Suits research exploring:• Changing behaviours within health contexts to address patient and carer practices• Changing behaviours regarding environmental concerns• Barriers and enablers to behaviour/ practice/ implementation• Intervention planning and implementation• Post-evaluation• Promoting physical activity
As discussed in Chapter 3, qualitative research is not an absolute science. While not all research may need a framework or theory (particularly descriptive studies, outlined in Chapter 5), the use of a framework or theory can help to position the research questions, research processes and conclusions and implications within the relevant research paradigm. Theories and frameworks also help to bring to focus areas of the research problem that may not have been considered.
Qualitative Research – a practical guide for health and social care researchers and practitioners Copyright © 2023 by Tess Tsindos is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License , except where otherwise noted.
Theories are formulated to explain, predict, and understand phenomena and, in many cases, to challenge and extend existing knowledge within the limits of critical bounding assumptions. The theoretical framework is the structure that can hold or support a theory of a research study. The theoretical framework introduces and describes the theory that explains why the research problem under study exists.
Abend, Gabriel. "The Meaning of Theory." Sociological Theory 26 (June 2008): 173–199; Swanson, Richard A. Theory Building in Applied Disciplines . San Francisco, CA: Berrett-Koehler Publishers 2013.
A theoretical framework consists of concepts and, together with their definitions and reference to relevant scholarly literature, existing theory that is used for your particular study. The theoretical framework must demonstrate an understanding of theories and concepts that are relevant to the topic of your research paper and that relate to the broader areas of knowledge being considered.
The theoretical framework is most often not something readily found within the literature . You must review course readings and pertinent research studies for theories and analytic models that are relevant to the research problem you are investigating. The selection of a theory should depend on its appropriateness, ease of application, and explanatory power.
The theoretical framework strengthens the study in the following ways :
By virtue of its applicative nature, good theory in the social sciences is of value precisely because it fulfills one primary purpose: to explain the meaning, nature, and challenges associated with a phenomenon, often experienced but unexplained in the world in which we live, so that we may use that knowledge and understanding to act in more informed and effective ways.
The Conceptual Framework . College of Education. Alabama State University; Corvellec, Hervé, ed. What is Theory?: Answers from the Social and Cultural Sciences . Stockholm: Copenhagen Business School Press, 2013; Asher, Herbert B. Theory-Building and Data Analysis in the Social Sciences . Knoxville, TN: University of Tennessee Press, 1984; Drafting an Argument . Writing@CSU. Colorado State University; Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Trochim, William M.K. Philosophy of Research . Research Methods Knowledge Base. 2006; Jarvis, Peter. The Practitioner-Researcher. Developing Theory from Practice . San Francisco, CA: Jossey-Bass, 1999.
I. Developing the Framework
Here are some strategies to develop of an effective theoretical framework:
A theoretical framework is used to limit the scope of the relevant data by focusing on specific variables and defining the specific viewpoint [framework] that the researcher will take in analyzing and interpreting the data to be gathered. It also facilitates the understanding of concepts and variables according to given definitions and builds new knowledge by validating or challenging theoretical assumptions.
II. Purpose
Think of theories as the conceptual basis for understanding, analyzing, and designing ways to investigate relationships within social systems. To that end, the following roles served by a theory can help guide the development of your framework.
Adapted from: Torraco, R. J. “Theory-Building Research Methods.” In Swanson R. A. and E. F. Holton III , editors. Human Resource Development Handbook: Linking Research and Practice . (San Francisco, CA: Berrett-Koehler, 1997): pp. 114-137; Jacard, James and Jacob Jacoby. Theory Construction and Model-Building Skills: A Practical Guide for Social Scientists . New York: Guilford, 2010; Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Sutton, Robert I. and Barry M. Staw. “What Theory is Not.” Administrative Science Quarterly 40 (September 1995): 371-384.
The theoretical framework may be rooted in a specific theory , in which case, your work is expected to test the validity of that existing theory in relation to specific events, issues, or phenomena. Many social science research papers fit into this rubric. For example, Peripheral Realism Theory, which categorizes perceived differences among nation-states as those that give orders, those that obey, and those that rebel, could be used as a means for understanding conflicted relationships among countries in Africa. A test of this theory could be the following: Does Peripheral Realism Theory help explain intra-state actions, such as, the disputed split between southern and northern Sudan that led to the creation of two nations?
However, you may not always be asked by your professor to test a specific theory in your paper, but to develop your own framework from which your analysis of the research problem is derived . Based upon the above example, it is perhaps easiest to understand the nature and function of a theoretical framework if it is viewed as an answer to two basic questions:
The answers to these questions come from a thorough review of the literature and your course readings [summarized and analyzed in the next section of your paper] and the gaps in the research that emerge from the review process. With this in mind, a complete theoretical framework will likely not emerge until after you have completed a thorough review of the literature .
Just as a research problem in your paper requires contextualization and background information, a theory requires a framework for understanding its application to the topic being investigated. When writing and revising this part of your research paper, keep in mind the following:
The Conceptual Framework . College of Education. Alabama State University; Conceptual Framework: What Do You Think is Going On? College of Engineering. University of Michigan; Drafting an Argument . Writing@CSU. Colorado State University; Lynham, Susan A. “The General Method of Theory-Building Research in Applied Disciplines.” Advances in Developing Human Resources 4 (August 2002): 221-241; Tavallaei, Mehdi and Mansor Abu Talib. "A General Perspective on the Role of Theory in Qualitative Research." Journal of International Social Research 3 (Spring 2010); Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Reyes, Victoria. Demystifying the Journal Article . Inside Higher Education; Trochim, William M.K. Philosophy of Research . Research Methods Knowledge Base. 2006; Weick, Karl E. “The Work of Theorizing.” In Theorizing in Social Science: The Context of Discovery . Richard Swedberg, editor. (Stanford, CA: Stanford University Press, 2014), pp. 177-194.
Borrowing Theoretical Constructs from Elsewhere
A growing and increasingly important trend in the social and behavioral sciences is to think about and attempt to understand specific research problems from an interdisciplinary perspective. One way to do this is to not rely exclusively on the theories developed within your particular discipline, but to think about how an issue might be informed by theories developed in other disciplines. For example, if you are a political science student studying the rhetorical strategies used by female incumbents in state legislature campaigns, theories about the use of language could be derived, not only from political science, but linguistics, communication studies, philosophy, psychology, and, in this particular case, feminist studies. Building theoretical frameworks based on the postulates and hypotheses developed in other disciplinary contexts can be both enlightening and an effective way to be fully engaged in the research topic.
CohenMiller, A. S. and P. Elizabeth Pate. "A Model for Developing Interdisciplinary Research Theoretical Frameworks." The Qualitative Researcher 24 (2019): 1211-1226; Frodeman, Robert. The Oxford Handbook of Interdisciplinarity . New York: Oxford University Press, 2010.
Don't Undertheorize!
Do not leave the theory hanging out there in the introduction never to be mentioned again. Undertheorizing weakens your paper. The theoretical framework you describe should guide your study throughout the paper. Be sure to always connect theory to the review of pertinent literature and to explain in the discussion part of your paper how the theoretical framework you chose supports analysis of the research problem, or if appropriate, how the theoretical framework was found in some way to be inadequate in explaining the phenomenon you were investigating. In that case, don't be afraid to propose your own theory based on your findings.
What's a Theory? What's a Hypothesis?
The terms theory and hypothesis are often used interchangeably in newspapers and popular magazines and in non-academic settings. However, the difference between theory and hypothesis in scholarly research is important, particularly when using an experimental design. A theory is a well-established principle that has been developed to explain some aspect of the natural world. Theories arise from repeated observation and testing and incorporates facts, laws, predictions, and tested assumptions that are widely accepted [e.g., rational choice theory; grounded theory; critical race theory].
A hypothesis is a specific, testable prediction about what you expect to happen in your study. For example, an experiment designed to look at the relationship between study habits and test anxiety might have a hypothesis that states, "We predict that students with better study habits will suffer less test anxiety." Unless your study is exploratory in nature, your hypothesis should always explain what you expect to happen during the course of your research.
The key distinctions are:
Cherry, Kendra. Introduction to Research Methods: Theory and Hypothesis . About.com Psychology; Gezae, Michael et al. Welcome Presentation on Hypothesis . Slideshare presentation.
Be Prepared to Challenge the Validity of an Existing Theory
Theories are meant to be tested and their underlying assumptions challenged; they are not rigid or intransigent, but are meant to set forth general principles for explaining phenomena or predicting outcomes. Given this, testing theoretical assumptions is an important way that knowledge in any discipline develops and grows. If you're asked to apply an existing theory to a research problem, the analysis may include an expectation by your professor that you should offer modifications to the theory based on your research findings. Indications that theoretical assumptions may need to be modified can include the following:
Philipsen, Kristian. "Theory Building: Using Abductive Search Strategies." In Collaborative Research Design: Working with Business for Meaningful Findings . Per Vagn Freytag and Louise Young, editors. (Singapore: Springer Nature, 2018), pp. 45-71; Shepherd, Dean A. and Roy Suddaby. "Theory Building: A Review and Integration." Journal of Management 43 (2017): 59-86.
Strategies for developing the theoretical framework, structure and writing style, writing tip, another writing tip, yet another writing tip, still yet another writing tip.
Theories are formulated to explain, predict, and understand phenomena and, in many cases, to challenge and extend existing knowledge within the limits of critical bounding assumptions. The theoretical framework is the structure that can hold or support a theory of a research study. The theoretical framework introduces and describes the theory that explains why the research problem under study exists.
Abend, Gabriel. "The Meaning of Theory." Sociological Theory 26 (June 2008): 173–199; Swanson, Richard A. Theory Building in Applied Disciplines . San Francisco, CA: Berrett-Koehler Publishers 2013.
A theoretical framework consists of concepts and, together with their definitions and reference to relevant scholarly literature, existing theory that is used for your particular study. The theoretical framework must demonstrate an understanding of theories and concepts that are relevant to the topic of your research paper and that relate to the broader areas of knowledge being considered.
The theoretical framework is most often not something readily found within the literature . You must review course readings and pertinent research studies for theories and analytic models that are relevant to the research problem you are investigating. The selection of a theory should depend on its appropriateness, ease of application, and explanatory power.
The theoretical framework strengthens the study in the following ways :
By virtue of its applicative nature, good theory in the social sciences is of value precisely because it fulfills one primary purpose: to explain the meaning, nature, and challenges associated with a phenomenon, often experienced but unexplained in the world in which we live, so that we may use that knowledge and understanding to act in more informed and effective ways.
The Conceptual Framework . College of Education. Alabama State University; Corvellec, Hervé, ed. What is Theory?: Answers from the Social and Cultural Sciences . Stockholm: Copenhagen Business School Press, 2013; Asher, Herbert B. Theory-Building and Data Analysis in the Social Sciences . Knoxville, TN: University of Tennessee Press, 1984; Drafting an Argument . Writing@CSU. Colorado State University; Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Trochim, William M.K. Philosophy of Research . Research Methods Knowledge Base. 2006; Jarvis, Peter. The Practitioner-Researcher. Developing Theory from Practice . San Francisco, CA: Jossey-Bass, 1999.
