographic research may foster improvement skills.

We included 274 studies covering a wide range of healthcare topics and methods. Ethnography was commonly used for healthcare improvement research about vulnerable populations, e.g. elderly, psychiatry. Focussed ethnography was a prominent method, using a rapid feedback loop into improvement through focus and insider status. Ethnographic approaches such as the use of theory and focus on every day practices can foster improvement skills and habits such as creativity, learning and systems thinking.

Conclusions

We have identified that a variety of ethnographic approaches can be relevant to improvement. The skills and habits we identified may help ethnographers reflect on their approaches in planning healthcare improvement studies and guide peer-review in this field. An important area of future research will be to understand how ethnographic findings are received by decision-makers.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12874-021-01466-9.

Research can help to support the practice of healthcare improvement, and identify ways to “improve improvement” [ 1 ]. Ethnography has been identified particularly as a research method that can show what happens routinely in healthcare, and reveal the ‘ what and how of improving patient care [ 2 ]. Ethnography is not one method, but a paradigm of mainly qualitative research involving direct observations of people and places, producing a written account of natural or everyday behaviours and ideas [ 3 ]. Ethnographic research can identify contextual barriers to healthcare improvement. For example, Waring and colleagues suggested that hospital discharge could be improved by allowing staff to have more opportunities for informal communication [ 4 ].

There have been advances in ethnographic methods that support its role in supporting healthcare improvement. Multi-site, collaborative modalities of ethnography have evolved that suit the networked nature of modern healthcare [ 5 ]. Similarly, rapid ethnographic approaches (e.g. Bentley et al. [ 6 ];) meet the needs of improvement activities to produce findings within short timeframes [ 7 ]. However, the production of sustained ethnographic fieldwork has waned in response to demands for rapid evidence [ 6 , 8 , 9 ]. Critics of rapid ethnographic methods worry that they are diluting ethnography within applied contexts more widely [ 5 , 10 ].

The relationship between ethnography and healthcare improvement has been the subject of methodological concern [ 8 ]. The first concern is that some research identified as ethnography does not fit within the ethnographic paradigm, merely collecting observational data without a theoretical analysis, interpretation or researcher reflexivity [ 11 ]. A second concern is whether the topics of ethnographic inquiry produce findings that are seen as useful for improvement [ 12 ], particularly if they do not make explicit recommendations or produce checklists [ 8 , 13 – 15 ]. Authors fear that ethnographic findings that capture complexity [ 16 ] and expose taken-for-granted behaviours and phenomena [ 14 , 17 ] may be too abstract to be relevant to healthcare improvement [ 8 ]. However, these critiques position ethnographic research as a product which may be taken up by healthcare improvers, rather than seeing ethnographic work itself as an improvement activity. We take the view that healthcare improvement aims to change human behaviour to improve patient care, and is therefore reliant on the development of particular skills and habits (such as good communication) [ 18 ]. We would consider that engaging in ethnographic research may support skill development and habit formation that serves healthcare improvement.

In the literature of ethnography in healthcare improvement, there is not much discussion of the close relationship between methodological features of ethnographic research, and their impact on improvement skills. The aim of this paper is twofold: (1) to describe current ethnographic methods and practices in healthcare improvement research and (2) to consider how these may affect habit and skill formation in the service of healthcare improvement [ 19 ].

This is a scoping review following the methods outlined by Arksey & O’Malley and later refined by Levac et al., [ 20 , 21 ] including a systematically conducted literature review and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR; see Additional file 1 for PRISMA checklist). No protocol was published for this review. Our literature search and analyses were conducted iteratively, searching reference lists and undertaking discussions with colleagues about key lines of argument. We also held a workshop at Health Services Research UK conference in 2018 on this topic to gain a wide range of stakeholder views.

