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Nurse Researcher

An introduction to the
biographical narrative
interpretive method
Cite this article as: Corbally M, O’Neill CS (2014) An introduction to the biographical narrative interpretive
method. Nurse Researcher. 21, 5, 34-39.

Date of submission: March 21 2013. Date of acceptance: July 29 2013.


Correspondence to
Melissa Corbally Abstract
melissa.corbally@dcu.ie
Aim To introduce the biographical narrative interpretive they tell it (narrative) and the social interpretation
Melissa Corbally DProf (Health
and Social Care), MSc,
method (BNIM) to nurse researchers in search of a new (interpretive). BNIM uses a unique interviewing
BNS(Hons), RGN is a lecturer in methodology and method. technique to elicit an uninterrupted story from
nursing, Dublin City University, participants. The BNIM analytic tool is formulaic
Republic of Ireland
Background Listening to and interpreting the narratives and uses nine stages to analyse individual cases.
Catherine S O’Neill PhD, of patients is a core feature of nursing. Research A tenth stage helps with analysis across cases.
MSocSc, DipSSR, MA, BA, methodologies and methods frequently do not fully
RGN is director of MSc nursing
programme, Royal College of
take into account the historical, psycho-social and Conclusion BNIM methodology and methods
Surgeons in Ireland, Adliya, biographical dynamics of people’s lives. empower participants to articulate the vicissitudes
Kingdom of Bahrain of their life and experiences of illness while also
Peer review
Data sources This paper draws from the experiences of providing the researcher with a framework for data
This article has been subject to both authors who have previously utilised the analysis and interpretation to give meaning to
double-blind review and checked BNIM method, as well as sourcing relevant literature. individuals’ life stories.
using antiplagiarism software

Author guidelines Review methods This is a methodology paper Implications for research/practice The BNIM interview
nr.rcnpublishing.co.uk that reviews the historical context of BNIM and technique and analytic framework are useful tools to
provides an overview of its potential application for help with an in-depth qualitative exploration of life
nursing research. stories in context.

Discussion The core assumptions and analytic strategy Keywords Biographical narrative interpretive method,
of BNIM focus on three inter-related facets: the methodology, interviewing, data analysis,
person’s whole life history or story (biography), how interpreting panels

Introduction questions (Sarantakos 1993, Grix 2002). Paradigms


LISTENING TO patient stories is a core feature of determine the ontological and epistemological basis
nursing practice. In research, there is scope for of a chosen method. Clarifying and making explicit
methodologies and methods that help the researcher the assumptions underpinning a methodology and
to understand and illuminate the socio-historical method, and the methodological choices made
complexities that influence and shape the telling of throughout the research, are core features of credible
such stories. A framework for qualitative research robust research (Seale 1999, Côté and Turgeon 2005).
practice is an essential part of a researcher’s toolkit Understanding and making explicit the
(Seale 1999, Denzin and Lincoln 2005). human elements is often a challenge, as many
Choices about paradigms and research methodological approaches and methods fail to
frameworks are influenced by the phenomenon being fully account for the historical, psycho-social and
investigated, the research objectives and research biographical dynamic of people’s lives. We make