I. Developing the Framework
Here are some strategies to develop of an effective theoretical framework:
A theoretical framework is used to limit the scope of the relevant data by focusing on specific variables and defining the specific viewpoint [framework] that the researcher will take in analyzing and interpreting the data to be gathered. It also facilitates the understanding of concepts and variables according to given definitions and builds new knowledge by validating or challenging theoretical assumptions.
II. Purpose
Think of theories as the conceptual basis for understanding, analyzing, and designing ways to investigate relationships within social systems. To that end, the following roles served by a theory can help guide the development of your framework.
Adapted from: Torraco, R. J. “Theory-Building Research Methods.” In Swanson R. A. and E. F. Holton III , editors. Human Resource Development Handbook: Linking Research and Practice . (San Francisco, CA: Berrett-Koehler, 1997): pp. 114-137; Jacard, James and Jacob Jacoby. Theory Construction and Model-Building Skills: A Practical Guide for Social Scientists . New York: Guilford, 2010; Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Sutton, Robert I. and Barry M. Staw. “What Theory is Not.” Administrative Science Quarterly 40 (September 1995): 371-384.
The theoretical framework may be rooted in a specific theory , in which case, your work is expected to test the validity of that existing theory in relation to specific events, issues, or phenomena. Many social science research papers fit into this rubric. For example, Peripheral Realism Theory, which categorizes perceived differences among nation-states as those that give orders, those that obey, and those that rebel, could be used as a means for understanding conflicted relationships among countries in Africa. A test of this theory could be the following: Does Peripheral Realism Theory help explain intra-state actions, such as, the disputed split between southern and northern Sudan that led to the creation of two nations?
However, you may not always be asked by your professor to test a specific theory in your paper, but to develop your own framework from which your analysis of the research problem is derived . Based upon the above example, it is perhaps easiest to understand the nature and function of a theoretical framework if it is viewed as an answer to two basic questions:
The answers to these questions come from a thorough review of the literature and your course readings [summarized and analyzed in the next section of your paper] and the gaps in the research that emerge from the review process. With this in mind, a complete theoretical framework will likely not emerge until after you have completed a thorough review of the literature .
Just as a research problem in your paper requires contextualization and background information, a theory requires a framework for understanding its application to the topic being investigated. When writing and revising this part of your research paper, keep in mind the following:
The Conceptual Framework . College of Education. Alabama State University; Conceptual Framework: What Do You Think is Going On? College of Engineering. University of Michigan; Drafting an Argument . Writing@CSU. Colorado State University; Lynham, Susan A. “The General Method of Theory-Building Research in Applied Disciplines.” Advances in Developing Human Resources 4 (August 2002): 221-241; Tavallaei, Mehdi and Mansor Abu Talib. "A General Perspective on the Role of Theory in Qualitative Research." Journal of International Social Research 3 (Spring 2010); Ravitch, Sharon M. and Matthew Riggan. Reason and Rigor: How Conceptual Frameworks Guide Research . Second edition. Los Angeles, CA: SAGE, 2017; Reyes, Victoria. Demystifying the Journal Article . Inside Higher Education; Trochim, William M.K. Philosophy of Research . Research Methods Knowledge Base. 2006; Weick, Karl E. “The Work of Theorizing.” In Theorizing in Social Science: The Context of Discovery . Richard Swedberg, editor. (Stanford, CA: Stanford University Press, 2014), pp. 177-194.
Borrowing Theoretical Constructs from Elsewhere
An increasingly important trend in the social and behavioral sciences is to think about and attempt to understand research problems from an interdisciplinary perspective. One way to do this is to not rely exclusively on the theories developed within your particular discipline, but to think about how an issue might be informed by theories developed in other disciplines. For example, if you are a political science student studying the rhetorical strategies used by female incumbents in state legislature campaigns, theories about the use of language could be derived, not only from political science, but linguistics, communication studies, philosophy, psychology, and, in this particular case, feminist studies. Building theoretical frameworks based on the postulates and hypotheses developed in other disciplinary contexts can be both enlightening and an effective way to be more engaged in the research topic.
CohenMiller, A. S. and P. Elizabeth Pate. "A Model for Developing Interdisciplinary Research Theoretical Frameworks." The Qualitative Researcher 24 (2019): 1211-1226; Frodeman, Robert. The Oxford Handbook of Interdisciplinarity . New York: Oxford University Press, 2010.
Don't Undertheorize!
Do not leave the theory hanging out there in the introduction never to be mentioned again. Undertheorizing weakens your paper. The theoretical framework you describe should guide your study throughout the paper. Be sure to always connect theory to the review of pertinent literature and to explain in the discussion part of your paper how the theoretical framework you chose supports analysis of the research problem or, if appropriate, how the theoretical framework was found to be inadequate in explaining the phenomenon you were investigating. In that case, don't be afraid to propose your own theory based on your findings.
What's a Theory? What's a Hypothesis?
The terms theory and hypothesis are often used interchangeably in newspapers and popular magazines and in non-academic settings. However, the difference between theory and hypothesis in scholarly research is important, particularly when using an experimental design. A theory is a well-established principle that has been developed to explain some aspect of the natural world. Theories arise from repeated observation and testing and incorporates facts, laws, predictions, and tested assumptions that are widely accepted [e.g., rational choice theory; grounded theory; critical race theory].
A hypothesis is a specific, testable prediction about what you expect to happen in your study. For example, an experiment designed to look at the relationship between study habits and test anxiety might have a hypothesis that states, "We predict that students with better study habits will suffer less test anxiety." Unless your study is exploratory in nature, your hypothesis should always explain what you expect to happen during the course of your research.
The key distinctions are:
Cherry, Kendra. Introduction to Research Methods: Theory and Hypothesis . About.com Psychology; Gezae, Michael et al. Welcome Presentation on Hypothesis . Slideshare presentation.
Be Prepared to Challenge the Validity of an Existing Theory
Theories are meant to be tested and their underlying assumptions challenged; they are not rigid or intransigent, but are meant to set forth general principles for explaining phenomena or predicting outcomes. Given this, testing theoretical assumptions is an important way that knowledge in any discipline develops and grows. If you're asked to apply an existing theory to a research problem, the analysis may include the expectation by your professor that you should offer modifications to the theory based on your research findings. Indications that theoretical assumptions may need to be modified can include the following:
Philipsen, Kristian. "Theory Building: Using Abductive Search Strategies." In Collaborative Research Design: Working with Business for Meaningful Findings . Per Vagn Freytag and Louise Young, editors. (Singapore: Springer Nature, 2018), pp. 45-71; Shepherd, Dean A. and Roy Suddaby. "Theory Building: A Review and Integration." Journal of Management 43 (2017): 59-86.
BMC Medical Education volume 24 , Article number: 925 ( 2024 ) Cite this article
Metrics details
This study investigates the effectiveness of panel discussions, a specific interactive teaching technique where a group of students leads a pre-planned, topic-focused discussion with audience participation, in English for Specific Purposes (ESP) courses for international medical students. This approach aims to simulate professional conference discussions, preparing students for future academic and clinical environments where such skills are crucial. While traditional group presentations foster critical thinking and communication, a gap exists in understanding how medical students perceive the complexities of preparing for and participating in panel discussions within an ESP setting. This qualitative study investigates the perceived advantages and disadvantages of these discussions from the perspectives of both panelists (medical students) and the audience (peers). Additionally, the study explores potential improvements based on insights from ESP instructors. Utilizing a two-phase design involving reflection papers and focus group discussions, data were collected from 46 medical students and three ESP instructors. Thematic analysis revealed that panel discussions offer unique benefits compared to traditional presentations, including enhanced engagement and more dynamic skill development for both panelists and the audience. Panelists reported gains in personal and professional development, including honing critical thinking, communication, and presentation skills. The audience perceived these discussions as engaging learning experiences that fostered critical analysis and information synthesis. However, challenges such as academic workload and concerns about discussion quality were also identified. The study concludes that panel discussions, when implemented effectively, can be a valuable tool for enhancing critical thinking, communication skills, and subject matter knowledge in ESP courses for medical students. These skills are transferable and can benefit students in various academic and professional settings, including future participation in medical conferences. This research provides valuable insights for ESP instructors seeking to integrate panel discussions into their curriculum, ultimately improving student learning outcomes and preparing them for future success in professional communication.
Peer Review reports
In the field of medical education, the acquisition and application of effective communication skills are crucial for medical students in today’s global healthcare environment [ 1 ]. This necessitates not only strong English language proficiency but also the ability to present complex medical information clearly and concisely to diverse audiences.
Language courses, especially English for Specific Purposes (ESP) courses for medical students, are highly relevant in today’s globalized healthcare environment [ 2 ]. In non-English speaking countries like Iran, these courses are particularly important as they go beyond mere language instruction to include the development of critical thinking, cultural competence, and professional communication skills [ 3 ]. Proficiency in English is crucial for accessing up-to-date research, participating in international conferences, and communicating with patients and colleagues from diverse backgrounds [ 4 ]. Additionally, ESP courses help medical students understand and use medical terminologies accurately, which is essential for reading technical articles, listening to audio presentations, and giving spoken presentations [ 5 ]. In countries where English is not the primary language, ESP courses ensure that medical professionals can stay current with global advancements and collaborate effectively on an international scale [ 6 ]. Furthermore, these courses support students who may seek to practice medicine abroad, enhancing their career opportunities and professional growth [ 7 ].
Moreover, ESP courses enable medical professionals to communicate effectively with international patients, which is crucial in multicultural societies and for medical tourism, ensuring that patient care is not compromised due to language barriers [ 8 ]. Many medical textbooks, journals, and online resources are available primarily in English, and ESP courses equip medical students with the necessary language skills to access and comprehend these resources, ensuring they are well-informed about the latest medical research and practices [ 9 ].
Additionally, many medical professionals from non-English speaking countries aim to take international certification exams, such as the USMLE or PLAB, which are conducted in English, and ESP courses prepare students for these exams by familiarizing them with the medical terminology and language used in these assessments [ 10 ]. ESP courses also contribute to the professional development of medical students by improving their ability to write research papers, case reports, and other academic documents in English, which is essential for publishing in international journals and contributing to global medical knowledge [ 11 ]. In the increasingly interdisciplinary field of healthcare, collaboration with professionals from other countries is common, and ESP courses facilitate effective communication and collaboration with international colleagues, fostering innovation and the exchange of ideas [ 12 ].
With the rise of telemedicine and online medical consultations, proficiency in English is essential for non-English speaking medical professionals to provide remote healthcare services to international patients, and ESP courses prepare students for these modern medical practices [ 13 ].
