methods for data collection in qualitative research

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Qualitative Data Collection: What it is + Methods to do it

Qualitative data collection is vital in qualitative research. It helps researchers understand individuals’ attitudes, beliefs, and behaviors in a specific context.

Several methods are used to collect qualitative data, including interviews, surveys, focus groups, and observations. Understanding the various methods used for gathering qualitative data is essential for successful qualitative research.

In this post, we will discuss qualitative data and its collection methods of it.

Content Index

What is Qualitative Data?

What is qualitative data collection, what is the need for qualitative data collection, effective qualitative data collection methods, qualitative data analysis, advantages of qualitative data collection.

Qualitative data is defined as data that approximates and characterizes. It can be observed and recorded.

This data type is non-numerical in nature. This type of data is collected through methods of observations, one-to-one interviews, conducting focus groups, and similar methods.

Qualitative data in statistics is also known as categorical data – data that can be arranged categorically based on the attributes and properties of a thing or a phenomenon.

It’s pretty easy to understand the difference between qualitative and quantitative data. Qualitative data does not include numbers in its definition of traits, whereas quantitative research data is all about numbers.

• The cake is orange, blue, and black in color (qualitative).
• Females have brown, black, blonde, and red hair (qualitative).

Qualitative data collection is gathering non-numerical information, such as words, images, and observations, to understand individuals’ attitudes, behaviors, beliefs, and motivations in a specific context. It is an approach used in qualitative research. It seeks to understand social phenomena through in-depth exploration and analysis of people’s perspectives, experiences, and narratives. In statistical analysis , distinguishing between categorical data and numerical data is essential, as categorical data involves distinct categories or labels, while numerical data consists of measurable quantities.

The data collected through qualitative methods are often subjective, open-ended, and unstructured and can provide a rich and nuanced understanding of complex social phenomena.

Qualitative research is a type of study carried out with a qualitative approach to understand the exploratory reasons and to assay how and why a specific program or phenomenon operates in the way it is working. A researcher can access numerous qualitative data collection methods that he/she feels are relevant.

LEARN ABOUT: Best Data Collection Tools

Qualitative data collection methods serve the primary purpose of collecting textual data for research and analysis , like the thematic analysis. The collected research data is used to examine:

• Knowledge around a specific issue or a program, experience of people.
• Meaning and relationships.
• Social norms and contextual or cultural practices demean people or impact a cause.

The qualitative data is textual or non-numerical. It covers mostly the images, videos, texts, and written or spoken words by the people. You can opt for any digital data collection methods , like structured or semi-structured surveys, or settle for the traditional approach comprising individual interviews, group discussions, etc.

Data at hand leads to a smooth process ensuring all the decisions made are for the business’s betterment. You will be able to make informed decisions only if you have relevant data.

Well! With quality data, you will improve the quality of decision-making. But you will also enhance the quality of the results expected from any endeavor.

Qualitative data collection methods are exploratory. Those are usually more focused on gaining insights and understanding the underlying reasons by digging deeper.

Although quantitative data cannot be quantified, measuring it or analyzing qualitative data might become an issue. Due to the lack of measurability, collection methods of qualitative data are primarily unstructured or structured in rare cases – that too to some extent.

Let’s explore the most common methods used for the collection of qualitative data:

Individual interview

It is one of the most trusted, widely used, and familiar qualitative data collection methods primarily because of its approach. An individual or face-to-face interview is a direct conversation between two people with a specific structure and purpose.

The interview questionnaire is designed in the manner to elicit the interviewee’s knowledge or perspective related to a topic, program, or issue.

At times, depending on the interviewer’s approach, the conversation can be unstructured or informal but focused on understanding the individual’s beliefs, values, understandings, feelings, experiences, and perspectives on an issue.

More often, the interviewer chooses to ask open-ended questions in individual interviews. If the interviewee selects answers from a set of given options, it becomes a structured, fixed response or a biased discussion.

The individual interview is an ideal qualitative data collection method. Particularly when the researchers want highly personalized information from the participants. The individual interview is a notable method if the interviewer decides to probe further and ask follow-up questions to gain more insights.

Qualitative surveys

To develop an informed hypothesis, many researchers use qualitative research surveys for data collection or to collect a piece of detailed information about a product or an issue. If you want to create questionnaires for collecting textual or qualitative data, then ask more open-ended questions .

LEARN ABOUT: Research Process Steps

To answer such qualitative research questions , the respondent has to write his/her opinion or perspective concerning a specific topic or issue. Unlike other collection methods, online surveys have a wider reach. People can provide you with quality data that is highly credible and valuable.

Paper surveys

Online surveys, focus group discussions.

Focus group discussions can also be considered a type of interview, but it is conducted in a group discussion setting. Usually, the focus group consists of 8 – 10 people (the size may vary depending on the researcher’s requirement). The researchers ensure appropriate space is given to the participants to discuss a topic or issue in a context. The participants are allowed to either agree or disagree with each other’s comments. 

With a focused group discussion, researchers know how a particular group of participants perceives the topic. Researchers analyze what participants think of an issue, the range of opinions expressed, and the ideas discussed. The data is collected by noting down the variations or inconsistencies (if any exist) in the participants, especially in terms of belief, experiences, and practice. 

The participants of focused group discussions are selected based on the topic or issues for which the researcher wants actionable insights. For example, if the research is about the recovery of college students from drug addiction. The participants have to be college students studying and recovering from drug addiction.

Other parameters such as age, qualification, financial background, social presence, and demographics are also considered, but not primarily, as the group needs diverse participants. Frequently, the qualitative data collected through focused group discussion is more descriptive and highly detailed.

Record keeping

This method uses reliable documents and other sources of information that already exist as the data source. This information can help with the new study. It’s a lot like going to the library. There, you can look through books and other sources to find information that can be used in your research.

Case studies

In this method, data is collected by looking at case studies in detail. This method’s flexibility is shown by the fact that it can be used to analyze both simple and complicated topics. This method’s strength is how well it draws conclusions from a mix of one or more qualitative data collection methods.

Observations

Observation is one of the traditional methods of qualitative data collection. It is used by researchers to gather descriptive analysis data by observing people and their behavior at events or in their natural settings. In this method, the researcher is completely immersed in watching people by taking a participatory stance to take down notes.

There are two main types of observation:

• Covert: In this method, the observer is concealed without letting anyone know that they are being observed. For example, a researcher studying the rituals of a wedding in nomadic tribes must join them as a guest and quietly see everything. 
• Overt: In this method, everyone is aware that they are being watched. For example, A researcher or an observer wants to study the wedding rituals of a nomadic tribe. To proceed with the research, the observer or researcher can reveal why he is attending the marriage and even use a video camera to shoot everything around him. 

Observation is a useful method of qualitative data collection, especially when you want to study the ongoing process, situation, or reactions on a specific issue related to the people being observed.

When you want to understand people’s behavior or their way of interaction in a particular community or demographic, you can rely on the observation data. Remember, if you fail to get quality data through surveys, qualitative interviews , or group discussions, rely on observation.

It is the best and most trusted collection method of qualitative data to generate qualitative data as it requires equal to no effort from the participants.

LEARN ABOUT: Behavioral Research

You invested time and money acquiring your data, so analyze it. It’s necessary to avoid being in the dark after all your hard work. Qualitative data analysis starts with knowing its two basic techniques, but there are no rules.

• Deductive Approach: The deductive data analysis uses a researcher-defined structure to analyze qualitative data. This method is quick and easy when a researcher knows what the sample population will say.
• Inductive Approach: The inductive technique has no structure or framework. When a researcher knows little about the event, an inductive approach is applied.

Whether you want to analyze qualitative data from a one-on-one interview or a survey, these simple steps will ensure a comprehensive qualitative data analysis.

Step 1: Arrange your Data

After collecting all the data, it is mostly unstructured and sometimes unclear. Arranging your data is the first stage in qualitative data analysis. So, researchers must transcribe data before analyzing it.

Step 2: Organize all your Data

After transforming and arranging your data, the next step is to organize it. One of the best ways to organize the data is to think back to your research goals and then organize the data based on the research questions you asked.

Step 3: Set a Code to the Data Collected

Setting up appropriate codes for the collected data gets you one step closer. Coding is one of the most effective methods for compressing a massive amount of data. It allows you to derive theories from relevant research findings.

Step 4: Validate your Data

Qualitative data analysis success requires data validation. Data validation should be done throughout the research process, not just once. There are two sides to validating data:

• The accuracy of your research design or methods.
• Reliability—how well the approaches deliver accurate data.

Step 5: Concluding the Analysis Process

Finally, conclude your data in a presentable report. The report should describe your research methods, their pros and cons, and research limitations. Your report should include findings, inferences, and future research.

QuestionPro is a comprehensive online survey software that offers a variety of qualitative data analysis tools to help businesses and researchers in making sense of their data. Users can use many different qualitative analysis methods to learn more about their data.

Users of QuestionPro can see their data in different charts and graphs, which makes it easier to spot patterns and trends. It can help researchers and businesses learn more about their target audience, which can lead to better decisions and better results.

LEARN ABOUT: Steps in Qualitative Research

Qualitative data collection has several advantages, including:

• In-depth understanding: It provides in-depth information about attitudes and behaviors, leading to a deeper understanding of the research.
• Flexibility: The methods allow researchers to modify questions or change direction if new information emerges.
• Contextualization: Qualitative research data is in context, which helps to provide a deep understanding of the experiences and perspectives of individuals.
• Rich data: It often produces rich, detailed, and nuanced information that cannot capture through numerical data.
• Engagement: The methods, such as interviews and focus groups, involve active meetings with participants, leading to a deeper understanding.
• Multiple perspectives: This can provide various views and a rich array of voices, adding depth and complexity.
• Realistic setting: It often occurs in realistic settings, providing more authentic experiences and behaviors.

LEARN ABOUT: 12 Best Tools for Researchers

Qualitative research is one of the best methods for identifying the behavior and patterns governing social conditions, issues, or topics. It spans a step ahead of quantitative data as it fails to explain the reasons and rationale behind a phenomenon, but qualitative data quickly does. 

Qualitative research is one of the best tools to identify behaviors and patterns governing social conditions. It goes a step beyond quantitative data by providing the reasons and rationale behind a phenomenon that cannot be explored quantitatively.

With QuestionPro, you can use it for qualitative data collection through various methods. Using Our robust suite correctly, you can enhance the quality and integrity of the collected data.

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Chapter 10. Introduction to Data Collection Techniques

Introduction.

Now that we have discussed various aspects of qualitative research, we can begin to collect data. This chapter serves as a bridge between the first half and second half of this textbook (and perhaps your course) by introducing techniques of data collection. You’ve already been introduced to some of this because qualitative research is often characterized by the form of data collection; for example, an ethnographic study is one that employs primarily observational data collection for the purpose of documenting and presenting a particular culture or ethnos. Thus, some of this chapter will operate as a review of material already covered, but we will be approaching it from the data-collection side rather than the tradition-of-inquiry side we explored in chapters 2 and 4.

Revisiting Approaches

There are four primary techniques of data collection used in qualitative research: interviews, focus groups, observations, and document review. [1] There are other available techniques, such as visual analysis (e.g., photo elicitation) and biography (e.g., autoethnography) that are sometimes used independently or supplementarily to one of the main forms. Not to confuse you unduly, but these various data collection techniques are employed differently by different qualitative research traditions so that sometimes the technique and the tradition become inextricably entwined. This is largely the case with observations and ethnography. The ethnographic tradition is fundamentally based on observational techniques. At the same time, traditions other than ethnography also employ observational techniques, so it is worthwhile thinking of “tradition” and “technique” separately (see figure 10.1).

Figure 10.1. Data Collection Techniques

Each of these data collection techniques will be the subject of its own chapter in the second half of this textbook. This chapter serves as an orienting overview and as the bridge between the conceptual/design portion of qualitative research and the actual practice of conducting qualitative research.

Overview of the Four Primary Approaches

Interviews are at the heart of qualitative research. Returning to epistemological foundations, it is during the interview that the researcher truly opens herself to hearing what others have to say, encouraging her interview subjects to reflect deeply on the meanings and values they hold. Interviews are used in almost every qualitative tradition but are particularly salient in phenomenological studies, studies seeking to understand the meaning of people’s lived experiences.

Focus groups can be seen as a type of interview, one in which a group of persons (ideally between five and twelve) is asked a series of questions focused on a particular topic or subject. They are sometimes used as the primary form of data collection, especially outside academic research. For example, businesses often employ focus groups to determine if a particular product is likely to sell. Among qualitative researchers, it is often used in conjunction with any other primary data collection technique as a form of “triangulation,” or a way of increasing the reliability of the study by getting at the object of study from multiple directions. [2] Some traditions, such as feminist approaches, also see the focus group as an important “consciousness-raising” tool.

If interviews are at the heart of qualitative research, observations are its lifeblood. Researchers who are more interested in the practices and behaviors of people than what they think or who are trying to understand the parameters of an organizational culture rely on observations as their primary form of data collection. The notes they make “in the field” (either during observations or afterward) form the “data” that will be analyzed. Ethnographers, those seeking to describe a particular ethnos, or culture, believe that observations are more reliable guides to that culture than what people have to say about it. Observations are thus the primary form of data collection for ethnographers, albeit often supplemented with in-depth interviews.

Some would say that these three—interviews, focus groups, and observations—are really the foundational techniques of data collection. They are far and away the three techniques most frequently used separately, in conjunction with one another, and even sometimes in mixed methods qualitative/quantitative studies. Document review, either as a form of content analysis or separately, however, is an important addition to the qualitative researcher’s toolkit and should not be overlooked (figure 10.1). Although it is rare for a qualitative researcher to make document review their primary or sole form of data collection, including documents in the research design can help expand the reach and the reliability of a study. Document review can take many forms, from historical and archival research, in which the researcher pieces together a narrative of the past by finding and analyzing a variety of “documents” and records (including photographs and physical artifacts), to analyses of contemporary media content, as in the case of compiling and coding blog posts or other online commentaries, and content analysis that identifies and describes communicative aspects of media or documents.

In addition to these four major techniques, there are a host of emerging and incidental data collection techniques, from photo elicitation or photo voice, in which respondents are asked to comment upon a photograph or image (particularly useful as a supplement to interviews when the respondents are hesitant or unable to answer direct questions), to autoethnographies, in which the researcher uses his own position and life to increase our understanding about a phenomenon and its historical and social context.

Taken together, these techniques provide a wide range of practices and tools with which to discover the world. They are particularly suited to addressing the questions that qualitative researchers ask—questions about how things happen and why people act the way they do, given particular social contexts and shared meanings about the world (chapter 4).

Triangulation and Mixed Methods

Because the researcher plays such a large and nonneutral role in qualitative research, one that requires constant reflectivity and awareness (chapter 6), there is a constant need to reassure her audience that the results she finds are reliable. Quantitative researchers can point to any number of measures of statistical significance to reassure their audiences, but qualitative researchers do not have math to hide behind. And she will also want to reassure herself that what she is hearing in her interviews or observing in the field is a true reflection of what is going on (or as “true” as possible, given the problem that the world is as large and varied as the elephant; see chapter 3). For those reasons, it is common for researchers to employ more than one data collection technique or to include multiple and comparative populations, settings, and samples in the research design (chapter 2). A single set of interviews or initial comparison of focus groups might be conceived as a “pilot study” from which to launch the actual study. Undergraduate students working on a research project might be advised to think about their projects in this way as well. You are simply not going to have enough time or resources as an undergraduate to construct and complete a successful qualitative research project, but you may be able to tackle a pilot study. Graduate students also need to think about the amount of time and resources they have for completing a full study. Masters-level students, or students who have one year or less in which to complete a program, should probably consider their study as an initial exploratory pilot. PhD candidates might have the time and resources to devote to the type of triangulated, multifaceted research design called for by the research question.

