Qualitative and Mixed Methods Research Designs in Nursing Paper

Qualitative And Mixed Methods Research Designs
Imagine that you work in a clinic that has recently implemented a new program to support the family members of patients with brain injuries. You have been tasked with determining the success of the new program. What are your options? You could create a brief questionnaire for family members, or possibly have semi-structured interviews. How would your techniques differ if you were researching patient experiences with wait time in an emergency room setting? Reflect on how the particular circumstances of a research study dictate the most appropriate approach.
This week, you are introduced to qualitative and mixed method approaches to research design, including when to use these research designs to address specific PICOT questions. You also critique qualitative and mixed methods research studies for validity and reliability.
Learning Objectives
Students will:
Evaluate appropriateness of qualitative research designs for research questions
Analyze ethical issues in qualitative research studies
Critique quantitative and qualitative or mixed methods research studies
Photo Credit: [AJ_Watt]/[iStock / Getty Images Plus]/Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 21, “Qualitative Research Design and Approaches”
This chapter introduces qualitative research designs. It provides an overview of the different types of qualitative research and then describes each one in greater detail, outlining how and when they should be used.
Houghton, C. E., Casey, D., Shaw, D., & Murphy, K. (2010). Ethical challenges in qualitative research: Examples from practice. Nurse Researcher, 18(1), 15–25.
Retrieved from the Walden Library databases.
This article explores ethical challenges associated with qualitative research. Specifically, the authors examine the challenges of informed consent procedures, the researcher-participant relationship, risk-benefit ratio, confidentiality, and the dual role of the nurse-researcher.
Pringle, J., Hendry, C., & McLafferty, E. (2011). Phenomenological approaches: Challenges and choices. Nurse Researcher, 18(2), 7–18.
Retrieved from the Walden Library databases.
This article examines the dilemmas faced by a researcher looking for appropriate methods and approaches for investigating the experiences of stroke survivors. In addition, this article reviews the challenges of using phenomenology as a research method.
Ryan-Nicholls, K. D., & Will, C. I. (2009). Rigour in qualitative research: Mechanisms for control. Nurse Researcher, 16(3), 70–85.
Retrieved from the Walden Library databases.
The authors of this article provide recommendations for improving the control mechanisms of methodological rigor in qualitative research methods. The text establishes the basis of criticism on the rigor of qualitative work, ways of demonstrating methodological rigor, and the definition of rigor.
Smith, J., Bekker, H., & Cheater, F. (2011). Theoretical versus pragmatic design in qualitative research. Nurse Researcher, 18(2), 39–51.
Retrieved from the Walden Library databases.
This article assesses the benefits of using a generic qualitative approach to design studies for understanding user and caregiver perspectives. The authors assess these benefits in the context of a qualitative study that focused on parents’ experience of living with children with hydrocephalus.
Walker, W. (2011). Hermeneutic inquiry: Insights into the process of interviewing. Nurse Researcher, 18(2), 19–27.
Retrieved from the Walden Library databases.
This article examines the process of interviewing from a research perspective. The authors supply personal and theoretical insights into using the research interview, along with a guide to the practicalities of interviewing.
Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207.
Retrieved from the Walden Library databases.
This article highlights the importance of qualitative evidence to mental health clinicians. The author stresses that critically appraising evidence is crucial to the EBP process and provides guidelines for appraisal.
Wuest, J. (2011). Are we there yet? Positioning qualitative research differently. Qualitative Health Research, 21(7), 875–883.
Retrieved from the Walden Library databases.
This article focuses on the shifting role of qualitative research in the past two decades. The author discusses the merits and detriments of concrete distinctions, the hurdles of flexibility and convergence, and the need to develop a complete research toolbox for improving health.
Media
Laureate Education (Producer). (2012l). Qualitative and mixed methods research designs. Baltimore, MD: Author.
This video features Dr. Kristen Mauk’s overview of how she applied qualitative research designs and methods to her doctoral dissertation work. Dr. Mauk explains the advantages of qualitative research as well as strategies for increasing credibility when conducting qualitative or mixed methods research.
Discussion: Qualitative Research Designs
For the past 2 weeks, you have focused on the features and considerations of quantitative research designs. However, quantitative designs are not appropriate for all research questions. Perhaps you are concerned with how patients react when confronted with negative test results, or you wish to study how views on a certain health topic change over time. In each of these cases, the emphasis is more on understanding the thinking and experiences of an individual or group than on numerical measurements. For these types of questions, a qualitative or mixed methods research design is the most appropriate.
For this Discussion, you focus on the different types of qualitative research designs, when they are used, and why they are important.
To prepare:
Reflect on the comments made by Dr. Mauk in this week’s media presentation on the value of qualitative research in nursing.
Locate the journal Qualitative Health Research in the Walden Library.
From this journal, select an article of interest to you that was published within the last 3 years.
Review the information on different qualitative research designs in Chapter 21 of your course text.
Determine what qualitative research design was used in your selected article and evaluate whether it was the best choice.
Consider ethical issues involved in the study and how the researchers addressed them.
Think about how using a quantitative design would have affected the type of data gathered.
Write an APA citation for the article that you selected and provide a brief summary of the content and the qualitative research design used. Evaluate the appropriateness of the design, and explain how ethical issues in the study were addressed. Analyze how the study would have been different if a quantitative design had been used.

