Evidence Based Practice-Qualitative Research

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What is evidence-based practice?
-Is generally conceptualised as searching for, appraising and synthesizing the results of eperimental and quantitative research and transferring the findings to practice and policy domains to improve health outcomes.
What does qualitative research try to do?
-It tries to make sense of phenomena in terms of the meanings that people bring to them. Evidence from qualitative studies that the experiences of clients and health professionals has an important role in ensuring that the information gained is just as important than information that arises out of quantitative research.
Qualitative research tries to increase our understanding of:
--how individuals and communities perceive health, manage their own health and make decisions related to health service. -how clients experience health and illness and the health system. -the usefulness of activities of health services that cannot be measured in quantitative outcomes (eg, health promotion, community development).
What areas of clinical decision making does qualitative research inform?
-Qualitative research generates evidence that informs clinical decision making on matters related to feasability, appropriateness or meaningfulness.
What does qualitative research do?
-Qualitative research focuses on clients' and health professionals experiences and concerns assists people to tell their stories and analyses the data generated to describe human meaning and experience.
What type of data is collected?
-The data collected and analysed in qual.research are words because they are the media through which people express themselves and their relationships to other people and their world.
Why is qualitative data flexible in design and adaptive?
-Through qual.research the enduring realities of peoples experiences are not oversimplified and subsumed into a number or statistic. -Because qual.researchers draw relationships between sets of data and interpret the material this research is flexibe in design and adaptive.
What do qualitative research approcahes aim to achieve?
-Different research approaches set out to achieve different things and when differing perspectives are put together they provide a multifaceted view of the subject of inquiry that deepens our understanding of it.
How do we structure a research question?
-Use the PICO format, but there is no 'comparison' and the 'I' refers to interest or issue not intervention.
What do we need to design and conduct qualitative research?
-Requires the identification of a well understood methodology that is appropriate to the question and the use of methods of data collection and analysis that are congruent with the chosen methodology.
What are methodologies/approaches?
-phenomenology, grounded theory,ethnography, action research, feminist research and discourse analysis.
What is phenomenology?
-Values human perception and subjectivity and seeks to explore what an experience is like for the individual concerned. -'lived experience', discovering the 'essence' of the experience. -Data collected using a focussed but non-structured interview technique. The style of interview supports the role as the researcher as one who does not presume to know what the important aspects of the experience to be revealed are. -involves thematic data analysis, where researcher submerge themselves in text to identify the implicit or essential themes of the experience, thus seeking fundamental meaning. -The strength of this is that it seeks to derive meaning and knoweldge from the phenomena themselves. -The perspectives that arise help to shape the categories of concern in terms of the issues that the participants themselves identify. -Contributes to informing and describing the field of inquiry that future policy needs to address.
What is grounded theory?
-Generating theory from using an 'iterative, circular' apporach whereby data are gathered using an ongoing collection process from a variety of sources.
What is ethnography?
-Used to describe a research technique that was used to study groups of people who shared social and cultural characteristics, thought of themselves as a group, shared common language, geographic locale and identity. -Ethnographer comes to understand social world of the group in an attempt to develop an inside view while recognising it will emerge from an outside perspective. -Involves participant observation, recording of field notes and interviewing key informants.
What is action research?
-'critical' -The pursuit of knowleldge through working collaboratively on describing the social world and acting on it in order to change it. -Involves reflecting on the world in order to change it nd then entering into a cyclical process of reflection, change and evaluation. -Data collected inlcudes transcripts of group discussions, quantitative and qualitative data suggested by the participative group. -Themes, issues and concerns are extracted and discussed by research team and participant group.