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Patient stories

this comment to highlight the necessary specificity in the care of older patients in hospitals (O’Neill
inherent in methodologies and methods; we do not 2011). It allowed the researcher to preserve the
intend to critique any existing one. identities of the patients and also showed how the
The assumptions of biographical narrative relatives involved in decision making narratively
interpretive method (BNIM) are intentionally worked out the best decisions to make in situations
broad-based. It endeavours to analyse three inter- that were sometimes about the end of a person’s life.
related facets of humanity: the person’s whole life
history or life story (biography), how he or she tells it Narrative
(narrative) and the social interpretation (interpretive). A narrative is a way in which individuals account for
Many factors can influence the telling of a story, its themselves. This can take place through either written
interpretation and its subsequent relaying to others or spoken media. Human interaction is essential for
(Fisher 1978, Plummer 2001, Sandelowski 2002). the generation and interpretation of narratives, and
The historical situation of the story and its it is people as actors in these narratives who create
associated subjectivity is particularly borne in mind meaning and knowledge in society (Montgomery
throughout BNIM. Hunter 1997, Polkinghorne 1988, 2005). The subject
In the authors’ opinion, BNIM is similar to matter of narrative is the ‘vicissitudes of human
considerations that nurses use in their daily intentions’ (Polkinghorne 1988); that is, the changing
practice. As a result, we believe that this method directions and goals of storytelling.
will have particular resonance with prospective Despite dependence on the patient’s story in
nurse researchers. nursing practice and health care, diverse definitions
A brief methodological discussion about BNIM and accounts of narrative abound in the nursing
outlines how this research approach functions and and research literature (Mishler 1986, Squire 2005,
integrates the concepts of biography, narrative Thomas 2010). Nevertheless, it is possible to classify
and interpretation. narratives as operating on two distinct levels: the
socio-cultural and personal (Ricoeur 1981).
Biography At the socio-cultural level, community,
Biography is the process of accounting for an family, religion and societal institutions create
individual’s life history or life story. BNIM can be meta-narratives that shape the meaning of
adapted to study life histories (full lives) and life experiences and personal accounts of such
stories – for example, a life story of living with experiences. For example, cultural perspectives
chronic disease. The ‘biographical narrative turn’ of the experience of pain may influence how a
in social science research emerged from a growing patient expresses it to a nurse. Perhaps the
realisation by researchers that their findings were not language used by the patient may minimise the
adequately representing full accounts of the shifting actual intensity of pain.
power bases between individual agency and the Sometimes personal narratives go against
structural determinants of societies (Chamberlayne societal meta-narratives. For example, older
and King 2000). individuals who enjoy being tattooed could be said
Accounting for biography enables nurse to be going against the meta-narrative of an older
researchers to illustrate how historical and structural person’s identity in society. People craft narratives,
aspects of a given society influence how people constructing who they were in the past, who they
choose to act (Miller 2000, Breckner and Rupp 2002). are presently and where they envisage themselves
This is an important consideration for nurses who in the future. In this way, a narrative mode of
practise in areas of health care that are perpetually reasoning or ‘narrative logic’ (Polkinghorne 1988)
in transition. Exploring the biographies of people draws on principles informed by personal and
enables their lives to be examined in more detail. meta-narratives.
It offers greater insight into the choices individuals The sentiment of holism resonates with the
make and the transitory nature of decisions made conduct of nursing practice, which endeavours to
at different points in their lives. The appreciation ascertain the meanings behind patients’ stories by
of biographies allows social researchers to describe making sense of the parts that are expressed. In
people as historically formed actors whose actions relation to particular experiences, there are often
are only fully intelligible in an historical context times when there are differences between the
(Gubrium and Holstein 2009, Gunaratnam and idealised and real self within society. BNIM helps to
Oliviere 2009). explore how and why individuals tell their stories
For example, BNIM was used successfully to in the way that they do. Narratives, of course, are
examine how decisions about treatment were made always interpreted.

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Nurse Researcher

Interpretivism to obtain data for analysis using a separate method,


Interpretivism is a paradigm that recognises that the the analytic strategy is dependent on using BNIM
‘truth’ of a phenomenon depends on its interpretation interviewing to collect data (Wengraf 2001).
by others. Interpretive methodologies acknowledge
the importance of meanings for people and prompt The BNIM interview technique BNIM interviewing
them to act (or not to act) in a particular way. This is predominantly an open narrative interview
understanding is relevant for participants and process. This approach, which can involve two or
researchers, who ‘interpret’ their reality and construct three sub-sessions, always begins with a single
meanings based on those interpretations. framing question. This ‘single question aimed at
An understanding of meaning is also relevant for inducing narrative’ (SQUIN) (Wengraf 2001, 2014)
nurses who want to interpret how patients account for is intentionally broad-based and provides a useful
themselves in the context of illness and healthcare, means of eliciting data that empowers participants to
a context that generally renders them physically and begin, construct and end their narrative on their own
emotionally vulnerable. terms (Jones 2003, Meares 2007, Nicholson 2009).
For interpretive researchers, believability, The SQUIN used in Corbally (2011), which was
verisimilitude or plausibility (rather than absolute modified from Wengraf (2001, 2014), was: ‘As you
truth) can be obtained from interpretive analysis know, I am researching [topic of research].
(Denzin 1989a, Denzin 1989b, Scott 1998, I understand that you have had such experiences.
Hoffman 2007). Similarly, the ‘truth’ of the reader’s So please can you tell me the story [of topic], all the
interpretation of this data is invariably contextually events and experiences that were important for you,
situated and influenced by dominant social personally up till now. There’s no rush, you can start
discourses (Stanley 1992, Plummer 2001, Kohler wherever you like. I’ll listen first, I won’t interrupt
Riessman 2008b). I’ll just take some notes in case I have any further
BNIM acknowledges the pervasive nature of questions for after you’ve finished telling me
interpretivism by recognising the subjectivity about it all.’
of participants and researchers. Cognisance of The nature of the SQUIN uncovers what
interpretivism is not exclusive to the ‘researched’, participants want to say, not what the researcher
rather it recognises that researcher and researched wants them to say, as is often the case in semi-
are subject to what Fisher (1978) claimed is a structured and structured interviews (Bryman 2008).
somewhat paradoxical situation. As he suggested, This difference is useful in ascertaining how people
‘the human who engages in self interaction with make sense of themselves in their life stories and
self as an object and an active interpreter, both at enables the researcher to study how participants
the same time, is a dynamic being whose principal account for their life experiences.
characteristic is action – on the environment and on After the first SQUIN interview, it is possible to
the self’ (Fisher 1978). ask more probing questions in subsequent interviews
In short, individuals craft and shape their (sub-sessions two and three). However, the questions
meanings as they recount their stories. This is not asked in sub-session two are intended to relate to
done explicitly or intentionally and is prompted the participant’s responses to the SQUIN, allowing
mostly by habit, characteristics or impulse. the researcher the opportunity to clarify or pick up
These assumptions reinforce the complexity of on particular incident narratives. Anecdotally, this
interpretivist research, illustrating that many technique was surprisingly effective in generating
factors have the capacity to influence the telling (or considerable data and research participants
not) of a story, its interpretation and its subsequent commented on how comfortable they felt in being
relaying to others (Fisher 1978, Plummer 2001, asked the SQUIN (Corbally 2011).
Sandelowski 2002). Following the interview, the interviewer records
In an effort to help researchers to see brief contextual and situational data in a private
wider possibilities and broaden their personal debriefing exercise. This proves useful in refreshing
interpretations, BNIM incorporates a collective the memory regarding the context of the interview
interpretive approach through the use of before analysis.
interpretive panel analysis.
The BNIM analytic strategy As highlighted earlier,
The tenets of BNIM practice BNIM analysis uses a formulaic pattern of analysis to
It is important to point out that there is a BNIM explore individuals and their life stories or histories.
interview technique and a BNIM analytic strategy. Due to the intensity of analysis, sample sizes are
While it is possible to use the interviewing technique typically small. Full, verbatim transcripts of the

