Introduction to Nursing Research
Subtopic:
Research techniques
Research Techniques: Qualitative, Quantitative, and Mixed-Method Approaches
I. Qualitative Research Techniques
Definition:
Qualitative research explores non-numerical phenomena (e.g., beliefs, experiences, social dynamics) through narrative and descriptive methods. Focuses on understanding why and how behaviors, attitudes, or patterns occur.
Key Characteristics:
Subjective, contextual, and interpretive.
Small sample sizes with purposeful sampling.
Emphasizes depth over breadth.
Often inductive (develops theories from data).
Common Approaches:
Ethnography:
Immersive study of cultures/communities (e.g., observing indigenous healthcare practices).
Example from text: Ethnographic studies on hygiene behaviors in rural Uganda.
Phenomenology:
Examines lived experiences (e.g., patient narratives of chronic illness).
Used in nursing research to explore patient satisfaction.
Grounded Theory:
Develops theories from systematically analyzed qualitative data (e.g., generating a model for community-led HIV prevention).
Case Study:
In-depth analysis of a single case (e.g., studying a hospital’s response to a cholera outbreak).
Data Collection Methods:
Interviews:
Structured (fixed questions), semi-structured (guided but flexible), or unstructured (open-ended).
Example: Key informant interviews with nurses on workplace burnout.
Focus Group Discussions (FGDs):
Group discussions to explore collective views (e.g., community perceptions of vaccination drives).
Observation:
Participant/non-participant observation (e.g., documenting handwashing practices in clinics).
Document Analysis:
Review of diaries, letters, or historical records (e.g., analyzing patient diaries for pain management trends).
Analysis Techniques:
Thematic Analysis: Identifies recurring themes (e.g., coding interview transcripts for patterns in patient anxiety).
Content Analysis: Systematically categorizes text/visual data (e.g., analyzing social media posts for health misinformation).
Narrative Analysis: Focuses on storytelling structures (e.g., patient recovery journeys).
Strengths:
Captures rich, nuanced insights.
Flexible and adaptive to emerging data.
Ideal for exploratory studies or marginalized voices.
Limitations:
Time-intensive and resource-heavy.
Subjectivity may affect reliability.
Difficult to generalize findings.
II. Quantitative Research Techniques
Definition:
Quantitative research quantifies variables using numerical data and statistical analysis. Focuses on what, when, and how much to test hypotheses or establish causal relationships.
Key Characteristics:
Objective, structured, and replicable.
Large sample sizes with random/probability sampling.
Deductive (tests existing theories).
Common Approaches:
Experimental Designs:
Manipulates variables to observe effects (e.g., RCTs testing drug efficacy).
Example: Testing painkiller effectiveness post-circumcision (p. 98).
Cross-Sectional Studies:
Snapshot data collection at one time point (e.g., surveys on malaria prevalence in Katanga).
Longitudinal Studies:
Tracks changes over time (e.g., cohort studies on HIV progression).
Correlational Research:
Examines relationships between variables (e.g., income vs. healthcare access).
Data Collection Methods:
Surveys/Questionnaires:
Closed-ended questions (e.g., Likert scales, multiple-choice).
Example: Structured surveys on bedbug spread in Mulago hostels (p. 22).
Structured Observations:
Checklists/rating scales (e.g., counting hand hygiene compliance in hospitals).
Biometric Measurements:
Clinical data (e.g., viral load counts in HIV studies).
Analysis Techniques:
Descriptive Statistics:
Mean, median, mode, SD (e.g., calculating average patient wait times).
Inferential Statistics:
t-tests, ANOVA (group comparisons).
Regression analysis (predicting outcomes).
Chi-square (testing associations).
Statistical Software:
SPSS, STATA, or R for data modeling.
Strengths:
Generalizable results.
High reliability and objectivity.
Efficient for testing hypotheses.
Limitations:
May oversimplify complex phenomena.
Requires large, representative samples.
Limited context for “why” behind patterns.
III. Mixed-Method Approaches
Definition:
Combines qualitative and quantitative techniques to leverage strengths of both (e.g., using surveys and interviews).
Common Designs:
Explanatory Sequential:
Quantitative data first, followed by qualitative to explain results (e.g., survey on vaccine hesitancy + FGDs to explore reasons).
Exploratory Sequential:
Qualitative data informs quantitative tools (e.g., interviews identify key variables for a subsequent survey).
Example from Text:
HIV Adherence Study (p. 127): Mixed-methods design combining viral load data (quantitative) with patient interviews (qualitative) to assess ART efficacy.
Strengths:
Comprehensive insights.
Triangulation enhances validity.
Addresses both breadth and depth.
Challenges:
Resource-intensive.
Requires expertise in both methodologies.
IV. Ethical Considerations in Both Approaches
Informed Consent:
Clear explanation of study purpose, risks, and rights (e.g., consent forms for HIV trials, ).
Confidentiality:
Anonymizing data (e.g., using codes instead of names in surveys).
Non-Maleficence:
Avoiding harm (e.g., ensuring vulnerable groups are not stigmatized).
Cultural Sensitivity:
Adapting tools for diverse populations (e.g., translating questionnaires into local languages).
V. Choosing the Right Approach
Factor | Qualitative | Quantitative |
---|---|---|
Research Goal | Explore, understand | Test, predict, generalize |
Sample Size | Small, purposeful | Large, random |
Data Type | Textual/narrative | Numerical/statistical |
Analysis Focus | Themes, patterns | Relationships, trends |
Example from Text | Cultural competence studies (p. 11) | Viral load analysis (p. 127) |
Key Takeaways:
Qualitative: Depth, context, and human experience.
Quantitative: Breadth, generalizability, and hypothesis testing.
Mixed-Methods: Balances both for holistic insights.
Practical Application:
Use qualitative methods to design patient-centered interventions.
Apply quantitative techniques for policy-impacting population studies.
Combine both in program evaluations (e.g., assessing a telehealth initiative’s reach and user satisfaction).
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