Her mother took care of her grandmother, and my mother took care of my grandmother and both took care of her mother, both had some help taking care of my dad when he was sick, and I know that it was inbred in me, not really inbred, but something I saw; you follow suit by example. SalTI, p. 9
Note . SES = socioeconomic status.
Reading from the left in Table 2 , codes were given a number and letter for use in marking sections of text. Next, the code name indicating a theme was entered in boldface type with a definition in the code immediately under it. The second column provided an exemplar of each code, along with a notation indicating where it was found in the data, so that coders could recognize instances of that particular code when they saw them.
The coding manual was tested against data gathered in a preliminary study and was revised as codes found to overlap or be missing entirely. We continued to revise it iteratively during the study as data collection and analysis proceeded and then used it to recode previously coded data. Using this procedure, it was used to revisit the data several times.
Level 1 Coding With Meaning Units.
Original text (meaning unit highlighted in relation to applied code) | Code(s) applied to meaning unit |
---|---|
I try to eat well. My wife seems to do a good job with that stuff and everything. I am fairly active around the house and stuff | |
I’ve recently become semi-retired, so even though retirement means like relaxation, it really hasn’t. It has just given me more work to do around the house and stuff, and again, having children of my own, basically, I not only have a honey-do list from wife, I have a honey-do list for my two charming daughters | |
Again too, I’d like to be around as long as possible. I enjoy life. I try to enjoy it to the fullest. I’d like to be—I want to live life. I don’t want survive, I guess is what I’d say. I’ve seen too many instances of this. My mother-in-law is a prime example. She is in an assisted-living facility, and I really think she’s just about, I don’t want to say given up and stuff, but she’s not living. She is surviving. I think that’s sad. I really do. I think you are going to get out of life what you put into life. I think if she would put a little more effort into life, her life would be a lot more fulfilling and rewarding to her and basically to people around her | |
Example of an analytic memo used in qualitative description analysis.
Data Matrix.
Case | CLOX-CG | CLOX-CR | CG Vigilance Scale | CG Strain | CG Gain |
---|---|---|---|---|---|
1 | 5 ( ) | 1 ( ) | 20 hr/wk ( ) | Moderate: fatigue and moderate anxiety | Moderate: Giving back to mom |
2 | 3 ( ) | 1 ( ) | 30 hr/wk ( ) | High: debilitating fatigue, high anxiety, feels depressed, and sleeplessness | Low: Unable to see positive aspects |
Note . The CLOX is an executive clock drawing task that tests cognition and was used in this study with the caregiver (CG) and the care recipient (CR). The CG Strain and the CG Gain scores were derived by the researcher through a qualitative content analysis ( Evans, Coon, & Belyea, 2006 ).
Many qualitative researchers do not provide enough information in their reports about the analytic strategies used to ensure verisimilitude or the “ring of truth” for the conclusions. Miles, Huberman, and Saldana (2014) outline 13 tactics for generating meaning from data and another 13 for testing or confirming findings. They also provide five standards for assessing the quality of conclusions. The techniques relied upon most heavily during a qualitative descriptive study ought to be addressed within the research report. It is important to establish “trustworthiness” and “authenticity” in qualitative research that are similar to the terms validity and reliability in quantitative research. The five standards (objectivity, dependability, credibility, transferability, and application) typically used in qualitative descriptive studies to assess quality and legitimacy (trustworthiness and authenticity) of the conclusions are discussed in the next sections ( Lincoln & Guba, 1985 ; Miles et al., 2014 ).
First, objectivity (confirmability) is conceptualized as relative neutrality and reasonable freedom from researcher bias and can be addressed by (a) describing the study’s methods and procedures in explicit detail, (b) sharing the sequence of data collection, analysis, and presentation methods to create an audit trail, (c) being aware of and reporting personal assumptions and potential bias, (d) retaining study data and making it available to collaborators for evaluation.
Second, dependability (reliability or auditability) can be fostered by consistency in procedures across participants over time through various methods, including the use of semistructured interview questions and an observation data collection worksheet. Quality control ( Miles et al., 2014 ) can be fostered by:
Third, credibility or verisimilitude (internal validity) is defined as the truth value of data: Do the findings of the study make sense ( Miles et al., 2014 , p. 312). Credibility in qualitative work promotes descriptive and evaluative understanding, which can be addressed by (a) providing context-rich “thick descriptions,” that is, the work of interpretation based on data ( Sandelowski, 2004 ), (b) checking with other practitioners or researchers that the findings “ring true,” (c) providing a comprehensive account, (d) using triangulation strategies, (e) searching for negative evidence, and (f) linking findings to a theoretical framework.
Fourth, transferability (external validity or “fittingness”) speaks to whether the findings of your study have larger import and application to other settings or studies. This includes a discussion of generalizability. Sample to population generalizability is important to quantitative researchers and less helpful to qualitative researchers who seek more of an analytic or case-to-case transfer ( Miles et al., 2014 ). Nonetheless, transferability can be aided by (a) describing the characteristics of the participants fully so that comparisons with other groups may be made, (b) adequately describing potential threats to generalizability through sample and setting sections, (c) using theoretical sampling, (d) presenting findings that are congruent with theory, and (e) suggesting ways that findings from your study could be tested further by other researchers.
