Framing the Multi-Centre Qualitative Research Design as a Novel Methodology for Nursing and Healthcare Research: Reflections and A Methodological Discussion.
epistemology
methodology
multi‐centre
nursing
ontology
qualitative
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
24 Oct 2024
24 Oct 2024
Historique:
revised:
21
09
2024
received:
25
07
2024
accepted:
02
10
2024
medline:
24
10
2024
pubmed:
24
10
2024
entrez:
24
10
2024
Statut:
aheadofprint
Résumé
To discuss the multi-centre qualitative methodology as a unique design, articulate its guiding paradigm/theoretical perspectives, and highlight its methodological and methodical issues. A secondary objective is to generate further scholarly discourse regarding the multi-centre approach within the broader qualitative research tradition. Methodological discussion. Rather than an emphasis on only experiences, the multi-centre approach is presented as a unique design which also focuses on uncovering why a phenomenon or problem exists and perceptions regarding the phenomenon/problem. With its focus on capturing multiple subjective realities, the multi-centre qualitative design is arguably underpinned by pragmatist constructivism which offers a robust framework for researching phenomenon in a way that is both theoretically informed and practically relevant. Methodologically, the multi-centre qualitative research design emphasises a problem-centred enquiry, collaborative approach and rigorous study protocols, systematic site selection, contextual immersion and sensitivity and methodical flexibility. With the rapidly evolving nursing and global health landscape, the multi-centre design lends itself to exploring and capturing perceptions on a larger scale compared to single site studies. Careful planning, availability of adequate resources, rigorous protocols and quality assurance plans are critical to ensuring its success. The multi-centre approach offers the possibility of undertaking the same study across multiple settings/locations which has the potential to improve representation and strengthen transferability. This methodological discussion offers clarity regarding the use of the multi-centre approach and offering strategies for its subsequent uptake in nursing and healthcare research. Not applicable. No patient or public contribution.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Adu‐Bonsaffoh, K., E. Tamma, E. Maya, J. P. Vogel, Ö. Tunçalp, and M. A. Bohren. 2022. “Health workers' and Hospital administrators' Perspectives on Mistreatment of Women During Facility‐Based Childbirth: A Multicenter Qualitative Study in Ghana.” Reproductive Health 19, no. 1: 82.
Agius, S. J. 2013. “Qualitative Research: Its Value and Applicability.” Psychiatrist 37, no. 6: 204–206.
Alkaissi, A., F. Zaben, M. Abu‐Rajab, and M. Alkony. 2022. “Lived Experiences of Palestinian Patients With COVID‐19: A Multi‐Center Descriptive Phenomenological Study of Recovery Journey.” BMC Public Health 22, no. 1: 470.
Anderson, C. 2010. “Presenting and Evaluating Qualitative Research.” American Journal of Pharmaceutical Education 74, no. 8: 141.
Asmaningrum, N., and Y. F. Tsai. 2018. “Nurse Perspectives of Maintaining Patient Dignity in Indonesian Clinical Care Settings: A Multicenter Qualitative Study.” Journal of Nursing Scholarship 50, no. 5: 482–491.
Atif, M., B. Ihsan, I. Malik, et al. 2021. “Antibiotic Stewardship Program in Pakistan: A Multicenter Qualitative Study Exploring Medical doctors' Knowledge, Perception and Practices.” BMC Infectious Diseases 21: 1–11.
Atif, S., A. Lorcy, and E. Dubé. 2019. “Healthcare workers' Attitudes Toward Hand Hygiene Practices: Results of a Multicentre Qualitative Study in Quebec.” Canadian Journal of Infection Control 34, no. 1: 41–48.
Avgousti, K. 2013. “Research Philosophy, Methodology, Quantitative and Qualitative Methods.” Cyprus Journal of Sciences 11: 33.
Baraff, L. J., E. Bernstein, K. Bradley, et al. 1992. “Perceptions of Emergency Care by the Elderly: Results of Multicenter Focus Group Interviews.” Annals of Emergency Medicine 21, no. 7: 814–818.
