Article

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

ABSTRACT

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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    • "A concern with evidence for practice is associated with another development of significance for QR and teaching: the ascendance of practical, " actionable " knowledge over basic or pure knowledge. Here, we see the prioritization of research capable of producing knowledge of direct use to particular clinical or health system problems (Rossiter & Robertson, 2014;Sandelowski, 2004) and the emergence of " knowledge transfer " as a distinct specialization in the health research field (Lavis, Robertson, Woodside, McLeod, & Abelson, 2003). Emphasis on practical research has been used to justify a stepping back from theoretically driven or even theoretically informed QR. "
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    ABSTRACT: Drawing on long experience as a sociologist in the health academy, I explore the challenges of practicing and teaching critical qualitative research in an environment dominated by very different scientific reasoning. I account for the transgressive positioning of qualitative research in the health sciences in terms of the role of social theory in interpretive research, rising interest in qualitative approaches among health professionals, research and educational doctrines that impede “value-added” analysis, and the ascendance of applied, post-positivist forms of qualitative research. Strategies for producing critical qualitative researchers who can both survive and thrive in the health arena include creation of institutional authority, prioritization of methodological depth over breadth, teaching pragmatic but non-compromising survival skills, and forging supportive communities of practice. I describe how one particular academic organization is engaging with these strategies and reflect on future prospects for educating critical qualitative researchers in the field of health.
    Full-text · Article · Dec 2015 · Qualitative Inquiry
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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.
    Full-text · Article · Feb 2015 · Journal of Pediatric Oncology Nursing
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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.
    Full-text · Article · Nov 2014 · International Journal of Older People Nursing
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