Timothy C. Guetterman

Timothy C. Guetterman
University of Michigan | U-M · Department of Family Medicine

PhD

About

117
Publications
170,334
Reads
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2,228
Citations
Citations since 2016
101 Research Items
2193 Citations
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Introduction
My primary research themes are: 1) advancing the methodology of mixed methods research; 2) building research capacity among individuals and organizations, including training, education, and assessment; and 3) investigating informatics technology to improve healthcare and education. In all of my teaching and research capacity building, I strive to implement assessment FOR learning rather than assessment of learning.
Additional affiliations
May 2020 - present
University of Michigan
Position
  • Professor (Assistant)
July 2019 - May 2020
Creighton University
Position
  • Professor (Associate)
July 2015 - June 2019
University of Michigan
Position
  • Professor (Assistant)
Education
January 2011 - May 2015
University of Nebraska at Lincoln
Field of study
  • Quantitative, Qualitative, and Psychometric Methods

Publications

Publications (117)
Article
Full-text available
Although recommendations exist for determining qualitative sample sizes, the literature appears to contain few instances of research on the topic. Practical guidance is needed for determining sample sizes to conduct rigorous qualitative research, to develop proposals, and to budget resources. The purpose of this article is to describe qualitative s...
Article
Full-text available
http://www.annfammed.org/content/13/6/554.full PURPOSE Mixed methods research is becoming an important methodology to investigate complex health-related topics, yet the meaningful integration of qualitative and quantitative data remains elusive and needs further development. A promising innovation to facilitate integration is the use of visual joi...
Article
Key scholars have lauded benefits of integrating mixed methods and grounded theory—or mixed methods–grounded theory (MM-GT)—yet there have been few attempts to ascertain in what ways researchers use MM-GT. Our aim was to systematically, but not exhaustively, examine applications of MM-GT and offer procedural guidelines. We identified 61 empirical M...
Article
http://journals.sagepub.com/doi/full/10.1177/0002764218772641 Case study has a tradition of collecting multiple forms of data—qualitative and quantitative—to gain a more complete understanding of the case. Case study integrates well with mixed methods, which seeks a more complete understanding through the integration of qualitative and quantitativ...
Article
Background Good outcomes for in-hospital cardiac arrest (IHCA) depend on a skilled resuscitation team, prompt initiation of high-quality cardiopulmonary resuscitation and defibrillation, and organisational structures to support IHCA response. We examined the role of nurses in resuscitation, contrasting higher versus lower performing hospitals in IH...
Article
Full-text available
Background: The coronavirus disease 2019 (COVID-19) pandemic resulted in many disruptions in care for patients experiencing in-hospital cardiac arrest (IHCA)s. We sought to identify changes made in hospital resuscitation practices during progression of the COVID-19 pandemic. Methods: We conducted a descriptive qualitative study using in-depth in...
Article
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This study explored how South African food labels could be improved, with a focus on comparison of front-of-pack (FOP) nutrition labels as a quick assessment tool to enhance customer evaluation of the overall healthiness of packaged food. The exploratory sequential mixed-methods design used qualitative interviews (n = 49) to gain insight into label...
Article
Surveillance is a critical component of any dengue prevention and control program. There is an increasing effort to use drones in mosquito control surveillance. Due to the novelty of drones, data are scarce on the impact and acceptance of their use in the communities to collect health-related data. The use of drones raises concerns about the protec...
Article
Surveillance is a critical component of any dengue prevention and control program. There is an increasing effort to use drones in mosquito control surveillance. Due to the novelty of drones, data are scarce on the impact and acceptance of their use in the communities to collect health-related data. The use of drones raises concerns about the protec...
Article
Purpose: Researchers aimed to describe general practitioners' understanding of appropriate ultrasound use, to record actual scanning practices of early adopters in general practice, and to identify differences between attitudes and actual practice via a mixed methods analysis. Methods: This study was part of a larger multistage mixed methods res...
Article
Introduction: To address the global diabetes epidemic, lifestyle counseling on diet, physical activity, and weight loss is essential. This study assessed the implementation of a diabetes self-management education and support (DSMES) intervention using a mixed-methods evaluation framework. Methods: We implemented a culturally adapted, home-based...
Article
Currently, despite the rapid growth of the population of Chinese immigrant families and children in the United States, preschool-aged Chinese-heritage children are an underrepresented group in research. The overarching purpose of this project was to provide a deeper understanding of Head Start Chinese immigrant parents' beliefs about children's soc...
