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Philosophies / Paradigms / Dilemmas
Methodological Criteria
Research Strategies / Designs
Research Methods
Data Analysis
(Dyson & Brown, 2006:3)
Which Level of Research?
• Action Research• Case Study• Conceptual Mapping• Content Analysis• Discourse Analysis• Documents• Ethnography• Experiment• Focus Group• Interview• Grounded Theory
• Multivariate Analysis• Observation• Phenomenology• Positivism• Post Modernism• Questionnaire• (Scientific) Realism• Survey• Symbolic Interactionism• Thematic Analysis• Unobtrusive Measures
SurveysCase studies Experiments EthnographyPhenomenologyGrounded theory Mixed methodsAction research(Denscombe, 2007)
Philosophies / Paradigms / DilemmasPositivism / Subjectivism / Critical realism / Postmodernism
Methodological CriteriaInternal validity / External validity / Reliability
Research Strategies / Designs Experiments / Surveys / Action research / case studies / ethnography / grounded
theory / phenomenology / mixed methods
Research MethodsQuestionnaires / interviews / observations / documents
Data AnalysisInferential statistics / descriptive statistics / content analysis / thematic analysis /
discourse analysis / interpretive phenomenological analysis
(Dyson & Brown, 2006:3)
Features of a survey:
Wide and inclusive coverage – taking all in
At a specific point in time – to bring things up to date
Empirical research - measuring and recording
• Sampling– Probability: random / systematic / stratified / quota /
cluster / multi-stage– Non-probability: purposive / snowball / theoretical /
convenience • Observation, questionnaire, documents• Response rates • Case-variables matrix• Descriptive stats (inferential stats)• Missing cases
A design NOT a method – postal / internet / telephone / face-to-face surveys/ documents / observations
Advantages Disadvantages
Empirical data Tendency to empiricismWide and inclusive coverage
Detail and depth of the data
Lend themselves to quantitative data
Accuracy and honesty of responses
Costs and time Sample bias with internet surveys Easily ignored
Variable 1
Variable 2
Variable 3
Variable 4
Person/Case
Female/Male
Ethnic Origin
Smoker Cigarettes
0001 F White Yes 25
0002 M Black Caribbean
No 0
0003 Missing Asian (Indian)
No 0
0004 M White No Missing
Example of a case-variables matrix (SPSS)
Variable 1
Variable 2
Variable 3
Variable 4
Person/Case
Female/Male
Ethnic Origin
Smoker Cigarettes
0001 1 9 1 25
0002 2 5 2 0
0003 0 1 2 0
0004 2 9 2 -1
Examples of surveys
Census (ONS)
General Household survey
Geological surveys
National Student survey
Opinion polls
Satisfaction surveys (e.g. in hospitals)
What surveys have been undertaken, or could be in your area of practice?
Features of a Case studies
• Spotlight on one instance of the thing
• In depth study
• Focus on relationships and processes
• Natural setting
• Multi-method and sources
Use of case studies
• EXPLORATORY - develop propositions for further study
• DESCRIPTIVE - describes phenomenon rarely before subject of study and discovers key phenomena
• EXPLANATORY - test competing theories against same events
Selection of cases
How the case will be usedTypical instance Extreme instanceTest-site for theoryLeast likely instance
Practical considerationsConvenience Interesting
No ChoiceCommissioned researchUnique opportunities
Advantages Disadvantages
Allows researchers to deal with subtleties and intricacies of complex situations
Credibility of generalizations
Multiple method approach Perceived as producing “soft” data
Multiple sources of data: triangulation
Boundaries of case can be difficult to define
No pressure on the researcher to impose control
Negotiating access
Concentrating efforts on one site
Observer effect
Theory building and theory testing can use case study approach
Examples of case studies
Alder Hey Hospital, Liverpool / Bristol Royal Infirmary
Shipman Inquiry / Beverley Allitt
Victoria Climbie / Baby P
What case studies have been undertaken, or could be in your area of practice?
Experimental Strategy 1
“An empirical investigation under controlled conditions”
Identification of causal factors Control - manipulation of variables Empirical observation and measurement
Null hypothesisOperationalization of variablesInferential stats (descriptive stats)
Experimental Strategy 2
• Measure Dependent Variable
• Manipulate Independent Variable
• Control for Confounding Variables
• “Relationship between smoking and lung cancer ” [DV]
Experimental Strategy 3
• A change in level of smoking will alter incidence of lung cancer [Two-tailed or bi-directional]
• A decrease in the level of smoking will decrease incidence of lung cancer [One-tailed or unidirectional]
One-tailed or two-tailed hypothesis
Experimental Strategy 4
• Participant (expectancy) effects (Hawthorne) (‘blind’)
• Experimenter (expectancy) effects (‘double blind’)
Experimental Strategy 4
• Subject (expectancy) effects (‘blind’)
• Experimenter (expectancy) effects (‘double blind’)
Advantages Disadvantages
Repeatable Deception and ethics
Precision Artificial settings
Convenience Representativeness of the research subjects
Credibility Control of relevant variables
Group work 1: Design an experiment
• To test if there is a relationship between drinking alcohol and reaction time
• What is your independent variable? How will you operationalize it?
• How many levels of the independent variable will you use?
• Will you use a control group?
• How will you operationalize the dependent variable?
• Who will be your participants?
• How will you avoid participant effects?
• How will you avoid experimenter effects?
• How will you allocate participants to groups?
Examples of experimental studies
Laboratory experiments
Clinical trials
Four-layer bandaging for leg ulcers
What experimental studies have been undertaken, or could be in your area of practice?