Systematic retrieval of empirical papers and purposive sampling

Our search strategy was designed to capture a wide range of approaches to ethnography from different journals, healthcare settings and types of research environment. It was not our aim to capture every study using this methodology, but to map the current field. Thus we did not search grey literature, books or monographs. The search strategy was developed and piloted in consultation with a health librarian. Medline (on OVID platform), PsychINFO, CINAHL and EMBASE databases were searched, and six journals were hand-searched, including: BMJ Quality & Safety, Social Science and Medicine, Medical Anthropology, Cochrane library, Sociology of Health and Illness and Implementation Science. These databases were searched between dates April 2013 – April 2018 and an update was performed in September 2019 using the search terms outlined in Additional file 2 . We limited the search to these dates in order to capture the most recent methodological characteristics of ethnographic studies in this field.

We screened titles and then abstracts according to the inclusion and exclusion criteria detailed in Table ​ Table1. 1 . We included studies which self-identified as using ethnography or ethnographic methods rather than using our own criteria. This is because ethnography can be hard to define, and use of criteria may risk excluding papers which exemplify the sorts of tensions and workarounds we are trying to capture.

Inclusion and exclusion criteria

The retrieved papers were screened by GB, SVO and SM based on inclusion and exclusion criteria (Table ​ (Table1). 1 ). The total number of papers after screening titles, abstracts and full texts was 274 (Fig. ​ (Fig.1 1 ).

PRISMA statement of all references retrieved, screened and included in the scoping review

Numerical charting

Characteristics of each paper, such as title, authors, journal, year, country and healthcare subject area were extracted (see Table ​ Table2 2 ).

Characteristics of studies in review

a some studies have been allocated to more than one region

Thematic analysis and development

We coded all 274 papers using NVivo software for stated aims and recommendations. This included close reading, and retrieval of key ideas and quotations from the papers that exemplified key ideas in relation to healthcare improvement, methodology and the authors’ reflections on these. The coded extracts of aims and recommendation in conjunction with the closer reading of the sub-sample were used to inductively develop conceptual ideas, such as how the corpus of papers explicitly aimed to contribute to healthcare improvement, and if not, how this affected the types of conclusions drawn. Some papers were read in greater depth to understand how the authors’ methods related to their findings and conclusions. In order to consider how ethnography supports habits and skills associated with healthcare improvement, we drew on a framework which identifies five habits of ‘improvers’: creativity, learning, systems thinking, resilience and influencing [ 19 ]. Applying this model to our selected papers, we mapped traits or approaches to the ethnographic studies that exemplified these habits either in the authors, or as part of developing these habits in others (e.g. healthcare decision-makers and professionals). Thematic interpretations and lines of argument were generated and discussed by all the authors.

Overview of study characteristics

The included studies covered a wide range of ethnographic methodologies and healthcare subjects, published internationally (Table ​ (Table2) 2 ) in predominantly social science and clinical journals (see Additional file 3 ). The full list of the 274 included studies is available in Additional file 4 .

Most studies described themselves as an ‘ethnography’ or ‘ethnographic’, although some described their methodology as ‘mixed methods’ including ethnographic components. For example, Collet et al. conducted a mixed methods participatory action research study using observations to produce an “ethnographic description” [ 22 ].

Almost all studies relied on observation and interviews as the main data sources. It was not always specified whether researchers took a participant or non-participant approach to observation. There were some examples of other data sources e.g. video data, surveys, documents, field notes, diaries, and artefacts. A few examples contained a paucity of data, such as only video data [ 23 ], limited fieldwork [ 24 ], a small number of interviewees [ 25 ], or reliance on focus group data alone [ 26 ]. Methods associated with qualitative methodology (but not necessarily ethnographic) were also used, such as data ‘saturation’ to denote that additional data did not provide new insights into the topic [ 27 ].

There were a number of minority or unusual ethnographic variations:

• Quantitative ethnography [ 23 ]: temporal coding of physicians' workflow and interaction with the electronic health record system, and their patient.
• Cognitive ethnography [ 28 ]: “identifying and elaborating distributed cognitive processes that occur when an individual enacts purposeful improvements in a clinical context”.
• Street-level organizational ethnography [ 29 ]: intensive case study methods to explore the implications of healthcare policy at a street level.
• Phenomenological ethnographies [ 30 ]: focussing on the lived experience and meanings associated with a phenomenon.
• Geo-mapping [ 31 ]: geomapping of selected service data to define Latino immigrant community before conducting interviews and observations.