We call the use of multiple qualitative methods of data collection and the inclusion of multiple and comparative populations and settings “triangulation.” Using different data collection methods allows us to check the consistency of our findings. For example, a study of the vaccine hesitant might include a set of interviews with vaccine-hesitant people and a focus group of the same and a content analysis of online comments about a vaccine mandate. By employing all three methods, we can be more confident of our interpretations from the interviews alone (especially if we are hearing the same thing throughout; if we are not, then this is a good sign that we need to push a little further to find out what is really going on). [3] Methodological triangulation is an important tool for increasing the reliability of our findings and the overall success of our research.

Methodological triangulation should not be confused with mixed methods techniques, which refer instead to the combining of qualitative and quantitative research methods. Mixed methods studies can increase reliability, but that is not their primary purpose. Mixed methods address multiple research questions, both the “how many” and “why” kind, or the causal and explanatory kind. Mixed methods will be discussed in more detail in chapter 15.

Let us return to the three examples of qualitative research described in chapter 1: Cory Abramson’s study of aging ( The End Game) , Jennifer Pierce’s study of lawyers and discrimination ( Racing for Innocence ), and my own study of liberal arts college students ( Amplified Advantage ). Each of these studies uses triangulation.

Abramson’s book is primarily based on three years of observations in four distinct neighborhoods. He chose the neighborhoods in such a way to maximize his ability to make comparisons: two were primarily middle class and two were primarily poor; further, within each set, one was predominantly White, while the other was either racially diverse or primarily African American. In each neighborhood, he was present in senior centers, doctors’ offices, public transportation, and other public spots where the elderly congregated. [4] The observations are the core of the book, and they are richly written and described in very moving passages. But it wasn’t enough for him to watch the seniors. He also engaged with them in casual conversation. That, too, is part of fieldwork. He sometimes even helped them make it to the doctor’s office or get around town. Going beyond these interactions, he also interviewed sixty seniors, an equal amount from each of the four neighborhoods. It was in the interviews that he could ask more detailed questions about their lives, what they thought about aging, what it meant to them to be considered old, and what their hopes and frustrations were. He could see that those living in the poor neighborhoods had a more difficult time accessing care and resources than those living in the more affluent neighborhoods, but he couldn’t know how the seniors understood these difficulties without interviewing them. Both forms of data collection supported each other and helped make the study richer and more insightful. Interviews alone would have failed to demonstrate the very real differences he observed (and that some seniors would not even have known about). This is the value of methodological triangulation.

Pierce’s book relies on two separate forms of data collection—interviews with lawyers at a firm that has experienced a history of racial discrimination and content analyses of news stories and popular films that screened during the same years of the alleged racial discrimination. I’ve used this book when teaching methods and have often found students struggle with understanding why these two forms of data collection were used. I think this is because we don’t teach students to appreciate or recognize “popular films” as a legitimate form of data. But what Pierce does is interesting and insightful in the best tradition of qualitative research. Here is a description of the content analyses from a review of her book:

In the chapter on the news media, Professor Pierce uses content analysis to argue that the media not only helped shape the meaning of affirmative action, but also helped create white males as a class of victims. The overall narrative that emerged from these media accounts was one of white male innocence and victimization. She also maintains that this narrative was used to support “neoconservative and neoliberal political agendas” (p. 21). The focus of these articles tended to be that affirmative action hurt white working-class and middle-class men particularly during the recession in the 1980s (despite statistical evidence that people of color were hurt far more than white males by the recession). In these stories fairness and innocence were seen in purely individual terms. Although there were stories that supported affirmative action and developed a broader understanding of fairness, the total number of stories slanted against affirmative action from 1990 to 1999. During that time period negative stories always outnumbered those supporting the policy, usually by a ratio of 3:1 or 3:2. Headlines, the presentation of polling data, and an emphasis in stories on racial division, Pierce argues, reinforced the story of white male victimization. Interestingly, the news media did very few stories on gender and affirmative action. The chapter on the film industry from 1989 to 1999 reinforces Pierce’s argument and adds another layer to her interpretation of affirmative action during this time period. She sampled almost 60 Hollywood films with receipts ranging from four million to 184 million dollars. In this chapter she argues that the dominant theme of these films was racial progress and the redemption of white Americans from past racism. These movies usually portrayed white, elite, and male experiences. People of color were background figures who supported the protagonist and “anointed” him as a savior (p. 45). Over the course of the film the protagonists move from “innocence to consciousness” concerning racism. The antagonists in these films most often were racist working-class white men. A Time to Kill , Mississippi Burning , Amistad , Ghosts of Mississippi , The Long Walk Home , To Kill a Mockingbird , and Dances with Wolves receive particular analysis in this chapter, and her examination of them leads Pierce to conclude that they infused a myth of racial progress into America’s cultural memory. White experiences of race are the focus and contemporary forms of racism are underplayed or omitted. Further, these films stereotype both working-class and elite white males, and underscore the neoliberal emphasis on individualism. ( Hrezo 2012 )

With that context in place, Pierce then turned to interviews with attorneys. She finds that White male attorneys often misremembered facts about the period in which the law firm was accused of racial discrimination and that they often portrayed their firms as having made substantial racial progress. This was in contrast to many of the lawyers of color and female lawyers who remembered the history differently and who saw continuing examples of racial (and gender) discrimination at the law firm. In most of the interviews, people talked about individuals, not structure (and these are attorneys, who really should know better!). By including both content analyses and interviews in her study, Pierce is better able to situate the attorney narratives and explain the larger context for the shared meanings of individual innocence and racial progress. Had this been a study only of films during this period, we would not know how actual people who lived during this period understood the decisions they made; had we had only the interviews, we would have missed the historical context and seen a lot of these interviewees as, well, not very nice people at all. Together, we have a study that is original, inventive, and insightful.

My own study of how class background affects the experiences and outcomes of students at small liberal arts colleges relies on mixed methods and triangulation. At the core of the book is an original survey of college students across the US. From analyses of this survey, I can present findings on “how many” questions and descriptive statistics comparing students of different social class backgrounds. For example, I know and can demonstrate that working-class college students are less likely to go to graduate school after college than upper-class college students are. I can even give you some estimates of the class gap. But what I can’t tell you from the survey is exactly why this is so or how it came to be so . For that, I employ interviews, focus groups, document reviews, and observations. Basically, I threw the kitchen sink at the “problem” of class reproduction and higher education (i.e., Does college reduce class inequalities or make them worse?). A review of historical documents provides a picture of the place of the small liberal arts college in the broader social and historical context. Who had access to these colleges and for what purpose have always been in contest, with some groups attempting to exclude others from opportunities for advancement. What it means to choose a small liberal arts college in the early twenty-first century is thus different for those whose parents are college professors, for those whose parents have a great deal of money, and for those who are the first in their family to attend college. I was able to get at these different understandings through interviews and focus groups and to further delineate the culture of these colleges by careful observation (and my own participation in them, as both former student and current professor). Putting together individual meanings, student dispositions, organizational culture, and historical context allowed me to present a story of how exactly colleges can both help advance first-generation, low-income, working-class college students and simultaneously amplify the preexisting advantages of their peers. Mixed methods addressed multiple research questions, while triangulation allowed for this deeper, more complex story to emerge.

In the next few chapters, we will explore each of the primary data collection techniques in much more detail. As we do so, think about how these techniques may be productively joined for more reliable and deeper studies of the social world.

Advanced Reading: Triangulation

Denzin ( 1978 ) identified four basic types of triangulation: data, investigator, theory, and methodological. Properly speaking, if we use the Denzin typology, the use of multiple methods of data collection and analysis to strengthen one’s study is really a form of methodological triangulation. It may be helpful to understand how this differs from the other types.

Data triangulation occurs when the researcher uses a variety of sources in a single study. Perhaps they are interviewing multiple samples of college students. Obviously, this overlaps with sample selection (see chapter 5). It is helpful for the researcher to understand that these multiple data sources add strength and reliability to the study. After all, it is not just “these students here” but also “those students over there” that are experiencing this phenomenon in a particular way.

Investigator triangulation occurs when different researchers or evaluators are part of the research team. Intercoding reliability is a form of investigator triangulation (or at least a way of leveraging the power of multiple researchers to raise the reliability of the study).

Theory triangulation is the use of multiple perspectives to interpret a single set of data, as in the case of competing theoretical paradigms (e.g., a human capital approach vs. a Bourdieusian multiple capital approach).

Methodological triangulation , as explained in this chapter, is the use of multiple methods to study a single phenomenon, issue, or problem.

Further Readings

Carter, Nancy, Denise Bryant-Lukosius, Alba DiCenso, Jennifer Blythe, Alan J. Neville. 2014. “The Use of Triangulation in Qualitative Research.” Oncology Nursing Forum 41(5):545–547. Discusses the four types of triangulation identified by Denzin with an example of the use of focus groups and in-depth individuals.

Mathison, Sandra. 1988. “Why Triangulate?” Educational Researcher 17(2):13–17. Presents three particular ways of assessing validity through the use of triangulated data collection: convergence, inconsistency, and contradiction.

Tracy, Sarah J. 2010. “Qualitative Quality: Eight ‘Big-Tent’ Criteria for Excellent Qualitative Research.” Qualitative Inquiry 16(10):837–851. Focuses on triangulation as a criterion for conducting valid qualitative research.

• Marshall and Rossman ( 2016 ) state this slightly differently. They list four primary methods for gathering information: (1) participating in the setting, (2) observing directly, (3) interviewing in depth, and (4) analyzing documents and material culture (141). An astute reader will note that I have collapsed participation into observation and that I have distinguished focus groups from interviews. I suspect that this distinction marks me as more of an interview-based researcher, while Marshall and Rossman prioritize ethnographic approaches. The main point of this footnote is to show you, the reader, that there is no single agreed-upon number of approaches to collecting qualitative data. ↵
• See “ Advanced Reading: Triangulation ” at end of this chapter. ↵
• We can also think about triangulating the sources, as when we include comparison groups in our sample (e.g., if we include those receiving vaccines, we might find out a bit more about where the real differences lie between them and the vaccine hesitant); triangulating the analysts (building a research team so that your interpretations can be checked against those of others on the team); and even triangulating the theoretical perspective (as when we “try on,” say, different conceptualizations of social capital in our analyses). ↵

Introduction to Qualitative Research Methods Copyright © 2023 by Allison Hurst is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License , except where otherwise noted.

Qualitative Study Design and Data Collection

• First Online: 10 February 2022

Cite this chapter

• Charles P. Friedman 4 ,
• Jeremy C. Wyatt 5 &
• Joan S. Ash 6  

Part of the book series: Health Informatics ((HI))

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While the prior chapter set the stage for an understanding of the nature of qualitative evaluation, this chapter will offer strategies for planning a study and making decisions about how to gather data. The process is depicted as an iterative looping through steps beginning with idea generation to dissemination of results. It is critical that strategies for rigor be incorporated throughout the process. This chapter outlines methods for data collection utilizing interviews, focus groups, observation, and naturally occurring data, and then it also describes combinations often used together, which constitute toolkits of complementary techniques.

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Charles P. Friedman

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Jeremy C. Wyatt

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Answers to Self-Tests

Self-test 15.1.

Which of the strategies to ensure study rigor is primarily employed in the qualitative study scenarios below:

Data from interviews about the usability of a resource are analyzed thematically. The evaluation study team looks to see if and how similar themes have arisen in earlier meetings of the team.

Audit trail

A member of the study team, who has recently participated in another study of a similar kind of resource, becomes concerned that that person’s views about the current study are being shaped by that previous experience. That person sits with another member of the study team to share that person’s concerns and put them in perspective.

Reflexivity

At a “town hall” meeting called to present the results of a qualitative study, the sponsor of the study raises deep and serious questions about the validity of the findings. The study team returns to notes from their team meetings to review how and based on what data they came to this conclusion.

Member checking

During an evaluation project team meeting, one of the study team members finds themselves deeply repelled by off-color comments made by one of the project staff. The team member makes a note of this personal response as part of field notes.

After interviewing 10 patients participating in a study, a study team member perceives that they are hearing the same points raised by all interviewees. The team member requests a study team meeting to consider reducing the total number of interviews from 20, as previously planned, to 12.

Data saturation

A study team member “corners” a participant in a system development effort following a meeting and asks for the participant’s impressions on what transpired in the meeting.

Self-Test 15.2

Label each of the following interview scenarios, conducted as part of a qualitative study, as representing the fully structured, semi-structured or unstructured approach.

A study team member “corners” a participant in a system development project following a meeting and asks for that person’s impressions on what transpired in the meeting.

A study team member schedules time with a patient who is using an information resource to acquire specific information about the patient’s medical history.

Likely fully structured, though it could generate discussion, in which case it could veer towards semi-structured.

A study team member works with partners on the study team to develop a set of questions to be asked to all interviewees. Each question is to be followed up with the question: “Why do you think this is the case?”. At the end of the interview, subjects will be asked: “What else would you like to tell us to shed light on these matters?”

Semi-structured

An interview begins with the statement: “In general, what has been your experience using this EHR?” The remaining questions depend on how the interviewee answers this opening question.

Unstructured

A set of specific questions are read verbatim from an interview guide. No other questions are asked. The interviewees’ responses are recorded.

Fully structured

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Friedman, C.P., Wyatt, J.C., Ash, J.S. (2022). Qualitative Study Design and Data Collection. In: Evaluation Methods in Biomedical and Health Informatics. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-86453-8_15

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8 Essential Qualitative Data Collection Methods

Qualitative data methods allow you to deep dive into the mindset of your audience to discover areas for growth, development, and improvement. 

British mathematician and marketing mastermind Clive Humby once famously stated that “Data is the new oil.”  He has a point. Without data, nonprofit organizations are left second-guessing what their clients and supporters think, how their brand compares to others in the market, whether their messaging is on-point, how their campaigns are performing, where improvements can be made, and how overall results can be optimized. 

There are two primary data collection methodologies: qualitative data collection and quantitative data collection. At UpMetrics, we believe that relying on quantitative, static data is no longer an option to drive effective impact. In the nonprofit sector, where financial gain is not the sole purpose of your organization’s existence. In this guide, we’ll focus on qualitative data collection methods and how they can help you gather, analyze, and collate information that can help drive your organization forward. 

What is Qualitative Data? 

Data collection in qualitative research focuses on gathering contextual information. Unlike quantitative data, which focuses primarily on numbers to establish ‘how many’ or ‘how much,’ qualitative data collection tools allow you to assess the ‘why’s’ and ‘how’s’ behind those statistics. This is vital for nonprofits as it enables organizations to determine:

• Existing knowledge surrounding a particular issue.
• How social norms and cultural practices impact a cause.
• What kind of experiences and interactions people have with your brand.
• Trends in the way people change their opinions.
• Whether meaningful relationships are being established between all parties.