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Patient stories

Figure 1 Stages of the BNIM analytic strategy

1. BDC creation

2. Lived life
interpretive panel
analysis

3. BDA creation

4. TSS creation

5. Told story
interpretive panel
analysis

6. Interpretive panel
microanalysis

7. TFA creation

8. Comparing lived life


with the told story

Other cases analysed


using same 9 stage BNIM
9. Case account
anaysis processes
creation

10. Cross case theorisation

interviews are needed. When using BNIM in its full In the BDC, subjective judgements are separated
capacity, nine stages of analysis are undertaken from the events mentioned in the person’s life.
for each individual case. The tenth stage compares The researcher is then required to imagine how
similarities across cases (Chamberlayne and King that person could have lived his or her life in that
2000, Jones 2001, 2003, Chamberlayne et al 2004). way and interpret why he or she did so. The analysis
Figure 1 provides a pictorial overview of the is done with the assistance of, and in conjunction
stages of BNIM analysis. An account based on a with, a lived life interpretive panel. The combination
case emerges from a sequential detailed analysis of the BDC, panel analysis and researcher analysis
of the life and story of the participant. The first of the events in the participant’s life story informs
three stages focus on ‘lived life patterns’; the next the construction of the participant ‘biographical
four explore how the participant told his or her story. data analysis’ (BDA). This represents the outcome
The remaining two stages bring the two together to of the interpretive analysis of chronological events
create a case account. If other cases are involved, a in the life story.
tenth stage of comparison across cases is initiated. Stages four to seven of the BNIM analysis focus on
‘Lived life patterns’ refers to the events told by how the story is told. Initially, the textual structure
the individual. The life analysis pattern incorporates of the narrative is analysed. The ‘text structure
the ‘facts’ of situations and experiences (Denzin sequentialisation’ (TSS) involves reviewing the text
and Lincoln 2005). These are initially distilled from for changes in speaker, topic and tone. A further
the data and placed in chronological order – a inspection of the textual structure to ‘TextSort’ it
‘biographical data chronology’ (BDC) (Wengraf 2001). (Wengraf 2001) is undertaken. Performing a BNIM