Bayuo, J., L. Aziato, K. C. A. Wong, J. Su, H. Abu‐Odah, and F. K. Y. Wong. 2024. “Phenomenography: An Emerging Qualitative Research Design for Nursing.” Journal of Advanced Nursing 80, no. 2: 821–834.
Bayuo, J., F. K. Y. Wong, W. Yi, and L. Y. F. Chung. 2024. “Adult Burn Survivors and Burn Care Staff Perceptions Regarding Transitioning From the Burn Unit: A Cross‐Country Qualitative Study in Ghana and China.” Qualitative Health Research 34, no. 7: 607–620.
Bayuo, J., and P. Kyei Baffour. 2024. “Healthcare Staff Perceptions Regarding Barriers and Enablers to End‐of‐life Care Provision in Non‐palliative Care Settings in Ghana: A Multicentre Qualitative Study.” OMEGA‐Journal of Death and Dying 89, no. 1: 259–274.
Belar, A., M. Arantzamendi, P. Larkin, et al. 2024. “The State of Transience, and Its Influence on the Wish to Die of Advanced Disease Patients: Insights From a Qualitative Phenomenological Study.” BMC Palliative Care 23, no. 1: 57.
Bignold, W., and F. Su. 2013. “The Role of the Narrator in Narrative Inquiry in Education: Construction and Co‐Construction in Two Case Studies.” International Journal of Research & Method in Education 36, no. 4: 400–414.
Billings, J., B. C. F. Ching, V. Gkofa, T. Greene, and M. Bloomfield. 2021. “Experiences of Frontline Healthcare Workers and Their Views About Support During COVID‐19 and Previous Pandemics: A Systematic Review and Qualitative Meta‐Synthesis.” BMC Health Services Research 21: 1–17.
Bingham, C. 2004. “Pragmatic Intersubjectivity, or, Just Using Teachers.” Philosophy of Education Archive 60: 245–253.
Busetto, L., M. Sert, F. Herzog, et al. 2022. ““But it's a Nice Compromise”–Qualitative Multi‐Centre Study of Barriers and Facilitators to Acute Telestroke Cooperation in a Regional Stroke Network.” European Journal of Neurology 29, no. 1: 208–216.
Calderón, C., I. Sola, R. Rotaeche, et al. 2011. “EBM in Primary Care: A Qualitative Multicenter Study in Spain.” BMC Family Practice 12: 1–9.
Casassa, E., A. Bergeron, A. Maruani, et al. 2021. “Factors Influencing Quality of Life in Children With Low‐Flow Vascular Malformations: A Qualitative Study Using Focus Groups.” Journal of the European Academy of Dermatology and Venereology 35, no. 3: 755–761.
Chernick, L. S., M. Bugaighis, L. Britton, et al. 2023. “Factors Influencing the Conduction of Confidential Conversations With Adolescents in the Emergency Department: A Multicenter, Qualitative Analysis.” Academic Emergency Medicine 30, no. 2: 99–109.
Cook, D., A. Tkaczyk, K. Lutz, J. McMullin, R. Brian Haynes, and J. Douketis. 2009. “Thromboprophylaxis for Hospitalized Medical Patients: A Multicenter Qualitative Study.” Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine 4, no. 5: 269–275.
Costa, D. K., F. K. Barg, D. A. Asch, and J. M. Kahn. 2014. “Facilitators of an Interprofessional Approach to Care in Medical and Mixed Medical/Surgical ICUs: A Multicenter Qualitative Study.” Research in Nursing & Health 37, no. 4: 326–335.
Crumley, E., and D. Koufogiannakis. 2002. “Developing Evidence‐Based Librarianship: Practical Steps for Implementation.” Health Information and Libraries Journal 19, no. 2: 61–70.
Curtis, E., and R. Redmond. 2007. “Focus Groups in Nursing Research.” Nurse Researcher 14, no. 2: 25–37.
Das, M. K. 2022. “Multicenter Studies: Relevance, Design and Implementation.” Indian Pediatrics 59, no. 7: 571–579.
De Benedictis, A., R. Gualandi, S. Saccoccia, et al. 2022. “Back to the Roots of Nursing: Qualitative Study on the Experience of Nurses in the Front Line During the COVID‐19 Pandemic.” Frontiers in Medicine 9: 903517.