Finally, ESP courses often include training on cultural competence, which is crucial for understanding and respecting the cultural backgrounds of patients and colleagues, leading to more empathetic and effective patient care and professional interactions [ 14 ]. Many ESP programs for medical students incorporate group presentations as a vital component of their curriculum, recognizing the positive impact on developing these essential skills [ 15 ].
Group projects in language courses, particularly in ESP for medical students, are highly relevant for several reasons. They provide a collaborative environment that mimics real-world professional settings, where healthcare professionals often work in multidisciplinary teams [ 16 ]. These group activities foster not only language skills but also crucial soft skills such as teamwork, leadership, and interpersonal communication, which are essential in medical practice [ 17 ].
The benefits of group projects over individual projects in language learning are significant. Hartono, Mujiyanto [ 18 ] found that group presentation tasks in ESP courses led to higher self-efficacy development compared to individual tasks. Group projects encourage peer learning, where students can learn from each other’s strengths and compensate for individual weaknesses [ 19 ]. They also provide a supportive environment that can reduce anxiety and increase willingness to communicate in the target language [ 20 ]. However, it is important to note that group projects also come with challenges, such as social loafing and unequal contribution, which need to be managed effectively [ 21 ].
Traditional lecture-based teaching methods, while valuable for knowledge acquisition, may not effectively prepare medical students for the interactive and collaborative nature of real-world healthcare settings [ 22 ]. Panel discussions (hereafter PDs), an interactive teaching technique where a group of students leads a pre-planned, topic-focused discussion with audience participation, are particularly relevant in this context. They simulate professional conference discussions and interdisciplinary team meetings, preparing students for future academic and clinical environments where such skills are crucial [ 23 ].
PDs, also known as moderated discussions or moderated panels, are a specific type of interactive format where a group of experts or stakeholders engage in a facilitated conversation on a particular topic or issue [ 22 ]. In this format, a moderator guides the discussion, encourages active participation from all panelists, and fosters a collaborative environment that promotes constructive dialogue and critical thinking [ 24 ]. The goal is to encourage audience engagement and participation, which can be achieved through various strategies such as asking open-ended questions, encouraging counterpoints and counterarguments, and providing opportunities for audience members to pose questions or share their own experiences [ 25 ]. These discussions can take place in-person or online, and can be designed to accommodate diverse audiences and settings [ 26 ].
In this study, PD is considered a speaking activity where medical students are assigned specific roles to play during the simulation, such as a physician, quality improvement specialist, policymaker, or patient advocate. By taking on these roles, students can gain a better understanding of the diverse perspectives and considerations that come into play in real-world healthcare discussions [ 23 ]. Simulating PDs within ESP courses can be a powerful tool for enhancing medical students’ learning outcomes in multiple areas. This approach improves language proficiency, academic skills, and critical thinking abilities, while also enabling students to communicate effectively with diverse stakeholders in the medical field [ 27 , 28 ].
The panel discussions in our study are grounded in the concept of authentic assessment (outlined by Villarroel, Bloxham [ 29 ]), which involves designing tasks that mirror real-life situations and problems. In the context of medical education, this approach is particularly relevant as it prepares students for the complex, multidisciplinary nature of healthcare communication. Realism can be achieved through two means: providing a realistic context that describes and delivers a frame for the problem to be solved and creating tasks that are similar to those faced in real and/or professional life [ 30 ]. In our study, the PDs provide a realistic context by simulating scenarios where medical students are required to discuss and present complex medical topics in a professional setting, mirroring the types of interactions they will encounter in their future careers.
The task of participating in PDs also involves cognitive challenge, as students are required to think critically about complex medical topics, analyze information, and communicate their findings effectively. This type of task aims to generate processes of problem-solving, application of knowledge, and decision-making that correspond to the development of cognitive and metacognitive skills [ 23 ]. For medical students, these skills are crucial in developing clinical reasoning and effective patient communication. The PDs encourage students to go beyond the textual reproduction of fragmented and low-order content and move towards understanding, establishing relationships between new ideas and previous knowledge, linking theoretical concepts with everyday experience, deriving conclusions from the analysis of data, and examining both the logic of the arguments present in the theory and its practical scope [ 24 , 25 , 27 ].
Furthermore, the evaluative judgment aspect of our study is critical in helping students develop criteria and standards about what a good performance means in medical communication. This involves students judging their own performance and regulating their own learning [ 31 ]. In the context of panel discussions, students reflect on their own work, compare it with desired standards, and seek feedback from peers and instructors. By doing so, students can develop a sense of what constitutes good performance in medical communication and what areas need improvement [ 32 ]. Boud, Lawson and Thompson [ 33 ] argue that students need to build a precise judgment about the quality of their work and calibrate these judgments in the light of evidence. This skill is particularly important for future medical professionals who will need to continually assess and improve their communication skills throughout their careers.
The theoretical framework presented above highlights the importance of authentic learning experiences in medical education. By drawing on the benefits of group work and panel discussions, university instructor-researchers aimed to provide medical students with a unique opportunity to engage with complex cases and develop their communication and collaboration skills. As noted by Suryanarayana [ 34 ], authentic learning experiences can lead to deeper learning and improved retention. Considering the advantages of group work in promoting collaborative problem-solving and language development, the instructor-researchers designed a panel discussion task that simulates real-world scenarios, where students can work together to analyze complex cases, share knowledge, and present their findings to a simulated audience.
While previous studies have highlighted the benefits of interactive learning experiences and critical thinking skills in medical education, a research gap remains in understanding how medical students perceive the relevance of PDs in ESP courses. This study aims to address this gap by investigating medical students’ perceptions of PD tasks in ESP courses and how these perceptions relate to their language proficiency, critical thinking skills, and ability to communicate effectively with diverse stakeholders in the medical field. This understanding can inform best practices in medical education, contributing to the development of more effective communication skills for future healthcare professionals worldwide [ 23 ]. The research questions guiding this study are:
What are the perceived advantages of PDs from the perspectives of panelists and the audience?
What are the perceived disadvantages of PDs from the perspectives of panelists and the audience?
How can PDs be improved for panelists and the audience based on the insights of ESP instructors?
Aim and design.
For this study, a two-phase qualitative design was employed to gain an understanding of the advantages and disadvantages of PDs from the perspectives of both student panelists and the audience (Phase 1) and to acquire an in-depth understanding of the suggested strategies provided by experts to enhance PPs for future students (Phase 2).
This study was conducted in two phases (Fig. 1 ) at Shiraz University of Medical Sciences (SUMS), Shiraz, Iran.
Participants of the study in two phases
In the first phase, the student participants were 46 non-native speakers of English and international students who studied medicine at SUMS. Their demographic characteristics can be seen in Table 1 .
These students were purposefully selected because they were the only SUMS international students who had taken the ESP (English for Specific Purposes) course. The number of international students attending SUMS is indeed limited. Each year, a different batch of international students joins the university. They progress through a sequence of English courses, starting with General English 1 and 2, followed by the ESP course, and concluding with academic writing. At the time of data collection, the students included in the study were the only international students enrolled in the ESP course. This mandatory 3-unit course is designed to enhance their language and communication skills specifically tailored to their profession. As a part of the Medicine major curriculum, this course aims to improve their English language proficiency in areas relevant to medicine, such as understanding medical terminology, comprehending original medicine texts, discussing clinical cases, and communicating with patients, colleagues, and other healthcare professionals.
Throughout the course, students engage in various interactive activities, such as group discussions, role-playing exercises, and case studies, to develop their practical communication skills. In this course, medical students receive four marks out of 20 for their oral presentations, while the remaining marks are allocated to their written midterm and final exams. From the beginning of the course, they are briefed about PDs, and they are shown two YouTube-downloaded videos about PDs at medical conferences, a popular format for discussing and sharing knowledge, research findings, and expert opinions on various medical topics.
For the second phase of the study, a specific group of participants was purposefully selected. This group consisted of three faculty members from SUMS English department who had extensive experience attending numerous conferences at national and international levels, particularly in the medical field, as well as working as translators and interpreters in medical congresses. Over the course of ten years, they also gained considerable experience in PDs. They were invited to discuss strategies helpful for medical students with PDs.
When preparing for a PD session, medical students received comprehensive guidance on understanding the roles and responsibilities of each panel member. This guidance was aimed at ensuring that each participant was well-prepared and understood their specific role in the discussion.
Moderators should play a crucial role in steering the conversation. They are responsible for ensuring that all panelists have an opportunity to contribute and that the audience is engaged effectively. Specific tasks include preparing opening remarks, introducing panelists, and crafting transition questions to facilitate smooth topic transitions. The moderators should also manage the time to ensure balanced participation and encourage active audience involvement.
Panelists are expected to be subject matter experts who bring valuable insights and opinions to the discussion. They are advised to conduct thorough research on the topic and prepare concise talking points. Panelists are encouraged to draw from their medical knowledge and relevant experiences, share evidence-based information, and engage with other panelists’ points through active listening and thoughtful responses.
The audience plays an active role in the PDs. They are encouraged to participate by asking questions, sharing relevant experiences, and contributing to the dialogue. To facilitate this, students are advised to take notes during the discussion and think of questions or comments they can contribute during the Q&A segment.
For this special course, medical students were advised to choose topics either from their ESP textbook or consider current medical trends, emerging research, and pressing issues in their field. Examples included breast cancer, COVID-19, and controversies in gene therapy. The selection process involved brainstorming sessions and consultation with the course instructor to ensure relevance and appropriateness.
To accommodate the PD sessions within the course structure, students were allowed to start their PD sessions voluntarily from the second week. However, to maintain a balance between peer-led discussions and regular course content, only one PD was held weekly. This approach enabled the ESP lecturer to deliver comprehensive content while also allowing students to engage in these interactive sessions.
A basic time structure was suggested for each PD (Fig. 2 ):
Time allocation for panel discussion stages in minutes
To ensure the smooth running of the course and maintain momentum, students were informed that they could cancel their PD session only once. In such cases, they were required to notify the lecturer and other students via the class Telegram channel to facilitate rescheduling and minimize disruptions. This provision was essential in promoting a sense of community among students and maintaining the course’s continuity.
The study utilized various tools to gather and analyze data from participants and experts, ensuring a comprehensive understanding of the research topic.
In Phase 1 of the study, 46 medical students detailed their perceptions of the advantages and disadvantages of panel discussions from dual perspectives: as panelists (presenters) and as audience members (peers).
Participants were given clear instructions and a 45-minute time frame to complete the reflection task. With approximately 80% of the international language students being native English speakers and the rest fluent in English, the researchers deemed this time allocation reasonable. The questions and instructions were straightforward, facilitating quick comprehension. It was estimated that native English speakers would need about 30 min to complete the task, while non-native speakers might require an extra 15 min for clarity and expression. This time frame aimed to allow students to respond thoughtfully without feeling rushed. Additionally, students could request more time if needed.