Article
Background: Survival outcomes following in-hospital cardiac arrest (IHCA) vary significantly across hospitals. Research suggests clinician education and training may play a role. We sought to identify best practices related to the education and training of resuscitation teams. Methods: We conducted a descriptive qualitative analysis of semi-structu...
Article
Full-text available
Joint displays provide a visual means to represent the integration of qualitative and quantitative research in addition to a framework for thinking about integration and organizing data, methods, or results. Despite increases in the use of joint displays, opportunities exist for more creative joint displays that use additional visuals to more easil...
Article
Full-text available
Background: Leadership training in medical school continues to grow. Little information exists to guide leadership program development. Concurrently, the COVID-19 pandemic provides a real-world crucible of leadership, allowing insight into qualities and characteristics medical students value. We aim to determine what students value in leadership du...
Article
Purpose: Hearing loss (HL) is underdiagnosed and often unaddressed. A recent study of screening for HL using an electronic prompt showed efficacy in increasing appropriate referrals for subsequent testing. We build on the results of this study using a qualitative lens to explore implementation processes through the perspectives of family medicine...
Article
Managing the work-family interface is increasingly strategic for international human resource management (HRM) in attracting and retaining a diverse workforce. Yet despite growing methodological sophistication in the field work-family research still lacks a truly global approach, one that considers alternative work and family conceptualisations, pa...
Article
Physician-nurse communication skills are critical for incoming residents; however, standardized training and feedback targeting these skills are not well-described. We used a qualitative approach to determine types of feedback standardized registered nurses (SRN) can provide to students pre-residency. Senior medical students enrolled in an elective...
Article
Globally, the role of food labels in reducing non-communicable disease remains a point of debate. A particular area of contention is the use of health claims, an approach currently under consideration in South Africa - a developing country with vast socio-economic disparity. In the present study, in-depth interviews were conducted with 49 diverse s...
Article
Situations of catastrophic social change, such as COVID-19, raise complex, interdisciplinary research questions that intersect health, education, economics, psychology, and social behavior and require mixed methods research. The pandemic has been a quickly evolving phenomenon, which pressures the time necessary to perform mixed methods research. Na...
Article
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Background: To describe the ethical issues and experiences of scientists conducting mixed methods health services research and to advance empirical and conceptual discussion on ethical integrity in mixed methods health research. Methods: The study was conducted with 64 scholars, faculty and consultants from the NIH-funded Mixed Methods Research...
Article
Purpose To understand the treatment burden experienced by patients receiving care for primary open-angle glaucoma. Design Semi-structured, one-on-one, qualitative interviews Participants Patients with primary open-angle glaucoma and age ≥40 who were scheduled for a follow-up glaucoma appointment at the Kellogg Eye Center (Ann Arbor, Michigan, USA...
Article
Full-text available
IMPACT: This real-world study of what students value in crisis leadership fills an important gap in the literature and may inform future leadership development programs in undergraduate medical education. OBJECTIVES/GOALS: Leadership training is of growing importance and prevalence in medical education. The COVID-19 pandemic provides a unique insig...
Article
Aim: We sought to explore how early adopters use pharmacogenomic (PGx) testing for treating depression and attention-deficit/hyperactivity disorder. Patients & methods: Prescribers of the Informed PGx (Progenity, Inc., Ann Arbor, MI 48108, USA) test completed a phone survey assessing use of PGx testing for different scenarios. We conducted a qualit...
Article
Monetary policy relies on managing the inflation expectations of the public in order to influence prices (inflation). Relying on the South African experience, we argue that most of the general public are exposed to the communication of the South African Reserve Bank (SARB) only via the media. This state of affairs is fairly typical around the globe...
Article
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This methodological discussion invites critical reflection about the procedures used to analyze the contribution of qualitative and mixed methods research to nursing trials by mounting an argument that these should rest on multiple publications produced about a project, rather than a single article. We illustrate the value‐added of this approach wi...
Article
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Introduction Out-of-hospital cardiac arrest (OHCA) is a common, life-threatening event encountered routinely by first responders, including police, fire and emergency medical services (EMS). Current literature suggests that there is significant regional variation in outcomes, some of which may be related to modifiable factors. Yet, there is a persi...
Article
Objective Heart Failure (HF) care requires substantial care coordination between patients, patients’ informal caregivers, and clinicians, but few studies have examined recommendations from all three perspectives. The objective of this study was to understand and identify shared recommendations to improve HF self-care from the perspective of VA pers...