Use of different types of ethnography to support healthcare improvement

We found that many studies used methods that could identify issues relating to power and vulnerability, with potential relevance to how healthcare improvement problems are defined and solved, and by whom [ 1 ]. For example we noted a significant minority of studies using institutional and critical ethnography, mostly in vulnerable populations (see Table ​ Table3). 3 ). These studies were explicitly attentive to systems and power relations, rather than on individual practices. We suggest that the use of geographically-oriented methods such as geo-mapping and street-level organisational ethnography are also attentive to the power structures inherent in place and space, and could be relevant to other geographical healthcare improvement topics such as networked healthcare systems, care at home and patient travel for treatment.

Ethnographic methodology and its relevance to healthcare improvement

The high prevalence of ethnographic studies with vulnerable populations (e.g. psychiatry, end of life care) suggests that ethnography is also being conceptualised as an emancipatory method, reversing healthcare power structures in its focus. This has been a traditional focus of ethnography since social changes in power and representation in the 1970s, incorporated into the development of healthcare research methodology [ 40 , 41 ]. Some methods used were calculated to maximise the potential for supporting vulnerable groups, for example, Nightingale et al. [ 42 ] used focused ethnography (prolonged fieldwork in a small number of settings) to look at patient-professional interactions in paediatric chronic illness settings. The authors suggested that focussed ethnography is particularly suited to settings where fostering trust is essential. We would also suggest that ethnography may be particularly suited to settings in which participants are less able to verbalise their experiences.

The reviewed studies suggested that video ethnography can support healthcare improvement at a team level. For example, Stevens et al. [ 43 ] promoted video ethnography as a way to capture in-depth data on intimate interactions, in their study of elective caesareans. The video data allowed them to make use of timing data (e.g. of certain actions), physical positioning of different actors and equipment, and verbatim dialogue recording. The video data also suited the technical nature of the procedure, which was relatively time-limited. This form of data collection may not suit environments where healthcare activities are more spread out.

The impact of healthcare practitioner involvement in ethnographic fieldwork and findings

We noted that the use of ethnography for healthcare improvement has led to healthcare practitioners’ widespread involvement in data collection or analysis. We suggest that this is a form of negotiation across the healthcare-academia boundary, translating from ‘real world’ to data and back again. This has potential to create rich and relevant ethnographic studies that are geared towards improvement. However, some studies were undermined by a lack of reflexivity about the dual practitioner-ethnographer role.

A significant number of papers involved healthcare practitioners in fieldwork (e.g. Abdulrehman, 2017, Hoare et al. 2013; [ 37 , 44 ]). For example in Hoare et al. the lead researcher was a nurse, and wrote that they hoped “to bring both an emic and etic perspective to the data collection by bracketing my emic sense of self as a nurse practitioner in order to become a participant observer within my own general practice ” [ 37 ]. In this study, the findings fed directly into local service improvement as the lead researcher felt compelled to “share new ‘best practice’ information and join in the conversation.” There was little discussion about how this affected the generalisability of the findings, and whether their recommendations were adopted.

Similarly, Bergenholz et al. [ 45 ] conducted a study where a nursing researcher completed the main fieldwork and “assisted the nurses with practical care .” They acknowledged that “This may have caused limitations with regards to ‘blind spots’ in the nursing practice, but that it also gave access to a field that might be difficult for ‘outside-outsiders’ to gain .” However, there was no commentary on where the blind spots or extra access occurred, and how this may have affected the relevance and dissemination of their findings.

How might ethnography support healthcare improvement habits?