In short, qualitative data collection methods collect perceptual and descriptive information that helps you understand the reasoning and motivation behind particular reactions and behaviors. For that reason, qualitative data methods are usually non-numerical and center around spoken and written words rather than data extrapolated from a spreadsheet or report. 

Qualitative vs. Quantitative Data 

Quantitative and qualitative data represent both sides of the same coin. There will always be some degree of debate over the importance of quantitative vs. qualitative research, data, and collection. However, successful organizations should strive to achieve a balance between the two. 

Organizations can track their performance by collecting quantitative data based on metrics including dollars raised, membership growth, number of people served, overhead costs, etc. This is all essential information to have. However, the data lacks value without the additional details provided by qualitative research because it doesn’t tell you anything about how your target audience thinks, feels, and acts. 

Qualitative data collection is particularly relevant in the nonprofit sector as the relationships people have with the causes they support are fundamentally personal and cannot be expressed numerically. Qualitative data methods allow you to deep dive into the mindset of your audience to discover areas for growth, development, and improvement. 

8 Types of Qualitative Data Collection Methods  

As we have firmly established the need for qualitative data, it’s time to answer the next big question: how to collect qualitative data. 

Here is a list of the most common qualitative data collection methods. You don’t need to use them all in your quest for gathering information. However, a foundational understanding of each will help you refine your research strategy and select the methods that are likely to provide the highest quality business intelligence for your organization. 

1. Interviews

One-on-one interviews are one of the most commonly used data collection methods in qualitative research because they allow you to collect highly personalized information directly from the source. Interviews explore participants' opinions, motivations, beliefs, and experiences and are particularly beneficial in gathering data on sensitive topics because respondents are more likely to open up in a one-on-one setting than in a group environment. 

Interviews can be conducted in person or by online video call. Typically, they are separated into three main categories:

• Structured Interviews - Structured interviews consist of predetermined (and usually closed) questions with little or no variation between interviewees. There is generally no scope for elaboration or follow-up questions, making them better suited to researching specific topics. 
• Unstructured Interviews – Conversely, unstructured interviews have little to no organization or preconceived topics and include predominantly open questions. As a result, the discussion will flow in completely different directions for each participant and can be very time-consuming. For this reason, unstructured interviews are generally only used when little is known about the subject area or when in-depth responses are required on a particular subject.
• Semi-Structured Interviews – A combination of the two interviews mentioned above, semi-structured interviews comprise several scripted questions but allow both interviewers and interviewees the opportunity to diverge and elaborate so more in-depth reasoning can be explored. 

While each approach has its merits, semi-structured interviews are typically favored as a way to uncover detailed information in a timely manner while highlighting areas that may not have been considered relevant in previous research efforts. Whichever type of interview you utilize, participants must be fully briefed on the format, purpose, and what you hope to achieve. With that in mind, here are a few tips to follow: 

• Give them an idea of how long the interview will last
• If you plan to record the conversation, ask permission beforehand
• Provide the opportunity to ask questions before you begin and again at the end. 

2. Focus Groups

Focus groups share much in common with less structured interviews, the key difference being that the goal is to collect data from several participants simultaneously. Focus groups are effective in gathering information based on collective views and are one of the most popular data collection instruments in qualitative research when a series of one-on-one interviews proves too time-consuming or difficult to schedule. 

Focus groups are most helpful in gathering data from a specific group of people, such as donors or clients from a particular demographic. The discussion should be focused on a specific topic and carefully guided and moderated by the researcher to determine participant views and the reasoning behind them. 

Feedback in a group setting often provides richer data than one-on-one interviews, as participants are generally more open to sharing when others are sharing too. Plus, input from one participant may spark insight from another that would not have come to light otherwise. However, here are a couple of potential downsides:

• If participants are uneasy with each other, they may not be at ease openly discussing their feelings or opinions.
• If the topic is not of interest or does not focus on something participants are willing to discuss, data will lack value. 

The size of the group should be carefully considered. Research suggests over-recruiting to avoid risking cancellation, even if that means moderators have to manage more participants than anticipated. The optimum group size is generally between six and eight for all participants to be granted ample opportunity to speak. However, focus groups can still be successful with as few as three or as many as fourteen participants. 

3. Observation

Observation is one of the ultimate data collection tools in qualitative research for gathering information through subjective methods. A technique used frequently by modern-day marketers, qualitative observation is also favored by psychologists, sociologists, behavior specialists, and product developers. 

The primary purpose is to gather information that cannot be measured or easily quantified. It involves virtually no cognitive input from the participants themselves. Researchers simply observe subjects and their reactions during the course of their regular routines and take detailed field notes from which to draw information. 

Observational techniques vary in terms of contact with participants. Some qualitative observations involve the complete immersion of the researcher over a period of time. For example, attending the same church, clinic, society meetings, or volunteer organizations as the participants. Under these circumstances, researchers will likely witness the most natural responses rather than relying on behaviors elicited in a simulated environment. Depending on the study and intended purpose, they may or may not choose to identify themselves as a researcher during the process. 

Regardless of whether you take a covert or overt approach, remember that because each researcher is as unique as every participant, they will have their own inherent biases. Therefore, observational studies are prone to a high degree of subjectivity. For example, one researcher’s notes on the behavior of donors at a society event may vary wildly from the next. So, each qualitative observational study is unique in its own right. 

4. Open-Ended Surveys and Questionnaires

Open-ended surveys and questionnaires allow organizations to collect views and opinions from respondents without meeting in person. They can be sent electronically and are considered one of the most cost-effective qualitative data collection tools. Unlike closed question surveys and questionnaires that limit responses, open-ended questions allow participants to provide lengthy and in-depth answers from which you can extrapolate large amounts of data. 

The findings of open-ended surveys and questionnaires can be challenging to analyze because there are no uniform answers. A popular approach is to record sentiments as positive, negative, and neutral and further dissect the data from there. To gather the best business intelligence, carefully consider the presentation and length of your survey or questionnaire. Here is a list of essential considerations:

• Number of questions : Too many can feel intimidating, and you’ll experience low response rates. Too few can feel like it’s not worth the effort. Plus, the data you collect will have limited actionability. The consensus on how many questions to include varies depending on which sources you consult. However, 5-10 is a good benchmark for shorter surveys that take around 10 minutes and 15-20 for longer surveys that take approximately 20 minutes to complete. 
• Personalization: Your response rate will be higher if you greet patients by name and demonstrate a historical knowledge of their interactions with your brand. 
• Visual elements : Recipients can be easily turned off by poorly designed questionnaires. Besides, it’s a good idea to customize your survey template to include brand assets like colors, logos, and fonts to increase brand loyalty and recognition.
• Reminders : Sending survey reminders is the best way to improve your response rate. You don’t want to hassle respondents too soon, nor do you want to wait too long. Sending a follow-up at around the 3-7 mark is usually the most effective. 
• Building a feedback loop : Adding a tick-box requesting permission for further follow-ups is a proven way to elicit more in-depth feedback. Plus, it gives respondents a voice and makes their opinion feel valued.

5. Case Studies

Case studies are often a preferred method of qualitative research data collection for organizations looking to generate incredibly detailed and in-depth information on a specific topic. Case studies are usually a deep dive into one specific case or a small number of related cases. As a result, they work well for organizations that operate in niche markets.

Case studies typically involve several qualitative data collection methods, including interviews, focus groups, surveys, and observation. The idea is to cast a wide net to obtain a rich picture comprising multiple views and responses. When conducted correctly, case studies can generate vast bodies of data that can be used to improve processes at every client and donor touchpoint. 

The best way to demonstrate the purpose and value of a case study is with an example: A Longitudinal Qualitative Case Study of Change in Nonprofits – Suggesting A New Approach to the Management of Change . 

The researchers established that while change management had already been widely researched in commercial and for-profit settings, little reference had been made to the unique challenges in the nonprofit sector. The case study examined change and change management at a single nonprofit hospital from the viewpoint of all those who witnessed and experienced it. To gain a holistic view of the entire process, research included interviews with employees at every level, from nursing staff to CEOs, to identify the direct and indirect impacts of change. Results were collated based on detailed responses to questions about preparing for change, experiencing change, and reflecting on change.

6. Text Analysis

Text analysis has long been used in political and social science spheres to gain a deeper understanding of behaviors and motivations by gathering insights from human-written texts. By analyzing the flow of text and word choices, relationships between other texts written by the same participant can be identified so that researchers can draw conclusions about the mindset of their target audience. Though technically a qualitative data collection method, the process can involve some quantitative elements, as often, computer systems are used to scan, extract, and categorize information to identify patterns, sentiments, and other actionable information. 

You might be wondering how to collect written information from your research subjects. There are many different options, and approaches can be overt or covert. 

Examples include:

• Investigating how often certain cause-related words and phrases are used in client and donor social media posts.
• Asking participants to keep a journal or diary.
• Analyzing existing interview transcripts and survey responses.

By conducting a detailed analysis, you can connect elements of written text to specific issues, causes, and cultural perspectives, allowing you to draw empirical conclusions about personal views, behaviors, and social relations. With small studies focusing on participants' subjective experience on a specific theme or topic, diaries and journals can be particularly effective in building an understanding of underlying thought processes and beliefs. 

7. Audio and Video Recordings

Similarly to how data is collected from a person’s writing, you can draw valuable conclusions by observing someone’s speech patterns, intonation, and body language when you watch or listen to them interact in a particular environment or within specific surroundings. 

Video and audio recordings are helpful in circumstances where researchers predict better results by having participants be in the moment rather than having them think about what to write down or how to formulate an answer to an email survey. 

You can collect audio and video materials for analysis from multiple sources, including:

• Previously filmed records of events
• Interview recordings
• Video diaries

Utilizing audio and video footage allows researchers to revisit key themes, and it's possible to use the same analytical sources in multiple studies – providing that the scope of the original recording is comprehensive enough to cover the intended theme in adequate depth. 

It can be challenging to present the results of audio and video analysis in a quantifiable form that helps you gauge campaign and market performance. However, results can be used to effectively design concept maps that extrapolate central themes that arise consistently. Concept Mapping offers organizations a visual representation of thought patterns and how ideas link together between different demographics. This data can prove invaluable in identifying areas for improvement and change across entire projects and organizational processes. 

8. Hybrid Methodologies

It is often possible to utilize data collection methods in qualitative research that provide quantitative facts and figures. So if you’re struggling to settle on an approach, a hybrid methodology may be a good starting point. For instance, a survey format that asks closed and open questions can collect and collate quantitative and qualitative data. 

A Net Promoter Score (NPS) survey is a great example. The primary goal of an NPS survey is to collect quantitative ratings of various factors on a score of 1-10. However, they also utilize open-ended follow-up questions to collect qualitative data that helps identify insights into the trends, thought processes, reasoning, and behaviors behind the initial scoring. 

Collect and Collate Actionable Data with UpMetrics

Most nonprofits believe data is strategically important. It has been statistically proven that organizations with advanced data insights achieve their missions more efficiently. Yet, studies show that despite 90% of organizations collecting data, only 5% believe internal decision-making is data-driven. At UpMetrics, we’re here to help you change that. 

UpMetrics specializes in bringing technology and humanity together to serve social good. Our unique  social impact software  combines quantitative and qualitative data collection methods and analysis techniques, enabling social impact organizations to gain insights, drive action, and inspire change. By reporting and analyzing quantitative and qualitative data in one intuitive platform, your impact organization gains the understanding it needs to identify the drivers of positive outcomes, achieve transparency, and increase knowledge sharing across stakeholders.

Contact us today  to learn more about our  nonprofit impact measurement  solutions and discover the power of a partnership with UpMetrics. 

Disrupting Tradition

Download our case study to discover how the Ewing Marion Kauffman Foundation is using a Learning Mindset to Support Grantees in Measuring Impact

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• Published: 27 May 2020

How to use and assess qualitative research methods

• Loraine Busetto   ORCID: orcid.org/0000-0002-9228-7875 1 ,
• Wolfgang Wick 1 , 2 &
• Christoph Gumbinger 1  

Neurological Research and Practice volume  2 , Article number:  14 ( 2020 ) Cite this article

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This paper aims to provide an overview of the use and assessment of qualitative research methods in the health sciences. Qualitative research can be defined as the study of the nature of phenomena and is especially appropriate for answering questions of why something is (not) observed, assessing complex multi-component interventions, and focussing on intervention improvement. The most common methods of data collection are document study, (non-) participant observations, semi-structured interviews and focus groups. For data analysis, field-notes and audio-recordings are transcribed into protocols and transcripts, and coded using qualitative data management software. Criteria such as checklists, reflexivity, sampling strategies, piloting, co-coding, member-checking and stakeholder involvement can be used to enhance and assess the quality of the research conducted. Using qualitative in addition to quantitative designs will equip us with better tools to address a greater range of research problems, and to fill in blind spots in current neurological research and practice.

The aim of this paper is to provide an overview of qualitative research methods, including hands-on information on how they can be used, reported and assessed. This article is intended for beginning qualitative researchers in the health sciences as well as experienced quantitative researchers who wish to broaden their understanding of qualitative research.

What is qualitative research?

Qualitative research is defined as “the study of the nature of phenomena”, including “their quality, different manifestations, the context in which they appear or the perspectives from which they can be perceived” , but excluding “their range, frequency and place in an objectively determined chain of cause and effect” [ 1 ]. This formal definition can be complemented with a more pragmatic rule of thumb: qualitative research generally includes data in form of words rather than numbers [ 2 ].

Why conduct qualitative research?

Because some research questions cannot be answered using (only) quantitative methods. For example, one Australian study addressed the issue of why patients from Aboriginal communities often present late or not at all to specialist services offered by tertiary care hospitals. Using qualitative interviews with patients and staff, it found one of the most significant access barriers to be transportation problems, including some towns and communities simply not having a bus service to the hospital [ 3 ]. A quantitative study could have measured the number of patients over time or even looked at possible explanatory factors – but only those previously known or suspected to be of relevance. To discover reasons for observed patterns, especially the invisible or surprising ones, qualitative designs are needed.

While qualitative research is common in other fields, it is still relatively underrepresented in health services research. The latter field is more traditionally rooted in the evidence-based-medicine paradigm, as seen in " research that involves testing the effectiveness of various strategies to achieve changes in clinical practice, preferably applying randomised controlled trial study designs (...) " [ 4 ]. This focus on quantitative research and specifically randomised controlled trials (RCT) is visible in the idea of a hierarchy of research evidence which assumes that some research designs are objectively better than others, and that choosing a "lesser" design is only acceptable when the better ones are not practically or ethically feasible [ 5 , 6 ]. Others, however, argue that an objective hierarchy does not exist, and that, instead, the research design and methods should be chosen to fit the specific research question at hand – "questions before methods" [ 2 , 7 , 8 , 9 ]. This means that even when an RCT is possible, some research problems require a different design that is better suited to addressing them. Arguing in JAMA, Berwick uses the example of rapid response teams in hospitals, which he describes as " a complex, multicomponent intervention – essentially a process of social change" susceptible to a range of different context factors including leadership or organisation history. According to him, "[in] such complex terrain, the RCT is an impoverished way to learn. Critics who use it as a truth standard in this context are incorrect" [ 8 ] . Instead of limiting oneself to RCTs, Berwick recommends embracing a wider range of methods , including qualitative ones, which for "these specific applications, (...) are not compromises in learning how to improve; they are superior" [ 8 ].

