Why, and how, mixed methods research is undertaken in health services research in England: a mixed methods study

O’Cathain, Alicia; Murphy, Elizabeth A.; Nicholl, Jon

doi:10.1186/1472-6963-7-85

Cited by 271 publications

(258 citation statements)

References 30 publications

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“…Such role is critical in the Islamic culture where an effort will not be blessed without family, particularly parent and husband sanction (Muhamad et al, 2011;Norsa'adah et al, 2012). A literature review done by O'Cathain et al (2007) found that one of the barrier for breast cancer screening in Asian women was "inability to act without husband permission". As permission from husband and parent is very crucial in decision making, healthcare professionals should include them in health education and information giving programme to encourage mutual understanding and support among patients, husband and family.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Breast Cancer Experience: a Qualitative Study of Malaysian Women

Yusuf¹,

Hadi²,

Mahamood³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Breast cancer is the most common and leading cause of cancer mortality among Malaysian women. Despite good survival rates, the diagnosis of cancer still invokes the feeling of stress, fear and uncertainty. Because very little is known about the experiences of Malaysian women with breast cancer, a qualitative study using semistructured interviews to explore the lived experience of newly diagnosed breast cancer. Using a purposive sampling method, 20 Malaysian women newly diagnosed with breast cancer, including Malays (n=10) and Chinese (n=10) were recruited in two main public hospitals in Kelantan. Similarities and divergence in women's experience were identified through thematic analysis of interview transcripts. Three themes emerged from the data: uncertainty experience of the illness, transition process and fatalistic view of breast cancer. In many ways, these findings were parallel with previous studies, suggesting that the experience of breast cancer is to a certain extent similar among women newly diagnosed with breast cancer. This study adds to the sparse literature concerning the experience of illness following breast cancer diagnosis among the Malays and Chinese. More importantly, this study addressed areas that were previously lacking, specifically in depth information on breast cancer experience from a developing country with a multi-ethnic population. The results of this investigation provide preliminary information to healthcare professionals on the impact of illness and cultural influence on survivorship to plan for appropriate education and supportive programme in order to meet the needs of breast cancer women more effectively.

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Section: Discussionmentioning

confidence: 99%

Understanding the Breast Cancer Experience: a Qualitative Study of Malaysian Women

Yusuf¹,

Hadi²,

Mahamood³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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show abstract

“…Health research in the past has been predominated by quantitative approaches (Weaver and Olson, 2003;O'Cathain, 2007). Two main approaches are naturalistic or qualitative and positivist or quantitative approaches differ in their ontological, epistemological and methodological perspectives (Proctor 1998;Weaver and Olson, 2006).…”

Section: Philosophical Underpinnings For the Studymentioning

confidence: 99%

Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Suresh

Matthews

Coyne

2012

Journal of Clinical Nursing

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Aims and objectives. To measure and compare the perceived levels of job‐related stress and stressors of newly qualified nurses and fourth‐year student nurses in the clinical environment and to explore the participants’ views on stress and stressors. Background. Stress in the nursing workplace has significant consequences for the person, the patient and the organisation, such as psychological and physical health deterioration and impaired professional practice. To address this problem, stress and stressors need to be measured and identified. Design. This study used a cross‐sectional survey design and self‐reporting questionnaires to measure and compare levels of stress in both groups. Convenience sampling involved all newly qualified nurses (n = 120) and fourth‐year student nurses (n = 128) in Dublin North‐East region in Ireland. Methods. The instrument used was ‘The Nursing Stress Scale’ (Gray‐Toft & Anderson 1981, Journal of Behavioral Assessment3, 11–23). Descriptive, qualitative analysis was conducted on an open‐ended question. Data were obtained from newly qualified nurses (n = 31) and fourth‐year student nurses (n = 40) in six acute hospital sites. Results. Levels of perceived stress and stressors were high in both groups. Themes identified from the responses to the open question by both groups included excessive workload, difficult working relationships and unmet clinical learning needs. Student nurses also reported the combination of academic demands with clinical placement as a major stressor. There was no significant difference between each group. Conclusion. Stress continues to be a problem for nurses in the clinical setting. Excessive workload requires urgent attention by hospital managers in view of widespread retention difficulties. Themes identified could provide a framework for possible interventions for improving the clinical environment for nurses. Relevance to clinical practice. These results can help stakeholders in nurse education and practice to develop interventions to reduce stress for both groups and to ease the transition from student to graduate nurse.

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“…Given the dearth of evidence about patient and family caregiver experiences with opioids for dyspnea, it was appropriate to use a qualitative approach. We supplemented this approach with quantitative measures to further describe participants and maximize comprehensiveness, 10 an approach consistent with current calls for mixed-methods approaches to evaluate dyspnea in advanced disease [11][12][13] and the benefit of palliative care interventions. 1 3 To identify physicians' attitudes about and experience with prescribing opioids in this context, we used a single qualitative approach and collected basic demographic information.…”

mentioning

confidence: 99%

Perspectives of patients, family caregivers and physicians about the use of opioids for refractory dyspnea in advanced chronic obstructive pulmonary disease

Rocker¹,

Young²,

Donahue³

et al. 2012

CMAJ

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Background: A recent national practice guideline recommends the use of opioids for the treatment of refractory dyspnea in patients with advanced chronic obstructive pulmonary disease (COPD). We conducted two qualitative studies to explore the experiences of patients and family caregivers with opioids for refractory COPD-related dyspnea and the perspectives and attitudes of physicians toward opioids in this context. Methods: Patients (n = 8; 5 men, 3 women), their caregivers (n = 12; 5 men, 7 women) and physicians (n = 28, 17 men, 11 women) in Nova Scotia participated in the studies. Semistructured interviews were recorded, transcribed verbatim, coded conceptually and analyzed for emergent themes using interpretive description methodology. Results: Patients reported that opioids provided a sense of calm and relief from severe dyspnea. Family caregivers felt that opioids helped patients to breathe more “normally,” observed improvements in patients’ symptoms of anxiety and depression, and experienced reductions in their own stress. Patients reported substantial improvements in their quality of life. All patients and family caregivers wanted opioid therapy to continue. Most physicians were reluctant to prescribe opioids for refractory dyspnea, describing a lack of related knowledge and experience, and fears related to the potential adverse effects and legal censure. Interpretation: Discrepancies between the positive experiences of patients and family caregivers with opioids and the reluctance of physicians to prescribe opioids for refractory dyspnea constitute an important gap in care. Bridging this gap will require initiatives to improve the uptake of practice guidelines and to increase confidence in prescribing opioids for dyspnea refractory to conventional treatment

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Why, and how, mixed methods research is undertaken in health services research in England: a mixed methods study

Cited by 271 publications

References 30 publications

Understanding the Breast Cancer Experience: a Qualitative Study of Malaysian Women

Understanding the Breast Cancer Experience: a Qualitative Study of Malaysian Women

Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Perspectives of patients, family caregivers and physicians about the use of opioids for refractory dyspnea in advanced chronic obstructive pulmonary disease

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