In this section, we evaluate the studies included in the review in terms of how their methods relate to improvement. We draw on the idea that successful improvement is based on a set of habits and their related skills acquired through experience and practice [ 19 ]. This section is structured around Lucas’s five habits of ‘improvers’: creativity, learning, systems thinking, resilience and influencing [ 19 ]. Under those headings, we describe the mechanisms by which ethnographic studies can support healthcare improvement habits, using illustrative examples.

Resilience is defined as being adaptable, particularly tolerating calculated risks and uncertainty, and proceeding with optimism. Being able to recover from adverse events is core to improvement, reframing them as opportunities. Adaptation and the ability to bounce back from adverse events and variation are core to improvement.

Tolerating the uncertainty of ethnographic data collection

While we did not relate these traits to any particular ethnographic approach in our studies, we would consider that undertaking any ethnographic project requires resilience, as data collection is inherently exploratory and uncertain. For example, Belanger et al. wanted to know how health care providers and their patients approach patient participation in palliative care decisions. The authors explicitly eschewed the pull to create guidelines or other formalised knowledge, but aimed to explore the “unforeseen and somewhat unavoidable ways in which discursive practices prompt or impede patient participation during these interactions.” [ 46 ]

Creativity is defined as working together to encourage fresh thinking by generating ideas and thinking critically.

Using a theoretical lens

Researchers may consider healthcare through a particular theory or framework (e.g. private ordering [ 47 ], masculine discourse [ 48 ], compassion [ 49 ]). The restriction of the theoretical lens enables critical thinking, and keeps the ethnographer creatively engaged. For example, Mylopoulos & Farhat [ 28 ] used the concept of adaptive expertise in a cognitive ethnography to explore “the phenomenon of purposeful improvement” in a teaching hospital. This theoretical lens revealed that clinicians were engaging in “invisible” improvement in their daily work, in “specific activities such as scheduling, establishing patient relationships, designing physical space and building supporting resources”. The authors suggested that these practices were devalued in comparison to more formal improvement activities, justifying the utility of the ‘adaptive expertise’ theory in bringing the daily improvement practices to light.

Challenging current problems and perspectives

We identified studies that challenged or reframed existing improvement problems e.g. Mishra [ 50 ]. This role removes the ‘blinkers’ of improvement research [ 51 ], and can ‘dissolve’ previously intractable implementation problems. For example, Boonan et al. [ 52 ] studied the practice of bar-coded medication from the perspective of nurses using the intervention. In their discussion, the authors challenge the assumption that if you introduce technology, then you will mitigate human factor risks. They highlighted that external pressures on hospitals perpetuate this perspective, and that “nurses and patients are consequently drawn into this discourse and institutional ruling, to which they are not oblivious”. Their recommendation was to understand the skills of nurses in tailoring technology to meet individual patients’ needs rather than trusting in systems blindly.

Learning is defined as harnessing curiosity and using reflective processes to extract meaning from experience.

Inviting reflection

We noted that some studies did not make explicit recommendations for improvement, but wrote their findings in a manner that would invite reflection on its subject matter. For example, Thomas & Latimer [ 53 ] wrote that they view their role as provocateurs of new ideas, stating that their intention “is not to propose specific policies or discourses designed to change or improve practice. More modestly, we hope that by analysing the everyday and by theorising the mundane, this article will ignite reflexive, ethical and pluralistic dialogues – and so better communication between practitioners, parents and the wider lay public – around reproductive technologies and medical conditions” (authors’ underline; p.951-2) [ 53 ]. Others such as Mackintosh et al [ 54 ] used their discussion section to examine their results in the context of other theories and provide illumination: “Our focus on trajectories illuminates the physiological process of birth and the unfolding pathology of illness (and death). This frame provides a means for us to link the agency of those involved in organising the care of acutely ill patients with the wider socio-political factors beyond the clinic, such as governmentality and risk (Heyman 2010, Waring 2007), death brokering (Timmermans 2005) and the medicalisation of birth and death (De Vries 1981).” (p.264). These two examples show that ethnographic work can be offered as an opportunity for learning and reflection, without a translation to specific recommendations.