Research problems that can be approached particularly well using qualitative methods include assessing complex multi-component interventions or systems (of change), addressing questions beyond “what works”, towards “what works for whom when, how and why”, and focussing on intervention improvement rather than accreditation [ 7 , 9 , 10 , 11 , 12 ]. Using qualitative methods can also help shed light on the “softer” side of medical treatment. For example, while quantitative trials can measure the costs and benefits of neuro-oncological treatment in terms of survival rates or adverse effects, qualitative research can help provide a better understanding of patient or caregiver stress, visibility of illness or out-of-pocket expenses.

How to conduct qualitative research?

Given that qualitative research is characterised by flexibility, openness and responsivity to context, the steps of data collection and analysis are not as separate and consecutive as they tend to be in quantitative research [ 13 , 14 ]. As Fossey puts it : “sampling, data collection, analysis and interpretation are related to each other in a cyclical (iterative) manner, rather than following one after another in a stepwise approach” [ 15 ]. The researcher can make educated decisions with regard to the choice of method, how they are implemented, and to which and how many units they are applied [ 13 ]. As shown in Fig.  1 , this can involve several back-and-forth steps between data collection and analysis where new insights and experiences can lead to adaption and expansion of the original plan. Some insights may also necessitate a revision of the research question and/or the research design as a whole. The process ends when saturation is achieved, i.e. when no relevant new information can be found (see also below: sampling and saturation). For reasons of transparency, it is essential for all decisions as well as the underlying reasoning to be well-documented.

Iterative research process

While it is not always explicitly addressed, qualitative methods reflect a different underlying research paradigm than quantitative research (e.g. constructivism or interpretivism as opposed to positivism). The choice of methods can be based on the respective underlying substantive theory or theoretical framework used by the researcher [ 2 ].

Data collection

The methods of qualitative data collection most commonly used in health research are document study, observations, semi-structured interviews and focus groups [ 1 , 14 , 16 , 17 ].

Document study

Document study (also called document analysis) refers to the review by the researcher of written materials [ 14 ]. These can include personal and non-personal documents such as archives, annual reports, guidelines, policy documents, diaries or letters.

Observations

Observations are particularly useful to gain insights into a certain setting and actual behaviour – as opposed to reported behaviour or opinions [ 13 ]. Qualitative observations can be either participant or non-participant in nature. In participant observations, the observer is part of the observed setting, for example a nurse working in an intensive care unit [ 18 ]. In non-participant observations, the observer is “on the outside looking in”, i.e. present in but not part of the situation, trying not to influence the setting by their presence. Observations can be planned (e.g. for 3 h during the day or night shift) or ad hoc (e.g. as soon as a stroke patient arrives at the emergency room). During the observation, the observer takes notes on everything or certain pre-determined parts of what is happening around them, for example focusing on physician-patient interactions or communication between different professional groups. Written notes can be taken during or after the observations, depending on feasibility (which is usually lower during participant observations) and acceptability (e.g. when the observer is perceived to be judging the observed). Afterwards, these field notes are transcribed into observation protocols. If more than one observer was involved, field notes are taken independently, but notes can be consolidated into one protocol after discussions. Advantages of conducting observations include minimising the distance between the researcher and the researched, the potential discovery of topics that the researcher did not realise were relevant and gaining deeper insights into the real-world dimensions of the research problem at hand [ 18 ].

Semi-structured interviews

Hijmans & Kuyper describe qualitative interviews as “an exchange with an informal character, a conversation with a goal” [ 19 ]. Interviews are used to gain insights into a person’s subjective experiences, opinions and motivations – as opposed to facts or behaviours [ 13 ]. Interviews can be distinguished by the degree to which they are structured (i.e. a questionnaire), open (e.g. free conversation or autobiographical interviews) or semi-structured [ 2 , 13 ]. Semi-structured interviews are characterized by open-ended questions and the use of an interview guide (or topic guide/list) in which the broad areas of interest, sometimes including sub-questions, are defined [ 19 ]. The pre-defined topics in the interview guide can be derived from the literature, previous research or a preliminary method of data collection, e.g. document study or observations. The topic list is usually adapted and improved at the start of the data collection process as the interviewer learns more about the field [ 20 ]. Across interviews the focus on the different (blocks of) questions may differ and some questions may be skipped altogether (e.g. if the interviewee is not able or willing to answer the questions or for concerns about the total length of the interview) [ 20 ]. Qualitative interviews are usually not conducted in written format as it impedes on the interactive component of the method [ 20 ]. In comparison to written surveys, qualitative interviews have the advantage of being interactive and allowing for unexpected topics to emerge and to be taken up by the researcher. This can also help overcome a provider or researcher-centred bias often found in written surveys, which by nature, can only measure what is already known or expected to be of relevance to the researcher. Interviews can be audio- or video-taped; but sometimes it is only feasible or acceptable for the interviewer to take written notes [ 14 , 16 , 20 ].

Focus groups

Focus groups are group interviews to explore participants’ expertise and experiences, including explorations of how and why people behave in certain ways [ 1 ]. Focus groups usually consist of 6–8 people and are led by an experienced moderator following a topic guide or “script” [ 21 ]. They can involve an observer who takes note of the non-verbal aspects of the situation, possibly using an observation guide [ 21 ]. Depending on researchers’ and participants’ preferences, the discussions can be audio- or video-taped and transcribed afterwards [ 21 ]. Focus groups are useful for bringing together homogeneous (to a lesser extent heterogeneous) groups of participants with relevant expertise and experience on a given topic on which they can share detailed information [ 21 ]. Focus groups are a relatively easy, fast and inexpensive method to gain access to information on interactions in a given group, i.e. “the sharing and comparing” among participants [ 21 ]. Disadvantages include less control over the process and a lesser extent to which each individual may participate. Moreover, focus group moderators need experience, as do those tasked with the analysis of the resulting data. Focus groups can be less appropriate for discussing sensitive topics that participants might be reluctant to disclose in a group setting [ 13 ]. Moreover, attention must be paid to the emergence of “groupthink” as well as possible power dynamics within the group, e.g. when patients are awed or intimidated by health professionals.

Choosing the “right” method

As explained above, the school of thought underlying qualitative research assumes no objective hierarchy of evidence and methods. This means that each choice of single or combined methods has to be based on the research question that needs to be answered and a critical assessment with regard to whether or to what extent the chosen method can accomplish this – i.e. the “fit” between question and method [ 14 ]. It is necessary for these decisions to be documented when they are being made, and to be critically discussed when reporting methods and results.

Let us assume that our research aim is to examine the (clinical) processes around acute endovascular treatment (EVT), from the patient’s arrival at the emergency room to recanalization, with the aim to identify possible causes for delay and/or other causes for sub-optimal treatment outcome. As a first step, we could conduct a document study of the relevant standard operating procedures (SOPs) for this phase of care – are they up-to-date and in line with current guidelines? Do they contain any mistakes, irregularities or uncertainties that could cause delays or other problems? Regardless of the answers to these questions, the results have to be interpreted based on what they are: a written outline of what care processes in this hospital should look like. If we want to know what they actually look like in practice, we can conduct observations of the processes described in the SOPs. These results can (and should) be analysed in themselves, but also in comparison to the results of the document analysis, especially as regards relevant discrepancies. Do the SOPs outline specific tests for which no equipment can be observed or tasks to be performed by specialized nurses who are not present during the observation? It might also be possible that the written SOP is outdated, but the actual care provided is in line with current best practice. In order to find out why these discrepancies exist, it can be useful to conduct interviews. Are the physicians simply not aware of the SOPs (because their existence is limited to the hospital’s intranet) or do they actively disagree with them or does the infrastructure make it impossible to provide the care as described? Another rationale for adding interviews is that some situations (or all of their possible variations for different patient groups or the day, night or weekend shift) cannot practically or ethically be observed. In this case, it is possible to ask those involved to report on their actions – being aware that this is not the same as the actual observation. A senior physician’s or hospital manager’s description of certain situations might differ from a nurse’s or junior physician’s one, maybe because they intentionally misrepresent facts or maybe because different aspects of the process are visible or important to them. In some cases, it can also be relevant to consider to whom the interviewee is disclosing this information – someone they trust, someone they are otherwise not connected to, or someone they suspect or are aware of being in a potentially “dangerous” power relationship to them. Lastly, a focus group could be conducted with representatives of the relevant professional groups to explore how and why exactly they provide care around EVT. The discussion might reveal discrepancies (between SOPs and actual care or between different physicians) and motivations to the researchers as well as to the focus group members that they might not have been aware of themselves. For the focus group to deliver relevant information, attention has to be paid to its composition and conduct, for example, to make sure that all participants feel safe to disclose sensitive or potentially problematic information or that the discussion is not dominated by (senior) physicians only. The resulting combination of data collection methods is shown in Fig.  2 .

Possible combination of data collection methods

Attributions for icons: “Book” by Serhii Smirnov, “Interview” by Adrien Coquet, FR, “Magnifying Glass” by anggun, ID, “Business communication” by Vectors Market; all from the Noun Project

The combination of multiple data source as described for this example can be referred to as “triangulation”, in which multiple measurements are carried out from different angles to achieve a more comprehensive understanding of the phenomenon under study [ 22 , 23 ].

Data analysis

To analyse the data collected through observations, interviews and focus groups these need to be transcribed into protocols and transcripts (see Fig.  3 ). Interviews and focus groups can be transcribed verbatim , with or without annotations for behaviour (e.g. laughing, crying, pausing) and with or without phonetic transcription of dialects and filler words, depending on what is expected or known to be relevant for the analysis. In the next step, the protocols and transcripts are coded , that is, marked (or tagged, labelled) with one or more short descriptors of the content of a sentence or paragraph [ 2 , 15 , 23 ]. Jansen describes coding as “connecting the raw data with “theoretical” terms” [ 20 ]. In a more practical sense, coding makes raw data sortable. This makes it possible to extract and examine all segments describing, say, a tele-neurology consultation from multiple data sources (e.g. SOPs, emergency room observations, staff and patient interview). In a process of synthesis and abstraction, the codes are then grouped, summarised and/or categorised [ 15 , 20 ]. The end product of the coding or analysis process is a descriptive theory of the behavioural pattern under investigation [ 20 ]. The coding process is performed using qualitative data management software, the most common ones being InVivo, MaxQDA and Atlas.ti. It should be noted that these are data management tools which support the analysis performed by the researcher(s) [ 14 ].

From data collection to data analysis

Attributions for icons: see Fig. 2 , also “Speech to text” by Trevor Dsouza, “Field Notes” by Mike O’Brien, US, “Voice Record” by ProSymbols, US, “Inspection” by Made, AU, and “Cloud” by Graphic Tigers; all from the Noun Project

How to report qualitative research?

Protocols of qualitative research can be published separately and in advance of the study results. However, the aim is not the same as in RCT protocols, i.e. to pre-define and set in stone the research questions and primary or secondary endpoints. Rather, it is a way to describe the research methods in detail, which might not be possible in the results paper given journals’ word limits. Qualitative research papers are usually longer than their quantitative counterparts to allow for deep understanding and so-called “thick description”. In the methods section, the focus is on transparency of the methods used, including why, how and by whom they were implemented in the specific study setting, so as to enable a discussion of whether and how this may have influenced data collection, analysis and interpretation. The results section usually starts with a paragraph outlining the main findings, followed by more detailed descriptions of, for example, the commonalities, discrepancies or exceptions per category [ 20 ]. Here it is important to support main findings by relevant quotations, which may add information, context, emphasis or real-life examples [ 20 , 23 ]. It is subject to debate in the field whether it is relevant to state the exact number or percentage of respondents supporting a certain statement (e.g. “Five interviewees expressed negative feelings towards XYZ”) [ 21 ].

How to combine qualitative with quantitative research?

Qualitative methods can be combined with other methods in multi- or mixed methods designs, which “[employ] two or more different methods [ …] within the same study or research program rather than confining the research to one single method” [ 24 ]. Reasons for combining methods can be diverse, including triangulation for corroboration of findings, complementarity for illustration and clarification of results, expansion to extend the breadth and range of the study, explanation of (unexpected) results generated with one method with the help of another, or offsetting the weakness of one method with the strength of another [ 1 , 17 , 24 , 25 , 26 ]. The resulting designs can be classified according to when, why and how the different quantitative and/or qualitative data strands are combined. The three most common types of mixed method designs are the convergent parallel design , the explanatory sequential design and the exploratory sequential design. The designs with examples are shown in Fig.  4 .

Three common mixed methods designs

In the convergent parallel design, a qualitative study is conducted in parallel to and independently of a quantitative study, and the results of both studies are compared and combined at the stage of interpretation of results. Using the above example of EVT provision, this could entail setting up a quantitative EVT registry to measure process times and patient outcomes in parallel to conducting the qualitative research outlined above, and then comparing results. Amongst other things, this would make it possible to assess whether interview respondents’ subjective impressions of patients receiving good care match modified Rankin Scores at follow-up, or whether observed delays in care provision are exceptions or the rule when compared to door-to-needle times as documented in the registry. In the explanatory sequential design, a quantitative study is carried out first, followed by a qualitative study to help explain the results from the quantitative study. This would be an appropriate design if the registry alone had revealed relevant delays in door-to-needle times and the qualitative study would be used to understand where and why these occurred, and how they could be improved. In the exploratory design, the qualitative study is carried out first and its results help informing and building the quantitative study in the next step [ 26 ]. If the qualitative study around EVT provision had shown a high level of dissatisfaction among the staff members involved, a quantitative questionnaire investigating staff satisfaction could be set up in the next step, informed by the qualitative study on which topics dissatisfaction had been expressed. Amongst other things, the questionnaire design would make it possible to widen the reach of the research to more respondents from different (types of) hospitals, regions, countries or settings, and to conduct sub-group analyses for different professional groups.

How to assess qualitative research?

A variety of assessment criteria and lists have been developed for qualitative research, ranging in their focus and comprehensiveness [ 14 , 17 , 27 ]. However, none of these has been elevated to the “gold standard” in the field. In the following, we therefore focus on a set of commonly used assessment criteria that, from a practical standpoint, a researcher can look for when assessing a qualitative research report or paper.

Assessors should check the authors’ use of and adherence to the relevant reporting checklists (e.g. Standards for Reporting Qualitative Research (SRQR)) to make sure all items that are relevant for this type of research are addressed [ 23 , 28 ]. Discussions of quantitative measures in addition to or instead of these qualitative measures can be a sign of lower quality of the research (paper). Providing and adhering to a checklist for qualitative research contributes to an important quality criterion for qualitative research, namely transparency [ 15 , 17 , 23 ].