Article
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Objectives: Risky alcohol use before surgery is associated with an increased risk of postoperative complications and longer hospital stays. Preoperative alcohol interventions can improve surgical outcomes but are not commonly integrated into routine care. This study sought to better understand patient's and provider's perceptions of alcohol-relate...
Article
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Mixed methods research has been increasingly recognized as a useful approach for describing and explaining complex issues in palliative care and end-of-life research. However, little is known about the use of this methodology in the field and the ways in which mixed methods studies have been reported. The purpose of this methodological review was t...
Preprint
BACKGROUND Hypertension (HTN) is a prevalent and costly burden in the United States. Clinical pharmacists, who assist patients in managing chronic conditions in primary care clinics, are effective for the management of HTN, as is home blood pressure (BP) monitoring; however, concerns about data quality and latency are widespread in instances where...
Article
Full-text available
Background: Hypertension is a prevalent and costly burden in the United States. Clinical pharmacists within care teams provide effective management of hypertension, as does home blood pressure monitoring; however, concerns about data quality and latency are widespread. One approach to close the gap between clinical pharmacist intervention and home...
Article
In the exploratory sequential design, the qualitative phase occurs first and is followed by the quantitative phase. The methodological purpose of this article is to demonstrate how an exploratory sequential approach, including the use of a joint display, can be used for complex intervention development. This article presents and integrates the qual...
Chapter
Sampling is a critical, often overlooked aspect of the research process. The importance of sampling extends to the ability to draw accurate inferences, and it is an integral part of qualitative guidelines across research methods. Sampling considerations are important in quantitative and qualitative research when considering a target population and...
Article
Study objective: We explore reproductive-aged women's acceptance of contraception counseling in the emergency department (ED). Methods: This study is phase 1 of an exploratory sequential mixed methods study. We purposively interviewed 31 participants with the following criteria: black, white, or Latina race/ethnicity; nonpregnant; aged 15 to 44...
Article
Full-text available
Background Community-engaged research engages the community in a collaborative manner to improve the local setting and has been increasingly applied to health services research. These complex studies require collaboration and team building among clinical experts, methodologists, and community stakeholders, yet few examples of this process have been...
Article
Introduction: EMS system factors key to improved survival for out-of-hospital cardiac arrest (OHCA) have not been well elucidated. This study explores factors associated with sustained return of spontaneous circulation (ROSC) in the field with pulse upon arrival to the ED-a measure of high quality of prehospital care-across the chain of survival. M...
Article
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Our aim was to understand how reviewers appraise mixed methods research by analyzing reviewer comments for grant applications submitted primarily to the National Institutes of Health. We requested scholars and consultants in the Mixed Methods Research Training Program (MMRTP) for the Health Sciences to send us summary statements from their mixed me...
Chapter
Mixed methods has the potential to add values to simulation research by informing healthcare simulations, developing assessments and measures, and evaluating the effectiveness of simulations. However, it seems under-utilized relative to other single methodology designs. This chapter provides an introduction to mixed methods in simulation research a...
Article
Mixed methods–grounded theory (MM–GT) has emerged as a promising methodology that intersects the value of mixed methods with rigorous qualitative design. However, recent reviews have found that MM–GT empirical studies tend to lack procedural details. The purpose of this article is to apply the “best practices” for conducting MM–GT in a study design...
Article
Qualitative research offers unique opportunities to contribute to cardiovascular outcomes research. Despite the growth in qualitative research over the last decade, outcomes investigators in cardiology still have relatively little guidance on when and how best to implement these methods in their investigations, leaving the full potential of these m...
Article
Purpose This study aims to advance mixed methods as a research methodology in accounting through three research objectives: develop a typology of mixed methods research (MMR) features from current literature, analyse accounting papers published in two leading South African journals against these features, and offer recommendations for best practice...
Article
Full-text available
Importance Rapid response teams (RRTs) are foundational to hospital response to deteriorating conditions of patients. However, little is known about differences in RRT organization and function across top-performing and non–top-performing hospitals for in-hospital cardiac arrest (IHCA) care. Objective To evaluate differences in design and implemen...
Article
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Background: Attending to the wide range of communication behaviors that convey empathy is an important but often underemphasized concept to reduce errors in care, improve patient satisfaction, and improve cancer patient outcomes. A virtual human (VH)-based simulation, MPathic-VR, was developed to train health care providers in empathic communicati...