Supporting a more ethical, expansive, inclusive, and participatory mode of healthcare

Problem-finding is highlighted as an important part of learning in improvement [ 19 ]. Several studies paid attention to multivocality and power, using this to find problematic, unethical and exclusive practices in healthcare. For example, some studies reported previously unheard viewpoints [ 55 – 57 ], or identified restrictive organisational barriers and normative assumptions [ 58 , 59 ]. Others promoted ethnography as a way of exploring ethics and morality [ 47 , 60 , 61 ], such as criticising research that prioritizes the needs of individuals over the good of society [ 62 ]. Ross et al. [ 63 ] suggested that it is also more ethical to use critical ethnography than other evaluative methods in researching vulnerable populations (e.g. neurological illness), by being able to “explore perceived political and emancipatory implications, [clarify] existing power differentials and [maintain] an explicit focus on action” .

Some studies directly researched power within the healthcare setting. For example, Batch and Windsor’s study of nursing workforce suggested that senior nurse leaders should use their positions to advocate for better working conditions [ 35 ], “ Manageable nurse/patient ratios, flexible patient-centred work models, equal opportunity for advancement, skill development for all and unit teamwork promotion”. Challenging traditional cultural assumptions that have produced and reproduced stereotypes is problematic because they most often are, by their very nature, invisible. In a more critical approach, Gesbeck’s thesis [ 62 ] on diabetes care work challenges the very mechanism of achieving healthcare improvement through research, stating that “we need to change the social and political context in which health care policy is made. This requires social change that prioritizes the good of the society over the good of the individual—a position directly opposed to the current system oriented toward profit and steeped in the ideology of personal responsibility.”

Systems thinking

Systems thinking is defined as seeing whole systems as well as their parts and recognising complex relationships, connections and interdependencies.

Suggesting reorientation to new ‘problem’ areas

We found that many ethnographic studies emphasised skills of synthesis and connection-making, reorienting improvement to different areas, for example in overarching policy recommendations (e.g. Hughes [ 36 ]; Liu et al. [ 64 ], Matinga et al. [ 65 ]), or resetting priorities. For example, Manias’ [ 66 ] ethnography of communication relating to family members' involvement in medication management in hospital suggests that “greater attention should be played on health professionals initiating communication in proactive ways ” [p.865]. In another example, Cable-Williams & Wilson’s (2017) focussed ethnography captures cultural factors within long-term care facilities. Their discussion suggests that acknowledgement of death is under-represented in front-line practice and government policy, reorienting discussions towards an integration of living and dying care.

Exposing hidden practices within the everyday

We found that several studies drew attention to ‘hidden’ practices in healthcare work, allowing them to evaluated and improved. For example, we found reference to practices such as coordinating [ 67 ], repair [ 68 ], caretaking [ 69 ], scaffolding [ 68 ], tinkering [ 52 ] and bricolage [ 58 ]. We also found that some studies had new interpretations of ‘the everyday’ or ‘taken-for-granted’ (e.g. nursing culture [ 34 , 35 , 45 , 70 ], interprofessional practice [ 67 , 71 – 75 ]). Authors’ outputs included frameworks [ 76 ] or models [ 69 , 71 , 77 , 78 ] that map these types of practices in a way that is helpful for intervention development or quality improvement. For example, Mackintosh et al. [ 54 ] looked at rescue practices in medical wards and maternity care settings using Strauss’s concept of the patient trajectory. Their findings highlighted the risks inherent in the wider social practices of hospital care, and suggested that improvement was needed at a level “beyond individual and team processes and technical safety solutions.”

Influencing

Influencing is defined as engaging others and gaining buy-in using a range of facilitative processes.