In phase 2 of the study, a focus group discussion was conducted with three expert participants. The purpose of the focus group was to gather insights from expert participants, specifically ESP (English for Specific Purposes) instructors, on how presentation dynamics can be improved for both panelists and the audience.
According to Colton and Covert [ 35 ], focus groups are useful for obtaining detailed input from experts. The appropriate size of a focus group is determined by the study’s scope and available resources [ 36 ]. Morgan [ 37 ] suggests that small focus groups are suitable for complex topics where specialist participants might feel frustrated if not allowed to express themselves fully.
The choice of a focus group over individual interviews was based on several factors. First, the exploratory nature of the study made focus groups ideal for interactive discussions, generating new ideas and in-depth insights [ 36 ]. Second, while focus groups usually involve larger groups, they can effectively accommodate a limited number of experts with extensive knowledge [ 37 ]. Third, the focus group format fostered a more open environment for idea exchange, allowing participants to engage dynamically [ 36 ]. Lastly, conducting a focus group was more time- and resource-efficient than scheduling three separate interviews [ 36 ].
The first phase of the study involved a thorough examination of the data related to the research inquiries using thematic analysis. This method was chosen for its effectiveness in uncovering latent patterns from a bottom-up perspective, facilitating a comprehensive understanding of complex educational phenomena [ 38 ]. The researchers first familiarized themselves with the data by repeatedly reviewing the reflection papers written by the medical students. Next, an initial round of coding was independently conducted to identify significant data segments and generate preliminary codes that reflected the students’ perceptions of the advantages and disadvantages of presentation dynamics PDs from both the presenter and audience viewpoints [ 38 ].
The analysis of the reflection papers began with the two researchers coding a subset of five papers independently, adhering to a structured qualitative coding protocol [ 39 ]. They convened afterward to compare their initial codes and address any discrepancies. Through discussion, they reached an agreement on the codes, which were then analyzed, organized into categories and themes, and the frequency of each code was recorded [ 38 ].
After coding the initial five papers, the researchers continued to code the remaining 41 reflection paper transcripts in batches of ten, meeting after each batch to review their coding, resolve any inconsistencies, and refine the coding framework as needed. This iterative process, characterized by independent coding, joint reviews, and consensus-building, helped the researchers establish a robust and reliable coding approach consistently applied to the complete dataset [ 40 ]. Once all 46 reflection paper transcripts were coded, the researchers conducted a final review and discussion to ensure accurate analysis. They extracted relevant excerpts corresponding to the identified themes and sub-themes from the transcripts to provide detailed explanations and support for their findings [ 38 ]. This multi-step approach of separate initial coding, collaborative review, and frequency analysis enhanced the credibility and transparency of the qualitative data analysis.
To ensure the trustworthiness of the data collected in this study, the researchers adhered to the Guba and Lincoln standards of scientific accuracy in qualitative research, which encompass credibility, confirmability, dependability, and transferability [ 41 ] (Table 2 ).
The analysis of the focus group data obtained from experts followed the same rigorous procedure applied to the student participants’ data. Thematic analysis was employed to examine the experts’ perspectives, maintaining consistency in the analytical approach across both phases of the study. The researchers familiarized themselves with the focus group transcript, conducted independent preliminary coding, and then collaboratively refined the codes. These codes were subsequently organized into categories and themes, with the frequency of each code recorded. The researchers engaged in thorough discussions to ensure agreement on the final themes and sub-themes. Relevant excerpts from the focus group transcript were extracted to provide rich, detailed explanations of each theme, thereby ensuring a comprehensive and accurate analysis of the experts’ insights.
1. What are the advantages of PDs from the perspective of panelists and the audience?
The analysis of the advantages of PDs from the perspectives of both panelists and audience members revealed several key themes and categories. Tables 2 and 3 present the frequency and percentage of responses for each code within these categories.
From the panelists’ perspective (Table 3 ), the overarching theme was “Personal and Professional Development.” The most frequently reported advantage was knowledge sharing (93.5%), followed closely by increased confidence (91.3%) and the importance of interaction in presentations (91.3%).
Notably, all categories within this theme had at least one code mentioned by over 80% of participants, indicating a broad range of perceived benefits. The category of “Effective teamwork and communication” was particularly prominent, with collaboration (89.1%) and knowledge sharing (93.5%) being among the most frequently cited advantages. This suggests that PDs are perceived as valuable tools for fostering interpersonal skills and collective learning. In the “Language mastery” category, increased confidence (91.3%) and better retention of key concepts (87.0%) were highlighted, indicating that PDs are seen as effective for both language and content learning.
The audience perspective (Table 4 ), encapsulated under the theme “Enriching Learning Experience,” showed similarly high frequencies across all categories.
The most frequently mentioned advantage was exposure to diverse speakers (93.5%), closely followed by the range of topics covered (91.3%) and increased audience interest (91.3%). The “Broadening perspectives” category was particularly rich, with all codes mentioned by over 70% of participants. This suggests that audience members perceive PDs as valuable opportunities for expanding their knowledge and viewpoints. In the “Language practice” category, the opportunity to practice language skills (89.1%) was the most frequently cited advantage, indicating that even as audience members, students perceive significant language learning benefits.
Comparing the two perspectives reveals several interesting patterns:
High overall engagement: Both panelists and audience members reported high frequencies across all categories, suggesting that PDs are perceived as beneficial regardless of the role played.
Language benefits: While panelists emphasized increased confidence (91.3%) and better retention of concepts (87.0%), audience members highlighted opportunities for language practice (89.1%). This indicates that PDs offer complementary language learning benefits for both roles.
Interactive learning: The importance of interaction was highly rated by panelists (91.3%), while increased audience interest was similarly valued by the audience (91.3%). This suggests that PDs are perceived as an engaging, interactive learning method from both perspectives.
Professional development: Panelists uniquely emphasized professional growth aspects such as experiential learning (84.8%) and real-world application (80.4%). These were not directly mirrored in the audience perspective, suggesting that active participation in PDs may offer additional professional development benefits.
Broadening horizons: Both groups highly valued the diversity aspect of PDs. Panelists appreciated diversity and open-mindedness (80.4%), while audience members valued diverse speakers (93.5%) and a range of topics (91.3%).
2. What are the disadvantages of PDs from the perspective of panelists and the audience?
The analysis of the disadvantages of panel discussions (PDs) from the perspectives of both panelists and audience members revealed several key themes and categories. Tables 4 and 5 present the frequency and percentage of responses for each code within these categories.
From the panelists’ perspective (Table 5 ), the theme “Drawbacks of PDs” was divided into two main categories: “Academic Workload Challenges” and “Coordination Challenges.” The most frequently reported disadvantage was long preparation (87.0%), followed by significant practice needed (82.6%) and the time-consuming nature of PDs (80.4%). These findings suggest that the primary concern for panelists is the additional workload that PDs impose on their already demanding academic schedules. The “Coordination Challenges” category, while less prominent than workload issues, still presented significant concerns. Diverse panel skills (78.3%) and finding suitable panelists (73.9%) were the most frequently cited issues in this category, indicating that team dynamics and composition are notable challenges for panelists.
The audience perspective (Table 6 ), encapsulated under the theme “Drawbacks of PDs,” was divided into two main categories: “Time-related Issues” and “Interaction and Engagement Issues.” In the “Time-related Issues” category, the most frequently mentioned disadvantage was the inefficient use of time (65.2%), followed by the perception of PDs as too long and boring (60.9%). Notably, 56.5% of respondents found PDs stressful due to overwhelming workload from other studies, and 52.2% considered them not very useful during exam time. The “Interaction and Engagement Issues” category revealed more diverse concerns. The most frequently mentioned disadvantage was the repetitive format (82.6%), followed by limited engagement with the audience (78.3%) and the perception of PDs as boring (73.9%). The audience also noted issues related to the panelists’ preparation and coordination, such as “Not practiced and natural” (67.4%) and “Coordination and Interaction Issues” (71.7%), suggesting that the challenges faced by panelists directly impact the audience’s experience.
Workload concerns: Both panelists and audience members highlighted time-related issues. For panelists, this manifested as long preparation times (87.0%) and difficulty balancing with other studies (76.1%). For the audience, it appeared as perceptions of inefficient use of time (65.2%) and stress due to overwhelming workload from other studies (56.5%).
Engagement issues: While panelists focused on preparation and coordination challenges, the audience emphasized the quality of the discussion and engagement. This suggests a potential mismatch between the efforts of panelists and the expectations of the audience.
Boredom and repetition: The audience frequently mentioned boredom (73.9%) and repetitive format (82.6%) as issues, which weren’t directly mirrored in the panelists’ responses. This indicates that while panelists may be focused on content preparation, the audience is more concerned with the delivery and variety of the presentation format.
Coordination challenges: Both groups noted coordination issues, but from different perspectives. Panelists struggled with team dynamics and finding suitable co-presenters, while the audience observed these challenges manifesting as unnatural or unpracticed presentations.
Academic pressure: Both groups acknowledged the strain PDs put on their academic lives, with panelists viewing it as a burden (65.2%) and the audience finding it less useful during exam times (52.2%).
3. How can PDs be improved for panelists and the audience from the experts’ point of view?
The presentation of data for this research question differs from the previous two due to the unique nature of the information gathered. Unlike the quantifiable student responses in earlier questions, this data stems from expert opinions and a reflection discussion session, focusing on qualitative recommendations for improvement rather than frequency of responses (Braun & Clarke, 2006). The complexity and interconnectedness of expert suggestions, coupled with the integration of supporting literature, necessitate a more narrative approach (Creswell & Poth, 2018). This format allows for a richer exploration of the context behind each recommendation and its potential implications (Patton, 2015). Furthermore, the exploratory nature of this question, aimed at generating ideas for improvement rather than measuring prevalence of opinions, is better served by a detailed, descriptive presentation (Merriam & Tisdell, 2016). This approach enables a more nuanced understanding of how PDs can be enhanced, aligning closely with the “how” nature of the research question and providing valuable insights for potential implementation (Yin, 2018).
The experts provided several suggestions to address the challenges faced by students in panel discussions (PDs) and improve the experience for both panelists and the audience. Their recommendations focused on six key areas: time management and workload, preparation and skill development, engagement and interactivity, technological integration, collaboration and communication, and institutional support.
To address the issue of time management and heavy workload, one expert suggested teaching students to “ break down the task to tackle the time-consuming nature of panel discussions and balance it with other studies .” This approach aims to help students manage the extensive preparation time required for PDs without compromising their other academic responsibilities. Another expert emphasized “ enhancing medical students’ abilities to prioritize tasks , allocate resources efficiently , and optimize their workflow to achieve their goals effectively .” These skills were seen as crucial not only for PD preparation but also for overall academic success and future professional practice.
