Mixed methods research is viewed as the third methodological movement and as an approach it has much to offer health and social science research. Its emergence was in response to the limitations of the sole use of quantitative or qualitative methods and is now considered by many a legitimate alternative to these two traditions. Purists’ view of the dichotomy between positivist and non-positivist philosophies is prevalent; however, mixed methods afford researchers an opportunity to overcome this ‘false dichotomy’. The philosophical underpinning of pragmatism allows and guides mixed methods researchers to use a variety of approaches to answer research questions that cannot be addressed using a singular method. In particular, healthcare researchers may benefit from the opportunity to use such a dynamic approach to address the complex and multi-faceted research problems often encountered in the health care sector.
Mixed methods has become increasingly popular in health related research allowing a broader and deeper understanding of complex human phenomena. This growth in popularity has increased the range of usage and complexity in design approaches producing greater need for understanding of logistical and practical application in this field. This paper aims to provide an overview of mixed methods research and orientate to the critical issues that arise for researchers. It provides an introduction to mixed methods design and the rationale and philosophical underpinnings for this methodological approach. It navigates the reader through some of real world or 'hot topics' within mixed methods including data analysis, integration and quality appraisal criteria.
KeywordsMixed methods, qualitative research, quantitative research, integration, healthcare research.
Public health nurses need to define and redesign their role so that they no longer think that they are the catch-all service in the community. This will enable them to deal with the rapid demographic, sociological and cultural changes in the population, a change that has international resonance.
This study aimed to identify the lifestyle behaviours of nursing students. The research tool was a 146-item questionnaire based upon the College Lifestyle and Attitudinal National survey. Most students considered their mental health as either good or very good. Those in the final year were more likely to rate their mental health poorly. Many experienced programme-related stressors including examinations and assignments and studies in general. More than one-third also reported stressors related to relationships with clinical staff and clinical assessment of competence. There is a concern that the added demands of modern nursing programmes place the student under considerably more pressure, because of competing demands. While many students talk to their peers or family, many do not and prefer rather to go it alone, with some choosing to escape through alcohol or drugs. The support and encouragement of healthy coping mechanisms among nursing students is paramount to ensure a healthy nursing workforce for the future. Nursing students support the mental and physical health of others, and therefore in many ways ought to a role model. Nurturing and supporting their mental health is crucial to the future of profession.
There is a need to develop a workload measurement system for use by public health nurses in Ireland that is capable of measuring the uniqueness of the role.
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