De Chesnay, M. 2014. Qualitative Designs and Methods in Nursing (Set). New York: Springer Publishing Company.
Dhaliwal, J., A. J. Perez, N. L. Holt, et al. 2017. “Why Do Parents Discontinue Health Services for Managing Paediatric Obesity? A Multi‐Centre, Qualitative Study.” Obesity Research & Clinical Practice 11, no. 3: 335–343.
Ding, S., S. Deng, Y. Zhang, et al. 2022. “Experiences and Needs of Front‐Line Nurses During the COVID‐19 Pandemic: A Systematic Review and Qualitative Meta‐Synthesis.” Frontiers in Public Health 10: 805631.
Doody, O., E. Slevin, and L. Taggart. 2013. “Preparing for and Conducting Focus Groups in Nursing Research: Part 2.” British Journal of Nursing 22, no. 3: 170–173.
Duberley, J., P. Johnson, and C. Cassell. 2012. “Philosophies Underpinning Qualitative Research.” Qualitative Organizational Research: Core Methods and Current Challenges: 15–34. London: Sage Publications.
Ellegaard, T., V. Bliksted, M. Mehlsen, and K. Lomborg. 2018. “Integrating a Patient‐Controlled Admission Program Into Mental Health Hospital Service: A Multicenter Grounded Theory Study.” Qualitative Health Research 28, no. 6: 888–899.
Facchinetti, G., B. Albanesi, M. Piredda, et al. 2021. ““The Light at the End of the Tunnel”. Discharge Experience of Older Patients With Chronic Diseases: A Multi‐Centre Qualitative Study.” Journal of Advanced Nursing 77, no. 5: 2417–2428.
Frankel Pratt, S. 2016. “Pragmatism as Ontology, Not (Just) Epistemology: Exploring the Full Horizon of Pragmatism as an Approach to IR Theory.” International Studies Review 18, no. 3: 508–527.
Freeman, M. 2014. “The Hermeneutical Aesthetics of Thick Description.” Qualitative Inquiry 20, no. 6: 827–833.
Given, L. 2006. “Qualitative Research in Evidence‐Based Practice: A Valuable Partnership.” Library Hi Tech 24, no. 3: 376–386.
Gonzalo, J. D., B. S. Heist, B. L. Duffy, et al. 2013. “The Value of Bedside Rounds: A Multicenter Qualitative Study.” Teaching and Learning in Medicine 25, no. 4: 326–333.
Greenwood, D. J. 2007. “Pragmatic Action Research.” International Journal of Action Research 3, no. 1+ 2: 131–148.
Guest, G., E. Namey, and K. McKenna. 2017. “How Many Focus Groups Are Enough? Building an Evidence Base for Nonprobability Sample Sizes.” Field Methods 29, no. 1: 3–22.
Haack, S. 1977. “Pragmatism And Ontology: Peirce And James.” Revue Internationale de Philosophie: 377–400.
Haas, P. M., and E. B. Haas. 2009. “Pragmatic Constructivism and the Study of International Institutions.” In Pragmatism in International Relations, 119–139. London; New York: Routledge.
Hennink, M., and B. N. Kaiser. 2022. “Sample Sizes for Saturation in Qualitative Research: A Systematic Review of Empirical Tests.” Social Science & Medicine 292: 114523.
Hesselink, G., F. Branje, and M. Zegers. 2023. “What Are the Factors That Influence Job Satisfaction of Nurses Working in the Intensive Care Unit? A Multicenter Qualitative Study.” Journal of Nursing Management 2023, no. 1: 6674773.
Hughes, M., J. D. Pauling, J. Jones, et al. 2020. “Multicenter Qualitative Study Exploring the Patient Experience of Digital Ulcers in Systemic Sclerosis.” Arthritis Care & Research 72, no. 5: 723–733.
Ivanova, O., E. Ryabinina, and A. Tyunin. 2019. “Pragmatic Constructivism as a Soft‐Methodology of the HRM Concept.” International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies 10, no. 2: 245–253.
