Contenuto dell'articolo principale

Abstract

In this first part of the article, we aim to provide health researchers with an understanding of how to design a qualitative health research study, including: topic identification, design selec- tion, and engagement in reflexivity. We offer practical guidance for writing an overarching question using a novel framework that helps develop a clearly articulated question that includes the following elements: emphasis, purposeful sampling, phenomenon of interest, and context. We then expand on specific methodological issues: study designs, contexts, sampling, and recruitment. Finally, we provide examples of qualitative health research studies that illustrate the application of different research designs. In part two of this article, we will discuss how to prepare for going into the field, how to generate, manage and analyse data, and plan for the dissemination of qualitative health research.

Keywords: Research Methodology, Qualitative Research, Qualitative Health Research, Research Design, Purposeful Sample, Recruitment

Come Disegnare uno Studio di Ricerca Sanitaria Qualitativa.
Parte 1: Considerazioni sui Disegni e sul Campionamento Propositivo

Attraverso le nostre esperienze di insegnamento della ricerca qualitativa agli studenti in varie discipline sanitarie, abbiamo concluso che molti ricercatori alle prime armi richiedono un supporto chiaro, pratico e focalizzato per sviluppare protocolli di ricerca. In questa prima parte di articolo, miriamo a fornire ai ricercatori sanitari una comprensione di come proget- tare uno studio qualitativo sulla ricerca sanitaria, tra cui: identificazione dell'argomento, sele- zione del disegno e del coinvolgimento nella riflessività. Offriamo una guida pratica per scri- vere una domanda utilizzando una nuova framework che aiuta a sviluppare una domanda chiaramente articolata che include i seguenti elementi: enfasi, campionamento propositivo, fenomeno di interesse e contesto. Quindi, esponiamo questioni metodologiche specifiche: disegno di studio, contesti, campionamento e reclutamento. Infine, forniamo esempi di studi qualitativi di ricerca sanitaria tratti dalla letteratura. Nella seconda parte dell'articolo, discu- teremo come prepararsi per andare sul campo, come generare, gestire e analizzare i dati e pianificare la diffusione della ricerca qualitativa sanitaria.

Parole Chiave: Metodologia della ricerca, Ricerca Qualitativa, Ricerca Sanitaria Qualitativa, Disegni di Ricerca, Campionamento Propositivo, Reclutamento.


Dettagli dell'articolo

Come citare
Luciani, M., Campbell, K., Tschirhart, H., Ausili, D., & Jack, S. M. (2019). How to Design a Qualitative Health Research Study. Part 1: Design and Purposeful Sampling Considerations. PROFESSIONI INFERMIERISTICHE, 72(2). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/632