Preprint
BACKGROUND Attending to the wide range of communication behaviors that convey empathy is an important but often underemphasized concept to reduce errors in care, improve patient satisfaction, and improve cancer patient outcomes. A virtual human (VH)–based simulation, MPathic-VR, was developed to train health care providers in empathic communication...
Article
Background and objectives: Women with medical conditions are at higher risk of pregnancy-related morbidity and mortality than women without medical conditions. Thus, women who do not desire pregnancy should be offered contraceptive counseling and methods. The objective of this qualitative study was to identify potential best practices to guide pri...
Article
Full-text available
Background: Heart failure (HF) management requires the participation of patients, their significant others, and clinical providers. Each group may face barriers to HF management that may be unique or may overlap. Objective: The aim of this study was to compare the barriers and facilitators of HF management as perceived by patients, significant o...
Conference Paper
Research Objective: Despite improvements in patient- and systems-level processes to treat prehospital cardiac arrests, survival continues to be low with significant variation for the 356,000 annual prehospital cardiac arrests in communities in the United States. Although police are often arrive first to cardiac arrest incidents, the impact of polic...
Preprint
BACKGROUND With the increased adoption of EHR systems, documentation-related burdens have been increasing for healthcare providers. Recent estimates indicate that primary care providers spend about one-half of their workday interacting with the EHR, of which about half is focused on clerical tasks. To reduce documentation burdens associated with th...
Article
Background: With the increasing adoption of electronic health record (EHR) systems, documentation-related burdens have been increasing for health care providers. Recent estimates indicate that primary care providers spend about one-half of their workdays interacting with the EHR, of which about half is focused on clerical tasks. To reduce document...
Article
Full-text available
The purpose of this article is to provide an accessible introduction to foundational statistical procedures and present the steps of data analysis to address research questions and meet standards for scientific rigour. It is aimed at individuals new to research with less familiarity with statistics, or anyone interested in reviewing basic statistic...
Article
Full-text available
The purpose of this article is to provide an accessible introduction to foundational statistical procedures and present the steps of data analysis to address research questions and meet standards for scientific rigour. It is aimed at individuals new to research with less familiarity with statistics, or anyone interested in reviewing basic statistic...
Article
Full-text available
Curriculum development is a topic everyone in the field of medical education will encounter. Due to the breadth of ages and types of care provided in Family Medicine, family medicine faculty in particular need to be facile in developing effective curricula for medical students, residents, fellows and for faculty development. In the area of medical...
Article
Introduction: The presence of a clinical champion has been associated with improved resuscitation care. Yet little is known about specific characteristics of these individuals that make them more effective. Objective: To identify characteristics of clinical champions at top performing hospitals for in-hospital cardiac arrest (IHCA) survival. Method...
Article
Introduction: Survival and favorable clinical outcomes for in-hospital cardiac arrest (IHCA) are highly dependent on a skilled resuscitation team, prompt initiation of high quality CPR and defibrillation, and organizational structures to support resuscitation care. While nurses are generally involved in resuscitation efforts, the purpose of this st...
Article
Given growing interest in advanced applications of mixed methods research, we illustrate a multiphase, mixed methods program of research involving multidisciplinary collaboration to create a computer simulation using virtual humans to teach advanced communication skills, and to test the simulation in an educational trial. Phase I comprised 3 parts....
Article
Background: In-hospital cardiac arrest (IHCA) is common, and outcomes vary substantially across US hospitals, but reasons for these differences are largely unknown. We set out to better understand how top-performing hospitals organize their resuscitation teams to achieve high survival rates for IHCA. Methods: We calculated risk-standardized IHCA...
Article
The Mixed Methods Research Training Program (MMRTP) for the Health Sciences is a mentoring-based program to train faculty in mixed methods research. We administered a Mixed Methods Skills Self-Assessment instrument with domains of “research questions,” “design/approach,” “sampling,” “analysis,” and “dissemination.” For each item (i.e., skill), we r...
Article
Full-text available
Background: Qualitative research methods are increasingly being used across disciplines because of their ability to help investigators understand the perspectives of participants in their own words. However, qualitative analysis is a laborious and resource-intensive process. To achieve depth, researchers are limited to smaller sample sizes when an...
Article
Full-text available
Background: Growth monitoring and promotion (GMP) programmes promote not only child health but serve as a service delivery strategy to enhance coverage for other crucial nutrition-specific interventions. This study compared community-based and facility-based GMP programme with respect to attendance rates, children's nutritional status, caregivers'...