A Fully Longitudinal Mixed Methods Case Study Design: An Example Based on the Illness Trajectory of a Person With Chronic Conditions in Home-Monitoring-Based Telenursing During the COVID-19 Pandemic

Abstract

A challenge for mixed methods researchers concerns integration in the methodological dimension. Employing a fully longitudinal mixed methods case study design, we examined the physical and psychological changes in a chronically ill older person via telenursing video consultations. We collected daily measures of his physical state and conducted clinical interviews before and during the COVID-19 pandemic. Our two-step approach integrated mixed data types, first, by making meta-inferences at five time frames during his illness trajectory and, second, by developing “global meta-inferences,” or interpretations across the meta-inferences from each of the five time frames using joint display analysis. We contribute to the mixed methods literature by illustrating integration in the methodological dimension through a fully longitudinal mixed methods case study.

Leveraging the Power of Online Qualitative Inquiry in Mixed Methods Research: Novel Prospects and Challenges Amidst COVID-19

“…Whereas, some interviews encompass one meeting instance per participant, others entail many interviews with a participant over time. Kamei et al (2021) , for instance, detailed a fully longitudinal mixed methods case study encompassing telenursing interviews over more than 24 months (to include the pandemic period).…”

“…This article details the opportunities and challenges of carrying out the qualitative strands of mixed methods research (MMR) amid the unparalleled circumstances promulgated by the COVID-19 pandemic. While scholars have commented on the bourgeoning opportunities to explore the pandemic’s effects on humanity ( Fetters & Molina-Azorin, 2020 ; Graber, 2020 ; Jowett, 2020 ; Kamei et al, 2021 ; Riha et al, 2021 ; Meixner & Spitzner, 2021 ), some of those very effects, in the form of social distancing and stay-at-home edicts, have recessed face-to-face qualitative research efforts or, in novel cases, pushed them online. This turn, and the possibility that online research will become a new normal, necessitates adroit consideration of how to use qualitative methods in a virtual form, ethically and practically, within MMR.…”

Special Issue on COVID-19 and Novel Mixed Methods Methodological Approaches During Catastrophic Social Changes

“…In the sixth article, Kamei et al (2021) who have affiliations in nursing science, pulmonary medicine, and international politics, economics, and communication, used a longitudinal mixed methods case study design to examine physical and psychological changes in a chronically ill older person via telenursing video consultations. The authors collected daily measures of his physical state, and conducted clinical interviews before and during the COVID-19 pandemic.…”

Percepção de acadêmicos de enfermagem sobre a realização da telenfermagem durante a pandemia por coronavírus

“…"Acredito que [a telenfermagem] tenha sido um meio de levar o serviço de saúde básico para a população de uma forma que trazia menos risco em meio a pandemia". (P19) Em resumo, Kamei et al, (2021) afirmou que pacientes com doenças crônicas o acompanhamento através da telenfermagem possui uma estrutura acerca das expectativas dos pacientes e suas famílias em relação ao curso futuro da doença. Segundo trecho abaixo: "(...) [A telenfermagem prevê] condutas de saúde para o indivíduo que agem na prevenção de doenças, controle de doenças [crônicas] presentes, orientações de saúde em geral".…”