Finally, Miles et al. (2014) speak to the utilization, application, or action orientation of the data. “Even if we know that a study’s findings are valid and transferable,” they write, “we still need to know what the study does for its participants and its consumers” ( Miles et al., 2014 , p. 314). To address application, findings of qualitative descriptive studies are typically made accessible to potential consumers of information through the publication of manuscripts, poster presentations, and summary reports written for consumers. In addition, qualitative descriptive study findings may stimulate further research, promote policy discussions, or suggest actual changes to a product or environment.
The qualitative description clarified and advocated by Sandelowski (2000 , 2010 ) is an excellent methodological choice for the healthcare environments designer, practitioner, or health sciences researcher because it provides rich descriptive content from the subjects’ perspective. Qualitative description allows the investigator to select from any number of theoretical frameworks, sampling strategies, and data collection techniques. The various content analysis strategies described in this paper serve to introduce the investigator to methods for data analysis that promote staying “close” to the data, thereby avoiding high-inference techniques likely challenging to the novice investigator. Finally, the devotion to thick description (interpretation based on data) and flexibility in the re-presentation of study findings is likely to produce meaningful information to designers and healthcare leaders. The practical, step-by-step nature of this article should serve as a starting guide to researchers interested in this technique as a way to answer their own burning questions.
The author would like to recognize the other members of her dissertation committee for their contributions to the study: Gerri Lamb, Karen Dorman Marek, and Robert Greenes.
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research assistance for data analysis and manuscript development was supported by training funds from the National Institutes of Health/National Institute on Nursing Research (NIH/NINR), award T32 1T32NR012718-01 Transdisciplinary Training in Health Disparities Science (C. Keller, P.I.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or the NINR. This research was supported through the Hartford Center of Gerontological Nursing Excellence at Arizona State University College of Nursing & Health Innovation.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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Appendix. Example Studies
Robert Elliott, PhD, is professor of counselling at the University of Strathclyde. He received his doctorate in clinical psychology from the University of California, Los Angeles, and is professor emeritus of psychology at the University of Toledo (Ohio). He has spent most of his career as a psychotherapy researcher trying out and inventing different research methods.
He is co-author of Facilitating Emotional Change (1993), Learning Process-Experiential Psychotherapy (2004), Research Methods in Clinical Psychology (3rd ed., 2015), as well as more than 170 journal articles and book chapters.
He is past president of the Society for Psychotherapy Research and previously co-edited the journals Psychotherapy Research and Person-Centered and Experiential Psychotherapies .
Ladislav Timulak, PhD, is an associate professor at Trinity College Dublin, Ireland. He is course director of the Doctorate in Counselling Psychology course. Ladislav (or Laco for short; read Latso) is involved in the training of counselling psychologists and various psychotherapy trainings in Ireland and internationally. Laco is both an academic and a practitioner.
He is interested in research methodology and psychotherapy research, particularly the development of emotion-focused therapy. He has written six books, over 80 peer-reviewed papers, and various chapters in both his native language, Slovak, and in English.
He serves on various editorial boards and in the past served as a co-editor of Counselling Psychology Quarterly .
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A qualitative descriptive study is an important and appropriate design for research questions that are focused on gaining insights about a poorly understood research area, rather than on a specific phenomenon.
This paper reports how within qualitative descriptive research, the analysis of data and presentation of findings in a way that is easily understood and recognised is important to contribute to the utilisation of research findings in nursing practice.
The research used a qualitative descriptive design with grounded theory overtones (Sandelowski, 2000). We sought to provide a comprehensive summary of participants’ views through theoretical sampling; multiple data sources (focus groups [FGs] and interviews); inductive, cyclic, and constant comparative analysis; and condensation of data into ...
interpretive qualitative research is particularly rich in analyzing data at both the descriptive (surface) and interpretive (deeper) levels and telling a coherent story that weaves in historical context and theory.
Qualitative research collects data qualitatively, and the method of analysis is also primarily qualitative. This often involves an inductive exploration of the data to identify recurring themes, patterns, or concepts and then describing and interpreting those categories.
Qualitative description (QD) offers an accessible entry point for master’s-level students and research trainees embarking on a qualitative research learning journey, emphasizing direct, rich descriptions of experiences and events without extensive theorization or abstraction.
Whether the goal is to identify and describe trends and variation in populations, create new measures of key phenomena, or describe samples in studies aimed at identifying causal effects, description plays a critical role in the scientific pro- cess in general and education research in particular.
This paper presents steps to conducting a qualitative descriptive study under the following headings: describing the qualitative descriptive approach, designing a qualitative descriptive study, steps to data analysis, and ensuring rigor of findings.
The brief, practical texts in the Essentials of Qualitative Methods series introduce social science and psychology researchers to key approaches to capturing phenomena not easily measured quantitatively, offering exciting, nimble opportunities to gather in-depth qualitative data.
This paper provides an overview of qualitative descriptive research, orientates to the underlying philosophical perspectives and key characteristics that define this approach and identifies the implications for healthcare practice and policy.