Jackson, D., E. Halcomb, and H. Walthall. 2023. Navigating the Maze of Research: Enhancing Nursing and Midwifery Practice. Victoria Avenue Chatswood, NSW: Elsevier Health Sciences.
Jayasekara, R. S. 2012. “Focus Groups in Nursing Research: Methodological Perspectives.” Nursing Outlook 60, no. 6: 411–416.
Jenks, C., ed. 2002. Culture: Critical Concepts in Sociology. London; New York: Routledge Taylor & Francis Group.
Johnson, H. M., R. C. Warner, C. M. Bartels, and J. N. LaMantia. 2017. ““They're Younger… It's Harder.” Primary Providers’ Perspectives on Hypertension Management in Young Adults: A Multicenter Qualitative Study.” BMC Research Notes 10: 1–9.
Johnson, J. K., P. Barach, M. Vernooij‐Dassen, and H. R. Collaborative. 2012. “Conducting a Multicentre and Multinational Qualitative Study on Patient Transitions.” BMJ Quality and Safety 21, no. Suppl 1: i22–i28.
Johnston, M., S. Arora, D. King, L. Stroman, and A. Darzi. 2014. “Escalation of Care and Failure to Rescue: A Multicenter, Multiprofessional Qualitative Study.” Surgery 155, no. 6: 989–994.
Jones, K., T. Quinn, K. M. Mazor, and S. Muehlschlegel. 2021. “Prognostic Uncertainty in Critically Ill Patients With Traumatic Brain Injury: A Multicenter Qualitative Study.” Neurocritical Care 35, no. 2: 311–321.
Kapoulas, A., and M. Mitic. 2012. “Understanding Challenges of Qualitative Research: Rhetorical Issues and Reality Traps.” Qualitative Market Research: An International Journal 15, no. 4: 354–368.
Katz, S. L., H. Blinder, D. Newhook, et al. 2023. “Understanding the Experiences of Lung Volume Recruitment Among Boys With Duchenne Muscular Dystrophy: A Multicenter Qualitative Study.” Pediatric Pulmonology 58, no. 1: 46–54.
Khankeh, H., M. Ranjbar, D. Khorasani‐Zavareh, A. Zargham‐Boroujeni, and E. Johansson. 2015. “Challenges in Conducting Qualitative Research in Health: A Conceptual Paper.” Iranian Journal of Nursing and Midwifery Research 20, no. 6: 635–641.
Kindon, S., R. Pain, and M. Kesby. 2007. “Participatory Action Research: Origins, Approaches and Methods.” In Participatory Action Research Approaches and Methods, 35–44. London; New York: Routledge.
Krägeloh, C. U. 2006. “Pragmatism and a‐Ontologicalism in a Science of Behavior.” Behavior Analyst Today 7, no. 3: 325–334.
Legg, C., and C. Hookway. 2008. “Pragmatism.”
Lim, J. N., K. Niedderer, I. Tournier, et al. 2021. “Assessing the Generalisability of a Multicentre Qualitative Dementia Research: The Experience and Challenges Faced by the MinD Project in Europe.” Open Research Europe 1: 1–16.
Majid, M. A. A., M. Othman, S. F. Mohamad, S. A. H. Lim, and A. Yusof. 2017. “Piloting for Interviews in Qualitative Research: Operationalization and Lessons Learnt.” International Journal of Academic Research in Business and Social Sciences 7, no. 4: 1073–1080.
Malterud, K. 2001. “Qualitative Research: Standards, Challenges, and Guidelines.” Lancet 358, no. 9280: 483–488.
Malterud, K., V. D. Siersma, and A. D. Guassora. 2016. “Sample Size in Qualitative Interview Studies: Guided by Information Power.” Qualitative Health Research 26, no. 13: 1753–1760.
Martela, F. 2015. “Fallible Inquiry With Ethical Ends‐In‐View: A Pragmatist Philosophy of Science for Organizational Research.” Organization Studies 36, no. 4: 537–563.
Mauthner, N. S. 2020. “Research Philosophies and Why They Matter.” In How to Keep Your Doctorate on Track, 76–86. Cheltenham and Camberley, London: Edward Elgar Publishing.