Recognizing the challenges of long preparation times and the perception of PDs being burdensome, an expert proposed “ the implementation of interactive training sessions for panelists .” These sessions were suggested to enhance coordination skills and improve the ability of group presenters to engage with the audience effectively. The expert emphasized that such training could help students view PDs as valuable learning experiences rather than additional burdens, potentially increasing their motivation and engagement in the process.
To combat issues of limited engagement and perceived boredom, experts recommended increasing engagement opportunities for the audience through interactive elements like audience participation and group discussions. They suggested that this could transform PDs from passive listening experiences to active learning opportunities. One expert suggested “ optimizing time management and restructuring the format of panel discussions ” to address inefficiency during sessions. This restructuring could involve shorter presentation segments interspersed with interactive elements to maintain audience attention and engagement.
An innovative solution proposed by one expert was “ using ChatGPT to prepare for PDs by streamlining scenario presentation preparation and role allocation. ” The experts collectively discussed the potential of AI to assist medical students in reducing their workload and saving time in preparing scenario presentations and allocating roles in panel discussions. They noted that AI could help generate initial content drafts, suggest role distributions based on individual strengths, and even provide practice questions for panelists, significantly reducing preparation time while maintaining quality.
Two experts emphasized the importance of enhancing collaboration and communication among panelists to address issues related to diverse panel skills and coordination challenges. They suggested establishing clear communication channels and guidelines to improve coordination and ensure a cohesive presentation. This could involve creating structured team roles, setting clear expectations for each panelist, and implementing regular check-ins during the preparation process to ensure all team members are aligned and progressing.
All experts were in agreement that improving PDs would not be possible “ if nothing is done by the university administration to reduce the ESP class size for international students .” They believed that large class sizes in ESP or EFL classes could negatively influence group oral presentations, hindering language development and leading to uneven participation. The experts suggested that smaller class sizes would allow for more individualized attention, increased speaking opportunities for each student, and more effective feedback mechanisms, all of which are crucial for developing strong presentation skills in a second language.
The results of this study reveal significant advantages of PDs for both panelists and audience members in the context of medical education. These findings align with and expand upon previous research in the field of educational presentations and language learning.
The high frequency of reported benefits in the “Personal and Professional Development” theme for panelists aligns with several previous studies. The emphasis on language mastery, particularly increased confidence (91.3%) and better retention of key concepts (87.0%), supports the findings of Hartono, Mujiyanto [ 42 ], Gedamu and Gezahegn [ 15 ], Li [ 43 ], who all highlighted the importance of language practice in English oral presentations. However, our results show a more comprehensive range of benefits, including professional growth aspects like experiential learning (84.8%) and real-world application (80.4%), which were not as prominently featured in these earlier studies.
Interestingly, our findings partially contrast with Chou [ 44 ] study, which found that while group oral presentations had the greatest influence on improving students’ speaking ability, individual presentations led to more frequent use of metacognitive, retrieval, and rehearsal strategies. Our results suggest that PDs, despite being group activities, still provide significant benefits in these areas, possibly due to the collaborative nature of preparation and the individual responsibility each panelist bears. The high frequency of knowledge sharing (93.5%) and collaboration (89.1%) in our study supports Harris, Jones and Huffman [ 45 ] emphasis on the importance of group dynamics and varied perspectives in educational settings. However, our study provides more quantitative evidence for these benefits in the specific context of PDs.
The audience perspective in our study reveals a rich learning experience, with high frequencies across all categories. This aligns with Agustina [ 46 ] findings in business English classes, where presentations led to improvements in all four language skills. However, our study extends these findings by demonstrating that even passive participation as an audience member can lead to significant perceived benefits in language practice (89.1%) and broadening perspectives (93.5% for diverse speakers). The high value placed on diverse speakers (93.5%) and range of topics (91.3%) by the audience supports the notion of PDs as a tool for expanding knowledge and viewpoints. This aligns with the concept of situated learning experiences leading to deeper understanding in EFL classes, as suggested by Li [ 43 ] and others [ 18 , 31 ]. However, our study provides more specific evidence for how this occurs in the context of PDs.
Both panelists and audience members in our study highly valued the interactive aspects of PDs, with the importance of interaction rated at 91.3% by panelists and increased audience interest at 91.3% by the audience. This strong emphasis on interactivity aligns with Azizi and Farid Khafaga [ 19 ] study on the benefits of dynamic assessment and dialogic learning contexts. However, our study provides more detailed insights into how this interactivity is perceived and valued by both presenters and audience members in PDs.
The emphasis on professional growth through PDs, particularly for panelists, supports Li’s [ 43 ] assertion about the power of oral presentations as situated learning experiences. Our findings provide more specific evidence for how PDs contribute to professional development, with high frequencies reported for experiential learning (84.8%) and real-world application (80.4%). This suggests that PDs may be particularly effective in bridging the gap between academic learning and professional practice in medical education.
Academic workload challenges for panelists.
The high frequency of reported challenges in the “Academic Workload Challenges” category for panelists aligns with several previous studies in medical education [ 47 , 48 , 49 ]. The emphasis on long preparation (87.0%), significant practice needed (82.6%), and the time-consuming nature of PDs (80.4%) supports the findings of Johnson et al. [ 24 ], who noted that while learners appreciate debate-style journal clubs in health professional education, they require additional time commitment. This is further corroborated by Nowak, Speed and Vuk [ 50 ], who found that intensive learning activities in medical education, while beneficial, can be time-consuming for students.
While a significant portion of the audience (65.2%) perceived PDs as an inefficient use of time, the high frequency of engagement-related concerns (82.6% for repetitive format, 78.3% for limited engagement) suggests that the perceived lack of value may be more closely tied to the quality of the experience rather than just the time investment. This aligns with Dyhrberg O’Neill [ 27 ] findings on debate-based oral exams, where students perceived value despite the time-intensive nature of the activity. However, our results indicate a more pronounced concern about the return on time investment in PDs. This discrepancy might be addressed through innovative approaches to PD design and implementation, such as those proposed by Almazyad et al. [ 22 ], who suggested using AI tools to enhance expert panel discussions and potentially improve efficiency.
The challenges related to coordination in medical education, such as diverse panel skills (78.3%) and finding suitable panelists (73.9%), align with previous research on teamwork in higher education [ 21 ]. Our findings support the concept of the free-rider effect discussed by Hall and Buzwell [ 21 ], who explored reasons for non-contribution in group projects beyond social loafing. This is further elaborated by Mehmood, Memon and Ali [ 51 ], who proposed that individuals may not contribute their fair share due to various factors including poor communication skills or language barriers, which is particularly relevant in medical education where clear communication is crucial [ 52 ]. Comparing our results to other collaborative learning contexts in medical education, Rodríguez-Sedano, Conde and Fernández-Llamas [ 53 ] measured teamwork competence development in a multidisciplinary project-based learning environment. They found that while teamwork skills improved over time, initial coordination challenges were significant. This aligns with our findings on the difficulties of coordinating diverse panel skills and opinions in medical education settings.
Our results also resonate with Chou’s [ 44 ] study comparing group and individual oral presentations, which found that group presenters often had a limited understanding of the overall content. This is supported by Wilson, Ho and Brookes [ 54 ], who examined student perceptions of teamwork in undergraduate science degrees, highlighting the challenges and benefits of collaborative work, which are equally applicable in medical education [ 52 ].
The audience perspective in our study reveals significant concerns about the quality and engagement of PDs in medical education. The high frequency of issues such as repetitive format (82.6%) and limited engagement with the audience (78.3%) aligns with Parmar and Bickmore [ 55 ] findings on the importance of addressing individual audience members and gathering feedback. This is further supported by Nurakhir et al. [ 25 ], who explored students’ views on classroom debates as a strategy to enhance critical thinking and oral communication skills in nursing education, which shares similarities with medical education. Comparing our results to other interactive learning methods in medical education, Jones et al. [ 26 ] reviewed the use of journal clubs and book clubs in pharmacy education. They found that while these methods enhanced engagement, they also faced challenges in maintaining student interest over time, similar to the boredom issues reported in our study of PDs in medical education. The perception of PDs as boring (73.9%) and not very useful during exam time (52.2%) supports previous research on the stress and pressure experienced by medical students [ 48 , 49 ]. Grieve et al. [ 20 ] specifically examined student fears of oral presentations and public speaking in higher education, which provides context for the anxiety and disengagement observed in our study of medical education. Interestingly, Bhuvaneshwari et al. [ 23 ] found positive impacts of panel discussions in educating medical students on specific modules. This contrasts with our findings and suggests that the effectiveness of PDs in medical education may vary depending on the specific context and implementation.
Our study provides a unique comparative analysis of the challenges faced by both panelists and audience members in medical education. The alignment of concerns around workload and time management between the two groups suggests that these are overarching issues in the implementation of PDs in medical curricula. This is consistent with the findings of Pasandín et al. [ 56 ], who examined cooperative oral presentations in higher education and their impact on both technical and soft skills, which are crucial in medical education [ 52 ]. The mismatch between panelist efforts and audience expectations revealed in our study is a novel finding that warrants further investigation in medical education. This disparity could be related to the self-efficacy beliefs of presenters, as explored by Gedamu and Gezahegn [ 15 ] in their study of TEFL trainees’ attitudes towards academic oral presentations, which may have parallels in medical education. Looking forward, innovative approaches could address some of the challenges identified in medical education. Almazyad et al. [ 22 ] proposed using AI tools like ChatGPT to enhance expert panel discussions in pediatric palliative care, which could potentially address some of the preparation and engagement issues identified in our study of medical education. Additionally, Ragupathi and Lee [ 57 ] discussed the role of rubrics in higher education, which could provide clearer expectations and feedback for both panelists and audience members in PDs within medical education.
The expert suggestions for improving PDs address several key challenges identified in previous research on academic presentations and student workload management. These recommendations align with current trends in educational technology and pedagogical approaches, while also considering the unique needs of medical students.
The emphasis on time management and workload reduction strategies echoes findings from previous studies on medical student stress and academic performance. Nowak, Speed and Vuk [ 50 ] found that medical students often struggle with the fast-paced nature of their courses, which can lead to reduced motivation and superficial learning approaches. The experts’ suggestions for task breakdown and prioritization align with Rabbi and Islam [ 58 ] recommendations for reducing workload stress through effective assignment prioritization. Additionally, Popa et al. [ 59 ] highlight the importance of acceptance and planning in stress management for medical students, supporting the experts’ focus on these areas.
The proposed implementation of interactive training sessions for panelists addresses the need for enhanced presentation skills in professional contexts, a concern highlighted by several researchers [ 17 , 60 ]. This aligns with Grieve et al. [ 20 ] findings on student fears of oral presentations and public speaking in higher education, emphasizing the need for targeted training. The focus on interactive elements and audience engagement also reflects current trends in active learning pedagogies, as demonstrated by Pasandín et al. [ 56 ] in their study on cooperative oral presentations in engineering education.