Reflexivity

While methodological transparency and complete reporting is relevant for all types of research, some additional criteria must be taken into account for qualitative research. This includes what is called reflexivity, i.e. sensitivity to the relationship between the researcher and the researched, including how contact was established and maintained, or the background and experience of the researcher(s) involved in data collection and analysis. Depending on the research question and population to be researched this can be limited to professional experience, but it may also include gender, age or ethnicity [ 17 , 27 ]. These details are relevant because in qualitative research, as opposed to quantitative research, the researcher as a person cannot be isolated from the research process [ 23 ]. It may influence the conversation when an interviewed patient speaks to an interviewer who is a physician, or when an interviewee is asked to discuss a gynaecological procedure with a male interviewer, and therefore the reader must be made aware of these details [ 19 ].

Sampling and saturation

The aim of qualitative sampling is for all variants of the objects of observation that are deemed relevant for the study to be present in the sample “ to see the issue and its meanings from as many angles as possible” [ 1 , 16 , 19 , 20 , 27 ] , and to ensure “information-richness [ 15 ]. An iterative sampling approach is advised, in which data collection (e.g. five interviews) is followed by data analysis, followed by more data collection to find variants that are lacking in the current sample. This process continues until no new (relevant) information can be found and further sampling becomes redundant – which is called saturation [ 1 , 15 ] . In other words: qualitative data collection finds its end point not a priori , but when the research team determines that saturation has been reached [ 29 , 30 ].

This is also the reason why most qualitative studies use deliberate instead of random sampling strategies. This is generally referred to as “ purposive sampling” , in which researchers pre-define which types of participants or cases they need to include so as to cover all variations that are expected to be of relevance, based on the literature, previous experience or theory (i.e. theoretical sampling) [ 14 , 20 ]. Other types of purposive sampling include (but are not limited to) maximum variation sampling, critical case sampling or extreme or deviant case sampling [ 2 ]. In the above EVT example, a purposive sample could include all relevant professional groups and/or all relevant stakeholders (patients, relatives) and/or all relevant times of observation (day, night and weekend shift).

Assessors of qualitative research should check whether the considerations underlying the sampling strategy were sound and whether or how researchers tried to adapt and improve their strategies in stepwise or cyclical approaches between data collection and analysis to achieve saturation [ 14 ].

Good qualitative research is iterative in nature, i.e. it goes back and forth between data collection and analysis, revising and improving the approach where necessary. One example of this are pilot interviews, where different aspects of the interview (especially the interview guide, but also, for example, the site of the interview or whether the interview can be audio-recorded) are tested with a small number of respondents, evaluated and revised [ 19 ]. In doing so, the interviewer learns which wording or types of questions work best, or which is the best length of an interview with patients who have trouble concentrating for an extended time. Of course, the same reasoning applies to observations or focus groups which can also be piloted.

Ideally, coding should be performed by at least two researchers, especially at the beginning of the coding process when a common approach must be defined, including the establishment of a useful coding list (or tree), and when a common meaning of individual codes must be established [ 23 ]. An initial sub-set or all transcripts can be coded independently by the coders and then compared and consolidated after regular discussions in the research team. This is to make sure that codes are applied consistently to the research data.

Member checking

Member checking, also called respondent validation , refers to the practice of checking back with study respondents to see if the research is in line with their views [ 14 , 27 ]. This can happen after data collection or analysis or when first results are available [ 23 ]. For example, interviewees can be provided with (summaries of) their transcripts and asked whether they believe this to be a complete representation of their views or whether they would like to clarify or elaborate on their responses [ 17 ]. Respondents’ feedback on these issues then becomes part of the data collection and analysis [ 27 ].

Stakeholder involvement

In those niches where qualitative approaches have been able to evolve and grow, a new trend has seen the inclusion of patients and their representatives not only as study participants (i.e. “members”, see above) but as consultants to and active participants in the broader research process [ 31 , 32 , 33 ]. The underlying assumption is that patients and other stakeholders hold unique perspectives and experiences that add value beyond their own single story, making the research more relevant and beneficial to researchers, study participants and (future) patients alike [ 34 , 35 ]. Using the example of patients on or nearing dialysis, a recent scoping review found that 80% of clinical research did not address the top 10 research priorities identified by patients and caregivers [ 32 , 36 ]. In this sense, the involvement of the relevant stakeholders, especially patients and relatives, is increasingly being seen as a quality indicator in and of itself.

How not to assess qualitative research

The above overview does not include certain items that are routine in assessments of quantitative research. What follows is a non-exhaustive, non-representative, experience-based list of the quantitative criteria often applied to the assessment of qualitative research, as well as an explanation of the limited usefulness of these endeavours.

Protocol adherence

Given the openness and flexibility of qualitative research, it should not be assessed by how well it adheres to pre-determined and fixed strategies – in other words: its rigidity. Instead, the assessor should look for signs of adaptation and refinement based on lessons learned from earlier steps in the research process.

Sample size

For the reasons explained above, qualitative research does not require specific sample sizes, nor does it require that the sample size be determined a priori [ 1 , 14 , 27 , 37 , 38 , 39 ]. Sample size can only be a useful quality indicator when related to the research purpose, the chosen methodology and the composition of the sample, i.e. who was included and why.

Randomisation

While some authors argue that randomisation can be used in qualitative research, this is not commonly the case, as neither its feasibility nor its necessity or usefulness has been convincingly established for qualitative research [ 13 , 27 ]. Relevant disadvantages include the negative impact of a too large sample size as well as the possibility (or probability) of selecting “ quiet, uncooperative or inarticulate individuals ” [ 17 ]. Qualitative studies do not use control groups, either.

Interrater reliability, variability and other “objectivity checks”

The concept of “interrater reliability” is sometimes used in qualitative research to assess to which extent the coding approach overlaps between the two co-coders. However, it is not clear what this measure tells us about the quality of the analysis [ 23 ]. This means that these scores can be included in qualitative research reports, preferably with some additional information on what the score means for the analysis, but it is not a requirement. Relatedly, it is not relevant for the quality or “objectivity” of qualitative research to separate those who recruited the study participants and collected and analysed the data. Experiences even show that it might be better to have the same person or team perform all of these tasks [ 20 ]. First, when researchers introduce themselves during recruitment this can enhance trust when the interview takes place days or weeks later with the same researcher. Second, when the audio-recording is transcribed for analysis, the researcher conducting the interviews will usually remember the interviewee and the specific interview situation during data analysis. This might be helpful in providing additional context information for interpretation of data, e.g. on whether something might have been meant as a joke [ 18 ].

Not being quantitative research

Being qualitative research instead of quantitative research should not be used as an assessment criterion if it is used irrespectively of the research problem at hand. Similarly, qualitative research should not be required to be combined with quantitative research per se – unless mixed methods research is judged as inherently better than single-method research. In this case, the same criterion should be applied for quantitative studies without a qualitative component.

The main take-away points of this paper are summarised in Table 1 . We aimed to show that, if conducted well, qualitative research can answer specific research questions that cannot to be adequately answered using (only) quantitative designs. Seeing qualitative and quantitative methods as equal will help us become more aware and critical of the “fit” between the research problem and our chosen methods: I can conduct an RCT to determine the reasons for transportation delays of acute stroke patients – but should I? It also provides us with a greater range of tools to tackle a greater range of research problems more appropriately and successfully, filling in the blind spots on one half of the methodological spectrum to better address the whole complexity of neurological research and practice.

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Abbreviations

Endovascular treatment

Randomised Controlled Trial

Standard Operating Procedure

Standards for Reporting Qualitative Research

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Busetto, L., Wick, W. & Gumbinger, C. How to use and assess qualitative research methods. Neurol. Res. Pract. 2 , 14 (2020). https://doi.org/10.1186/s42466-020-00059-z

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• Data Collection Methods | Step-by-Step Guide & Examples

Data Collection Methods | Step-by-Step Guide & Examples

Published on 4 May 2022 by Pritha Bhandari .

Data collection is a systematic process of gathering observations or measurements. Whether you are performing research for business, governmental, or academic purposes, data collection allows you to gain first-hand knowledge and original insights into your research problem .

While methods and aims may differ between fields, the overall process of data collection remains largely the same. Before you begin collecting data, you need to consider:

• The  aim of the research
• The type of data that you will collect
• The methods and procedures you will use to collect, store, and process the data

To collect high-quality data that is relevant to your purposes, follow these four steps.

Table of contents

Step 1: define the aim of your research, step 2: choose your data collection method, step 3: plan your data collection procedures, step 4: collect the data, frequently asked questions about data collection.

Before you start the process of data collection, you need to identify exactly what you want to achieve. You can start by writing a problem statement : what is the practical or scientific issue that you want to address, and why does it matter?

Next, formulate one or more research questions that precisely define what you want to find out. Depending on your research questions, you might need to collect quantitative or qualitative data :

• Quantitative data is expressed in numbers and graphs and is analysed through statistical methods .
• Qualitative data is expressed in words and analysed through interpretations and categorisations.

If your aim is to test a hypothesis , measure something precisely, or gain large-scale statistical insights, collect quantitative data. If your aim is to explore ideas, understand experiences, or gain detailed insights into a specific context, collect qualitative data.

If you have several aims, you can use a mixed methods approach that collects both types of data.

• Your first aim is to assess whether there are significant differences in perceptions of managers across different departments and office locations.
• Your second aim is to gather meaningful feedback from employees to explore new ideas for how managers can improve.

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Based on the data you want to collect, decide which method is best suited for your research.

• Experimental research is primarily a quantitative method.
• Interviews , focus groups , and ethnographies are qualitative methods.
• Surveys , observations, archival research, and secondary data collection can be quantitative or qualitative methods.

Carefully consider what method you will use to gather data that helps you directly answer your research questions.

When you know which method(s) you are using, you need to plan exactly how you will implement them. What procedures will you follow to make accurate observations or measurements of the variables you are interested in?

For instance, if you’re conducting surveys or interviews, decide what form the questions will take; if you’re conducting an experiment, make decisions about your experimental design .

Operationalisation

Sometimes your variables can be measured directly: for example, you can collect data on the average age of employees simply by asking for dates of birth. However, often you’ll be interested in collecting data on more abstract concepts or variables that can’t be directly observed.

Operationalisation means turning abstract conceptual ideas into measurable observations. When planning how you will collect data, you need to translate the conceptual definition of what you want to study into the operational definition of what you will actually measure.

• You ask managers to rate their own leadership skills on 5-point scales assessing the ability to delegate, decisiveness, and dependability.
• You ask their direct employees to provide anonymous feedback on the managers regarding the same topics.

You may need to develop a sampling plan to obtain data systematically. This involves defining a population , the group you want to draw conclusions about, and a sample, the group you will actually collect data from.

Your sampling method will determine how you recruit participants or obtain measurements for your study. To decide on a sampling method you will need to consider factors like the required sample size, accessibility of the sample, and time frame of the data collection.

Standardising procedures

If multiple researchers are involved, write a detailed manual to standardise data collection procedures in your study.

This means laying out specific step-by-step instructions so that everyone in your research team collects data in a consistent way – for example, by conducting experiments under the same conditions and using objective criteria to record and categorise observations.

This helps ensure the reliability of your data, and you can also use it to replicate the study in the future.

Creating a data management plan

Before beginning data collection, you should also decide how you will organise and store your data.

• If you are collecting data from people, you will likely need to anonymise and safeguard the data to prevent leaks of sensitive information (e.g. names or identity numbers).
• If you are collecting data via interviews or pencil-and-paper formats, you will need to perform transcriptions or data entry in systematic ways to minimise distortion.
• You can prevent loss of data by having an organisation system that is routinely backed up.

Finally, you can implement your chosen methods to measure or observe the variables you are interested in.

The closed-ended questions ask participants to rate their manager’s leadership skills on scales from 1 to 5. The data produced is numerical and can be statistically analysed for averages and patterns.

To ensure that high-quality data is recorded in a systematic way, here are some best practices:

• Record all relevant information as and when you obtain data. For example, note down whether or how lab equipment is recalibrated during an experimental study.
• Double-check manual data entry for errors.
• If you collect quantitative data, you can assess the reliability and validity to get an indication of your data quality.

Data collection is the systematic process by which observations or measurements are gathered in research. It is used in many different contexts by academics, governments, businesses, and other organisations.

When conducting research, collecting original data has significant advantages:

• You can tailor data collection to your specific research aims (e.g., understanding the needs of your consumers or user testing your website).
• You can control and standardise the process for high reliability and validity (e.g., choosing appropriate measurements and sampling methods ).

However, there are also some drawbacks: data collection can be time-consuming, labour-intensive, and expensive. In some cases, it’s more efficient to use secondary data that has already been collected by someone else, but the data might be less reliable.

Quantitative research deals with numbers and statistics, while qualitative research deals with words and meanings.

Quantitative methods allow you to test a hypothesis by systematically collecting and analysing data, while qualitative methods allow you to explore ideas and experiences in depth.

Reliability and validity are both about how well a method measures something:

• Reliability refers to the  consistency of a measure (whether the results can be reproduced under the same conditions).
• Validity   refers to the  accuracy of a measure (whether the results really do represent what they are supposed to measure).

If you are doing experimental research , you also have to consider the internal and external validity of your experiment.

In mixed methods research , you use both qualitative and quantitative data collection and analysis methods to answer your research question .

Operationalisation means turning abstract conceptual ideas into measurable observations.

For example, the concept of social anxiety isn’t directly observable, but it can be operationally defined in terms of self-rating scores, behavioural avoidance of crowded places, or physical anxiety symptoms in social situations.

Before collecting data , it’s important to consider how you will operationalise the variables that you want to measure.

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Using Qualitative Questionnaires in Medical Education Research

Affiliations.

• 1 C4ME, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, UK.
• 2 Centre for Trials Research, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, UK.
• PMID: 38737397
• PMCID: PMC11086583
• DOI: 10.5334/pme.1102

Most students in Health Profession Education courses are new to the world of qualitative research. Faced with the challenge of designing a research project, they are often drawn towards using the questionnaire as a data collection method, commonly assuming that utilising open-ended questions alone constitutes qualitative research design. Designing questionnaires that meet the standards of rigour is challenging, and this common assumption reflects inexperience with and misunderstandings of qualitative ontology, as well as the lack of methodological literature on designing and developing qualitative questionnaires. This paper is written with research supervisors as well as students in mind, as it is aimed to help elucidate the decision-making process and the justification for using a qualitative questionnaire. Drawing upon examples of research conducted by our students, and the wider literature, we demonstrate how qualitative questionnaires can produce rich and meaningful findings when they (1) prioritise qualitative research values, and (2) follow a rigorous design process when the questionnaire is developed. We conclude by offering a simple framework for developing rigorous qualitative questionnaires to those who may consider using this approach.

Copyright: © 2024 The Author(s).

• Education, Medical* / methods
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StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

StatPearls [Internet].

Qualitative study.

Steven Tenny ; Janelle M. Brannan ; Grace D. Brannan .

Affiliations

Last Update: September 18, 2022 .

• Introduction

Qualitative research is a type of research that explores and provides deeper insights into real-world problems. [1] Instead of collecting numerical data points or intervening or introducing treatments just like in quantitative research, qualitative research helps generate hypothenar to further investigate and understand quantitative data. Qualitative research gathers participants' experiences, perceptions, and behavior. It answers the hows and whys instead of how many or how much. It could be structured as a standalone study, purely relying on qualitative data, or part of mixed-methods research that combines qualitative and quantitative data. This review introduces the readers to some basic concepts, definitions, terminology, and applications of qualitative research.

