Qualitative Flashcards

1
Q

Define research

A

Study that generates NEW knowledge about patients/ conditions/ healthcare service.

New knowledge will be generally true across a wide population.

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2
Q

Define service evaluation

A

Evaluates/ assesses part of local healthcare service with aim to improve the service based on evidence collected.

Results only feeds back to service not patient/ national services.

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3
Q

Features of a good question in study

A
  • What we want to know
  • What type of data we should generate
  • Type of analysis
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4
Q

Type of questions in questionnaire

A

Closed yes/no/ categorical
- Categories can be MCQ choose one or many

Closed statements on a scale
- Ordinal/ numbered

Open ended

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5
Q

Likert scales

A

Type of closed interval question.

Assess level of agreement or disagreement for a series of statements.

Good for

  • Knowledge
  • Beliefs
  • Attitudes
  • Symptoms
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6
Q

Assumptions based on Likert scales

A

Bipolar scaling method, measuring either positive or negative response to a statement

Assumes distances between each response are equal, that is, the distance
between each candidate value is the same

Each response gets a number e.g. 1 to 5

Scores are summed across statements to form a scale – all items have equal weight

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7
Q

Define qualitative research

A

Exploratory research done to gain an understanding of underlying reasons/ opinions and motivations.

Data includes:

  • Patient voice in interviews
  • Media reports
  • Viewpoints of clinicians
  • Policy documents
  • historical records
  • Open answers on questionnaire.
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8
Q

Benefits of qualitative data. [6]

A
  • Provides more depth and detail
  • Avoids pre-judgements
  • Study can be used to generate hypothesis
  • Reducing phenomena to numbers may not be desirable.
  • Allows more information to be obtained for things where we lack an understanding of the concept.
  • Allows openness in possible responses
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9
Q

Cons of qualitative research [6]

A

Time consuming to transcribe and interpret data.

Highly subjective results.

Complex data may be difficult to analyse.

Cannot compare groups.

Data may not be generalisable.

Harder to analyse data in larger populations so few subjects needed.

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10
Q

Why is qualitative research used?

A

Intepretative and naturalistic approach to subject matter.

Patient-centred agenda

Can generate new hypothesis and inform quantitative studies.

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11
Q

Types of qualitative research

A

Observation

Textual analysis/ analysis of documents

Focus groups

Intervies

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12
Q

Observational research

A

Where the researcher is immersed into an environment/ culture in order to observe and listen to the participants.

Allow the appreciation of the culture in the group to gained.
- Allows first-hand information about social processes to be gathered.

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13
Q

Textual analysis/ analysis of documents

  • Description
  • Types of analysis (4)
A
Interpretation of different texts: writings, internet, forums, social media, adverts
Allows:
- Discourse analysis
- Narrative analysis
- Content analysis 
- Phenomenological analysis
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14
Q

Discourse analysis

A

Analysis of how language is used

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15
Q

Narrative analysis

A

Analysis of how stories or public opinion develop over time

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16
Q

Content analysis

A

Looking for biases or deviations from the truth

- Such as with the media.

17
Q

Phenomenological analysis

A

Analysing patients lived experience and how they make meaning from it

18
Q

Focus groups

A

Typically 8 - 10 participants.

Group discussion about specified topics.

Often a series of focus groups is conducted.

Led by moderator/facilitator.

Tape-recorded and transcribed.

Revelations of views can encourage other participants to reveal broader insights than are possible from individual interviews.

19
Q

Framework analysis steps [5]

A

Familiarisation

  • Immersion in the data
  • Listening to recordings, reading transcripts, studying observational notes.

Thematic framework

  • Identify key issues, concepts and themes.
  • Allows data to be more manageable by labelling it.
  • Identify themes of particular views/ patterns, emergent issues raised, priori issues.

Indexing
- Labels each snippet. Highlight/ label specific phrases/ sentences that indicate a participant’s thoughts on themes.

Charting
- Group together elements of data according to appropriate theme
- Passage of texts summerised and referenced.
Mapping and interpretation
- Review charts and notes
- Compare and contrast perceptions
- Search for patterns, connections

20
Q

Define efficacy

A

Performance of an intervention under ideal and controlled circumstances

Ascertained through analytical studies (RCT)

21
Q

Define effectiveness

A

Performance of interventions under ‘real world’ conditions

Usually analysed through observational studies