Riferimenti

  • Arcury, T., & Quandt, S. (1999). Participant recruitment for qualitative research: a site-based approach to community research in complex societies. Human Organization, 58(2), 128–133. https://doi.org/10.17730/humo.58.2.t5g838w7u1761868
  • Berger, R. (2015). Now I see it, now I don't: Researcher's position and reflexivity in qualitative research. Qualitative Research, 15(2),219–234. https://doi.org/10.1177/1468794112468475
  • Birks, M., & Mills, J. (2015). Grounded theory: A practical guide (Second edition). Los Angeles London New Delhi Singapore Washington DC: SAGE.
  • Bradbury-Jones, C. (2007). Enhancing rigour in qualitative health research: Exploring subjectivity through Peshkin's I's. Journal of Advanced Nursing, 59(3), 290–298. https://doi.org/10.1111/j.1365-2648.2007.04306.x
  • Bradbury-Jones, C., Breckenridge, J., Clark, M. T., Herber, O. R., Wagstaff, C., & Taylor, J. (2017). The state of qualitative research in health and social science literature: A focused mapping review and synthesis. International Journal of Social Research Methodology, 20(6), 627–645. https://doi.org/10.1080/13645579.2016.1270583
  • Cambon, B., Vorilhon, P., Michel, L., Cadwallader, J.-S., Aubin- Auger, I., Pereira, B., & Vaillant Roussel, H. (2016). Quality of qualitative studies centred on patients in family practice: A systematic review. Family Practice, 33(6), 580–587. https://doi.org/10.1093/fampra/cmw095
  • Campbell, K. A., MacKinnon, K., Dobbins, M., Van Borek, N., &
  • Jack, S. M. (2019). Weathering the rural reality: Delivery of the Nurse-Family Partnership home visitation program in rural British Columbia, Canada. BMC Nursing, 18(1), 17. https://doi.org/10.1186/s12912-019-0341-3
  • Carr, K., & Weir, P. L. (2017). A qualitative description of successful aging through different decades of older adulthood. Aging & Mental Health, 21(12), 1317–1325. https://doi.org/10.1080/13607863.2016.1226764
  • Chan, T. M., Dewark, K. V., Sherbino, J., & Lineberry, M. (2019). Coaching for chaos: a qualitative study of instructional methods for multipatient management in the emergency department. AEM Education and Training, 3(2), 145–155. https://doi.org/10.1002/aet2.10312
  • Conti, A., Garrino, L., Montanari, P., & Dimonte, V. (2016). Informal caregivers' needs on discharge from the spinal cord unit: Analysis of perceptions and lived experiences. Disability and Rehabilitation, 38(2), 159–167. https://doi.org/10.3109/09638288.2015.1031287
  • Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Thousand Oaks, CA: SAGE Publications.
  • Cruz, E. V., & Higginbottom, G. (2013). The use of focused ethnography in nursing research. Nurse Researcher, 20(4), 36–43. https://doi.org/10.7748/nr2013.03.20.4.36.e305
  • D'Cruz, H., Gillingham, P., & Melendez, S. (2005). Reflexivity, its meanings and relevance for social work: a critical review of the literature. British Journal of Social Work, 37(1), 73–90. https://doi.org/10.1093/bjsw/bcl001
  • Denzin, N. K., & Lincoln, Y. S. (Eds.). (2018). The SAGE handbook of qualitative research (Fifth edition). Los Angeles, CA: SAGE.
  • Faber, J., & Fonseca, L. M. (2014). How sample size influences research outcomes. Dental Press Journal of Orthodontics, 19(4), 27–29. https://doi.org/10.1590/2176-9451.19.4.027- 029.ebo
  • Finlay, L. (2002). "Outing" the researcher: the provenance, process, and practice of reflexivity. Qualitative Health Research, 12(4), 531–545. https://doi.org/10.1177/104973202129120052
  • Gentles, S., Jack, S., Nicholas, D., & McKibbon, K. (2014). Critical approach to reflexivity in grounded theory. The Qualitative Report, 19(44), 1–14.
  • Hales, C., de Vries, K., & Coombs, M. (2016). Managing social awkwardness when caring for morbidly obese patients in intensive care: A focused ethnography. International Journal of Nursing Studies, 58, 82–89. https://doi.org/10.1016/j.ijnurstu.2016.03.016
  • Hamilton, R. J., & Bowers, B. J. (2006). Internet recruitment and e-mail interviews in qualitative studies. Qualitative Health Research, 16(6), 821–835. https://doi.org/10.1177/1049732306287599
  • Jack, S. M. (2019). Nursing leadership in qualitative health research. Professioni Infermieristiche, 72(1), 3–4.
  • Jaye, C. (2002). Doing qualitative research in general practice: Methodological utility and engagement. Family Practice, 19(5), 557–562. https://doi.org/10.1093/fampra/19.5.557
  • Kilcoyne, M., & Dowling, M. (2007). Working in an overcrowded accident and emergency department: Nurses' narratives. Australian Journal of Advanced Nursing, 25(2), 21–27.
  • Knoblauch, H. (2005). Focused ethnography. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 6(3). https://doi.org/10.17169/fqs-6.3.20
  • Koch, Tina, & Harrington, Anne. (1998). Reconceptualizing rigour: the case for reflexivity. Journal of Advanced Nursing, 28(4), 882–890.
  • Luciani, M., Jack, S. M., Campbell, K. A., Orr, E., Durepos, P.,Li, L., ... Di Mauro, S. (2019). An introduction to qualitative health research. Professioni Infermieristiche, 72(1), 60–68.
  • Mann, K., Gordon, J., & MacLeod, A. (2009). Reflection and reflective practice in health professions education: A systematic review. Advances in Health Sciences Education, 14(4), 595–621. https://doi.org/10.1007/s10459-007-9090- 2
