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As Clear as a Mud Quality in Qualitative Research Rudolf Cymorr Kirby P. Martinez, PhD, RN, FRIN

Outline of Discussion Qualitative Research Paradigm Issues of Quality: Trustworthiness & Rigor Ways to Ensure Quality

Outline of Discussion Qualitative Research Paradigm Issues of Quality: Trustworthiness & Rigor Ways to Ensure Quality

Qualitative Research Paradigm

Qualitative Research Paradigm What is Qualitative Research

Qualitative Research Paradigm ASPECT QUALITATIVE QUANTITATIVE Focus Social Interaction Hypothesis Testing Data Word, Images Numbers, Stat Analysis Identifying Patterns Identifying Statistical Relationship Obj/Subj Subjectivity is Expected Objectivity is Critical Researcher Immersed Detached Method Exploratory (Inductive) (Bottom-Up) Final Report Narrative Statistical Confirmatory (Deductive) (Top-Down)

Qualitative Research Paradigm Qualitative Quantitative Internal (Attached) Dynamic & Multimodal Comprehensible Understanding External (Detached) Static & Singular Measurable by Senses Generalization

Qualitative Research Paradigm

Qualitative Research Paradigm

Qualitative Research Paradigm What makes us Human?

Qualitative Research Paradigm Conscious of Consciousness

Qualitative Research Paradigm Qualitative Research The Study of a Phenomenon

Qualitative Research Paradigm Experience Experiencer Phenomenon Qualitative Research

Qualitative Research Paradigm We Define Things based on our Experience

Qualitative Research Paradigm Qualitative Research is based on the assumption of Reality

Qualitative Research Paradigm Qualitative Research Consciousness Phenomenon Experience Experiencer

Qualitative Research Paradigm Qualitative Research bridges the gap between what is familiar in our worlds and what is unfamiliar Gadamer

Qualitative Research Paradigm What do we want to understand in Qualitative Research? Social Processes & structures Cultures Decision making process Contexts of Realities The experiences of people The meanings & Insights of their experiences Your journey in understanding what you understood

Qualitative Research Paradigm Qualitative Research is a Lens to Reality

Qualitative Research Paradigm Qualitative Research Makes Understanding Culturally Sensitive

Qualitative Research Paradigm So what about Rigor and Trustworthiness?

Outline of Discussion Qualitative Research Paradigm Issues of Quality: Trustworthiness & Rigor Ways to Ensure Quality

Outline of Discussion Qualitative Research Paradigm Issues of Quality: Trustworthiness & Rigor Ways to Ensure Quality

Issues of Quality: Trustworthiness & Rigor Trustworthiness Measure the worth of the research (Guba and Lincoln, 1991) Relevance Product Rigor Process Focus on the Process rather than Product (For this session)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Epistemologic (Content) Content Form Aesthetic (Form) Positivist Realist Interpretivist Validity (Internal; External); Reliability Dependability; credibility; conformability; transferability; authenticity** No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Epistemologic (Content) Content Form Aesthetic (Form) Positivist Realist Interpretivist Validity (Internal; External); Reliability Dependability; credibility; conformability; transferability; authenticity** No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Consistency of data collected Degree to which it measure what it meant to measure Extrapolate stat. finding to a wider populace Reliability Internal Validity External Validity Content Positivist Form Postivist Validity (Internal; External); Reliability ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Consistency of data collected Reliability Content Quali does not gain consistent result Explorative nature Narrative are context sensitive Quali Philosophies Positivist Form Postivist Validity (Internal; External); Reliability ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Degree to which it measure what it meant to measure Internal Validity Content Post it that there is only 1 objective reality Quali asserts that there are multiple subjective realities Quali Philosophies Positivist Form Positivist Validity (Internal; External); Reliability ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Extrapolate stat. finding to a wider populace External Validity Content No statistics; no generalizability Can it be transferred May have meaning/ relevance to other individual & context Quali Philosophies Positivist Form Postivist Validity (Internal; External); Reliability ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Dependable Credible Reliability Internal Validity Content Confirmable Objectivity Transferable Generalizability External Validity Constructivist Modification Positivist Form Postivist Validity (Internal; External); Reliability ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness Dependable Reliability Criteria Consistency* Content Credible Internal Validity Truth Value* Confirmable Objectivity Neutrality* Transferable Generalizability Applicability* Authentic** Accuracy*** Reality*** Form Positivist Validity (Internal; External); Reliability ***Billups, 2014;**Guba & Lincoln, 1994 ;* Krefting, 1991