The innovative suggestion to use AI tools like ChatGPT for PD preparation represents a novel approach to leveraging technology in education. This aligns with recent research on the potential of AI in scientific research, such as the study by Almazyad et al. [ 22 ], which highlighted the benefits of AI in supporting various educational tasks. However, it is important to consider potential ethical implications and ensure that AI use complements rather than replaces critical thinking and creativity.
The experts’ emphasis on enhancing collaboration and communication among panelists addresses issues identified in previous research on teamwork in higher education. Rodríguez-Sedano, Conde and Fernández-Llamas [ 53 ] noted the importance of measuring teamwork competence development in project-based learning environments. The suggested strategies for improving coordination align with best practices in collaborative learning, as demonstrated by Romero-Yesa et al. [ 61 ] in their qualitative assessment of challenge-based learning and teamwork in electronics programs.
The unanimous agreement on the need to reduce ESP class sizes for international students reflects ongoing concerns about the impact of large classes on language learning and student engagement. This aligns with research by Li [ 3 ] on issues in developing EFL learners’ oral English communication skills. Bosco et al. [ 62 ] further highlight the challenges of teaching and learning ESP in mixed classes, supporting the experts’ recommendation for smaller class sizes. Qiao, Xu and bin Ahmad [ 63 ] also emphasize the implementation challenges for ESP formative assessment in large classes, further justifying the need for reduced class sizes.
These expert recommendations provide a comprehensive approach to improving PDs, addressing not only the immediate challenges of preparation and delivery but also broader issues of student engagement, workload management, and institutional support. By implementing these suggestions, universities could potentially transform PDs from perceived burdens into valuable learning experiences that enhance both academic and professional skills. This aligns with Kho and Ting [ 64 ] systematic review on overcoming oral presentation anxiety among tertiary ESL/EFL students, which emphasizes the importance of addressing both challenges and strategies in improving presentation skills.
This study has shed light on the complex challenges associated with PDs in medical education, revealing a nuanced interplay between the experiences of panelists and audience members. The findings underscore the need for a holistic approach to implementing PDs that addresses both the academic workload concerns and the quality of engagement.
Our findings both support and extend previous research on the challenges of oral presentations and group work in medical education settings. The high frequencies of perceived challenges across multiple categories for both panelists and audience members suggest that while PDs may offer benefits, they also present significant obstacles that need to be addressed in medical education. These results highlight the need for careful consideration in the implementation of PDs in medical education, with particular attention to workload management, coordination strategies, and audience engagement techniques. Future research could focus on developing and testing interventions to mitigate these challenges while preserving the potential benefits of PDs in medical education.
Moving forward, medical educators should consider innovative approaches to mitigate these challenges. This may include:
Integrating time management and stress coping strategies into the PD preparation process [ 59 ].
Exploring the use of AI tools to streamline preparation and enhance engagement [ 22 ].
Developing clear rubrics and expectations for both panelists and audience members [ 57 ].
Incorporating interactive elements to maintain audience interest and participation [ 25 ].
One limitation of this study is that it focused on a specific population of medical students, which may limit the generalizability of the findings to other student populations. Additionally, the study relied on self-report data from panelists and audience members, which may introduce bias and affect the validity of the results. Future research could explore the effectiveness of PDs in different educational contexts and student populations to provide a more comprehensive understanding of the benefits and challenges of panel discussions.
Future research should focus on evaluating the effectiveness of these interventions and exploring how PDs can be tailored to the unique demands of medical education. By addressing the identified challenges, PDs have the potential to become a more valuable and engaging component of medical curricula, fostering both academic and professional development. Ultimately, the goal should be to transform PDs from perceived burdens into opportunities for meaningful learning and skill development, aligning with the evolving needs of medical education in the 21st century.
Future research could also examine the long-term impact of PDs on panelists’ language skills, teamwork, and communication abilities. Additionally, exploring the effectiveness of different training methods and tools, such as AI technology, in improving coordination skills and reducing workload stress for panelists could provide valuable insights for educators and administrators. Further research could also investigate the role of class size and audience engagement in enhancing the overall effectiveness of PDs in higher education settings. By addressing these gaps in the literature, future research can contribute to the ongoing development and improvement of PDs as a valuable learning tool for students in higher education.
However, it is important to note that implementing these changes may require significant institutional resources and a shift in pedagogical approaches. Future research could focus on piloting these recommendations and evaluating their effectiveness in improving student outcomes and experiences with PDs.
We confirm that the data supporting the findings are available within this article. Raw data supporting this study’s findings are available from the corresponding author, upon request.
Artificial Intelligence
English as a Foreign Language
English for Specific Purposes
Panel Discussion
Shiraz University of Medical Sciences
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Nasiri, E., Khojasteh, L. Evaluating panel discussions in ESP classes: an exploration of international medical students’ and ESP instructors’ perspectives through qualitative research. BMC Med Educ 24 , 925 (2024). https://doi.org/10.1186/s12909-024-05911-3
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Many frameworks exist across the sciences and science-policy interface, but it is not always clear how they are developed or can be applied. It is also often vague how new or existing frameworks are positioned in a theory of science to advance a specific theory or paradigm. This article examines these questions and positions the role of frameworks as integral but often vague scientific tools, highlighting benefits and critiques. While frameworks can be useful for synthesizing and communicating core concepts in a field, they often lack transparency in how they were developed and how they can be applied. Positioning frameworks within a theory of science can aid in knowing the purpose and value of framework use. This article provides a meta-framework for visualizing and engaging the four mediating processes for framework development and application: (1) empirical generalization, (2) theoretical fitting, (3) application, and (4) hypothesizing. Guiding points for scholars and policymakers using or developing frameworks in their research are provided in closing.
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The development of ‘frameworks’ is at present probably the most common strategy in the field of natural resources management to achieve integration and interdisciplinarity. Mollinga , 2008
…it is not clear what the role of a scientific framework should be, and relatedly, what makes for a successful scientific framework. Ban and Cox, 2017
Frameworks are important research tools across nearly all fields of science. They are critically important for structuring empirical inquiry and theoretical development in the environmental social sciences, governance research and practice, the sustainability sciences and fields of social-ecological systems research in tangent with the associated disciplines of those fields (Binder et al. 2013 ; Pulver et al. 2018 ; Colding and Barthel 2019 ). Many well-established frameworks are regularly applied to collect new data or to structure entire research programs such as the Ecosystem Services (ES) framework (Potschin-Young et al. 2018 ), the Social-Ecological Systems Framework (SESF) (McGinnis and Ostrom 2014a ), Earth Systems Governance (ESG) (Biermann et al. 2010 ), the Driver-Impact-Pressure-State-Response (DIPSR) framework, and the Life Cycle Assessment (LCA) framework. Frameworks are also put forth by major scientific organizing bodies to steer scientific and policy agendas at regional and global levels such as the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES) (Díaz et al. 2015 ) and the Global Sustainable Development Report’s transformational levers and fields (UN 2019 ).
Despite the countless frameworks, it is not always clear how a framework can be developed or applied (Ban and Cox 2017 ; Partelow 2018 ; Nagel and Partelow 2022 ). Development may occur through empirically backed synthesis or by scholars based on their own knowledge, values, or interests. These diverse development pathways do, however, result in common trends. The structure of most frameworks is the identification of a set of concepts and their general relationships — often in the form box-and-arrow diagrams — that are loosely defined or unspecified. This hallmark has both benefits and challenges. On one hand, this is arguably the purpose of frameworks, to structure the basic ideas of theory or conceptual thinking, and if they were more detailed they would be models. On the other hand, there is often a “black box” nature to frameworks. It is often unclear why some sets of concepts and relationships are chosen for integration into frameworks, and others not. As argued below, these choices are often the result of the positionality of the framework’s creators. Publications of frameworks, furthermore, often lack descriptions of their value and potential uses compared to other frameworks or analytical tools that exist in the field.
Now shifting focus to how frameworks are applied. Some frameworks provide measureable indicators as the key variables in the framework, but many only suggest general concepts. This creates the need to link concepts and their relationships to data through other more tangible indicators. Methods to measure such indicators will also be needed in new empirical studies. These methodological and study design steps necessary to associate data to framework concepts is often referred to as “operationalizing” a framework. However, without guidance on how to do this, scholars are often left with developing their own strategies, which can lead to heterogeneous and idiosyncratic methods and data. These challenges can be referred to as methodological gaps (Partelow 2018 ), where the details of how to move from concept to indicator to measurement to data transformation, are not always detailed in a way that welcomes replicability or learning. This is not necessarily a problem if the purpose of a framework is to only guide the analysis of individual cases or synthesis activities in isolation, for example to inform local management, but it hinders meta-analyses, cross-case learning and data interpretability for others.
In this article, a brief overview of framework definitions and current synthesis literature are reviewed in the “ What is a framework? ” section. This is coupled with the argument that frameworks often lack clarity in their development and application because their positioning within a theory of science is unclear. In the “ Mechanisms of framework development and use: a meta-framework ” section, a meta-framework is proposed to assist in clarifying the four major levers with which frameworks are developed and applied: (1) empirical generalization, (2) theoretical fitting, (3) hypothesizing, and (4) application. The meta-framework aims to position individual frameworks into a theory of science, which can enable scholars to take a conceptual “step back” in order to view how their engagement with a framework contributes to their broader scientific goal and field. Two case studies of different frameworks are provided to explore how the meta-framework can aid in comparing them. This is followed by a discussion of what makes a good framework, along with explicit guiding points for the use of frameworks in research and policy practice.
The definition and purpose of a framework is likely to vary across disciplines and thematic fields (Cox et al. 2016 ). There is no universal definition of a framework, but it is useful to provide a brief overview of different definitions for orientation. The Cambridge Dictionary states that frameworks are “a supporting structure around which something can be built; a system of rules, ideas, or beliefs that is used to plan or decide something.” Schlager ( 2007 , 293) states that “frameworks provide a foundation for inquiry,” and Cumming ( 2014 , 5) adds that this “does not necessarily depend on deductive logic to connect different ideas.” Importantly, Binder et al., ( 2013 , 2) note that “a framework provides a set of assumptions, concepts, values and practices,” emphasizing the normative or inherently subjective logic to framework development. A core theme being plurality and connectivity. Similarly, McGinnis and Ostrom ( 2014a , 1) define frameworks as “the basic vocabulary of concepts and terms that may be used to construct the kinds of causal explanations expected of a theory. Frameworks organize diagnostic, descriptive, and prescriptive inquiry.” In a review comparing ten commonly used frameworks in social-ecological systems (SES) research, Binder et al., ( 2013 , 1) state that frameworks are useful for developing “a common language, to structure research on SES, and to provide guidance toward a more sustainable development of SES.” In a similar review, Pulver et al., ( 2018 , 1) suggest that frameworks “assist scholars and practitioners to analyze the complex, nonlinear interdependencies that characterize interactions between biophysical and social arenas and to navigate the new epistemological, ontological, analytical, and practical horizons of integrating knowledge for sustainability solutions.” It is important to recognize that the above claims often suggest the dualistic or bridging positions held by frameworks, in both theory building and for guiding empirical observations. However, there is relatively little discussion in the above literature on how frameworks act as bridging tools within a theory of science or how frameworks add value as positioning tools in a field.