McArdle, R. 2022. “Flexible Methodologies: A Case for Approaching Research With Fluidity.” Professional Geographer 74, no. 4: 620–627.
Misak, C. 2011. “Pragmatist Epistemology.” In The Routledge Companion to Epistemology, 861–872. London; New York: Routledge.
Moorley, C., and X. Cathala. 2019. “How to Appraise Qualitative Research.” Evidence‐Based Nursing 22, no. 1: 10–13.
Nikbakht Nasrabadi, A., S. Abbasi, A. Mardani, M. Maleki, and Z. Vlaisavljevic. 2022. “Experiences of Intensive Care Unit Nurses Working With COVID‐19 Patients: A Systematic Review and Meta‐Synthesis of Qualitative Studies.” Frontiers in Public Health 10: 1034624.
Ochieng, P. A. 2009. “An Analysis of the Strengths and Limitation of Qualitative and Quantitative Research Paradigms.” Problems of Education in the 21st Century, 13: 13.
Olssen, M. 1995. “The Epistemology of Constructivism.” ACCESS Critical Perspectives on Cultural and Policy Studies in Education 13, no. 2: 49–63.
Park, M. H., K.‐D. Kang, J. Moon, and Group, K. G. C. S. 2013. “Noncompliance With Glaucoma Medication in Korean Patients: A Multicenter Qualitative Study.” Japanese Journal of Ophthalmology 57: 47–56.
Peck, B., and J. Mummery. 2018. “Hermeneutic Constructivism: An Ontology for Qualitative Research.” Qualitative Health Research 28, no. 3: 389–407.
Pihlström, S. 2009. Pragmatist Metaphysics: An Essay on the Ethical Grounds of Ontology. Soho Square, London: A&C Black.
Pitney, W. A., J. Parker, S. M. Singe, and K. Potteiger. 2024. “Qualitative Research in Evidence‐Based Practice.” In Qualitative Research in the Health Professions, 137–147. Madison Avenue, NY: Routledge.
Polit, D. F., and C. T. Beck. 2010. “Generalization in Quantitative and Qualitative Research: Myths and Strategies.” International Journal of Nursing Studies 47, no. 11: 1451–1458.
Priest, H., J. Segrott, B. Green, and A. Rout. 2007. “Harnessing Collaboration to Build Nursing Research Capacity: A Research Team Journey.” Nurse Education Today 27, no. 6: 577–587.
Rai, N., and B. Thapa. 2015. A Study on Purposive Sampling Method in Research. Vol. 5, 8–15. Kathmandu: Kathmandu School of Law.
Reynolds, J., J. Kizito, N. Ezumah, P. Mangesho, E. Allen, and C. Chandler. 2011. “Quality Assurance of Qualitative Research: A Review of the Discourse.” Health Research Policy and Systems 9: 1–10.
Rosiek, J. L. 2013. “Pragmatism and Post‐Qualitative Futures.” International Journal of Qualitative Studies in Education 26, no. 6: 692–705.
Roten, C., C. Baumgartner, S. Mosimann, et al. 2022. “Challenges in the Transition From Resident to Attending Physician in General Internal Medicine: A Multicenter Qualitative Study.” BMC Medical Education 22, no. 1: 336.
Saint, S., C. P. Kowalski, J. Forman, et al. 2008. “A Multicenter Qualitative Study on Preventing Hospital‐Acquired Urinary Tract Infection in US Hospitals.” Infection Control & Hospital Epidemiology 29, no. 4: 333–341.
Sandelowski, M. 2000. “Whatever Happened to Qualitative Description?” Research in Nursing & Health 23, no. 4: 334–340.
Sarabia‐Cobo, C., J. Taltavull, G. Lladó‐Jordan, et al. 2022. “Comparison Between Attention and Experiences of Chronic Complex Patients: A Multicentric Study.” Health & Social Care in the Community 30, no. 3: 976–987.
