Schmidt & Brown (2021). Evidence-Based Practice for Nurses:
Chapter 10: Qualitative Designs: Using Words to Provide Evidence
Chapter 14: What Do the Qualitative Data Mean?
Define qualitative research.
Describe sampling techniques in qualitative research
Discuss the three major sources of qualitative data
Explain analysis and interpretation methods with qualitative data
Describe techniques used to meet the four elements of evaluation
Distinguish among the four major types of qualitative research
Recognize the philosophical underpinnings of four major types of qualitative research
Discuss how qualitative studies can be used to create evidence-based practice (EBP)
Explore a mixed-methods approach to research
Compare and contrast ways that qualitative data are analyzed
Discuss the benefits of using computer-assisted qualitative data analysis software to assist with managing qualitative data
Describe how researchers draw conclusions from the data and verify them
Recognize the common ways data are presented in reports
State why qualitative research is evaluated differently from how quantitative research is evaluated
Define the criteria of credibility, transferability, dependability, and confirmability that are needed to establish the trustworthiness of a study
Describe strategies used by researchers to meet the criteria for a trustworthy study
Review Module 2 > Types of Research for main differences between qualitative vs. quantitative research
Qualitative research
Focuses on words instead of numbers, on understanding and giving meaning to a phenomenon or an event
Used to answer questions related to the hows and whys of behavior that are not easily explained through quantitative methods, to investigate topics about which little is know, or to generate theory
In the EBP process, qualitative research is still considered to be far less compelling than quantitative research because of the subjective nature of data analysis and interpretation
Examples of nursing research using phenomenology
From Novice to Expert theory by Dr. Patricia Benner
Based her work on dialogue with nurses who were interviewed individually or in small groups
Offers examples of excellence in nursing practice and a framework demonstrating the development of nurses as they move through five stages:
Novice, Advanced Beginner, Competent, Proficient, and Expert
Five stages of nursing competence that are still used to guide practice
An example of how qualitative research translates into EBP as nurses all over the world study ways in which nurses develop into expert clinicians
Professional promotion and clinical ladders are based on this model in many healthcare facilities
1. Phenomenology
= A type of qualitative research that describes the lived experience to achieve understanding of an experience from the perspective of the participants
Lived experience
= The perspective of an individual who has experienced the phenomenon
Case studies
= A description of a single or novel event; a unique methodology used tin qualitative research that may also be considered a design or strategy for data collection
2. Grounded theory
= A type of qualitative research that examines the process of a phenomenon and culminates in the generation of a theory
Focus group
= A strategy to obtain data from a small group of people using interview questions
Constant comparison
= A method for inductively categorizing and comparing qualitative data for analysis
3. Ethnography
= A type of qualitative research that describes a culture
Focused ethnography
= Approach that is less broad than traditional ethnography and that examines a specific problem within subcultures and among smaller groups of people
Meta-ethnography
= An interpretive review of qualitative studies from a literature search that is purposive rather than systematic like a metasynthesis
Ethnoscience
= A method used in anthropology to discover knowledge
Ethnonursing
= Systematic study and classification of nursing care beliefs, values, and practices in a particular culture
4. Historical
= A type of qualitative research used to examine events or people to explain and understand the past to guide the present and future
Strategic sampling
= Sampling in historical research to locate a small group of people who were either witnesses of or participants in the phenomenon being studied
Understanding the basics of sampling, collecting data, analyzing and interpreting data, and evaluating findings is necessary so that nurses can ensure that qualitative evidence is trustworthy
1. Sampling
Participants
= Individuals in a qualitative study; informants
Informants
= Individuals in a qualitative study; participants
Purposive sampling
= Sampling method to recruit specific persons who could provide inside information
Key informants
= Individuals who have intimate knowledge of a subject and are willing to share it with the researcher
Snowball sampling
= Recruitment of participants based on word of mouth or referrals from other participants
Sample size
Generally, a smaller number is involved (often 6 to 12 participants in many studies) in a qualitative research
Data saturation
In qualitative research, the time when no new information is being obtained and repetition of information is consistently heard
Review Module 3 > Sampling to compare the sampling differences between qualitative and quantitative studies
2. Collecting Data
Three main sources of data in qualitative research
(1) in-depth interviews
Often the key source of data in qualitative research
Generally, interview questions are open-ended, allowing the participant to respond freely and provide the most information possible
Generally audio- or videotaped as unobtrusively as possible
A typical interview may last between 30 and 90 minutes
After an interview is complete, it is transcribed verbatim and printed for review
(2) direct observation
Participant observation
= Role of the researcher in qualitative methods when the researcher is not only an observer but also a participant during data collection
(3) artifacts
Written documents, photographs, physical objects, etc.
Fieldwork
= The time researchers spend interacting with participants through interviews, observations, and detailed records
3. Analyzing and Interpreting Data
Memoing
= A technique used in qualitative research to record ideas that come to researchers as they live with the data
Bracketing
= A strategy used by qualitative researchers to set aside personal interpretations to avoid bias
Coding
= Assignment of labels to each line of transcript in qualitative analysis
open coding
= The grouping of qualitative data into categories that seem logical
axial coding
= The analysis of categories and labels after completion of open coding
Data reduction
= The simplification of large amounts of data obtained from qualitative interviews or other sources
Focus on the common themes and patterns that will emerge
Computer-Assisted Qualitative Data Analysis Software (CAQDAS)
Interpretation
The final stage of managing the data
Brings the message of the participants to the public for reading and application
Open to subjectivity because it is likely that no two researchers would interpret the meaning of the data in exactly the same way
In some types of qualitative research, theory development is an expected outcome
Representativeness
= The degree to which elements of the sample are like elements in the population
4. Evaluation
Two of the more current checklists that help evaluate the results of qualitative research
Consolidated Criteria for Reporting Qualitative Research (COREQ)
Standards for Reporting Qualitative Research (SRQR)
Trustworthiness
= The quality, authenticity, and truthfulness of findings from qualitative research
Four essential elements of evaluation
(1) credibility
= One of four criteria for establishing a trustworthy qualitative study; refers to the truth or believability of findings
(2) confirmability
= One of four criteria for a trustworthy qualitative study that relates to the rigorous attempts to be objective and the maintenance of audit trails to document that research process; findings can be substantiated by participants
(3) dependability
= One of four criteria for a trustworthy qualitative study that relates to consistency in the findings over time; auditability; findings are reflective of data
Auditability
When another researcher can clearly follow decisions made by the investigator, arriving at the same or comparable conclusions
(4) transferability
= One of four criteria for a trustworthy qualitative study that relates to whether findings from one study can be transferred to a similar context; application of findings to a different situation
= A design that combines both quantitative and qualitative data gathering and evaluation
The research question always drives the method used
Qualitative methods
use inductive reasoning to answer questions about little-known phenomena
Quantitative methods
use deductive reasoning to answer questions about causality
Using a mixed methods approach combines the benefits and strengths of each method to best answer certain research questions
Four major approaches to data collection, analysis, and evaluation
(1) connecting data
(2) building data
(3) merging data
(4) embedding data
1. Qualitative Research Part 1 (15:09)
2. Qualitative Research Part 2 (13:56)
3. Qualitative Research Part 3 (13:45)