Direct translation of findings to targets for improvement

Lucas suggests that to be influential, ethnographic studies need to have some empathy with clinical reality, whilst being facilitative and comfortable with conflict [ 19 ]. This was shown in ethnographic studies that made pragmatic recommendations, such as in Jensen’s study of clinical simulation. They advised that simulation might be useful in staging “adverse event scenarios with a view to creating more controlled and safer environments.” ( 80). In MacKichan et al. [ 79 ] observations and interviews were used to understand how primary care access influenced decisions to seek help at the emergency department. The authors made empathic, actionable recommendations such as “ simplifying appointments systems and communicating mechanisms to patients.” (p.10).

Evaluating the context of healthcare improvement

By capturing contextual and social aspects of healthcare improvement, ethnographic evaluations can support leaders and managers who are trying to implement improvement activities. This is a particularly helpful trait in ethnographic studies that pay attention to politics, governance and social theory in their evaluation of new interventions, “zooming out” [ 80 ] beyond the patient-clinician interaction to broader social networks. For example, Tietbohl et al. [ 81 ] investigated the difficulties of implementing a patient decision support intervention (DESI) in primary care through the theoretical lens of relational coordination between “physician and clinical staff groups (healthcare professionals)”. The authors’ recommended attention to the “underlying barriers such as the relational dynamics in a medical clinic or healthcare organization” when creating policies and programs that support shared decision-making using support interventions. This sort of insight can make it more likely that new policies or interventions will succeed. This skill was particularly fertile in the tradition of techno-anthropology, exploring technology-induced errors and the real-world interaction between people and technology, e.g. decision-support tools [ 81 – 86 ], the introduction of robot caregivers [ 87 ] and clinical simulations [ 88 ]. Other approaches included an investigation of one intervention or change but with a theoretical lens of inquiry.

Summary of findings

This scoping review has identified the methodological characteristics of 5 years of published papers that self-identify as ethnography or ethnographic in the field of healthcare improvement. Ethnography is currently a popular research method in a wide range of healthcare topics, particularly in psychiatry, e.g. mental health, dementia and experiential concerns such as quality of life. Focused ethnography is a significant sub-group in healthcare, suggesting that messages about the importance of research timeliness have taken hold [ 89 ].

We have identified ethnographic methods reported in these papers, and considered their utility in developing skills and habits that support healthcare improvement. Specific practices associated with the ethnographic paradigm can encourage good habits (resilience, creativity, learning, systems thinking and influencing) in healthcare, which can support improvement. For example, using relevant theories to look at every day work in healthcare can foster creativity. The use of critical and institutional ethnography could increase skills in ‘systems thinking’ by critically evaluating how healthcare improvement problems are defined and solved, and by whom.

Comparison with previous literature

This scoping review is the first to consider how current ethnographic methods and practices may relate to healthcare improvement. Within the paradigm of applied healthcare research, there is normative value in being ‘useful’ or ‘impactful’ in our research, which affects our prospects for funding and career success [ 12 ]. However, our review has uncovered a multitude of ways that an ethnographic study can be useful in relation to healthcare improvement, without creating actionable findings. We found a spectrum of interactions with healthcare improvement: some authors explicitly eschewed recommendations or clinical implications; others made imperative statements about required changes to policy or practice. However, this diversity was not necessarily a reflection on how ‘traditional’ the ethnographic methodology was. This challenges the paper by Leslie et al. which puts ethnographic studies in two output categories with respect to healthcare improvement: critique versus feedback [ 8 ]. Instead, we uncovered a variety of ways that ethnography can support healthcare improvement habits, such as encouraging reflection, problem-finding and exposing hidden practices in healthcare.

We did find that supporting healthcare improvement through ethnographic research can require strategic effort, however. For example, we noted that several authors wrote multiple articles based on the same project, often for different types of journal to reach different audiences such as diverse readerships in health services and academic settings. For example, Collier and colleagues published two papers based on a video ethnography of end-of-life care (both in 2016), one in a healthcare quality journal [ 32 ] and one in a qualitative research journal [ 76 ]. The former is shorter, with explicit recommendations for patient safety, whereas the latter is longer, has more detailed results and long sections on reflexivity. Similarly, Grant published an article in a sociology journal [ 90 ] and a healthcare improvement paper [ 91 ] on the same work about medication safety. The sociological paper covered “spatio-temporal elements of articulation work” whereas the other put forward “key stages” and risks, suggesting that it was more closely oriented to improvement.