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Nurse Researcher

TextSort involves inspection of the text to identify the meaning of this piece of information before being
six different changes in the structure of the text shown the next chunk, which perhaps could read ‘went
that include: descriptions, evaluations, arguments, to primary school in New York’. The group, learning
reporting, general incident narratives and particular this information, would revisit their original ideas
incident narratives (Wengraf 2014). The analytic and interpretations regarding the person’s lived life,
technique of creating the TSS (Wengraf 2001) disproving some interpretations and strengthening
is informed by Labov and Waletzky’s theory of others. This process continues until all aspects of
structure in textual narratives (Labov and Waletzky the lived life are explored in this fashion until a final
1997, Cortazzi 1999). overall interpretation of the lived life is generated.
When the TSS is complete, the meaning of the The rationale for this is that participants’ lived their
sequencing of events is also considered in this aspect lives blind to the future (Wengraf 2014).
of BNIM analysis. The second phase of the ‘told story’ The ‘lived life’ interpretive panel process
analysis strategy is more akin to traditional narrative focuses on interpreting the chronological lived
analysis (Kohler Riessman 1993, 2008a). In this stage life; the ‘told story’ interpretive panel focuses on
of BNIM analysis, themes in the flow of narrative, interpreting how and why the participant told their
and contextual and environmental influences, are story in the way that they did.
consolidated. If a researcher encounters a puzzling section of
Underpinned by the interpretive panel analysis text in the transcript, a ‘microanalysis’ interpretive
for the told story, this stage is useful as it unearths panel can be used if required. More detail regarding
multiple hypotheses regarding the told story and the practicalities of these panels can be found in
the possible defended subjectivities underlying its Jones and Rupp (2000) and Jones (2001, 2003).
narrative reconstruction. The structural analysis The authors, based on their experiences of
of the text and the thematic analysis of the data interpretive panels, suggest that this approach has
are merged into a final interpretive analysis of the a threefold benefit, as it augments the analysis;
participant’s told story known as a ‘thematic field provides a ‘bolus dose’ (using the analogy of IV
analysis’ (TFA) (Wengraf 2001). medications) of interpretations, which boosts the
researcher’s progress by providing considerable
Interpretive panels As mentioned earlier, both information in a condensed time period; and
patterns of BNIM analysis use interpretive panels to strengthens the research findings generated by
augment data interpretation. Up to three panels per this research method, as aspects of the data and
case can be used, although the microanalysis panel findings have already been subject to a test of its
is not always required. Using interpretive panels as ‘interpretations’ during the process.
an analytic technique is useful in generating broader
interpretive perspectives and exhausting alternatives Conclusion
(Hollway and Jefferson 2000, Paley and Eva 2005, The skill of interpreting stories is inextricably
Kvale and Brinkmann 2009). linked with the conduct of nursing internationally.
The use of interpretive panels in research is Individuals’ sense-making informs actions (or inaction)
also useful in that it prevents what Wengraf (2014) regarding living and dying. Research in nursing will
terms the ‘biographic inevitability illusion’ where continue to endeavour to describe, explain and predict
the researcher has already decided on the (possibly the many factors that influence the day-to-day delivery
narrow) interpretation of a story. The effectiveness of care to people. Discourses and the narratives
of interpretive panels in deepening interpretations used in health are fertile resources to examine and
and minimising researcher bias has been identified analyse how knowledge is socially constructed in the
by others (Jones 2003, Meares 2007). Interpretive constantly changing field of health care.
panels ideally comprise between three and It is important that care providers have an
eight people and attempt to explore alternative appreciation of discourses and that the narratives used
possibilities and interpretations regarding the lived to articulate individuals’ expressions of their illness
life and story of the participant. They do this by are shaped by structural and agency constraints and
viewing information presented to them in a ‘future- the historical context in which these are constructed.
blind, chunk by chunk’ fashion. Mindfulness of the patient or service user’s story
This means that pieces of information relating is more important than ever in an era of cost
to the lived life are presented and interpreted containment and service user involvement (Apitzsch
sequentially. For example, one lived life ‘chunk’ and Inowlocki 2000).
presented could read ‘born in 1960 in London’. The BNIM offers health and nursing research another
group would explore all possible interpretations of resource with which to explore stories of health and/

38 May 2014 | Volume 21 | Number 5 © RCN PUBLISHING / NURSE RESEARCHER


Patient stories

or illness. We concur with Sandelowski’s assertion between policy, professional practice and the
(Sandelowski 2002, 2011) that ‘empirical intimacy’ individual can be made (Chamberlayne 2002).
associated with the analysis of a case or indeed a This paper has introduced the theory and practice
small number of cases through the BNIM method underpinning BNIM. In essence, it has provided a Online archive
is a useful way of transcending divides. Although ‘taster’ of the BNIM methodology, which has been For related information, visit
credence is deservedly given to the empirical used effectively by both authors. We argue that it our online archive of more
than 7,000 articles and
weight of randomised controlled trials, we suggest provides a useful framework for researchers looking search using the keywords
that individual case histories and stories emerging for a broad inclusive method that can be used to
through BNIM have a unique merit as they can examine the complexities of life and how people Conflict of interest
provide a useful means by which connections account for it. None declared

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