Meanings, perspectives, emotions, motives Exploratory, definitive, explanatory Rigour Narrative data Quantity and quality
Qualitative designs
Useful for investigating:
Ethnography Whyte [1943] (1981)
Requires considerable time in the field
Ordinary aspects of everyday life are important
How people in the group studied view the world (meanings etc) are important to ethnographers
The inter-linkages between aspects of the culture
Final account is a construction rather than a description
Direct ObservationEmpirical (direct contact with people)Detailed dataHolisticActor’s perceptionsContrast and ComparisonSelf-awarenessEcological validity
Advantages Disadvantages
Direct observation Tensions within the approach
Empirical Stand-alone descriptions Links with theory Story-tellingDetailed data Reliability Holistic EthicsContrast and comparison AccessActors’ perceptions Insider knowledgeSelf awarenessEcological validity
Examples of ethnography studies
Poltorak et al. (2005) MMR talk in Brighton
Porter (1993)
See module guide – ethnography special issue of Social Science & Medicine (Nov 2004)
What ethnographic studies have been undertaken, or could be in your area of practice?
PhenomenologyIn contrast to positivism, phenomenology is seen as an approach that emphasizes:
Subjectivity (as opposed to objectivity)
Description (as opposed to analysis)
Interpretation (as opposed to measurement)
Agency (as opposed to structure) (Denscombe, 2007: 75)
Experience
Everyday world
Seeing things through the eyes of others
The social construction of reality
Multiple realities
Description
Suspension of common-sense beliefs
Members accounts
Advantages DisadvantagesOffers the prospect of authentic accounts of complex phenomena
Lacks scientific rigour
A humanistic style of research
Associated with description and no analysis
Suited to small-scale research
Generalizations from phenomenological studies
The description of experiences can tell an interesting story
Attention to the mundane features of life
Feasibility of suspending common sense
Examples of phenomenology studies
Mackey S (2004) Phenomenological research: methodological insights derived from Heidegger’s interpretive phenomenologyInternational Journal of Nursing Studies 42, 1: 179-186
What phenomenological studies have been undertaken, or could be in your area of practice?
Grounded theory
Developed by Glaser & Strauss – The Discovery of Grounded Theory(1967)
Theories should be grounded in empirical research
Theories should be generated by a systematic analysis of the data
Researchers should start with an “open-mind”
Theories should be useful to those on the ground
Advantages DisadvantagesRecognized rationale for qualitative research
Does not lend itself to precise planning
Fairly adaptable Tendency to divorce explanation from broader context
Focus on practice “Open-minded” approach can operate at a variety of levels
Systematic way of analysing qualitative data
Daunting complexity of process
Analysis can draw on computer software
Interpretivists unhappy at suggestion that theories provide the one explanation
Developing theories from qualitative data
May be criticized as being “empiricist”
Explanations are grounded in reality Well suited to the exploration of new topics and new ideas
Examples of grounded theory studies
Sun et al. (2008) Family care of Taiwanese patients who had attempted suicide: a grounded theory study. Journal of Advanced Nursing 62, (1): 53-61
What grounded theory studies have been undertaken, or could be in your area of practice?
Mixed methods
• Use of qualitative and quantitative approaches within a single research project
• Explicit focus on the link between approaches (Triangulation)
• Emphasis on practical, problem driven approach to research (Pragmatism)
Advantages DisadvantagesA more comprehensive account of the thing being researched
Time and costs of the research project can increase
Clearer links between different methods and the different kinds of data
Researcher needs to develop skills with more than one method
Good use of triangulation QUAL / QUAN distinction tends to oversimplify matters
A practical, problem-driven approach to research
Mixed methods designs that are generally recommended do not allow for emergent research designs Pragmatism – is open to misinterpretation Findings from different methods might not corroborate one another
Examples of mixed method studies
Dyson, S.M. et al. (2010) Disclosure and sickle cell disorder: a mixed methods study of the young person with sickle cell at school. Social Science and Medicine, 70, (12): 2036-2044.
See: Alicia O’Cathain’s work from Sheffield
What mixed method studies have been undertaken, or could be in your area of practice?
Action research“Research that produces nothing but books will not suffice” (Lewin, 1946: 35)
Practical – deals with real world problems
Change – to deal with the problem and part of the research process
Cyclical process
Participation
Baseline Assessment
Observing & Recording
Reflecting & Learning
Planned Intervention
• Educative
• Deals with individuals as members of social groups
• Is problem-focused, context-specific and future-orientated
• Involves a change intervention
• Involves a cyclical process in which research, action and evaluation are interlinked
• Is founded on a research relationship in which those involved are participants in the change process
Source: Hart and Bond (1995)
Action research
Advantages Disadvantages
Addresses practical problems in a positive way
The necessary involvement of practitioners limits scope
Benefits for the practitioner:PDP
Integration of research with practice limits the feasibility
Should entail a continuous cycle of development and change workplace
The nature of the research is constrained by what is permissible and ethical
Involves participation in the research for practitioners
Ownership of the research process becomes contestableTends to involve an extra burden of work for the practitioners, The researcher is unlikely to be detached and impartial
Examples of action research studies
What action research studies have been undertaken, or could be in your area of practice?
• Role of tutors in clinical areas (Owen, 1993)
• Facilitate change in a psychiatric hospital (Towell and Harries, 1979)
• Evaluation of developmental project for Ward sisters (Lathlean and Farnish, 1984)
• Introduction of self-medication for elderly patients (Webb, 1990)
• Changes in service provision for people with disabilities (Hart and Bond, 1995)