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Epistemologic (Content) Content Form Aesthetic (Form) Positivist Realist Interpretivist Validity (Internal; External); Reliability Dependability; credibility; conformability; transferability; authenticity** No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Epistemologic (Content) Content Form Aesthetic (Form) Positivist Realist Interpretivist Validity (Internal; External); Reliability Dependability; credibility; conformability; transferability; authenticity** No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Dependable Stability or consistency of the result over time Content Credible Confirmable Transferable Authentic Confidence in the truth of the findings Quality of the result as supported by informants Applicability to other context (3 P) Faithfulness & fairness in describing the exp. Form Realist Dependability; credibility; conformability; transferability; authenticity** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Epistemologic (Content) Content Form Aesthetic (Form) Positivist Realist Interpretivist Validity (Internal; External); Reliability Dependability; credibility; conformability; transferability; authenticity** No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Epistemologic (Content) Content Form Aesthetic (Form) Positivist Realist Interpretivist Validity (Internal; External); Reliability Dependability; credibility; conformability; transferability; authenticity** No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Diverse Approaches = Different Paradigm Henwood & Pidgeon (2016) Finlay (2016)** Polkinghorne(1983) Accuracy or Poetic Artistry Trustworthiness or Resonance Rigor or Relevance ** Interpreti vist No single uniform predetermined criteria; on it s own terms*** ***Finlay, 2016; **Guba & Lincoln, 1994; *Rolfe, 2006;

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Theoretical Sampling Reflexivity Documentation Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Theoretical Sampling Categories should fit the data Reflexivity Documentation Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Reflexivity Theoretical Sampling Documentation Rel. between unit of analysis and degree to which they can be integrated Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Reflexivity Theoretical Sampling Documentation Acknowledge and document the role of the researcher Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Reflexivity Theoretical Sampling Documentation Comprehensively account for what have been done and why Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Reflexivity Theoretical Sampling Documentation Continually develop & modify any emerging theory Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Interpreti vist Integration of Theory Reflexivity Theoretical Sampling Documentation No single uniform predetermined criteria; on it s own terms*** Awareness of research context, power differentials & participants reaction to research Henwood & Pidgeon (2016) Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Importance of Fit Sensitivity to Neg. Real. Transferability Content Integration of Theory Reflexivity Theoretical Sampling Documentation Suggest how the research maybe applicable beyond particular context Form Interpreti vist No single uniform predetermined criteria; on it s own terms*** Henwood & Pidgeon (2016)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Does the research make sense? Clarity Credib ility Finlay (2016) To what extent do the findings match the evidence Content Findings sufficiently vivid or powerful to draw readers in Com Res Contri bution To knowledge; humanity; profession Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Does the research make sense? Clarity Credib ility Finlay (2016) To what extent do the findings match the evidence Content Findings sufficiently vivid or powerful to draw readers in Com Res Contri bution To knowledge; humanity; profession Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Does the research make sense? Clarity Credib ility Finlay (2016) To what extent do the findings match the evidence Content Findings sufficiently vivid or powerful to draw readers in Com Res Contri bution To knowledge; humanity; profession Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Does the research make sense? Clarity Credib ility Finlay (2016) To what extent do the findings match the evidence Content Findings sufficiently vivid or powerful to draw readers in Com Res Contri bution To knowledge; humanity; profession Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Does the research make sense? Clarity Credib ility Finlay (2016) To what extent do the findings match the evidence Content Findings sufficiently vivid or powerful to draw readers in Com Res Contri bution To knowledge; humanity; profession Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Does the research make sense? Finlay (2016) To what extent do the findings match the evidence Content Clarity Credi bility Findings sufficiently vivid or powerful to draw readers in Com Res Contri bution To knowledge; humanity; profession Form

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Vividness Accuracy Richness Elegance

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Vividness - Is the research vivid in the sense that it generates a sense of reality and draws the reader in? Content Accuracy Richness Form Elegance

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Content Vividness Accuracy - Are readers able to recognise the phenomenon from their own experience or from imagining the situation vicariously? Richness Form Elegance

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Content Vividness Accuracy Richness Form Elegance - Finally, has the phenomenon been described in a graceful, clear, poignant way?