There have been some considerable debates about changes in ethnographic methods and tools, with concerns about lost researcher identity, dilution of the method, and challenges to “upholding ethnographic integrity” [ 92 ] . We contest this, suggesting that new variants such as focussed and cognitive ethnography are evolving in response to the complexity of hospitals and healthcare [ 93 ], while also being highly regulated, standardised and ordered by biomedicine. Such complex environments cannot be studied and improved under one paradigm alone. Ethnographic identity and method have also been affected by the cross-pollination of ethnography with other social science paradigms and applied environments (e.g. clinical trials, technology development). Debates about theoretical and methodological choices are not only made merely with respect to healthcare improvement, but also in response to professional pressures (e.g. university requirements for impact) [ 12 ], and the mores of taste situated within the overlapping communities of practice that evaluate ethnographic healthcare research [ 94 ]. That said, we echo previous authors’ calls for attention to reflexivity, particularly in embedded or clinician-as-researcher roles [ 95 ].

Our scoping review challenges a previously expressed concern that ethnographic studies may not produce findings that are useful for improvement [ 10 , 12 , 16 ]. By considering different ethnographic designs in relation to skills and habits needed for improvement, we have shown that studies need not necessarily produce ‘actionable findings’ in order to make a valuable contribution. Instead, we would characterise ethnography’s role in the canon of healthcare research methodologies as a way of enhancing improvement habits such as comfort with conflict, problem-finding and connection-making.

Strengths and limitations

This review has a number of limitations. The search may not have found all relevant studies, however the retrieved papers are intended as an exemplar rather than an exhaustive or aggregative review. The review is also limited to journal articles as evidence of researchers’ approach to improvement. This ignores many other ‘offline’ and ‘online’ activities such as meetings, presentations, blogs, books, and websites, which are conducted to disseminate findings and ideas. Our reliance on self-report for the identification of ethnographic studies will have excluded some studies within an ethnographic paradigm who chose different terms for their methodology (e.g. critical inquiry, case study). The strengths of this paper are its comprehensive coverage, incorporating all representative studies in healthcare research published within a five year period, and a wide range of ethnographic sub-types and healthcare subjects, drawn from an international pool of research communities.

We did not prescribe the right way for ethnographers to engage in healthcare improvement, indeed, we have identified that a variety of approaches can be relevant to improvement. The habits we identified may help ethnographers reflect on their approaches in planning healthcare improvement studies and guide peer-review in this field. Issues of taste, traditionalism and researcher identity need to be scrutinised in favour of value and audience. An important area of future research will be to understand how ethnographic findings are received by decision-makers, and further focused reviews on the relationship(s) between ethnographic methods, quality improvement skills and improvement outcomes.

Acknowledgements

The authors wish to thank Lorelei Jones, Natalie Armstrong, Justin Waring and Bill Lucas for their insightful comments and direction in the undertaking of this work.

Authors’ contributions

NJF and GB led the development and conceptualization of this scoping review and provided guidance on methods and design of the scoping review. GB, SVO and SM made contributions to study search, study screening, and all data extraction work. All authors analysed the data. All authors contributed to the writing and editing of the paper, and all authors have read and approved the manuscript.

This paper is independent research funded by the National Institute for Health Research CLAHRC North Thames. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care.

NJF is an NIHR Senior Investigator. GB is supported by the Health Foundation’s grant to the University of Cambridge for The Healthcare Improvement Studies Institute.

Availability of data and materials

Declarations.

The authors have no competing interests to declare.

The original online version of this article was revised: due to incorrect figure 1 and the number of included papers need to be changed from "283" to "274".

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Change history

A Correction to this paper has been published: 10.1186/s12874-022-01587-9