Qualitative research, at its core, asks open-ended questions whose answers are not easily put into numbers, such as "how" and "why." [2] Due to the open-ended nature of the research questions, qualitative research design is often not linear like quantitative design. [2] One of the strengths of qualitative research is its ability to explain processes and patterns of human behavior that can be difficult to quantify. [3] Phenomena such as experiences, attitudes, and behaviors can be complex to capture accurately and quantitatively. In contrast, a qualitative approach allows participants themselves to explain how, why, or what they were thinking, feeling, and experiencing at a particular time or during an event of interest. Quantifying qualitative data certainly is possible, but at its core, qualitative data is looking for themes and patterns that can be difficult to quantify, and it is essential to ensure that the context and narrative of qualitative work are not lost by trying to quantify something that is not meant to be quantified.

However, while qualitative research is sometimes placed in opposition to quantitative research, where they are necessarily opposites and therefore "compete" against each other and the philosophical paradigms associated with each other, qualitative and quantitative work are neither necessarily opposites, nor are they incompatible. [4] While qualitative and quantitative approaches are different, they are not necessarily opposites and certainly not mutually exclusive. For instance, qualitative research can help expand and deepen understanding of data or results obtained from quantitative analysis. For example, say a quantitative analysis has determined a correlation between length of stay and level of patient satisfaction, but why does this correlation exist? This dual-focus scenario shows one way in which qualitative and quantitative research could be integrated.

Qualitative Research Approaches

Ethnography

Ethnography as a research design originates in social and cultural anthropology and involves the researcher being directly immersed in the participant’s environment. [2] Through this immersion, the ethnographer can use a variety of data collection techniques to produce a comprehensive account of the social phenomena that occurred during the research period. [2] That is to say, the researcher’s aim with ethnography is to immerse themselves into the research population and come out of it with accounts of actions, behaviors, events, etc, through the eyes of someone involved in the population. Direct involvement of the researcher with the target population is one benefit of ethnographic research because it can then be possible to find data that is otherwise very difficult to extract and record.

Grounded theory

Grounded Theory is the "generation of a theoretical model through the experience of observing a study population and developing a comparative analysis of their speech and behavior." [5] Unlike quantitative research, which is deductive and tests or verifies an existing theory, grounded theory research is inductive and, therefore, lends itself to research aimed at social interactions or experiences. [3] [2] In essence, Grounded Theory’s goal is to explain how and why an event occurs or how and why people might behave a certain way. Through observing the population, a researcher using the Grounded Theory approach can then develop a theory to explain the phenomena of interest.

Phenomenology

Phenomenology is the "study of the meaning of phenomena or the study of the particular.” [5] At first glance, it might seem that Grounded Theory and Phenomenology are pretty similar, but the differences can be seen upon careful examination. At its core, phenomenology looks to investigate experiences from the individual's perspective. [2] Phenomenology is essentially looking into the "lived experiences" of the participants and aims to examine how and why participants behaved a certain way from their perspective. Herein lies one of the main differences between Grounded Theory and Phenomenology. Grounded Theory aims to develop a theory for social phenomena through an examination of various data sources. In contrast, Phenomenology focuses on describing and explaining an event or phenomenon from the perspective of those who have experienced it.

Narrative research

One of qualitative research’s strengths lies in its ability to tell a story, often from the perspective of those directly involved in it. Reporting on qualitative research involves including details and descriptions of the setting involved and quotes from participants. This detail is called a "thick" or "rich" description and is a strength of qualitative research. Narrative research is rife with the possibilities of "thick" description as this approach weaves together a sequence of events, usually from just one or two individuals, hoping to create a cohesive story or narrative. [2] While it might seem like a waste of time to focus on such a specific, individual level, understanding one or two people’s narratives for an event or phenomenon can help to inform researchers about the influences that helped shape that narrative. The tension or conflict of differing narratives can be "opportunities for innovation." [2]

Research Paradigm

Research paradigms are the assumptions, norms, and standards underpinning different research approaches. Essentially, research paradigms are the "worldviews" that inform research. [4] It is valuable for qualitative and quantitative researchers to understand what paradigm they are working within because understanding the theoretical basis of research paradigms allows researchers to understand the strengths and weaknesses of the approach being used and adjust accordingly. Different paradigms have different ontologies and epistemologies. Ontology is defined as the "assumptions about the nature of reality,” whereas epistemology is defined as the "assumptions about the nature of knowledge" that inform researchers' work. [2] It is essential to understand the ontological and epistemological foundations of the research paradigm researchers are working within to allow for a complete understanding of the approach being used and the assumptions that underpin the approach as a whole. Further, researchers must understand their own ontological and epistemological assumptions about the world in general because their assumptions about the world will necessarily impact how they interact with research. A discussion of the research paradigm is not complete without describing positivist, postpositivist, and constructivist philosophies.

Positivist versus postpositivist

To further understand qualitative research, we must discuss positivist and postpositivist frameworks. Positivism is a philosophy that the scientific method can and should be applied to social and natural sciences. [4] Essentially, positivist thinking insists that the social sciences should use natural science methods in their research. It stems from positivist ontology, that there is an objective reality that exists that is wholly independent of our perception of the world as individuals. Quantitative research is rooted in positivist philosophy, which can be seen in the value it places on concepts such as causality, generalizability, and replicability.

Conversely, postpositivists argue that social reality can never be one hundred percent explained, but could be approximated. [4] Indeed, qualitative researchers have been insisting that there are “fundamental limits to the extent to which the methods and procedures of the natural sciences could be applied to the social world,” and therefore, postpositivist philosophy is often associated with qualitative research. [4] An example of positivist versus postpositivist values in research might be that positivist philosophies value hypothesis-testing, whereas postpositivist philosophies value the ability to formulate a substantive theory.

Constructivist

Constructivism is a subcategory of postpositivism. Most researchers invested in postpositivist research are also constructivist, meaning they think there is no objective external reality that exists but instead that reality is constructed. Constructivism is a theoretical lens that emphasizes the dynamic nature of our world. "Constructivism contends that individuals' views are directly influenced by their experiences, and it is these individual experiences and views that shape their perspective of reality.” [6]  constructivist thought focuses on how "reality" is not a fixed certainty and how experiences, interactions, and backgrounds give people a unique view of the world. Constructivism contends, unlike positivist views, that there is not necessarily an "objective"reality we all experience. This is the ‘relativist’ ontological view that reality and our world are dynamic and socially constructed. Therefore, qualitative scientific knowledge can be inductive as well as deductive.” [4]

So why is it important to understand the differences in assumptions that different philosophies and approaches to research have? Fundamentally, the assumptions underpinning the research tools a researcher selects provide an overall base for the assumptions the rest of the research will have. It can even change the role of the researchers. [2] For example, is the researcher an "objective" observer, such as in positivist quantitative work? Or is the researcher an active participant in the research, as in postpositivist qualitative work? Understanding the philosophical base of the study undertaken allows researchers to fully understand the implications of their work and their role within the research and reflect on their positionality and bias as it pertains to the research they are conducting.

Data Sampling 

The better the sample represents the intended study population, the more likely the researcher is to encompass the varying factors. The following are examples of participant sampling and selection: [7]

• Purposive sampling- selection based on the researcher’s rationale for being the most informative.
• Criterion sampling selection based on pre-identified factors.
• Convenience sampling- selection based on availability.
• Snowball sampling- the selection is by referral from other participants or people who know potential participants.
• Extreme case sampling- targeted selection of rare cases.
• Typical case sampling selection based on regular or average participants. 

Data Collection and Analysis

Qualitative research uses several techniques, including interviews, focus groups, and observation. [1] [2] [3] Interviews may be unstructured, with open-ended questions on a topic, and the interviewer adapts to the responses. Structured interviews have a predetermined number of questions that every participant is asked. It is usually one-on-one and appropriate for sensitive topics or topics needing an in-depth exploration. Focus groups are often held with 8-12 target participants and are used when group dynamics and collective views on a topic are desired. Researchers can be participant-observers to share the experiences of the subject or non-participants or detached observers.

While quantitative research design prescribes a controlled environment for data collection, qualitative data collection may be in a central location or the participants' environment, depending on the study goals and design. Qualitative research could amount to a large amount of data. Data is transcribed, which may then be coded manually or using computer-assisted qualitative data analysis software or CAQDAS such as ATLAS.ti or NVivo. [8] [9] [10]

After the coding process, qualitative research results could be in various formats. It could be a synthesis and interpretation presented with excerpts from the data. [11] Results could also be in the form of themes and theory or model development.

Dissemination

The healthcare team can use two reporting standards to standardize and facilitate the dissemination of qualitative research outcomes. The Consolidated Criteria for Reporting Qualitative Research or COREQ is a 32-item checklist for interviews and focus groups. [12] The Standards for Reporting Qualitative Research (SRQR) is a checklist covering a more comprehensive range of qualitative research. [13]

Applications

Many times, a research question will start with qualitative research. The qualitative research will help generate the research hypothesis, which can be tested with quantitative methods. After the data is collected and analyzed with quantitative methods, a set of qualitative methods can be used to dive deeper into the data to better understand what the numbers truly mean and their implications. The qualitative techniques can then help clarify the quantitative data and also help refine the hypothesis for future research. Furthermore, with qualitative research, researchers can explore poorly studied subjects with quantitative methods. These include opinions, individual actions, and social science research.

An excellent qualitative study design starts with a goal or objective. This should be clearly defined or stated. The target population needs to be specified. A method for obtaining information from the study population must be carefully detailed to ensure no omissions of part of the target population. A proper collection method should be selected that will help obtain the desired information without overly limiting the collected data because, often, the information sought is not well categorized or obtained. Finally, the design should ensure adequate methods for analyzing the data. An example may help better clarify some of the various aspects of qualitative research.

A researcher wants to decrease the number of teenagers who smoke in their community. The researcher could begin by asking current teen smokers why they started smoking through structured or unstructured interviews (qualitative research). The researcher can also get together a group of current teenage smokers and conduct a focus group to help brainstorm factors that may have prevented them from starting to smoke (qualitative research).

In this example, the researcher has used qualitative research methods (interviews and focus groups) to generate a list of ideas of why teens start to smoke and factors that may have prevented them from starting to smoke. Next, the researcher compiles this data. The research found that, hypothetically, peer pressure, health issues, cost, being considered "cool," and rebellious behavior all might increase or decrease the likelihood of teens starting to smoke.

The researcher creates a survey asking teen participants to rank how important each of the above factors is in either starting smoking (for current smokers) or not smoking (for current nonsmokers). This survey provides specific numbers (ranked importance of each factor) and is thus a quantitative research tool.

The researcher can use the survey results to focus efforts on the one or two highest-ranked factors. Let us say the researcher found that health was the primary factor that keeps teens from starting to smoke, and peer pressure was the primary factor that contributed to teens starting smoking. The researcher can go back to qualitative research methods to dive deeper into these for more information. The researcher wants to focus on keeping teens from starting to smoke, so they focus on the peer pressure aspect.

The researcher can conduct interviews and focus groups (qualitative research) about what types and forms of peer pressure are commonly encountered, where the peer pressure comes from, and where smoking starts. The researcher hypothetically finds that peer pressure often occurs after school at the local teen hangouts, mostly in the local park. The researcher also hypothetically finds that peer pressure comes from older, current smokers who provide the cigarettes.

The researcher could further explore this observation made at the local teen hangouts (qualitative research) and take notes regarding who is smoking, who is not, and what observable factors are at play for peer pressure to smoke. The researcher finds a local park where many local teenagers hang out and sees that the smokers tend to hang out in a shady, overgrown area of the park. The researcher notes that smoking teenagers buy their cigarettes from a local convenience store adjacent to the park, where the clerk does not check identification before selling cigarettes. These observations fall under qualitative research.

If the researcher returns to the park and counts how many individuals smoke in each region, this numerical data would be quantitative research. Based on the researcher's efforts thus far, they conclude that local teen smoking and teenagers who start to smoke may decrease if there are fewer overgrown areas of the park and the local convenience store does not sell cigarettes to underage individuals.

The researcher could try to have the parks department reassess the shady areas to make them less conducive to smokers or identify how to limit the sales of cigarettes to underage individuals by the convenience store. The researcher would then cycle back to qualitative methods of asking at-risk populations their perceptions of the changes and what factors are still at play, and quantitative research that includes teen smoking rates in the community and the incidence of new teen smokers, among others. [14] [15]

Qualitative research functions as a standalone research design or combined with quantitative research to enhance our understanding of the world. Qualitative research uses techniques including structured and unstructured interviews, focus groups, and participant observation not only to help generate hypotheses that can be more rigorously tested with quantitative research but also to help researchers delve deeper into the quantitative research numbers, understand what they mean, and understand what the implications are. Qualitative research allows researchers to understand what is going on, especially when things are not easily categorized. [16]

• Issues of Concern

As discussed in the sections above, quantitative and qualitative work differ in many ways, including the evaluation criteria. There are four well-established criteria for evaluating quantitative data: internal validity, external validity, reliability, and objectivity. Credibility, transferability, dependability, and confirmability are the correlating concepts in qualitative research. [4] [11] The corresponding quantitative and qualitative concepts can be seen below, with the quantitative concept on the left and the qualitative concept on the right:

• Internal validity: Credibility
• External validity: Transferability
• Reliability: Dependability
• Objectivity: Confirmability

In conducting qualitative research, ensuring these concepts are satisfied and well thought out can mitigate potential issues from arising. For example, just as a researcher will ensure that their quantitative study is internally valid, qualitative researchers should ensure that their work has credibility. 

Indicators such as triangulation and peer examination can help evaluate the credibility of qualitative work.

• Triangulation: Triangulation involves using multiple data collection methods to increase the likelihood of getting a reliable and accurate result. In our above magic example, the result would be more reliable if we interviewed the magician, backstage hand, and the person who "vanished." In qualitative research, triangulation can include telephone surveys, in-person surveys, focus groups, and interviews and surveying an adequate cross-section of the target demographic.
• Peer examination: A peer can review results to ensure the data is consistent with the findings.

A "thick" or "rich" description can be used to evaluate the transferability of qualitative research, whereas an indicator such as an audit trail might help evaluate the dependability and confirmability.

• Thick or rich description:  This is a detailed and thorough description of details, the setting, and quotes from participants in the research. [5] Thick descriptions will include a detailed explanation of how the study was conducted. Thick descriptions are detailed enough to allow readers to draw conclusions and interpret the data, which can help with transferability and replicability.
• Audit trail: An audit trail provides a documented set of steps of how the participants were selected and the data was collected. The original information records should also be kept (eg, surveys, notes, recordings).