Sarti, A. J., S. Sutherland, A. Healey, et al. 2018. “A Multicenter Qualitative Investigation of the Experiences and Perspectives of Substitute Decision Makers Who Underwent Organ Donation Decisions.” Progress in Transplantation 28, no. 4: 343–348.
Schwartz, R. 2016. “Pragmatic Constructivism: Values, Norms, and Obligations.” In Facts and Values, 56–73. London; New York: Routledge.
Scott, J. W., Y. Lin, G. Ntakiyiruta, et al. 2018. “Contextual Challenges to Safe Surgery in a Resource‐Limited Setting: A Multicenter, Multiprofessional Qualitative Study.” Annals of Surgery 267, no. 3: 461–467.
Shorten, A., and C. Moorley. 2014. “Selecting the sample.” Evidence‐Based Nursing 17, no. 2: 32–33.
Silver, S., K. C. Jones, S. Redmond, et al. 2023. “Facilitators and Barriers to the Implementation of New Critical Care Practices During COVID‐19: A Multicenter Qualitative Study Using the Consolidated Framework for Implementation Research (CFIR).” BMC Health Services Research 23, no. 1: 272.
Silverman, D. 2021. Doing Qualitative Research. Los Angeles, CA: Sage.
Sinuff, T., D. Cook, M. Giacomini, D. Heyland, and P. Dodek. 2007. “Facilitating Clinician Adherence to Guidelines in the Intensive Care Unit: A Multicenter, Qualitative Study.” Critical Care Medicine 35, no. 9: 2083–2089.
Sneyers, B., P.‐F. Laterre, E. Bricq, M. M. Perreault, D. Wouters, and A. Spinewine. 2014. “What Stops Us From Following Sedation Recommendations in Intensive Care Units? A Multicentric Qualitative Study.” Journal of Critical Care 29, no. 2: 291–297.
Solheim, J. 2008. “The Lived Experiences of Those With Urinary Tract Infections.”
Thorne, S. 2009. “The Role of Qualitative Research Within an Evidence‐Based Context: Can Metasynthesis Be the Answer?” International Journal of Nursing Studies 46, no. 4: 569–575.
Thorne, S. 2016. Interpretive Description: Qualitative Research for Applied Practice. London; New York: Routledge.
Thorne, S. 2018. “What Can Qualitative Studies Offer in a World Where Evidence Drives Decisions?” Asia‐Pacific Journal of Oncology Nursing 5, no. 1: 43–45.
Thorne, S. 2019. “On the Evolving World of What Constitutes Qualitative Synthesis.” Qualitative Health Research 29, no. 1: 3–6.
Tricou, C., S. Munier, N. Phan‐Hoang, D. Albarracin, É. Perceau‐Chambard, and M. Filbet. 2022. “Haematologists and Palliative Care: A Multicentric Qualitative Study.” BMJ Supportive & Palliative Care 12, no. e6: e798–e802.
Ulrich, C. M., G. R. Wallen, N. Cui, J. Chittams, M. Sweet, and D. Plemmons. 2015. “Establishing Good Collaborative Research Practices in the Responsible Conduct of Research in Nursing Science.” Nursing Outlook 63, no. 2: 171–180.
Unger, J., M. Mattsson, R. G. Drăgoi, et al. 2021. “The Experiences of Functioning and Health of Patients With Primary Sjögren's Syndrome: A Multicenter Qualitative European Study.” Frontiers in Medicine 8: 770422.
Walt, G. 1998. “Globalisation of International Health.” Lancet 351, no. 9100: 434–437.
Wilde, M. H. 1999. “A Phenomenological Study of the Lived Experience of Long‐Term Urinary Catheterization.” University of Rochester School of Nursing.
Zhang, W., X. Qi, L. Yang, et al. 2024. “Mpox patients' Experience From Infection to Treatment and Implications for Prevention and Control: A Multicenter Qualitative Study in China.” Journal of Medical Virology 96, no. 1: e29338.
Zhang, Y., J. Li, Y. Hu, et al. 2024. “Proactive Health Behavior in Middle‐Aged and Older Adult Females With Urinary Incontinence: A Grounded Theory Study.” Neurourology and Urodynamics. https://doi.org/10.1002/nau.25526.