 

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True Optimism And The Path To MeaningA. Pattakos The Meaningful Life 8/4/17The sky is falling! The sky is falling!” cried Chicken Little. If you are unfamiliar or don’t remember the story of Chick

True Optimism And The Path To Meaning

A. Pattakos The Meaningful Life 8/4/17

The sky is falling! The sky is falling!” cried Chicken Little. If you are unfamiliar or don’t remember the story of Chicken Little, I invite you to watch one of the versions of this classic tale produced in 1943—another challenging time in our history—by Walt Disney (click here). As you will see, there are many lessons to be learned from Chicken Little’s plight that can be applied to what is happening today!

Make no mistake about it: we live in difficult, uncertain, and confusing times. However, let’s not be like Chicken Little and add more fear-mongering fuel to the existing fire of existential angst. That’s not going to solve anything. Besides weakening efforts to find common ground on the many complex and polarizing domestic issues begging resolution (to say nothing about how fear-mongering plays havoc on foreign affairs), cries of “the sky is falling” may do worse; they may prove to be a self-fulfilling prophecy!

In life’s most difficult situations, it is our capacity to cope and our personal resiliency that that are put to the ultimate test. It is then that the freedom to choose our attitude takes center stage. In this regard, the world-renowned psychiatrist and Holocaust survivor Viktor Frankl is perhaps best known for practicing and espousing “freedom of will,” especially in terms of one’s choice of attitude, as a point of departure on the path to meaning.

In Dr. Frankl’s own words, “Everything can be taken from a man but—the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s way.”1 In other words, in all situations, no matter how desperate they may appear or actually be, you always have the ultimate freedom to choose your attitude.

The responsibility for choosing our attitude, of course, lies solely and soundly with each one of us. No matter how much we may want to do so, it cannot be transferred to someone else. I have made this claim over the years not only to individuals facing personal challenges, but also to various corporate and government clients, especially in cases where workers, including executives and managers, seem intent on “bitching and moaning” about their working conditions but don’t appear willing to do anything about them.

I’m reminded of a Far Side cartoon that shows people mingling at a “Part of the Problem” Convention because it illustrates to an absurd level how limited and negative our thinking can become. We celebrate our freedom to choose our attitude only when we decide to move from being a part of the problem to becoming a part of the solution. Former NBA coach Phil Jackson, in his book, Sacred Hoops2, cautions us to remember that the best way to realize our dreams is to wake up! In other words, being part of any solution also means taking action.

the emotion or passion behind our choice of attitude that will help us actualize or realize such possibilities.

