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Practical considerations in case study research: the relationship between methodology and process.

A McDonnell1, M Lloyd Jones, S Read

  • 1School of Nursing and Midwifery, University of Sheffield, England. a.mcdonnell@sheffield.ac.uk

Journal of Advanced Nursing
|August 30, 2000
PubMed
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This study details pragmatic and theoretical influences on research design in a multiple case study of innovative nursing roles. It highlights methodological challenges and ethical considerations in qualitative health research.

Area of Science:

  • Health Services Research
  • Qualitative Research Methods
  • Nursing Studies

Background:

  • Policy-oriented research often requires balancing theoretical rigor with practical constraints.
  • Innovative roles in nursing and allied professions necessitate robust evaluation methods.
  • Multiple case studies offer a framework for in-depth exploration of complex healthcare issues.

Purpose of the Study:

  • To explore the interplay of pragmatic and theoretical factors in research design.
  • To describe the application of Yin's multiple case study approach in a healthcare context.
  • To examine methodological dilemmas and ethical considerations in qualitative health research.

Main Methods:

  • Employed Yin's approach for multiple case studies across three National Health Service Trusts.

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  • Utilized semi-structured interviews (n=51), non-participant observation, data collection (audit, financial, statistical), and document review.
  • Focused on nine purposively selected nursing roles within acute care settings.
  • Main Results:

    • Methodological decisions were influenced by practicalities such as informed consent and confidentiality.
    • Thematic presentation of findings was chosen to ensure anonymity and align with research purpose.
    • Dilemmas in data collection and analysis were addressed to maintain research rigor.

    Conclusions:

    • Research design is significantly shaped by pragmatic and ethical considerations in real-world settings.
    • Careful methodological choices are crucial for navigating challenges in qualitative health research.
    • Balancing researcher and participant needs is essential for ethical and rigorous study conduct.