  • Morse, J. M. (1995). The significance of saturation. Qualitative Health Research, 5(2), 147–149. https://doi.org/10.1177/104973239500500201
  • Morse, J. M. (2003). A review committee's guide for evaluating qualitative proposals. Qualitative Health Research, 13(6), 833–851. https://doi.org/10.1177/1049732303013006005
  • Morse, J. M. (2010). How different is qualitative health research from qualitative research? Do we have a subdiscipline? Qualitative Health Research, 20(11), 1459–1464. https://doi.org/10.1177/1049732310379116
  • Morse, J. M. (2012). Qualitative health research: Creating a new discipline. Walnut Creek, Calif: Left Coast Press.
  • Morse, J. M., & Field, P. A. (1996). Nursing research: the application of qualitative approaches (2nd ed). Cheltenham, UK: Nelson Thornes Ltd.
  • Musgrove, P. (2006). Life and death and who's going to pay. Health Affairs; Chevy Chase, 25(6), 1664–1667.
  • Orr, E., Jack, S., Sword, W., Ireland, S., & Ostolosky, L. (2017). Understanding the blogging practices of women undergoing in vitro fertilization (IVF): a discourse analysis of women's IVF blogs. The Qualitative Report, 22(8), 2206–2230.
  • Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health, 42(5), 533–544. https://doi.org/10.1007/s10488-013-0528-y
  • Patton, M. Q. (2015). Qualitative Research & Evaluation Methods (4th edition). Thousand Oaks, CA: SAGE.
  • Ploeg, J. (1999). Identifying the best research design to fit the question. Part 2: Qualitative designs. Evidence-Based Nursing, 2(2), 36–37. https://doi.org/10.1136/ebn.2.2.36
  • Pope, C., & Mays, N. (2009). Critical reflections on the rise of qualitative research. BMJ, 339, b3425. https://doi.org/10.1136/bmj.b3425
  • Rae, J., & Green, B. (2016). Portraying reflexivity in health services research. Qualitative Health Research, 26(11), 1543– 1549. https://doi.org/10.1177/1049732316634046
  • Richards, L., & Morse, J. M. (2013). README FIRST for a User's Guide to Qualitative Methods (3rd edition). Thousand Oaks, CA: SAGE.
  • Robinson, O. C. (2014). Sampling in interview-based qualitative research: a theoretical and practical guide. Qualitative Research in Psychology, 11(1), 25–41. https://doi.org/10.1080/14780887.2013.801543
  • Salvarani, V., Rampoldi, G., Ardenghi, S., Bani, M., Blasi, P., Ausili, D., ... Strepparava, M. G. (2019). Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy. Journal of Nursing Management, jonm.12771.
  • https://doi.org/10.1111/jonm.12771
  • Salzmann Erikson, M. (2018). Using focused ethnography to
  • explore and describe the process of nurses' shift reports in a psychiatric intensive care unit. Journal of Clinical Nursing, 27(15–16), 3104–3114. https://doi.org/10.1111/jocn.14502
  • Sandelowski, M. (1995). Sample size in qualitative research. Research in Nursing & Health, 18(2), 179–183. https://doi.org/10.1002/nur.4770180211
  • Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340. https://doi.org/10.1002/1098- 240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G
  • Sandelowski, M. (2010). What's in a name? Qualitative description revisited. Research in Nursing & Health, 33(1), 77–84. https://doi.org/10.1002/nur.20362
  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. Los Angeles: SAGE.
  • Stake, R. E. (1995). The art of case study research. Thousand Oaks, California: SAGE Publications.
  • Thorne, S. (2011). Toward methodological emancipation in applied health research. Qualitative Health Research, 21(4), 443–453. https://doi.org/10.1177/1049732310392595
  • Thorne, S. (2014). Applied Interpretive Approaches. In P. Leavy (Ed.), The Oxford Handbook of Qualitative Research. https://doi.org/10.1093/oxfordhb/9780199811755.013.002
  • Thorne, S. (2016). Interpretive description: Qualitative research for applied practice (Second edition). New York, NY London: Routledge.
  • Thorne, S., & Darbyshire, P. (2005). Land mines in the field: a modest proposal for improving the craft of qualitative health research. Qualitative Health Research, 15(8), 1105–1113. https://doi.org/10.1177/1049732305278502
  • Thorne, S., Konikoff, L., Brown, H., & Albersheim, S. (2018). Navigating the dangerous terrain of moral distress: understanding response patterns in the NICU. Qualitative Health Research, 28(5), 683–701. https://doi.org/10.1177/1049732317753585
  • Thorne, S., Oliffe, J. L., & Stajduhar, K. I. (2013). Communicating shared decision-making: Cancer patient perspectives. Patient Education and Counseling, 90(3), 291– 296. https://doi.org/10.1016/j.pec.2012.02.018
  • Tuckett, A. G. (2004). Qualitative research sampling: the very real complexities. Nurse Researcher, 12(1), 47–61. https://doi.org/10.7748/nr2004.07.12.1.47.c5930
  • Waters, J. (2015). Snowball sampling: a cautionary tale involving a study of older drug users. International Journal of Social Research Methodology, 18(4), 367–380. https://doi.org/10.1080/13645579.2014.953316
  • Watkins, D. C. (2012). Qualitative research: the importance of conducting research that doesn't "count." Health Promotion Practice, 13(2), 153–158. https://doi.org/10.1177/1524839912437370
  • Yin, R. K. (2018). Case study research and applications: Design and methods (Sixth edition). Los Angeles: SAGE.
  • Ziegler, E., Valaitis, R., Yost, J., Carter, N., & Risdon, C. (2019). "Primary care is primary care": use of Normalization Process Theory to explore the implementation of primary care