We each have the ultimate freedom to make these choices, but it is amazing how frequently we don’t. We either “choose” to abstain from taking full responsibility for what should be our conscious choices or “choose,” albeit unconsciously, to remain frozen in thought patterns that may no longer serve our highest good. In short, we become “prisoners of our thoughts.”3

Man is not free from conditions. But he is free to take a stand in regard to them. The conditions do not completely condition him. Within limits it is up to him whether or not he succumbs and surrenders to the conditions. He may as well rise above them and by so doing open up and enter the human dimension…Ultimately, man is not subject to the conditions that confront him; rather, these conditions are subject to his decision. Wittingly or unwittingly, he decides whether he will face up or give in, whether or not he will let himself be determined by the conditions.—Viktor Frankl, M.D., Ph.D.4

In my work and personal experience, I have encountered clients, co-workers, friends, and family members who are stuck in old habits of self-imprisonment (and, of course, I’ve “been there, done that” as well!). They display the power of negative thinking about a given life or work situation, assuring that they could never visualize a better tomorrow. Or they are steeped in so much fear of the unknown (again, remember Chicken Little!) that they have essentially immobilized themselves, effectively avoiding any kind of risk, or have reacted in ways that essentially “work against themselves.”5 The ultimate freedom to choose their attitude and a positive future, no matter how desperate they may be, seems as foreign to them as a life in which they could feel truly fulfilled and happy.

So how about you? Even if you believe that the “sky is falling,” what are you going to do about it? Are you willing and committed to be a part of the solution rather than a part of the problem? Are you ready to escape the inner mental prison that may be holding you back from achieving your full potential? Are you a “true optimist?”

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Personal Theory

Choose a clinical situation in your specialty and create a theory from your observations. Report the theory to the class. Use a form that clearly identifies your concepts and proposition such as; “psychosocial development (Concept A) progresses through (Proposition) stages (Concept B)”. Identify and define the concepts involved and the proposition between them. 

 

For example, a surgical unit nurse may have observed that elevating the head of the bed for an abdominal surgery patient (Concept A) reduces (Proposition) complaints of pain (Concept B). The concepts are the head of the bed and pain. The proposition is that changing one will decrease the other. Raising the head of the bed decreases pain. Use current literature to define your concepts. Each concept should have at least two supporting references.

 

Clinical situation: Example blood pressure control, fluid overload or generalized                                          edema.

Specialty area: Dialysis

 

  • Length: A minimum of 250 words, not including references
  •  
  • Citations: At least one high-level scholarly reference in APA format from within the last 5 years

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unit-2-project-1

Task one:

You are an emergency manager in a medium-sized city. Your city manager is new to the position, from a human resource background, and is therefore unfamiliar with the risks posed by natural and technological hazards. Therefore, the city manager would like you to provide him with some introductory information related to risks and hazards, including appropriate response strategies to help him understand the challenges faced by your community and the nation overall.

At this point, your city manager is asking for the big picture and states that he will require additional specific details related to emergency management at a future date.

Assignment Guidelines

  • Your assignment is to complete an informational memorandum of 750–1,000 words that summarizes 2–3 of the most significant natural hazards facing America today.
    • Define the following terms, and provide 1 example and a brief explanation of each term:
      • Natural hazard
      • Technological hazard
      • Risk
      • Risk assessment
    • List and summarize 2–3 of the most significant natural hazards facing America today.
      • For each hazard listed, describe 1 appropriate response strategy that could be used to address the hazard.
  • Because your city is located in an area where natural hazards such as tornadoes and floods are a significant issue, your city manager would like for your informational memorandum to focus on natural hazards.

Task Two:

You are a newly hired fire or police chief (you may choose which) and are expected to address the city manager with your leadership objectives for the department. Start by writing an introductory speech to identify your leadership style and how you plan to effectively lead your firefighters or officers.

  • In 600–800 words, write an introductory speech to the city manager that addresses the following:
    • What types of leaders are required in dangerous occupations? Why?
    • How do emergency response leaders differ from public policy leaders? Explain.
    • What do you want the city manager to know about you? Why?
    • What do you want newly hired first responders to know about you? Why?
    • From what you have learned about HR organizations and hiring expectations, how does your leadership style translate into the types of people you would hire? Explain.
  • Be sure to use the course materials, course articles, Web resources, and evidence from your own research to support your arguments.
  • All sources must be referenced using APA style.

 

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