Using audiovisual vignettes to collect data remotely on complex clinical care: a practical insight
evidence and practice    

Using audiovisual vignettes to collect data remotely on complex clinical care: a practical insight

Angela Teece Lecturer in Adult Nursing, School of Healthcare, University of Leeds, Leeds, England
John Baker Chair of Mental Health Nursing, School of Healthcare, University of Leeds, Leeds, England
Helen Smith Associate Professor in Adult Nursing, School of Healthcare, University of Leeds, Leeds, England

Why you should read this article:
  • To appreciate that audiovisual vignettes provide innovative and engaging ways to gather rich qualitative data

  • To understand how they allow complex areas of practice to be explored without disrupting clinical care

  • To gain an insight into the development and filming of six vignettes and their use in a qualitative research project

Background Vignettes are regularly used in nursing research and education to explore complex clinical situations. However, paper-based vignettes lack clinical realism and do not fully recreate the pressures, sights and sounds of clinical settings, limiting their usefulness when studying complex decision-making processes.

Aim To discuss the approach taken by the authors in developing and implementing audiovisual vignettes to collect data remotely in a qualitative study.

Discussion The authors describe how they created audiovisual vignettes for a qualitative ‘Think Aloud’ study exploring how critical care nurses decide whether to restrain agitated patients with varying degrees of psychomotor agitation. They discuss the practicalities of filming, editing and hosting, as well as the theoretical and clinical background that informed the creation of the vignettes.

Conclusion Audiovisual vignettes are a cost- and time-effective way of remotely exploring decision-making in challenging environments. This innovative method assists in studying decision-making under simulated clinical pressures and captures data about how people make complex decisions.

Implications for practice Audiovisual vignettes are an innovative tool for collecting data and could also be used in educational settings and offer the opportunity to explore complex clinical decision making remotely. Clinical accuracy is essential for immersing participants and simulating an environment and its pressures. The method could be further enhanced by making vignettes responsive to participants’ decisions.

Nurse Researcher. doi: 10.7748/nr.2021.e1769

Peer review

This article has been subject to double-blind peer review and checked for plagiarism using automated software

Correspondence

a.m.teece@leeds.ac.uk

Conflict of interest

None declared

Teece A, Baker J, Smith H (2021) Using audiovisual vignettes to collect data remotely on complex clinical care: a practical insight. Nurse Researcher. doi: 10.7748/nr.2021.e1769

Published online: 13 May 2021

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