This paper aims to provide an overview of qualitative research methods in health sciences. Qualitative research is defined as the study of phenomena through words rather than numbers. It is especially useful for answering questions about why certain things are observed and for assessing complex interventions. Common data collection methods include document studies, observations, interviews, and focus groups. Data is then transcribed, coded, and analyzed using qualitative software. Various techniques can be used to enhance and assess the quality of qualitative research. Using both qualitative and quantitative methods provides better tools for addressing a wider range of research problems.
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QUALITATIVE
This paper aims to provide an overview of qualitative research methods in health sciences. Qualitative research is defined as the study of phenomena through words rather than numbers. It is especially useful for answering questions about why certain things are observed and for assessing complex interventions. Common data collection methods include document studies, observations, interviews, and focus groups. Data is then transcribed, coded, and analyzed using qualitative software. Various techniques can be used to enhance and assess the quality of qualitative research. Using both qualitative and quantitative methods provides better tools for addressing a wider range of research problems.
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RESEARCH CONTENT
This paper aims to provide an overview of the use and assessment of
qualitative research methods in the health sciences. Qualitative research can be defined as the study of the nature of phenomena and is especially appropriate for answering questions of why something is (not) observed, assessing complex multi-component interventions, and focussing on intervention improvement. The most common methods of data collection are document study, (non-) participant observations, semi-structured interviews and focus groups. For data analysis, field-notes and audio-recordings are transcribed into protocols and transcripts, and coded using qualitative data management software. Criteria such as checklists, reflexivity, sampling strategies, piloting, co-coding, member-checking and stakeholder involvement can be used to enhance and assess the quality of the research conducted. Using qualitative in addition to quantitative designs will equip us with better tools to address a greater range of research problems, and to fill in blind spots in current neurological research and practice.
What is qualitative research?
Qualitative research is defined as “the study of the nature of phenomena”, including “their quality, different manifestations, the context in which they appear or the perspectives from which they can be perceived”, but excluding “their range, frequency and place in an objectively determined chain of cause and effect” [1]. This formal definition can be complemented with a more pragmatic rule of thumb: qualitative research generally includes data in form of words rather than numbers [2].
Why conduct qualitative research?
Because some research questions cannot be answered using (only) quantitative methods. For example, one Australian study addressed the issue of why patients from Aboriginal communities often present late or not at all to specialist services offered by tertiary care hospitals. Using qualitative interviews with patients and staff, it found one of the most significant access barriers to be transportation problems, including some towns and communities simply not having a bus service to the hospital [3]. A quantitative study could have measured the number of patients over time or even looked at possible explanatory factors – but only those previously known or suspected to be of relevance. To discover reasons for observed patterns, especially the invisible or surprising ones, qualitative designs are needed.
While qualitative research is common in other fields, it is still relatively
underrepresented in health services research. The latter field is more traditionally rooted in the evidence-based-medicine paradigm, as seen in "research that involves testing the effectiveness of various strategies to achieve changes in clinical practice, preferably applying randomised controlled trial study designs (...)" [4]. This focus on quantitative research and specifically randomised controlled trials (RCT) is visible in the idea of a hierarchy of research evidence which assumes that some research designs are objectively better than others, and that choosing a "lesser" design is only acceptable when the better ones are not practically or ethically feasible [5, 6]. Others, however, argue that an objective hierarchy does not exist, and that, instead, the research design and methods should be chosen to fit the specific research question at hand – "questions before methods" [2, 7,8,9]. This means that even when an RCT is possible, some research problems require a different design that is better suited to addressing them. Arguing in JAMA, Berwick uses the example of rapid response teams in hospitals, which he describes as "a complex, multicomponent intervention – essentially a process of social change"