Qualitative research on trauma surgery: getting beyond the numbers.

Qualitative research methods have a unique role to play in surgical research, revealing important contextual details about the causes and impact of surgical illnesses and treatment. The utility of qualitative methods is illustrated through results of a research study of young, black male victims of interpersonal violence. Narrative analysis of in-depth interviews with 48 survivors of penetrating violence revealed the impact of these patients' perceptions of post-injury care on their pain, the central role of fear of death in their injury experience, and the transforming role providers can play in addressing patient fears of death. The study provides support for the notion that qualitative methods can be a useful approach to understanding marginalized individuals who become our patients after injury. Furthermore, potential applications of multimethod approaches to surgical research (qualitative research methods in combination with quantitative methods) for the study of trainee experiences, patient satisfaction, and racial disparities are recommended.