One issue of concern that qualitative researchers should consider is observation bias. Here are a few examples:

• Hawthorne effect: The effect is the change in participant behavior when they know they are being observed. Suppose a researcher wanted to identify factors that contribute to employee theft and tell the employees they will watch them to see what factors affect employee theft. In that case, one would suspect employee behavior would change when they know they are being protected.
• Observer-expectancy effect: Some participants change their behavior or responses to satisfy the researcher's desired effect. This happens unconsciously for the participant, so it is essential to eliminate or limit the transmission of the researcher's views.
• Artificial scenario effect: Some qualitative research occurs in contrived scenarios with preset goals. In such situations, the information may not be accurate because of the artificial nature of the scenario. The preset goals may limit the qualitative information obtained.
• Clinical Significance

Qualitative or quantitative research helps healthcare providers understand patients and the impact and challenges of the care they deliver. Qualitative research provides an opportunity to generate and refine hypotheses and delve deeper into the data generated by quantitative research. Qualitative research is not an island apart from quantitative research but an integral part of research methods to understand the world around us. [17]

• Enhancing Healthcare Team Outcomes

Qualitative research is essential for all healthcare team members as all are affected by qualitative research. Qualitative research may help develop a theory or a model for health research that can be further explored by quantitative research. Much of the qualitative research data acquisition is completed by numerous team members, including social workers, scientists, nurses, etc. Within each area of the medical field, there is copious ongoing qualitative research, including physician-patient interactions, nursing-patient interactions, patient-environment interactions, healthcare team function, patient information delivery, etc. 

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Disclosure: Steven Tenny declares no relevant financial relationships with ineligible companies.

Disclosure: Janelle Brannan declares no relevant financial relationships with ineligible companies.

Disclosure: Grace Brannan declares no relevant financial relationships with ineligible companies.

This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.

• Cite this Page Tenny S, Brannan JM, Brannan GD. Qualitative Study. [Updated 2022 Sep 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

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2024 Theses Doctoral

Performance Feedback: Understanding How Supervisors in Two Midwest Prisons Develop their Personal Practices

Dail, Lawrence Patrick

Employees desire performance feedback which helps them understand what they are doing well, what they are doing wrong, and how to develop so that they can advance in their careers. Yet, many comment that they do not receive enough performance feedback to help them understand if they are being successful in their work or where they can improve. In this qualitative study, I pursued the question of what might prevent supervisors from providing performance feedback to their direct reports by interviewing a group of front-line supervisors and their wardens in two Midwest Prisons. My goal was to identify what the supervisor participants believed performance feedback was, how they understood and explained their personal feedback delivery practices, and how they learned to deliver feedback. My research methodology involved three stages of data collection, including collecting a range of documents from the prison system, one-on-one interviews with the two wardens who led the two prisons involved in the study, and one-on-one interviews with 16 Sergeants. I leveraged Kolb’s Experiential Learning Cycle (ELC) as the theoretical lens of this study. As Kolb (2014) explains, every time an individual has an experience, they have the opportunity to learn from that experience. I was curious to understand if a group of supervisors in a correctional work environment learned how to deliver and improve upon their performance feedback practices through the on-going delivery of feedback. Through the data analysis process, I found that both Warden participants deeply valued performance feedback as a teaching method and see it as an important method supervisors can utilize to enhance Correction Officer (CO) growth and development. Additionally, I found that the majority of supervisor participants (15/16) believed and understood delivery of performance feedback to COs to be a function of their rank, while a slightly smaller majority (10/16) explained it as a responsibility of their rank. Further, I found that the supervisor participants naturally employed a comprehensive range of performance feedback best practices including being positive and supportive (14/16), providing praise for work done well (13/16), correcting poor performance or incorrect understanding of policy or procedure (12/16), and conducting the feedback exchange as a conversation (10/16). Finally, I found that the supervisors’ beliefs and understandings of how they learned to provide performance feedback align with Kolb’s ELC. A majority (13/16) of the supervisor participants explained that they learned to deliver performance feedback through experience (having an experience, ELC first mode) in the supervisory role, while half of the supervisor participants (8/16) described how they learned to deliver performance feedback to Correction Officers (COs) through reflecting on prior experience (reflecting on experience, ELC second mode). Several of the supervisor participants (5/16) explained how they thought through and planned (Abstract Conceptualization, ELC third mode) their feedback conversations with COs, while a small minority (2/16) of the participants spoke to their practice of experimenting with new approaches when delivering performance feedback (Active Experimentation, ELC fourth mode) to COs. I close my study by offering recommendations based on the findings to front-line supervisors, wardens, and to trainers and educators working within correctional organizations.

Geographic Areas

• Middle West
• Prison wardens--Training of
• Employees--Rating of
• Correctional personnel--Training of
• Adult education
• Organizational behavior
• Prison administration
• Feedback (Psychology)

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• Published: 21 May 2024

Long-term care staffs’ experience in facilitating the use of videoconferencing by cognitively impaired long-term care residents during the COVID-19 pandemic: a mixed-methods study

• Marie-Soleil Hardy 1 ,
• Chaimaa Fanaki 1 ,
• Camille Savoie 1 ,
• Machelle Wilchesky 2 ,
• Marie-Pierre Gagnon 1 ,
• Maude Laberge 3 ,
• Vincent Couture 1 ,
• André Côté 3 ,
• Clémence Dallaire 1 ,
• Philippe Voyer 1 ,
• Maria Cecilia Gallani 1 ,
• Bernadette Dallaire 4 &
• Éric Gagnon 4  

BMC Health Services Research volume  24 , Article number:  646 ( 2024 ) Cite this article

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During the COVID-19 pandemic, numerous long-term care (LTC) homes faced restrictions that prevented face-to-face visits. To address this challenge and maintain family connections, many LTC homes facilitated the use of electronic tablets to connect residents with their family caregivers. Our study sought to explore the acceptability of this practice among staff members and managers, focusing on their experiences with facilitating videoconferencing.

A convergent mixed method research was performed. Qualitative and quantitative data collection through semi-structured interviews to assess the acceptability of videoconferencing in long-term care homes and to explore the characteristics of these settings. Quantitative data on the acceptability of the intervention were collected using a questionnaire developed as part of the project. The study included a convenience sample of 17 staff members and four managers.

Managers described LTC homes’ characteristics, and the way videoconferencing was implemented within their institutions. Affective attitude, burden, ethicality, opportunity costs, perceived effectiveness, and self-efficacy are reported as per the constructs of the Theoretical Framework of Acceptability. The results suggest a favorable acceptability and a positive attitude of managers and staff members toward the use of videoconferencing in long-term care to preserve and promote contact between residents and their family caregivers. However, participants reported some challenges related to the burden and the costs regarding the invested time and staff shortage.

Conclusions

LTC home staff reported a clear understanding of the acceptability and challenges regarding the facilitation of videoconferencing by residents to preserve their contact with family caregivers.

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Introduction

Long-term care (LTC) homes in Canada were heavily shaken by the COVID-19 pandemic crisis. In Canada, around 80% of deaths during the first wave (March through August 2020) were among their residents [ 1 ]. To curb the spread of the virus, authorities implemented strict policies, such as social distancing and visit restrictions in LTC homes that inadvertently put residents at increased risk for loneliness [ 2 ]. A recent study highlighted how quarantine negatively impacted older adults with cognitive impairment [ 3 ], who represent more than 80% of LTC homes’ residents [ 4 ]. Existing literature highlights the deleterious effects of COVID-19-related isolation on older adults [ 3 , 5 , 6 ] and consequences for family caregivers [ 3 ]. The latter authors report acute deterioration in cognitive and behavioral function among residents during the first wave of the pandemic.

Family caregivers provide emotional and care support for older adults, especially those suffering from chronic and complex health conditions [ 7 ]. They play a vital role in supporting their older relatives as care recipients. Their involvement in the older adults’ decision-making has been associated with positive effects for family well-being [ 8 ].

To promote the presence of family caregivers despite visit restrictions, we proposed that LTC homes could benefit from technology like videoconferencing, using mainstream communication platforms (e.g., Zoom, Skype, Microsoft Teams) [ 9 ]. Technology use, supported by values of empowerment, respect for individuals and their right to self-determination, is considered as being a key factor to enable comprehensive person-centred care [ 10 ]. Studies show that the use of electronic devices to promote contact with loved ones significantly reduces feelings of loneliness in seniors, improves physical abilities and vitality, and promotes pain management [ 11 , 12 ]. To maintain family support, LTC home staff facilitated electronic tablets ‘use by residents to maintain the communication with their caregivers and loved ones, especially during the first waves, where in-person visits were prohibited. This experience brought different challenges and efforts of adaptation for the LTC homes’ staff members who were responsible for integrating these tasks into their work schedule and care routine. However, to our best knowledge, there has been no previous study in Canada that has evaluated the implementation of similar innovative technologies aimed at alleviating negative consequences among cognitively impaired seniors in LTC homes in the context of a pandemic. The aim of this article is to describe the acceptability of videoconferencing facilitation by LTC staff members and managers.

Study design

We conducted a convergent mixed method research, where we collected both quantitative and qualitative data, which were then integrated for the interpretation of the overall results [ 13 ]. This study is part of a larger research project aimed at evaluating the implementation process, viability, and acceptability of interventions to support the presence of family caregivers, as well as to examine the effects on residents and their family caregivers and related costs.

Setting and sample

Four LTC homes in the province of Quebec, Canada participated in our project. The diversity regarding their environment (urban, rural) or their organization status (public, private) enabled us to understand the various factors that can influence the degree and variability of implementation.

With the help of promotional posters and presentations of our research project that were diffused across settings, we have recruited a convenient sample consisting of 17 staff members and 4 managers.

Staff members were approached by the recruited managers and had to:1) be 18 years of age or older; 2) work in the LTC homes for at least 3 months; 3) be a member of the team providing services to residents (nurses, physiotherapists, occupational therapists, specialized educators, recreational activities technicians, etc..). In addition, the participating staff members had to facilitate videoconferencing communication between residents and their family caregivers. Managers had to be involved in the management and the direction of the LTC homes care activities.

Intervention

Each LTC was required to ensure the weekly occurrence of at least one videoconference meeting between residents and their relatives, over a three-month period. All staff members received written information on strategies for assisting residents that suffered from major neurocognitive problems and their loved ones during a videoconference.

Data collection methods

Following the instructions of public health limiting access to LTC homes, data collection was done virtually by research assistants from March 2021 to October 2021. Separate and different data collection were done with staff members and managers through an hour-long individual interviews where research assistants took detailed notes in the form of real time verbatim without any audio recording due to the need to produce results within a constrained timeframe to inform our partners and deliver key findings as stipulated by the funding terms. All identifiable data were anonymized to safeguard the privacy of the participants.

Staff members’ qualitative and quantitative data were collected at an interval of three months between (T1) and (T2) for each LTC. Semi-structured individual interviews were conducted by research assistants with all staff members using an interview guide inspired by the Theoretical Framework of Acceptability (TFA) and its six constructs [ 14 ] that were presented on Table 1 . We did not include the construct “Intervention coherence” of the Sekhon et al. [ 14 ] model because it did not apply to our intervention (which is the use of tablets).

Interviews were designed to explore staff members’ experiences in assisting residents and caregivers with videoconferencing, as well as the challenges and resources (facilitators) during intervention implementation and use. Interview guides were presented to two partner healthcare professionals before the beginning of data collection. Modifications were made following their comments to facilitate participants’ understanding of the questions.

Quantitative data on the intervention’s acceptability were collected at the same time as the interviews. Staff members rated each of the six TFA constructs (Table  1 ) on a scale from 0 to 10, where 10 indicates highest level of acceptability of the intervention (except for the constructs pertaining to « Opportunity cost» and « Burden», where the scale was inverted).

Only qualitative data were collected with managers at T1 through a semi-structured individual interview to provide an overall understanding of the philosophy, physical environment, clinical and quality of life programs, work organization, staffing and technology use in each LTC home.

Sociodemographic data from all participants were collected at the beginning of the interview at T1.

Data analysis

For qualitative data, we have used a deductive approach by building an analytical framework on an excel table based on the six constructs of the TFA. Two research assistants then analyzed data independently. They later met with the principal investigator to reach consensus and validate the themes. Quantitative data were analyzed using IBM SPSS Statistics version 28 software. The sociodemographic and construct data were analyzed descriptively, and frequency distributions, means, and medians were calculated.

Once the qualitative and quantitative data were analyzed, the findings from both approaches (quantitative and qualitative) were merged to observe convergence and divergence between the findings.

Ethical considerations

The protocol was approved by the CISSS Chaudière-Appalaches Ethics Board (2021–846—ESMO-ESLD). Permission for the research was given by the Direction Soutien à l’autonomie des personnes âgées – CISSS Chaudière-Appalaches (QC). All methods were carried out in accordance with relevant guidelines and regulations and Declaration of Helsinki. Due to social restriction measures during the pandemic, the research assistant contacted all participants, read and sent a copy of the consent form by email. All participants provided a verbal informed consent to participate in the research project which was approved by the ethics board.

First, participants’ sociodemographic characteristics are presented. Next, managers’ interviews results are presented. Finally, staff members’ acceptability of videoconferencing is presented in terms of qualitative and quantitative results.

Participants’ characteristics

Participant’s sociodemographic characteristics are presented in Table  2 . Three out of four LTC home managers were women. The sample represented a wide age range. They were occupying their position for an average of 7.3 years.

17 staff members participated at T1 and 12 at T2 since five members left their position during the study. Most staff members were female, with a mean age of 37.1 years. Participants occupied diverse job positions and had been working in their LTC home for an average of 8.8 years. The majority worked full time during the day shift. The “other” category of job title includes, but is not limited to, trainees, recreational services coordinator, and animation assistants.

Description of LTC home by managers

All managers described their LTC home as a personalized living environment, where they tried to match with each resident’s past lifestyle as closely as possible. “ We proceed with an approach where the resident has to feel like they are at home ”. (Etab1_GEST01). All managers placed great importance on the presence of the family and on maintaining a good relationship with them: “ Families are very present in the decisions we make. We are a transparent environment. We consult family members for all kinds of situations; we are truly in partnership in the decision-making process. ” (Etab4_GEST01). To this end, several spaces had been set up in LTC homes for meetings between residents and their loved ones, such as the residents’ rooms, common lounges, dining rooms, corridors, and outdoor courtyards. Some facility spaces were restricted due to COVID-19 to limit the spread of the virus.

Managers also highlighted the effect of the presence of the family in their settings on residents’ well-being. A manager explained how the lack of visits took a toll on residents: “ It had a very big impact… We saw impacts on the health and mental state of the residents .” (Etab4_GEST01).

To maintain communication through videoconferencing, managers reported that they adapted the care schedule as much as possible to the residents’ needs, habits, and routines. Family caregivers were aware of the care schedule and could plan the meeting time, beforehand. While different staff managed meetings and communications, including nurses, nursing assistants, and special educators, recreational technicians were mostly in charge supervising videoconferencing. Most managers reported that they had to solicit the aid of additional staff members to keep up with the increased demand for videoconference meetings during the pandemic.

The assigned staff were responsible for planning: “ Recreational technicians will plan the meeting, they will send the teams link to the relative by email, they will do a test in the office with the relative and to see if it works ” (Etab2_GEST01). One manager specified that some calls were initiated spontaneously if residents had a particular or urgent need. Before meetings, staff members also prepared residents and made sure that they were in a suitable setting to ensure smooth communication: “ We’re going to prepare the resident, so, proceed with the hygiene, make sure the resident has their hair/makeup done that the resident is in a well-lit environment, that the resident is in a nice place to make the call .” (Etab4_GEST01). Staff members also ensured the support and the good progress of the meetings: “ It is the recreational technicians who will hold the tablet, and make sure that the camera remains in front of the user. The staff member will also sometimes intervene in the meeting, for example, if the resident does not speak. He will sometimes speak with the caregivers to give news .” (Etab2_GEST01).

