IDENTIFYING A NURSING PROBLEM, PURPOSE, AND LITERATURE REVIEW AMENABLE TO QUALITATIVE RESEARCH STUDIES CLASS 3 JUDITH ANNE SHAW, Ph.D., R.N. September 30, 2009 REMINDER QUALITATIVE RESEARCH SIMULTANEITY PARADIGM AIM QUALIATIVE RESEARCH TO UNDERSTAND THE INDIVIDUAL’S MEANING OF THE WHOLE OF THEIR HUMAN EXPERIENCE QUALITATIVE RESEACHER The instrument The bricoleur CORE ACTIVITIES QUALITATIVE RESEARCH Identifying question about the phenomenon Literature review Explicating researcher’s beliefs Bracketing Setting for data collection Selection of participants Saturation Data analysis RESEARCH TOPICS FOCUS ON CURRENT CONCERNS AND ISSUES CONCEPTS OR BROAD PROBLEM AREAS IDENTIFYING A NURSING PROBLEM Broad Problem Areas Contain countless potential research problems WHAT DOES THIS MEAN FOR THE NURSE RESEARCHER? Nursing research topics focus on: areas controlled by nursing areas that will influence nursing practice Research Problem “A situation in need of: a solution, an improvement, alteration” (Adebo, 1974, p. 53) greater understanding of the phenomenon (Speziale & Carpenter, 2007) Research Problem May be simply defined as: what is and what should be from the perspective of those experiencing the phenomenon what is the meaning of the phenomenon of interest Questions to ask to identify a problem What …. Where… is wrong is a concern known/not known knowledge is needed are discrepancies Would… another process be more empowering WHERE CAN YOU FIND NURSING RESEARCH PROBLEMS? NURSING PRACTICE RESEARCHER AND PEER INTERACTION LITERATURE REVIEW replication of studies THEORY RESEARCH PRIORITIES A RESEARCH PROBLEM SHOULD INDICATE: practice experience a gap or inconsistent finding in the literature an interest in an untested theory limited understanding of a phenomenon REFINING THE PROBLEM STATEMENT Refinementthe researcher’s thinking Refining Researcher’s Thinking Defining a specific problem area *Review of relevant literature (*varies with qualitative approach) Examine the problem’s significance to nursing Pragmatically examine the feasibility of the research problem Problem Statement Crux of the research project Involves reflection and creativity Refinement of the researcher’s thinking Six Elements Problem Statement 1. 2. 3. 4. 5. 6. Information about what provoked the study Scope of problem Why important to study the problem Benefit to nursing science General characteristics- population of interest Overall study goal/aim or question to be answered Thomas, 2000 Characteristics of a Good Problem Statement #1 Clearly identify: phenomenon o culture o concepts under consideration o variables (*generally quantitative research) o Characteristics of a Good Problem Statement #2 Clear and concise Characteristics of a Good Problem Statement #3 Justification of need o gap in the literature o conflicting findings o omission of a group o limited understanding of the phenomenon KEY PHRASES Little is known about…. Findings of previous studies are conflicting Few studies of this have been done HOW MUCH MILEAGE CAN YOU GET FROM YOUR PHENOMENOM OF INTEREST? Researchers have developed a personal research program lasting throughout their career, based on a select phenomenom of interest. Phenomenon of Interest Purpose A Purpose B Purpose C Purpose D Purpose E How much time is required to specify the research problem, within the research process? Specifying The Research Problem Summary About the Research Problem Identifying a problem is the initial and one of the most important steps in the research process. A research problem should indicate: a practice experience a gap or inconsistent finding in the literature an interest in an untested theory limited understanding of a phenomenon RESEARCH QUESTION Interrogative statements (who, what, which) RESEARCH QUESTION Focus: What is to be described phenomenon concepts (such as, culture), variables relationships among them WHAT IS A RESEARCH PURPOSE Statement of the specific goal or aim of the study [concise & clear]. Includes the phenomenon, concepts/variables, population and setting for a study The purpose usually indicates the type of study to be conducted. The purpose of this qualitative study was to understand the lived experience of…… The purpose of this study was to understand the meaning of…. PURPOSE Why investigator is conducting the study PURPOSE Generated from the problem clearly focuses the development of the study not to be confused with the problem PROBLEM versus PURPOSE PROBLEM WHAT [research question to be answered] PURPOSE WHY [the study is being conducted] Observation of real world situations (Nursing Practice) Identify research topics Generate Questions Nonresearchable Questions Review of RESEARCH PROBLEM literature Clarification & refinement Input others RESEARCH PURPOSE Objectives, questions, or hypotheses RESEARCH PROCESS Problem Statement Purpose Statement RESEARCH PROCESS Problem Statement: identifies gap in the knowledge in a select area. RESEARCH PROCESS Purpose Statement: clarifies knowledge to be generated in a particular study How do You Formulate the Research Questions? PROBLEM STATEMENT Includes: The nature of the problem The context of the problem The significance of the problem PROBLEM STATEMENT Terms and concepts often indicate the select research approach Possible Terms and Concepts in Problem Statement Phenomenology – lived experience Grounded Theory- social process Ethnography- meaning of Literature Review WHAT IS A LITERATURE REVIEW LITERATURE REVIEW An examination of research sources to generate a picture of what is known and not known about a clinical problem to determine if the knowledge is ready for use in practice LITERATURE REVIEW QUALITATIVE RESEARCH Purpose and Timingvary according to the type of study to be conducted. LITERATURE REVIEW Qualitative Research Researchers differ about the extent of an initial literature review LITERATURE REVIEW Phenomenological Study: after data collection & analysis Ethnographic Study- cursory review, early in the research/ general understanding or background for conducting the study LITERATURE REVIEW Grounded Theory Study- minimal review at the beginning, with more in-depth review during data collection & analysis Historical Study- initial review to select a research topic and to develop a research question and is a source of data in the study PURPOSE LITERATURE REVIEW QUALITATIVE RESEARCH Varies for each Qualitative Approach (MUST determine when is the appropriate time to review literature) PURPOSE LITERATURE REVIEW QUALITATIVE RESEARCH may be: to determine current knowledge of a phenomenon to raise philosophical questions to explain, support, and extend the generated theory to provide a background for conducting the study may be: to verify the significance of the research problem to specify the purpose of the research problem to clarify questions to develop a study orientation to select research design to direct data collection and analysis to interpret findings Common Nursing Research Journals Canadian Journal of Nursing Research Journal of Nursing Scholarship Nursing Research Scholarly Inquiry for Nursing Practice Western Journal of Nursing Research Advances in Nursing Science Applied Nursing Research Research in Nursing and Health LEVELS OF READING Skimming Sources Comprehending Sources Analyzing Sources How You Review the Research Literature Three Stages STAGE ONE LITERATURE REVIEW Identify literature sources: . Ask professors working in the area . Ask reference librarian . Check textbooks, appropriate discipline’s abstracts, and journals STAGE ONE LITERATURE REVIEW Identify literature sources: • Select databases to search • Select keywords STAGE ONE LITERATURE REVIEW Limit Your Search STAGE TWO LITERATURE REVIEW Summarize the read research study. Answer the questions: . Who? . What? . Where? . When? STAGE TWO LITERATURE REVIEW Write a statement about the quality of the study .Was the study sound? . Merit of findings? . Key article? STAGE THREE LITERATURE REVIEW Integrative Review of Findings INTEGRATIVE REVIEW Ask are reported findings: Consistent Supportive of Contrary to others CRITIQUING THE LITERATURE REVIEW ASK: Are relevant studies identified and described? Are the studies critiqued by the researcher? Are the references current? (What is “current”?) Is a summary of current knowledge provided? LITERATURE REVIEW SUMMARY The end product of the literature review: -the generation of a written report that summarizes what is known and not known about a phenomenon. GROUP WORK Determining the Feasibility of a Study Time Commitment Money Commitment Researcher’s Expertise Availability of Subjects Availability of Facility and Equipment Cooperation of Others Ethical Considerations Determining the Feasibility of a Study Time Commitment Money Commitment Determining the Feasibility of a Study Researcher’s Expertise Availability of Subjects Availability of Facility and Equipment Determining the Feasibility of a Study Cooperation of Others Ethical Considerations PRAXIS: Nursing Scholarship and Practice In Motion