Sampling Presented by: Dr. Amira Yahia 1436 INTRODUCTION It might be impossible to investigate everybody in a population .Thus, you need to select a sample of individuals It is impossible to distribute the questionnaire to every single parent in K.S.A i.e. the population As such, he has to select a sample to represent the population Definition of sampling A sample is a selection of a number of study units from a defined study population • Sampling : Is the process of selecting a portion of the population to represent the entire population A sample, then, is a subset of population elements. An element is the most basic unit about which information is collected. In nursing research, the elements are usually humans. Questions to be asked - Study population:Population from whom the sample is to be taken - Sample frame: A list of all units of study population from which the sample is to be drawn - Sample size - Method of selection of the sample - Note : The sample should be representative, i.e. it should carry the characteristics of the study population Sampling methods Divided according to the way of selection: - Probability sampling Non-probability sampling 1- Probability sample It is a random selection procedures that every unit of the study population has an equal chance of being selected in the sample Types 1. 2. 3. 4. 5. Simple random sampling Systematic random sampling Stratified sampling Multistage sampling Cluster sampling 1- Probability sampling 1. Simple random sampling 1. Give number to all the subjects (List) 2. Determine the sample size 3. Select the sample using; - A lottery or - A table of random selection Example of a simple random sample: Yoon and Horne (2001) studied the use of herbal products for medicinal purposes in a sample of older women. A random sample of 86 women aged 65 or older who lived independently in a Florida County was selected, using a sampling frame compiled from information from the state motor vehicle agency 1- Probability sampling 2. Systematic random sampling Used when there is a sample frame e.g. a class, doctors in a hospital etc Steps: - Determine the sample frame - Determine the sample size - Determine the interval = Sample frame/ Sample size Note First unit should be taken randomly Example of a systematic sample: • Tolle, Tilden, Rosenfeld, and Hickman (2000) explored barriers to optimal care of the dying by surveying family members of decedents. Their sampling frame was 24,074 death certificates in Oregon, from which they sampled, through systematic sampling, 1458 certificates. They then • traced as many family members of the decedents as possible and conducted telephone interviews. 1- Probability sampling 3. Stratified sampling Used when the characteristics are not equally distributed in the population and the researcher is interested in these characteristics to appear in the analysis E.g. Age, sex, religions etc.. Example of stratified random sampling: Bath, Singleton, Strikas, Stevenson, McDonald, and Williams (2000) conducted a survey to determine the extent to which hospitals with labor and delivery services had policies about screening pregnant women for hepatitis B. A stratified random sample of 968 hospitals (stratified by number of beds and affiliation with a medical school) was selected. 1- Probability sampling 4. Multistage sampling Used when the population is divided into subgroups e.g. In a study of HIV/AIDS prevalence in the Sudan, the sample may be taken as follows: - Take three states out of the 25 states - Take two localities from each selected state - Take towns and villages from each selected locality - Take individuals from each town and village locality Note Multistage sampling usually involves more than one methods 1- Probability sampling 5. Cluster sampling Cluster sampling is the selection of study groups instead of individuals. Used when there is no complete sampling frame, or there is some logistic difficulties e.g. the population is composed of a large number of scattered villages. Note: Multistage sampling usually involves more than one method Example of cluster/multistage sampling: Trinkoff, Zhou, Storr, and Soeken (2000) studied nurses’ substance abuse, using data from a two-stage cluster sample. In the first stage, 10 states in the United States were selected using a complex stratification procedure. In the second stage, RNs were selected from each state (a total sample of 3600) by simple random sampling Advantages of multistage and cluster sampling • A sampling frame is not required • The sample is easy to select Disadvantage of cluster sampling: -The sample may not be representative Note: Take more clusters and so big sample to avoid this problem Bias in sampling 1. 2. 3. 4. Improper sampling procedure Study of registered patients only studying volunteers only Tarmac bias: Study accessible areas only 2- Non-probability sampling 2- Non-probability sampling 1. Convenience sample - Samples in which randomization is absent, and so subjects have no equal chances of being selected. - For convenience, only those units which are accessible at the time are taken. - Used when there is no sample frame - Many clinical based studies are from this type. Problem: Not representative Disadvantage 1. Could be biased – strong opinions 2. Thus, cannot be considered to representative 3. If it is the only optioned, the demographic information must be described well or have the study replicated 4. Convenience sampling is the weakest form of sampling. Example of a convenience sample: Board and Ryan-Wenger (2002) prospectively examined the long-term effects of the pediatric intensive care unit experience on parents and on family adaptation. The researchers use convenience sampling to recruit three groups of parents: those with a hospitalized child in the pediatric intensive care unit, those with a child in a general care unit, and those with non hospitalized ill children. 2- Non-probability sampling 2. Quota sample The population is divided into categories and a quota is to be surveyed from each category Problem: Not representative 2- Non-probability sampling 3. Purposive sample The researcher selects specific subjects in the population and includes them in the sample Problem: Not representative Example of purposive sampling: Friedemann, Montgomery, Rice, and Farrell (1999) studied family members’ involvement in the nursing home. The first stage of their sampling plan involved purposively sampling 24 nursing homes with a diversity of policies related to family involvement, based on a survey of 208 nursing homes in southern Michigan. In the second stage, all family members of residents admitted to these nursing homes during a 20-month window were invited to participate. Sample size For descriptive study: 2 2 n= z . p q/ d n = Sample size z = Standard normal deviate = 1.96 p = Proportion of the characteristic under study estimated in the target population q = 1-p d = Error allowed = 0.05 2- Non-probability sampling 4.Volunteer sample Sample involves only those who are accepting to introduce the study Problem: Not representative