Continuing to conduct research in nursing homes despite controversial findings: reflections by a research scientist

To illustrate the potential controversial nature of the research findings, the author first presents data from an ongoing study on the care of terminally ill nursing home residents, then responds to the question: "How can you go into nursing homes, find out all that you do, publish your findings, and continue to gain access to nursing homes?" Strategies used over the past 20 years to gain this access and to develop and maintain harmonious relationships during and after the data collection process are presented. The author emphasizes the importance of conducting research in settings that may generate controversial findings. Furthermore, she states that these findings should be presented to advocates and policy makers who are in a position to bring about changes that will improve the quality of care.