In addition to tablets, other technological equipment such as bigger screens were used in some settings to project the image during the call: “ We have televisions, which we can use to broadcast the video call on a larger screen than the tablet. This is a very popular trick to accommodate our residents, especially those with severe cognitive impairments, as residents sometimes have difficulty focusing well on the small screen of the tablet ” (Etab1_GEST01). Unfortunately, not all settings (one out of four) had access to an Internet network, which was limiting. Some LTC homes also bought a telephone handset to connect it to the tablet. The handset helped some residents with hearing problems to follow the conversation, or for the sake of familiarity, making them feel like they were talking on the phone.

Staff members’ acceptability of videoconferencing

Quantitative results of staff members’ acceptability of videoconferencing are shown in Fig.  1 . The scores obtained showed stability between T1 and T2.

Mean scores of acceptability of videoconferencing by staff members

Qualitative and quantitative findings are presented below for each TFA construct.

Affective attitude

Staff members showed a positive attitude toward the use of videoconferencing to preserve contact between residents and their caregivers (mean score around 8 out of 10). Most staff members had a positive experience when assisting residents during their videoconferences with families. Videoconferencing helped to keep residents connected to their loved ones, to increase interaction between them, and to create unique moments. For example, one staff member described the caregivers as their clients as much as the residents themselves “ In general, I think it’s great to be able to do this for the families and for the residents. Sometimes I feel like I’m doing it more for the residents, sometimes I’m doing it more for the family, but I consider both to be my clients. I realized that for the families, to see them, it makes a difference. It’s important for people because it allows them to keep a connection .” (Etab1_PROF03).

On the other hand, some staff members mentioned that the resident’s mental state affected how the videoconferences were conducted. For instance, certain residents faced challenges in recognizing their family members, some became upset during video calls as they couldn't physically touch their loved ones through the screen. A few residents would even fall asleep during the calls. To this end, most staff members perceived that videoconferencing was beneficial primarily for families.

Almost all staff members reported that assisting residents during videoconference required a lot of effort (scores of 6,4 and 6,2 out of 10). Most residents required continual assistance due to their cognitive and other impairments. One staff member explained: “ For people who are more independent, it doesn’t take much effort because you just have to set up the tablet. However, for people who are less independent, you have to set them up, be with them during the meeting, stimulate them, which is more demanding. You have to keep the resident awake. We are a communication support .” (Etab4_PROF04). Moreover, some staff and family caregivers weren’t comfortable using videoconference platforms or tablets. For example, one staff member added: “ In terms of the technology, we had to adapt to that and show the family how to do it. We had to be patient and accommodating. Sometimes it took two people. It took a lot of energy .” (Etab1_PROF04). Eventually, it caused an overload of work by adding extra tasks to the staff’s schedules: “ It still fits into our schedule but it’s too busy too so we’re tight, our daily routine didn’t change but we were adding more tasks each time! ” (Etab1_PROF01). Sometimes this could lead to cutting other activities, which some of them deemed more useful for the stimulation of many residents.

The intervention was also a good fit with their value system (scores of 8.4 and 7.9 on ethics variable). However, some staff members mentioned that this mode of communication did not match with their values at all, as they preferred face-to-face visits. Several participants reported the lack of privacy: “ For sure, the in-person visits were better because the families stayed with the residents longer without us being there, so they had more privacy and direct interaction with the residents ” (Etab5_PROF02). To this end, several staff members characterized videoconferencing as a default means of communication considering the restrictions on visitations, related to the COVID-19 pandemic: “ Sure it would be better with face-to-face visits, but we can’t, so it’s better than nothing. It’s a good alternative ” (Etab1_PROF06). Finally, a few staff members mentioned the importance of videoconferencing, as it was important for them to maintain relationships and contact between residents and their loved ones: “ I can understand that a family feels helpless when they can’t see them in person. You can’t be against this means of communication when you see the reaction of the relatives ” (Etab5_PROF02).

Opportunity costs

Average cost scores are 5,9 and 6,0, reflecting a certain amount of costs related to videoconferencing across different settings. Indeed, the analysis of the staff interviews showed that several adjustments were required for the integration of videoconferencing within work routines. First, it required scheduling adjustments to fit it into the care schedule, as one participant noted: “ It takes a lot of time (…). So, if we have a lot of requests during the day, I’ll be forced to focus on the calls and not on my other duties. ” (Etab5_PROF02). In addition, it was difficult to balance the time spent on videoconferencing with that spent on other leisure activities: “ It was the main activity, we dropped everything else. So, in this context where that’s all we do, well, it fits in well. It was the only thing to do. Now that we’re offering other activities again, it’s harder to integrate .” (Etab5_PROF01). Indeed, adding videoconferences into the care schedule was reported as a challenge by several staff members: “ We have time slots that we try to keep up with, but sometimes these meetings can play on the actual planning to devote more time for meetings. ” (Etab4_PROF03).

In doing so, most participants reported that integrating videoconferencing via tablets required a notable time investment. “ It takes a lot of time. The residents are not able to do it on their own. […] You must do everything. It’s everything from planning the call to getting off the phone. Some residents I leave alone in the room with the tablet during the call, but sometimes it’s hard. There are some that tap the tablet, so they end up with windows and pictures ”. (Etab1_PROF03). Other staff members reported that the time investment depended on the resident’s ability to stay alone during videoconferences: “ It's variable, it depends, for some you have to be with them all the time and some I can leave once the zoom is set up. It’s different from one resident to another ” (Etab2_PROF01).

Perceived effectiveness

Videoconferencing seems to achieve its purpose to preserve contact, with a score around 7.0 in T1 and T2. According to participants, videoconferencing keeps residents connected to their loved ones, especially when family caregivers were restricted from visiting residents. One staff member said: “ I think we hit that target. You have to put it in the context that the loved one can’t see [the residents] so the video was a solution to keep the connection and communication between the residents and their loved ones. I’ve seen a lot of things exchanged and shared through these communications, like showing newborns, recipes and stories being shared, etc . For people with severe [cognitive] disorders, even though we can’t assess the situation, we still see reactions and emotions come out during these calls. ” (Etab4_PROF01). For some residents, videoconferencing helped to maintain their psychological health: “ Everything that was mediated, the anxiety rose for the most lucid. The more affected ones didn’t understand why there was no more activity, they felt abandoned. So, videoconferencing was a stimulating activity. I think it helped them with their psychological health. That’s a problem we had for a while; morale was low among our residents. ” (Etab5_PROF01). It also helped to stimulate even the most cognitively impaired residents: “ Another lady this morning, she was asleep, so I sat down next to her and called her son, so I put him on the speaker. When the son started talking, the lady woke up and started making sounds. I think that with what I’ve seen since we started doing this, no matter what stage the patient is in, it awakens the residents, it touches something, that’s for sure. ” (Etab1_PROF03).

On the other hand, a few participants reported that videoconferencing remained a default means of communication, compared to in-person visits. One staff member said: “ Face-to-face interactions are more beneficial than the other means, you can touch them for example, while it’s not possible using the videoconferencing .” (Etab1_PROF01). Finally, some participants reported that it was difficult to judge the usefulness of videoconferencing in maintaining quality contact and breaking isolation because residents have severe cognitive impairment. One participant said: “ It’s because of their neurocognitive impairment. I find that these people have less or no interest in looking at a camera, sometimes they don’t even understand. So, it takes a physical presence to be able to be stimulated. For other residents who have no or little [cognitive] impairment, these interventions are more beneficial because they are always happy to talk to their loved ones.” (Etab5_PROF04).

Self-efficacy

All staff members interviewed reported feeling confident and competent to assist residents with their communication with the tablet, with a score around 9 out of 10 in self-efficacy. In addition, professionals reported that their sense of competence improved over time: “ At first, I didn’t feel competent at all. It got better over time. ” (Etab1_PROF04).

The present study aimed to describe the acceptability of videoconference by the staff members and managers of four LTC homes. Across different LTC homes, managers and staff members acknowledged the importance of the family’s presence in their settings and their role in the residents’ lives and well-being. They consider the residents’ families to be as much as their clients as the residents themselves. They involve them in decision-making and in their relative’s care. In Canada, family caregivers spend many hours caring for their relatives in LTC homes, especially those suffering from cognitive problems. They promote and provide emotional support, social engagement, advocate for their relatives, oversee their care and contribute resources and ideas to the LTC home community [ 15 ]. Following the restriction of visits during the pandemic, managers and staff members noticed how the absence of family caregivers impacted the mental and physical health of their residents. To maintain communication and to counter the potential adverse effects that these restrictions might inflict, LTC homes turned to videoconferencing as an alternative strategy. Social isolation was associated with negative deleterious outcomes, including an increase in depression, cognitive decline, and behavioural symptoms of dementia [ 16 ]. Several studies have shown how the withdrawal of different social activities and the restrictive measures that were put in place created confusion among these residents [ 17 , 18 ]. These results were similarly reported by our participating LTC home managers and staff in our study and applies particularly to residents with severe cognitive impairment. Moreover, videoconference was generally perceived positively by all the staff and managers, similarly to our previously published findings that report on acceptability by caregivers and residents [ 9 ]. The videoconferencing intervention purpose fit within the culture and philosophy of LTC homes that strive to embrace a person-centred care model that prioritizes personhood and quality of life, by creating and supporting collaborative relationships among workers, family caregivers, and residents. Personalizing the means of communication and their frequency according to family needs and resident characteristics could be considered to ensure adherence and the desired effects.

The use of tablets for videoconferencing was newly introduced to these LTC homes during the pandemic. Most sites, however, were not ready or equipped to properly organize and manage their implementation. First, most settings had only few tablets, which wasn’t practical to serve the high demand for videoconferences. They didn’t have access to a public Wi-Fi network, so staff could not easily connect and commute across different rooms and areas. Moreover, the reported absence of practice standards and guidelines for such interventions in long-term care left the whole process arbitrary (i.e., up to each care home), which explains the variability in the implementation approach across sites. For example, different sites assigned different staff members to organize videoconference sessions with families and to support residents when needed. However, data from managers and staff show that this intervention is interdisciplinary and involves multiple activities to ensure a positive experience for everyone. As such, a variety of healthcare professionals were involved in the management of videoconferences (e.g., nurses, recreational activities technicians, special educators). The videoconference significantly mobilizes the staff since several steps are necessary for videoconference success. For example, the staff must plan the meeting with the family beforehand, they must dress the resident, take him/her to a quiet place, support the family in technical difficulties, assist the resident during the videoconference, etc. In doing so, videoconferencing represents a significant additional workload for staff; much more than in-person visits, for which staff have no special preparation. On the other hand, videoconferencing requires less effort for caregivers since they connect remotely for a few minutes from their home. It is not surprising, therefore, that when we compare the ‘burden’ scores of family caregivers from our previous study [ 9 ] and staff, we see that the score is higher for staff than for family caregivers.

Managers mentioned that their sites have adequately adapted and personalized work routines and care schedules to allow for smooth integration of videoconferencing. Staff members, however, reported a somewhat different reality. In fact, integrating this new role within their usual daily routine was challenging, especially in the context of staff shortage and turnover faced in this setting during the pandemic. Staffing shortages are not new to LTC homes, as this was already a challenging reality before the pandemic [ 17 , 18 ]. Thus, to support tablet use and organize videoconference meetings, staff members had to divide their work time between all residents, hindering or cancelling other activities that were perceived as being important and beneficial for the stimulation of those who were cognitively impaired. To be able to promote stimulation and increase contact rates, LTC homes need to be equipped with technologies and environments that are more adapted to the needs of the elderly with neurocognitive disorders.

Limitations

While conducting the study during the COVID-19 pandemic was a strength, it also presented challenges, especially due to the restrictions in long-term care settings at that time. The small sample size in this study may impact the external validity of the quantitative data. The generalizability of the findings is limited due to the small sample size. Additionally, real-time transcription of qualitative data, instead of recording, could potentially raise issues regarding its credibility and confirmability. However, the triangulation of qualitative and quantitative data enhances the rigor of the study and enables valid conclusions to be drawn.

The results suggest a favorable acceptability and a positive attitude toward the use of videoconferencing in long-term care to preserve and promote contact between residents and their family caregivers. Videoconference implementation in these settings faced some challenges, both for staff members and for managers, especially in terms of the burden and opportunity costs regarding the invested time and staff shortage that must be tackled to achieve a sustained implementation. Videoconferencing is a complementary option to face to face visits. LTC homes should consider the use of such technology since it creates an opportunity to stimulate residents with major neurocognitive problems and increase their contact with loved ones.

Availability of data and materials

The datasets generated and/or analyzed during the current study are not publicly available due to ethical concerns and restrictions imposed by the ethics committee, and prior agreements with participants, but are available from the corresponding author on reasonable request.

Abbreviations

Long term care

Theoretical Framework of Acceptability

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Acknowledgements

We want to thank Mrs. Micheline Harvey, translator, for the English language review. We would also like to thank Mr. Stéphane Turcotte, biostatistician, for statistical consultation and analysis.

This research project was funded by Canadian Institutes of Health Research with a partnership with Healthcare Excellence Canada [SL3-174031].

Author information

Authors and affiliations.

Faculty of Nursing Science, Université Laval, Québec, QC, G1V 0A6, Canada

Marie-Soleil Hardy, Chaimaa Fanaki, Camille Savoie, Marie-Pierre Gagnon, Vincent Couture, Clémence Dallaire, Philippe Voyer & Maria Cecilia Gallani

Department of Family Medicine and Division of Geriatric Medicine, McGill University, Montreal, QC, H3S 1Z1, Canada

Machelle Wilchesky

Faculty of Administration, Université Laval, Québec, QC, G1V 0A6, Canada

Maude Laberge & André Côté

Faculty of Social Sciences, Université Laval, Québec, QC, G1V 0A6, Canada

Bernadette Dallaire & Éric Gagnon

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Contributions

MSH, MP and VP designed the project and defined the overarching scientific aims of the project and conceptualized the operationalization of study methods and the data analysis process. MW, ML, VC, AC, CD, MCG, BD and EG reviewed and commented the research protocol. MSH, CF and CS participated at the collection, analysis, interpretation of data and finalizing the last version of manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Marie-Soleil Hardy .

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Ethics approval and consent to participate.

The study was approved by the CISSS Chaudière-Appalaches Ethics Board (2021-846 - ESMO-ESLD). Permission for the research was given by the Direction Soutien à l’autonomie des personnes âgées - CISSS Chaudière-Appalaches (QC) prior to the commencement of the study. Each participant was asked to provide a verbal informed consent prior to the interview after the research assistant explained and sent them the consent form by email. All methods were carried out in accordance with relevant guidelines and regulations.

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Not applicable.

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The authors declare that they have no conflict of interest.

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Hardy, MS., Fanaki, C., Savoie, C. et al. Long-term care staffs’ experience in facilitating the use of videoconferencing by cognitively impaired long-term care residents during the COVID-19 pandemic: a mixed-methods study. BMC Health Serv Res 24 , 646 (2024). https://doi.org/10.1186/s12913-024-11095-9

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Received : 26 June 2023

Accepted : 09 May 2024

Published : 21 May 2024

DOI : https://doi.org/10.1186/s12913-024-11095-9

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