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:
  1. Ethnography:
    • Immersive study of cultures/communities (e.g., observing indigenous healthcare practices).

    • Example from text: Ethnographic studies on hygiene behaviors in rural Uganda.

  2. Phenomenology:
    • Examines lived experiences (e.g., patient narratives of chronic illness).

    • Used in nursing research to explore patient satisfaction.

  3. Grounded Theory:
    • Develops theories from systematically analyzed qualitative data (e.g., generating a model for community-led HIV prevention).

  4. 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 whatwhen, 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:
  1. Experimental Designs:
    • Manipulates variables to observe effects (e.g., RCTs testing drug efficacy).

    • Example: Testing painkiller effectiveness post-circumcision (p. 98).

  2. Cross-Sectional Studies:
    • Snapshot data collection at one time point (e.g., surveys on malaria prevalence in Katanga).

  3. Longitudinal Studies:
    • Tracks changes over time (e.g., cohort studies on HIV progression).

  4. 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:

  1. Explanatory Sequential:
    • Quantitative data first, followed by qualitative to explain results (e.g., survey on vaccine hesitancy + FGDs to explore reasons).

  2. 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
  1. Informed Consent:

    Clear explanation of study purpose, risks, and rights (e.g., consent forms for HIV trials, ).

  2. Confidentiality:
    • Anonymizing data (e.g., using codes instead of names in surveys).

  3. Non-Maleficence:
    • Avoiding harm (e.g., ensuring vulnerable groups are not stigmatized).

  4. Cultural Sensitivity:
    • Adapting tools for diverse populations (e.g., translating questionnaires into local languages).


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V. Choosing the Right Approach
FactorQualitativeQuantitative
Research GoalExplore, understandTest, predict, generalize
Sample SizeSmall, purposefulLarge, random
Data TypeTextual/narrativeNumerical/statistical
Analysis FocusThemes, patternsRelationships, trends
Example from TextCultural 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).