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Qualitative case study methodology in nursing research: an integrative review
1School of Nursing, McMaster University, Hamilton, Ontario, Canada. santhony@uwo.ca
Journal of Advanced Nursing
|April 21, 2009
Summary
Qualitative case study methodology is increasingly used in nursing research. This review found high-quality studies but noted confusion in terminology, emphasizing careful application for advancing nursing science.
Area of Science:
- Nursing Research
- Qualitative Methodology
- Health and Social Care Research
Background:
- Increasing complexity in healthcare necessitates current examination of research methodologies.
- The use of case study in nursing research is growing, highlighting the need for a contemporary review.
Purpose of the Study:
- To critically analyze the contemporary use of qualitative case study methodology in nursing research.
- To address the need for current examination of case study methodology in nursing.
Main Methods:
- An integrative review guided by Whittemore and Knafl's method.
- A systematic literature search of case study research published between 2005-2007 across multiple databases.
- Analysis of 42 selected case study research papers.
Main Results:
- Confusion exists regarding the terminology, nature, and application of case study methodology.
- Case study methodology is often not explicitly identified in titles and abstracts.
- High-quality case study research is evident in nursing, often used adjunctively in larger or mixed-methods studies.
Conclusions:
- The judicious application of literature review methods enhances nursing science development.
- Case study is an established methodology in nursing research for studying health and social care phenomena.
- Continued appraisal and attention to case study elements are crucial for methodological quality and visibility in nursing knowledge development.
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