Every framework has a position, meaning it is located within a specific context of a scientific field. As positioning tools, frameworks seem to “populate the scientist’s world with a set of conceptual objects and (non-causal) relationships among them,” shaping (and sometimes limiting) the way we think about problems and potential solutions (Cox et al. 2016 , 47). Thus, using a specific framework helps in part to position the work of a researcher in a field and its related concepts, theories and paradigms.
Four factors can be considered to evaluate the positioning of a framework: (a) who developed it, (b) the values being put forth by those researchers, (c) the research questions engaged with, and (d) the field in which it is embedded. For example, the Social-Ecological Systems Framework (SESF) (Ostrom 2009 ) was developed by (a) Elinor Ostrom who developed the framework studying common-pool resource and public goods governance from the 1960s until the 2000s. Ostrom’s overall goal was (b) to examine the hindering and enabling conditions for governance to guide the use and provision common goods towards sustainability outcomes. Her primary research questions (c) related to collective action theory, unpacking how and why people cooperate with each other or not. The field her work is embedded in (d) is an interdisciplinary mix between public policy, behavioral and institutional economics. Scholars who use Ostrom’s SESF today, carry this history with them and therefore position themselves, whether implicitly or explicitly, as part of this research landscape as systems thinkers and interdisciplinarians, even if they have other scholarly positions.
Frameworks are positioned within a theory of science. Understanding this positioning can guide scholars in comprehending how their engagement with frameworks contributes to the overall advancement of their field. To do this, taking a conceptual “step back” is necessary, to distinguish between different levels of theory in science. From the conceptually broadest to the most empirically specific, we can identify the following levels of theory: paradigms, frameworks, specific theories, models/archetypes and cases (Table 1 ). Knowledge production processes flow up and down these levels of theory. For example, as argued by Kuhn ( 1962 ), the purpose of a scientific field is to advance its paradigm. Thus, the study of empirical observations (e.g., case studies) — and the development of models or theories resulting from those data — are aimed at advancing the overarching paradigm. Such paradigms could be conservation, democracy, sustainable development or social-ecological systems.
There is a need to connect cases, models and specific theory up to the overall paradigms of a field to make aggregate knowledge gains. Here, the role of frameworks becomes more clear, as bridging tools that enable connections between levels of knowledge. From the top down, frameworks can specify paradigms with more tangible conceptual features and relationships, which can then guide empirical inquiry. For example, the Driver-Pressure-State-Impact-Response (DPSIR) framework (Smeets and Weterings 1999 ; Ness, Anderberg, and Olsson 2010 ) specifies how to evaluate policy options and their effects by focusing on the five embedded concepts in a relational order. Scholars can then generate more specific indicators and methods to measure the five specified features of the framework, and their relationships, to generate empirical insights that now have a direct link to the paradigm of sustainable policy development via the framework.
Furthermore, frameworks can also emerge from the bottom up, by distilling empirical data across cases and thus creating a knowledge bridge of more specified conceptual features and relationships that connect to a paradigm. In both top-down and bottom-up mechanism, frameworks can play a vital role in synthesizing and communicating ideas among scholars in a field — from empirical data to a paradigm. A challenge may be, however, that multiple frameworks have emerged attempting to specify the core conceptual features and relationships in a paradigm. A mature scientific field is likely to have many frameworks to guide research and debate. There is, however, a lack of research and tools available to compare frameworks and their added value.
Beyond their use as positioning tools, frameworks make day-to-day science easier. They can guide researchers in designing new empirical research by indicating which core concepts and relationships are of interest to be measured and compared. Scientific fields also need common fires to huddle around, meaning that we need reference points to initiate scholarly debates, coordinate disparate empirical efforts and to communicate findings and novel advancements through a common language (McGinnis and Ostrom 2014a ; Ban and Cox 2017 ). As such, frameworks are useful for synthesis research, focusing the attention of reviews and meta-analyses around core sets of concepts and relationships.
There is, however, a tension between frameworks that aim to capture complexity and those that aim to simplify core principles. Complexity oriented frameworks often advance systems thinking at the risk of including too many variables. They often have long lists of variables which makes empirical orientation and synthesis difficult. On the other hand, simplification frameworks face the challenge of leaving important things out, with the benefit of clarifying what may be important and giving clear direction.
From a more critical perspective, the “criteria for comparing frameworks are not well developed,” (Schlager, 2007 , 312), and the positionality of frameworks has not been rigorously explored outside of smaller studies. Nonetheless, numerous classifications or typologies of frameworks within specific fields have been suggested (Table 2 ), although not with reference to positionality (Spangenberg 2011 ; Binder et al. 2013 ; Cumming 2014 ; Schlager 2007 ; Ness et al. 2007 ; Potschin-Young et al. 2018 ; Cox et al. 2021 ; Louder et al. 2021 ; Chofreh and Goni 2017 ; Alaoui et al. 2022 ; Tapio and Willamo 2008 ). These studies point to the question of: what makes a good framework? Are there certain quality criteria that make some frameworks more useful than others? There has undoubtedly been a rise in the number of frameworks, but as expressed by Ban and Cox ( 2017 , 2), “it is not clear what the role of a scientific framework should be, and relatedly, what makes for a successful scientific framework. Although there are many frameworks […] there is little discussion on what their scientific role ought to be, other than providing a common scientific language.” The meta-framework presented below serves as a tool for answering these questions and provides guidance for developing and implementing frameworks in a range of settings.
This section presents a meta-framework detailing the mechanisms of framework development and use (Fig. 1 ). The meta-framework illustrates the role of frameworks as bridging tools for knowledge synthesis and communication. Therefore, the purpose of the meta-framework is to demonstrate how the mechanisms of framework development and use act as levers of knowledge flow across levels within a theory of science, doing so by enabling the communication and synthesis of knowledge. Introducing the meta-framework has two parts, outlined below.
A meta-framework outlining the central role frameworks play in scientific advancement through their development and use. In the center, frameworks provide two core bridging values: knowledge synthesis and knowledge communication. Three modes of logical reasoning contribute to framework development: induction, deduction and abduction. Frameworks are used and developed through four mediating processes: (1) empirical generalization, (2) theoretical fitting, (3) application, and (4) hypothesizing
First, the meta-framework visualizes the levels along the scale of scientific theory including paradigms, frameworks, specific theory and empirical observations, introduced above. Along this scale, three mechanisms of logical reasoning are typical: induction, deduction, and abduction. Induction is a mode of logical reasoning based on sets of empirical observations, which, when patterns within those observations emerge, can inform more generalized theory formation. Induction, in its pure form, is reasoning without prior assumptions about what we think is happening. In contrast, deduction is a mode of logical reasoning based on testing a claim or hypothesis, often based on a body of theory, against an observation to infer whether or not a claim is true. In contrast to induction, which always leads to probable or fuzzy conclusions, deductive logic provides true or false conclusions. A third mode of logical reasoning is abduction. Abduction starts with a single or limited set of observations, and assumes the most likely cause as a conclusion. Abduction can only provide probable conclusions. Knowledge claims from all three modes of logical reasoning are part of the nexus of potential framework creation or modification.
Second, the meta-framework has four iterative mediating processes that directly enable the development and/or application of frameworks (Fig. 1 ). Two of the four mediating processes relate to framework development: (1) empirical generalization and (2) theoretical fitting. The other two relate to framework application: (3) hypothesizing, and (4) application (Fig. 1 , Table 3 ). The details of the specific mediating pathways are outlined in Table 3 , including the processes involved in each. There are numerous potential benefits and challenges associated with each (Table 3 ).
The presented meta-framework (Fig. 1 ) allows us to assess the values different frameworks can provide. If a framework provides a novel synthesis of key ideas or new developments in a field, and communicates those insights well in its composition, it likely adds notable value. If a framework coordinates scientific inquiry across the 1 or more of the four mediating processes, it likely acts as an important gatekeeper and boundary object for what may otherwise be disparate or tangential research. If it contributes substantial advances in 3 or 4 of the mediating processes, the value of the framework is likely higher.
The meta-framework can further help identify the positioning of framework such as the type of logical reasoning processes used to create it, as well as help clarify the role of a framework along the scale of knowledge production (i.e., from data to paradigm). It might be clear, for example, what paradigm or specific theory a framework contributes to. The meta-framework can add value by guiding the assessment of how frameworks fit into the bigger picture of knowledge contribution in their field. Furthermore, many scholars and practitioners are interested in developing new frameworks. The meta-framework outlines the mechanisms that can be considered in creating the framework as well as help developers of new frameworks communicate how their frameworks add value. For example, to link empirical data collection to theoretical work in their field.
The meta-framework can help compare frameworks, to assess strengths and weaknesses in terms of their positioning and knowledge production mechanisms. It can also help elucidate the need for, or value of, new frameworks. This challenge is noted by Cumming ( 2014 , 18) in the field of social-ecological systems, reflecting that “the tendency of researchers to develop “new” frameworks without fully explaining how they relate to other existing frameworks and what new elements they bring to the problem is another obvious reason for the lack of a single dominant, unifying framework.” To showcase such as comparison, two brief examples are provided. The first example features the Driver-Pressure-State-Impact-Response (DPSIR) framework developed by the European Environmental Agency (EEA) (Box 1 ) (Smeets and Weterings 1999 ; Ness, Anderberg, and Olsson 2010 ). The DPSIR framework exemplifies a framework developed from the top-down (theoretical fitting) approach, to better organize the policy goal and paradigm of environmental sustainability to the indicators collected by EU member states. The second example highlights the Social-Ecological Systems Framework (SESF) developed by Elinor Ostrom (Box 2 ) (Ostrom 2009 ; McGinnis and Ostrom 2014a ). The SESF exemplifies a framework developed from the bottom up (empirical generalization) to aggregate data into common variables to enable data standardization and comparison towards theory building to improve environmental governance. In the case examples (Box 1 ; Box 2 ), we can see the value of both frameworks from different perspectives. The examples briefly illustrate how the positionality of each framework dictates how others use them to produce knowledge towards a paradigm. In the case of the DPSIR framework, from the top-down towards a policy goal, and with the SESF, from the bottom-up towards a theoretical goal.
Drivers – Pressures – State – Impact - Response (DPSIR) framework
Social-Ecological Systems Framework (SESF)
Frameworks are commons objects to huddle around in academic and practitioner communities, providing identity and guiding our effort. They focus scholarly attention on important issues, stimulate cognitive energy and provide fodder for discussion. However, reflection on the role and purpose of the frameworks we use needs to be a more common practice in science. The proposed meta-framework aims to showcase the role of frameworks as boundary objects that connect ideas and concepts to data in constructive and actionable ways, enabling knowledge to be built up and aggregated within scientific fields through using common languages and concepts (Mollinga 2008 ; Klein 1996 ).
