Using Qualitative Research

School of Nursing, University of North Carolina at Chapel Hill, NC, USA.
Qualitative Health Research (Impact Factor: 2.19). 12/2004; 14(10):1366-86. DOI: 10.1177/1049732304269672
Source: PubMed


A renewed urgency has emerged in the qualitative health research community concerning the utility of qualitative research. This urgency is the result of several converging trends in health care research, including the elevation of practical over basic knowledge, proliferation of qualitative health research studies, and the rise of evidence-based practice as a paradigm and methodology for health care. Diverse conceptualizations of use and users exist, and these have different implications for understanding, demonstrating, and enhancing the utility of qualitative research findings. Issues affecting the utilization of these findings include the varied ways in which they are conceived, presented, synthesized, signified, and translated, and the complex repertoire of skills required to activate the knowledge transformation cycle in qualitative health research fully.

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    • "However, findings and recommendations of individual qualitative research studies, no matter how insightful, are not easily incorporated into practice environments utilizing the traditional hierarchy of evidence (Thorne, 2009). Additionally, these isolated reports of phenomena do not meet the needs of nurses, patients, and other stakeholders seeking useable findings to improve health care services and reduce health inequities (Estabrooks, Field, & Morse, 1994; Sandelowski, 2004). It is our belief that metasynthesis research studies can be used to amplify the findings of disparate qualitative research studies, therefore facilitating the integration of qualitatively created knowledge into pediatric oncology nursing practice (Jensen & Allen, 1996; Sandelowski, 2006). "
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    ABSTRACT: The synthesis of qualitative evidence is called metasynthesis. The term metasynthesis describes both a group of methods used to integrate the findings of individual qualitative research studies and the end product of a metasynthesis research project. In this article, pediatric oncology nurses are encouraged to use metasynthesis research to facilitate the integration of the existing body of qualitative pediatric oncology nursing research into practice. For pediatric oncology nurses to be successful in metasynthesis research, they require practical guidance in navigating the terminology and methodology of this evolving research design. Misconceptions about metasynthesis research, types of metasynthesis research designs, steps involved in developing a metasynthesis study, and the benefits and challenges of using metasynthesis in pediatric oncology research are presented. Examples of studies that have used 2 distinct metasynthesis techniques are provided. © 2015 by Association of Pediatric Hematology/Oncology Nurses.
    Journal of Pediatric Oncology Nursing 02/2015; 32(6). DOI:10.1177/1043454214563544 · 0.90 Impact Factor
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    • "Method Design An exploratory qualitative design was used. Qualitative research has contributed to increased practical knowledge in health care and has been incorporated in standard hierarchies of evidence used to establish evidence-based practice (Sandelowski, 2004).The study design was framed by the principles of empirical hermeneutic caring science research described by Dahlberg et al. (2008). Gadamer's (2004) approach to text interpretation, grounded in philosophical hermeneutics, was used to gain deeper understanding of home healthcare teams' experiences of pain assessment. "
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    ABSTRACT: Background Pain assessment in people living with dementia is a challenge due to the complexity of pain and dementia and the difficulties in self-reporting. In home healthcare, nurses are frequently involved in pain assessment situations and there is a need to explore how home healthcare teams’ manage pain assessment in this setting.AimThe study aimed to explore home healthcare teams’ experiences of pain assessment among care recipients with dementia.DesignAn exploratory qualitative design was used.Methods Open-ended individual interviews were conducted with thirteen registered nurses and ten nursing assistants, working in three different home healthcare teams in one municipality in western Sweden. Philosophical hermeneutics was utilised to interpret the home healthcare teams’ experiences.ResultsFour interpretations emerged: the need for trusting collaboration, the use of multiple assessment strategies, maintenance of staff continuity in care and assessment situations, and the need for extended time to assess pain.Conclusions The home healthcare teams recognise pain assessment in people with dementia as involving a complex interaction of sensory, cognitive, emotional and behavioural components in which efforts to acquire understanding of behavioural changes mainly guides their assessments. The solid team coherence between registered nurses and nursing assistants aided the assessment procedure. To assess pain, the teams used multiple methods that complemented one another. However, no systematic routines or appropriate evidence-based pain tools were used.Implications for PracticeThe team members'concern for care recipients when assessing pain is evident and needs to be acknowledged by the organisation which is responsible for the quality of care. Future studies should focus on further exploration of nurses’ experiences with pain and dementia in home healthcare settings and address what nurses identify and how they deal with their findings. It is imperative to investigate how organisations and nurses can ensure best practices and how the implementation of evidence-based routines for assessing pain may aid in pain assessment situations.
    International Journal of Older People Nursing 11/2014; 10(3). DOI:10.1111/opn.12072
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    • "Design A qualitative study (Sandelowski, 2004) with an explorative design was used to ascertain adolescents' concerns and hopes (Burns & Grove, 2009). The study is part of the Depis.Net study on the effectiveness of an Internet-based intervention for adolescents with depression (CC-NAPN- 19309). "
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    ABSTRACT: Background Mental disorders affect the well-being of adolescents. This study aims to describe adolescents' concerns and hopes from their own perspective when referred to adolescent psychiatric outpatient treatment.Method The qualitative data consisted of adolescents' (n = 70) short essays gathered using the Depis.Net Internet program and analyzed with inductive thematic analysis.ResultsThe adolescents described their concerns and hopes regarding their relationships, daily actions, identity, and well-being.Conclusions Adolescents share their concerns and find solutions if they find a safe channel to do so. Professionals should find new ways to help adolescents share their life experiences and information technology may be a promising tool.
    Child and Adolescent Mental Health 08/2014; 20(2). DOI:10.1111/camh.12074 · 1.44 Impact Factor
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