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Is the research vivid in the sense that it generates a sense of reality and draws the reader in? Are readers able to recognise the phenomenon from their own experience or from imagining the situation vicariously? Content Can readers enter the account emotionally? Form Finally, has the phenomenon been described in a graceful, clear, poignant way?

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* The issue of quality criteria is not well resolved Guba and Lincoln, 1994 p. 114

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Content Vividness Accuracy Richness - Can readers enter the account emotionally? Form Elegance

Outline of Discussion Qualitative Research Paradigm Issues of Quality: Trustworthiness & Rigor Ways to Ensure Quality

Outline of Discussion Qualitative Research Paradigm Issues of Quality: Trustworthiness & Rigor Ways to Ensure Quality

Ways to Ensure Quality Audit Trail Dependability Member checking Transferability Trustworthiness Credibility Prolonged Engagement Peer Debriefing Thick Description Authenticity Confirmability Triangulation Self Reflection (Guba & Lincoln, 1994)

Ways to Ensure Quality Member checking Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Audit Trail

Ways to Ensure Quality Dependability Member checking Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Audit Trail Checking of findings by the respondents themselves Resonance Respondent Validation NOT a verification strategy to judge the accuracy of analysis Ethics of what to check Transferability Authenticity Credibility Confirmability

Ways to Ensure Quality Dependability Member checking Gain trust and Rapport Transferability Credibility Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Audit Trail Gain entry into the unknown More Depth = More Insight Authority and skill of the Researcher Engagement WITH participants & WITH narratives Authenticity Confirmability

Ways to Ensure Quality Member checking Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Audit Trail Analytic Triangulation Insights are sensible & conceivable to a disinterested person Researcher discusses the R. methods, analysis & interpretation continuously with PEER not involved in project Skilled qualitative researcher Presentation in Conference Can the adviser act as the peer debriefer?!

Ways to Ensure Quality Member checking Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Audit Trail Gives more detailed and balanced picture of the situation (Altrichter et al, 2008) 4 Types (Denzin, 1978) 1. Data (source) time, space, person 2. Investigator Multiple researchers 3. Theory more than 1 theoretical scheme in interpretation 4. Method more than 1 method in data gathering Reduce bias Follow your philosophical underpinning NOT a tool to check Truthfulness of data

Ways to Ensure Quality Member checking Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Audit Trail Enable the res. To discuss their position w/in the study and how their personal belief & past training have influence their findings Field notes Reflexivity Journals Recognize and make explicit any personal bias Must be included in the final output

Ways to Ensure Quality Dependability Member checking Prolonged Engagement Peer Debriefing Triangulation Self Reflection Thick Description Give sufficient detail about context, criteria, participants, & method to see if implication are transferable Setting, Situation and People Art of writing and rewriting Pitfall: Too much quotes; too abstract; too artistic Transferability Authenticity Credibility Confirmability Audit Trail Vividness, Accuracy, Richness, Elegance (Polkinghorne, 1983)

Issues of Quality: Trustworthiness & Rigor Measuring Trustworthiness* Polkinghorne(1983) Is the research vivid in the sense that it generates a sense of reality and draws the reader in? Are readers able to recognise the phenomenon from their own experience or from imagining the situation vicariously? Content Can readers enter the account emotionally? Form Finally, has the phenomenon been described in a graceful, clear, poignant way?

Ways to Ensure Quality Dependability Member checking Prolonged Engagement Peer Debriefing Detailed description of sources and techniques of data collection, analysis, interpretations made && decisions done Transferability Authenticity Credibility Confirmability Triangulation Self Reflection Inquiry Audit - Researcher from outside scrutinize the process Thick Description Audit Trail Use of conceptual maps; decision tree NOT for others to create their own interpretation More of HOW, rather than WHY

Was the decision Trustworthy? Quality over Quantity Don t forget to enjoy the Process

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S a l a m a t

PhD, MA, RN, CAA, LMT, CSTP, FRIN ResearchGate: https://goo.gl/dnr2zs