Illustrating a novel methodology and paradigm applied to Emergency Department research

Abstract

Aim: To provide a practical example of how a novel methodology and paradigm was applied to a mixed methods study exploring the healthcare experiences of Australian adults who frequently use emergency department services. Design: Discussion Paper. Data sources: We explored published literature discussing philosophical and methodological issues related to mixed methods research. Literature searches were performed between July 2019 and February 2021. Implications for nursing: Phenomenology is a powerful methodology to explore the lived experience of research participants, but it is not without limitations. Mixed methods phenomenology allows nurse researchers to bring further clarity to their research phenomena, however, including phenomenology in mixed methods studies may be seen to be philosophically incompatible. The philosophical metaparadigm of dialectical pluralism provides nurse researchers with a new coherent methodological and philosophical framework for combining participants' descriptions of lived experience with a variety of data collection methods. It is effective when working with transdisciplinary research teams, and stakeholders representing diverse values and disciplines. Conclusion: Complex healthcare environments require sophisticated, flexible research approaches. This paper presents mixed methods phenomenological research combined with the metaparadigm of dialectical pluralism providing a methodological framework that can support multifaceted nursing research. Impact:The combination of mixed methods phenomenology and dialectical pluralism represents a novel solution for nurse researchers to articulate a research methodology and philosophical paradigm reflecting the complexity embedded in everyday nursing practice. This methodology offers a unique approach to exploration of challenging clinical and patient scenarios with multifaceted elements, and overcomes theories of philosophical incompatibilities between divergent methods.

The Influence of Internal Corporate Social Responsibility Factors on the Innovation Climate of Employees in the Healthcare Industry

“…Aligning the research challenge with a suitable approach and design is a step in decision-making. To comprehend participants' lived experiences and views, researchers in qualitative research employ open-ended questions to investigate the how and why of an occurrence within particular contexts (Binnie et al, 2021). However, a quantitative method was necessary for the current study, which studied the correlation between employee-driven social responsibility characteristics and the atmosphere for members' creativity.…”

“…Using a variety of diagnostic measures, including model fit, R2, change statistics, descriptions, parts and partial correlation, collinear diagnosis, Durbin-Watson, and Case-wise diagnostics, the researchers used multiple regression analysis in both Excel and SPSS for correlation and multi-regression computations (Binnie et al, 2021). As shown in Table 2, the regression coefficients and model fit, as well as the multiple R value (0.55), R square (0.30), and modified R square (0.22), were important elements in multiple regression analysis.…”

Embracing Paradigmatic Diversity in Nursing

“…Younas and Sundus24 demonstrated how DP informed a novel technique known as “tripartite analysis” to integrate qualitative and quantitative data in convergent mixed-methods nursing research. Similarly, in a methodological article by Binnie et al,25 the authors described DP as a novel worldview and illustrated how it logically informed their study about adults with adverse childhood experiences and their experiences accessing care in emergency departments. While we found few nursing studies referencing DP (given the relative newness of DP in the literature), it can be anticipated that in time, this worldview will gain ground within the discipline, given its seeming compatibility.…”