Trustworthiness in Qualitative Research

Adler, Rachel H.

doi:10.1177/08903344221116620

Cited by 60 publications

(49 citation statements)

References 16 publications

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“…The decision to conduct a direct content analysis, as well as the definition of initial coding categories were made by the research team. Regarding the following steps, it was decided that they would be conducted by two authors independently, following an analyst triangulation approach, to increase research credibility and confirmability ( Shenton, 2004 ; Adler, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Healthcare decision-making capacity in old age: A qualitative study

et al. 2022

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ObjectivesResearch about decision-making capacity has been growing in the last decades. That relates to more concerns regarding patients’ autonomy, and an increase in diseases that can negatively impact capacity. This research aims to: explore perceptions, legal aspects, and assessment procedures related to healthcare decision-making capacity in older adults with cognitive impairment; and study the first version of a new assessment instrument of this capacity.MethodNine focus groups were conducted, including healthcare, law and justice, nursing home professionals, institutionalized older adults, and dwelling older adults. Focus group discussions followed semi-structured interview scripts, specifically developed for each group. After group discussions, the assessment instrument was presented, and participants were asked to evaluate each item relevance and comprehensibility. Qualitative coding of the transcriptions was performed with resource to MAXQDA, using direct content analysis.ResultsSix primary themes emerged from the qualitative analysis: Decision-making capacity features; Abilities implied in decision-making; Factors influencing decision-making; Obstacles to decision-making; Legal aspects; and Assessment procedures.DiscussionResults corroborate previous theoretical formulations of capacity. Generally, research results have implications for clinical and assessment practices, as well as preventive strategies that can improve older adult’s decision-making capacity. Assessment procedures of capacity should include a thorough protocol for the assessment of cognition, functionality, depressive symptoms, and decision-making abilities. In this respect, the need for an assessment tool that can provide valid information during evaluation processes is highlighted. Concerning the strategies to promote decision-making capacity, these rely on improving older adult’s health literacy and healthcare providers communication skills, as well as conduct actions to reduce stigma toward people with dementia.

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Section: Methodsmentioning

confidence: 99%

Healthcare decision-making capacity in old age: A qualitative study

et al. 2022

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“…Trustworthiness as it pertains to qualitative research was an important consideration in this research. Trustworthiness of the research was accomplished in two ways, by reflexivity [ 21 , 22 ] and triangulation [ 23 , 24 ]. The principal investigator (PI) was an NP with clinical experience and expert knowledge.…”

Section: Methodsmentioning

confidence: 99%

Development of the Cardiovascular Assessment Screening Program (CASP) using the qualitative findings of a mixed methods study and applying the TDF to address the barriers of and facilitators to comprehensive screening for cardiovascular disease

et al. 2023

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Background There is inconsistent utilisation of clinical practice guidelines (CPGs) for cardiovascular disease (CVD) screening and management by healthcare professionals to identify CVD risk factors early and to intervene using current recommendations. This manuscript reports on the first phase of an exploratory sequential mixed methods study describing the integration of the qualitative study findings with the Theoretical Domains Framework (TDF) that led to the development of the Cardiovascular Assessment Screening Program (CASP). The main objective of the qualitative study was to inform the development of CASP. Methods Focus groups (5) and interviews (10) were conducted in rural and urban settings in one Canadian province with target health professionals, managers in health care organizations, and the public to obtain different perspectives to inform the CASP intervention. Three focus groups were held with nurse practitioners and two with members of the public; individual interviews were conducted with target groups as well. Application of the TDF provided a comprehensive approach to determine the main factors influencing clinician behaviour, to assess the implementation process, and to support intervention design. Behaviour change techniques, modes of delivery, and intervention components were selected for the development of the CASP. Results Themes identified such lack of knowledge about comprehensive screening, ambiguity around responsibility for screening, lack of time and commitment to screening were addressed in the components of the CASP intervention that were developed, including a website, education module, decision tools, and a toolkit. Conclusion CASP is a theory-informed intervention developed through the integration of the findings from the focus groups and interviews with selected TDF domains, behaviour change techniques, and modes of delivery available in the local context that may be a useful approach for knowledge translation of evidence into practice.

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“…Rather than reliability and validity, I tried to ensure trustworthiness of my research -a trend in qualitative research dating back to the 1980s (Krefting, 1991;Adler, 2022). One approach to trustworthiness of qualitative research is through truth value (how well does the findings reflect the truth of the findings), applicability in other contexts, whether the findings would be consistent in other contexts, and whether the research is neutral in the procedures and results (Krefting, 1991: 215-217).…”

Section: Methodsmentioning

confidence: 99%

Institutionalisation of academic integrity: Experiences at a distance education university in South Africa during COVID-19

Marais

2022

CriSTaL

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Academic integrity is an ongoing concern in higher education. Research dating back to the 1960s shows students self-reporting cheating, and with the advent of more online education, concerns about the integrity of degrees have become even more widespread. Due to this concern about academic integrity, especially in view of the changes brought about by COVID-19, I launched a research project that aimed to holistically understand how academics understand and teach academic integrity and institutional policies around academic integrity, and how these policies are employed through analysing five years’ worth of student disciplinary records at a distance education university. I interviewed twenty-eight academics and academic managers and analysed sixty-six documents, as well as 3 383 student disciplinary records. Flowing from that larger project, I argue in this paper that there has not yet been institutionalisation of academic integrity at this university. I end by offering suggestions for how institutionalisation could occur.

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Trustworthiness in Qualitative Research

Cited by 60 publications

References 16 publications

Healthcare decision-making capacity in old age: A qualitative study

Healthcare decision-making capacity in old age: A qualitative study

Development of the Cardiovascular Assessment Screening Program (CASP) using the qualitative findings of a mixed methods study and applying the TDF to address the barriers of and facilitators to comprehensive screening for cardiovascular disease

Institutionalisation of academic integrity: Experiences at a distance education university in South Africa during COVID-19

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