Qualitative Research: Reaching the Parts Other Methods Cannot Reach: An Introduction to Qualitative Methods in Health and Health Services Research

Department of Epidemiology and Public Health, University of Leicester.
BMJ Clinical Research (Impact Factor: 14.09). 08/1995; 311(6996):42-5. DOI: 10.1136/bmj.311.6996.42
Source: PubMed


Qualitative research methods have a long history in the social sciences and deserve to be an essential component in health and health services research. Qualitative and quantitative approaches to research tend to be portrayed as antithetical; the aim of this series of papers is to show the value of a range of qualitative techniques and how they can complement quantitative research.

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Available from: Nicholas Barron Mays, Jan 22, 2015
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    • "Qualitative methods using individual semi-structured interviews provide the basis for the case study investigation of PET in three wards. The study uses this mixed methods approach as it appears most effective in evaluating complex interventions in health, such as PET[16,17]. In developing the model for PET, we will combine frequency analysis from the service utilisation data with a concept mapping approach, which involves ranking components of the intervention in order of importance and relevance[18,19]. "
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    ABSTRACT: Protected engagement time (PET) is a concept of managing staff time on mental health inpatient wards with the aim of increasing staff and patient interaction. Despite apparent widespread use of PET, there remains a dearth of evidence as to how it is implemented and whether it carries benefits for staff or patients. This protocol describes a study which is being carried out on mental health wards caring for older adults (aged over 65) in England. The study shares a large proportion of the procedures, measures and study team membership of a recently completed investigation of the impact of PET in adult acute mental health wards. The study aims to identify prevalence and components of PET to construct a model for the intervention, in addition to testing the feasibility of the measures and procedures in preparation for a randomised trial. The study comprises four modules and uses a mixed methods approach. Module 1 involves mapping all inpatient wards in England which provide care for older adults, including those with dementia, ascertaining how many of these provide PET and in what way. Module 2 uses a prospective cohort method to compare five older adult mental health wards that use PET with five that do not across three National Health Service (NHS) Foundation Trust sites. The comparison comprises questionnaires, observation tools and routinely collected clinical service data and combines validated measures with questions developed specifically for the study. Module 3 entails an in-depth case study evaluation of three of the participating PET wards (one from each NHS Trust site) using semi-structured interviews with patients, carers and staff. Module 4 describes the development of a model and fidelity scale for PET using the information derived from the other modules with a working group of patients, carers and staff. This is a feasibility study to test the application of the measures and methods in inpatient wards for older adults and develop a draft model for the intervention. The next stage will prospectively involve testing of the model and fidelity scale in randomised conditions to provide evidence for the effectiveness of PET as an intervention. Trial registration
    Full-text · Article · Dec 2016
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    • "That is why qualitative research is helpful to discover this aspect of patient's well-being. The aim of qualitative research is to develop a concept that helps to understand a social phenomenon in natural setting rather than in an experimental setting [1]. It seeks to explain and understand rather than quantify or predict. "

    Full-text · Article · Jan 2016
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    • "In-depth interviews were used with policymakers, SCHMT and CHEWs with the purpose of exploring strengths and weaknesses of the community services and barriers and facilitators to community provider performance with these respondents. Focus group discussions (FGDs) were used with CHWs and community members to use group interaction to aid in the generation of data (Pope and Mays 1995). Topic guides used with these groups are attached in Supplementary Appendix S1. "
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    ABSTRACT: Universal health coverage is gaining momentum and is likely to form a core part of the post Millennium Development Goal (MDG) agenda and be linked to social determinants of health, including gender; Close to community health providers are arguably key players in meeting the goal of universal health coverage through extending and delivering health services to poor and marginalised groups; Close to community health providers are embedded in communities and may therefore be strategically placed to understand intra household gender and power dynamics and how social determinants shape health and well-being. However, the opportunities to develop critical awareness and to translate this knowledge into health system and multi-sectoral action are poorly understood; Enabling close to community health providers to realise their potential requires health systems support and human resource management at multiple levels.
    Preview · Article · Dec 2015 · BMC proceedings
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