Boundary objects such as frameworks can be especially important for inter- and transdisciplinary collaboration, where there may be few prior shared points of conceptual understanding or terminology beyond a problem context. Mollinga ( 2008 , 33) reflects that “frameworks are typical examples of boundary objects, building connections between the worlds of science and that of policy, and between different knowledge domains,” and that “the development of frameworks is at present probably the most common strategy in the field of natural resources management to achieve integration and interdisciplinarity,” (Mollinga, 2008 , 31). They are, however, critically important for both disciplinary specific fundamental research, as well as for bridging science-society gaps through translating often esoteric academic concepts and findings into digestible and often visual objects. For example, the DPSIR framework (Box 1 ) attempts to better organize the analysis of environmental indicators for policy evaluation processes in the EU. Furthermore, Partelow et al., ( 2019 ) and Gurney et al., ( 2019 ) both use Ostrom’s SESF (Box 2 ) as a boundary object at the science-society interface to visually communicate systems thinking and social-ecological interactions to fishers and coastal stakeholders involved in local management decision-making.
An important feature of frameworks is that the very contestation over their nature is perhaps their main value. A framework can only be an effective boundary object if it catalyzes deliberation and scholarly debate — thus contestation over what it is and its value is seeded into the toolbox and identity of a scholarly field. Although most frameworks are likely to have shortcomings, flaws or controversial features, the fact that they motivate engagement around common problems and stimulate scholarly engagement is a value of its own. In doing so, frameworks often become symbols of individual and community identity in contested spaces. This is evidenced in how frameworks are often used to stamp our research as valid, relevant and important to the field, even if done passively. Citing a framework both communicates the general purpose of what a scholar is attempting to achieve to others, and orients science towards a common synthetic object for future knowledge synthesis and debate. These positioning actions are essential for science and practitioner communities to understand a research or policy project, its aims and assumptions. Historically, disciplines have provided this value – signaling the problems, methods and theories one is likely to engage with. Frameworks can act as tools for bridging disciplines, helping to catalyze interdisciplinary engagement (Mollinga 2008 ; Klein 1996 ). As many scientific communities shift focus towards solving real-world problems (e.g., climate change, gender equality), tools that can help scientists’ cooperate and communicate, such as a framework, will continue to play a vital role in achieving knowledge co-production goals.
An aim of this article is not only to reflect on the purpose, value and positioning of frameworks, but to provide some take-away advice for engaging with frameworks in current or future work. Over the course of this article, the question of “What makes a good framework?” has been explored. The meta-framework outlines mechanisms of useful frameworks and can help understand the positioning of frameworks. Nonetheless, more detailed guiding points can be specified for both the use and development of frameworks going forward. A series of guiding points are outlined in Table 4 , generated from the literature cited throughout this article, feedback from colleagues and personal experiences applying and developing numerous frameworks. The guiding points focus on the two types of mediating processes, framework development and use (Table 4 ).
In conclusion, we need to know our academic tools in order make the best use of them in our own research, practice and knowledge communities. Frameworks have gained substantial popularity for the communication and synthesis of academic ideas, and as tools we all have the ability to create and perhaps the responsibility to steward. However, frameworks have struggled to find roots in a theory of science which grounds their contributions in relation to other scientific tools such as models, specific theories and empirical data. There is also a lack of discussion about what makes a good framework and how to apply frameworks in a way to makes those applications of integrative value to an overall community of scholars positioned around it. The meta-framework provided in this article offers insights into how to understand the purpose and positionality of frameworks, as well as the mechanisms for understanding the creation and application of frameworks. The meta-framework further allows for the comparison of frameworks to assess their value.
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I would like to thank Michael Cox and Achim Schlüter for their helpful feedback on previous versions of the manuscript and the ideas within it. I am grateful to the Leibniz Centre for Tropical Marine Research (ZMT) in Bremen, and the Center for Life Ethics at the University of Bonn for support.
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A theoretical framework guides the research process like a roadmap for the study, so you need to get this right. Theoretical framework 1,2 is the structure that supports and describes a theory. A theory is a set of interrelated concepts and definitions that present a systematic view of phenomena by describing the relationship among the variables for explaining these phenomena.
A theoretical framework is an essential part of any research study or paper, as it helps to provide a theoretical basis for the research and guide the analysis and interpretation of the data. ... Increases the validity of the research: A theoretical framework helps to ensure that the research is based on sound theoretical principles and ...
A theoretical framework is a foundational review of existing theories that serves as a roadmap for developing the arguments you will use in your own work. Theories are developed by researchers to explain phenomena, draw connections, and make predictions. In a theoretical framework, you explain the existing theories that support your research ...
A theoretical framework is a foundational review of existing theories that serves as a roadmap for developing the arguments you will use in your own work. Theories are developed by researchers to explain phenomena, draw connections, and make predictions. In a theoretical framework, you explain the existing theories that support your research ...
The theoretical framework is the structure that can hold or support a theory of a research study. The theoretical framework encompasses not just the theory, but the narrative explanation about how the researcher engages in using the theory and its underlying assumptions to investigate the research problem.
Theoretical Framework Example for a Thesis or Dissertation. Published on October 14, 2015 by Sarah Vinz . Revised on July 18, 2023 by Tegan George. Your theoretical framework defines the key concepts in your research, suggests relationships between them, and discusses relevant theories based on your literature review.
how to accomplish working with a theoretical framework. Concurrently, incorporating a theoretical framework into research studies is a task that some may continue to struggle with post-graduation. Silver and Herbst (as cited in Lester, 2005) have acknowledged that journal submissions are often rejected for being atheoretical, or having no theory.
Theoretical frameworks are explicitly stated by an educational researcher in the paper's framework, theory, or relevant literature section. ... It is essential that a novice researcher learn to explicitly state a theoretical framework, because all research questions are being asked from the researcher's implicit or explicit assumptions of a ...
Example of a theoretical framework. Let's look at an example to make the theoretical framework a little more tangible. If your research aims involve understanding what factors contributed toward people trusting investment brokers, you'd need to first lay down some theory so that it's crystal clear what exactly you mean by this. For example, you would need to define what you mean by ...
Step 1: Understand Your Research Problem. - Identify gaps in literature. - Engage with theories and recent studies. - Define the core research problem. Step 2: Develop a Robust Theoretical Framework. - Use existing literature to build your framework. - Support your analysis. - Explain relationships among variables.
As the name implies, a theoretical framework is a type of theory. We will define it as the custom-made theory that focuses specifically on the hypotheses you want to test and the research questions you want to answer. It is custom-made for your study because it explains why your predictions are plausible.
Your theoretical framework is based on: A new boutique downtown is struggling with the fact that many of their online customers do not return to make subsequent purchases. This is a big issue for the otherwise fast-growing shop.Management wants to increase customer loyalty. They believe that improved customer satisfaction will play a major role ...
In a thesis or dissertation, a theoretical framework is a section where the writer evaluates or discusses the most relevant theories to their study. The purpose of this section is to: Define the key concepts. Combine and evaluate relevant models and theories. Explain expectations and assumptions that guide the project.
The theoretical framework is a blueprint for your research project 1 and serves several purposes. It informs the problem you have identified, the purpose and significance of your research demonstrating how your research fits with what is already known (relationship to existing theory and research). This provides a basis for your research ...
The theoretical framework may be rooted in a specific theory, in which case, you are expected to test the validity of an existing theory in relation to specific events, issues, or phenomena.Many social science research papers fit into this rubric. For example, Peripheral Realism theory, which categorizes perceived differences between nation-states as those that give orders, those that obey ...
Theoretical frameworks are often used to define concepts and explain phenomena. Using a model of this sort can be a way to structure a research paper or grant proposal. This guide will provide basic information about this concept, a list of commonly-used frameworks, and other tips for writing your paper or proposal.
A theoretical framework is a critical component in research that provides a structured foundation for investigating a specific topic or problem. It encompasses a set of interconnected theories, existing theories, and concepts that guide the entire research process. The theoretical framework introduces a comprehensive understanding of the ...
Here's how to create a theoretical framework for your study or research paper in four steps: 1. Define your objective. The first step in creating a theoretical framework is to define your research objective and then gather supporting documents. Consider what you hope to achieve with your study and what new information you aim to bring to your ...
The framework may actually be a theory, but not necessarily. This is especially true for theory driven research (typically quantitative) that is attempting to test the validity of existing theory. However, this narrow definition of a theoretical framework is commonly not aligned with qualitative research paradigms that are attempting to develop ...
The theoretical framework provides the specific lens through which the researcher evaluates the research problem (Lederman & Lederman, 2015). In short, the theoretical framework helps provide the ...
What is a Framework? A framework is a set of broad concepts or principles used to guide research. As described by Varpio and colleagues 1, a framework is a logically developed and connected set of concepts and premises - developed from one or more theories - that a researcher uses as a scaffold for their study.The researcher must define any concepts and theories that will provide the ...
conceptual and theoretical frameworks. As conceptual defines the key co ncepts, variables, and. relationships in a research study as a roadmap that outlines the researcher's understanding of how ...
The theoretical framework must demonstrate an understanding of theories and concepts that are relevant to the topic of your research paper and that relate to the broader areas of knowledge being considered. The theoretical framework is most often not something readily found within the literature. You must review course readings and pertinent ...
The theoretical framework must demonstrate an understanding of theories and concepts that are relevant to the topic of your research paper and that relate to the broader areas of knowledge being considered. The theoretical framework is most often not something readily found within the literature. You must review course readings and pertinent ...
The Theoretical Framework Cultural Ecology Source: Adopted from Steward (1968) What is a Conceptual Framework? A conceptual framework is a structure which the researcher believes can best explain ...
The theoretical framework presented above highlights the importance of authentic learning experiences in medical education. By drawing on the benefits of group work and panel discussions, university instructor-researchers aimed to provide medical students with a unique opportunity to engage with complex cases and develop their communication and ...
Although this paper is of a social-theoretical nature, it is useful to say a few words about the methodology. This paper is not a systematic review in the sense of evaluating existing studies, but rather the explication of a theoretical framework, which is made plausible using a few selected examples from empirical poverty research.
Frameworks are important research tools across nearly all fields of science. They are critically important for structuring empirical inquiry and theoretical development in the environmental social sciences, governance research and practice, the sustainability sciences and fields of social-ecological systems research in tangent with the associated disciplines of those fields (Binder et al. 2013 ...
This paper documents a comprehensive theoretical framework that has been developed to understand conspicuous consumption behavior. The proposed framework identifies three antecedents and two consequences of conspicuous consumption. We tested hypotheses concerning this framework using a meta-analytic approach. We also meta-analytically tested the effect of contextual, methodological, and ...