THE DISCUSSION WAS:

In quantitative research, we looked at the rate of falls numerically before and after the implementation of a program. In qualitative research, if you were interested in study the impact of falls on the patient’s quality of life, you could obtain this information through personal interviews. The unit of measurement would be the words that the patient uses, and a qualitative method would be used to analyze this data.

In your initial post, discuss the following:

1. Provide an example of qualitative research.
2. Identify which type of qualitative research is being used.
3. What are the advantages and disadvantages to the design?
4. How does a study’s trustworthiness and rigor impact its potential to provide an evidence-based practice solution?

BUT NOW WE HAVE TO:

In your responses to peers, explain how mixed methods could strengthen qualitative research design.

THE PEER SAID:

Hello Class!

For this week’s discussion, I found an interesting qualitative study titled, “It haunts me”: Impact of COVID-19 deaths on frontline clinicians in acute care settings—A qualitative study.” The aim of the research was to better understand the cumulative impact on healthcare providers caring for so many dying patients during the pandemic (Bandini et al., 2023). The researchers of this study used in-depth interviews to assess the impact on clinicians caring for patients in the emergency department and ICU during the COVID-19 pandemic. The sample included 12 nurses, 7 residents, and 4 attending physicians for a total sample of 23 participants (Bandini et al., 2023).

This qualitative study used the self-report method, via a structured interview. The interview was strategically developed to guide participants chronologically through the different stages of the pandemic (Bandini et al., 2023). The researchers conducted one-hour long interviews via phone or Microsoft Teams. Participants received a $50 gift card for participating. The interviews were deidentified, transcribed and uploaded to a qualitative software program called Dedoose, for rigorous qualitative coding using thematic analysis (Bandini et al., 2023). An advantage of this design study is it allows for the gathering of data that researchers can study and assess for similarities that are consistent among participants (Polit & Beck, 2021). One disadvantage of this design method is the time-consuming demands placed on the researchers (Polit & Beck, 2021). It can be challenging to gather, analyze, and interpret the results from multiple interviews into meaningful data.

Similar experiences were grouped into themes by the researchers including: feelings of guilt related to end-of-life decisions, feeling like they were the patient’s family members, vivid traumatic memories, and blocking out bad memories to keep moving forward (Bandini et al., 2023). One participant stated that it felt like even though they "didn’t go to war," they experienced post-traumatic stress disorder (PTSD) (Bandini et al., 2023). Many of the experiences recorded in the interviews echoed similar feelings of guilt, burnout, and symptoms of PTSD with lasting effects on the participants.

This study’s design demonstrates rigor and trustworthiness. This type of evidence supports the implementation of screening nurses for PTSD, depression, and anxiety helping nurses receive care and support for mental health concerns related to traumatic events experienced while working. We know that those who go to war are susceptible to PTSD. This study can help raise awareness for frontline nurses who also have suffered repeated traumatic experiences while working on the front lines during the pandemic.

References

Bandini, J. I., Ahluwalia, S. C., Timmins, G., Bialas, A., Meredith, L., & Gidengil, C. (2023). “It haunts me”: Impact of COVID-19 deaths on frontline clinicians in acute care settings—A qualitative study. American Journal of Critical Care, 32(5), 368–374. https://doi-org.ezproxy.snhu.edu/10.4037/ajcc2023257

Polit, D. F., & Beck, C. T. (2021). Essentials of nursing research: Appraising evidence for nursing practice (10th ed.). Wolters Kluwer.

resource that may help:

Textbook: Essentials of Nursing Research: Appraising Evidence for Nursing Practice, Chapters 10, 11, 12, 15, and 16
These chapters introduce you to qualitative research design, including data collection, analysis, and interpretation of results.
ADD MORE REFERENCES

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