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NURS 8200 Briefly explain your selected situation and why utilizing a mixed-methods approach would be beneficial

NURS 8200 Discussion: Using Both Quantitative and Qualitative Methods

NURS 8200 Briefly explain your selected situation and why utilizing a mixed-methods approach would be beneficial

Using Both Quantitative and Qualitative Methods

According to Shorten & Smith (2017), mixed methods is a research approach whereby researchers collect and analyze both quantitative and qualitative data within the same study.  Mixed methods research draws on potential strengths of both methods (Greene et al., 1989). My area of interest is heart failure (HF) because it is a life-limiting condition in the developed world with over 26 million people world wide (Ambrosy et al., 2014). I read an article that used the mixed method research approach on a group of caregivers for patients with CHF. The design of the study consisted of advanced heart failure patients (n = 112), and their caregivers (n = 84). The researchers used two phases, the first phase consisted of the patients and their caregivers, data was collected by use of questionnaires and used the quantitative method. Variables used in phase 1 consisted of the patient’s age, sex, educational level and whether their primary caregiver was a spouse or adult child. The 2nd phase used the qualitative method to do face-to-face interviews with current and bereaved caregivers. Correlation, chi-square, t test, regression and thematic analysis were undertaken (Mcllfatrick et al., 2017). Qualitative variables consisted the need to plan the future, emotional support and knowledge on what to expect at the end of life (Mcllfatrick et al., 2017).

Mixed-method studies are challenging because they often take twice the work and require expertise in multiple areas (Weaver, 2015). They can also be expensive and finding researchers experience in both qualitative & quantitative research.

References

Ambrosy, A.P., Fonarow, G.C., Butler, J. The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries. Journal Am Coll Cardiology 2014; 63: 1123-1133. https:  journals-sagepub-com.ezp.waldenulibrary

Greene, J.C., Caracelli, V.J., & Graham, W.F. (1989). Toward a conceptual framework for mixed method evaluation designs. Education Evaluation Policy Anal, 1989; 11:255-274. doi: 10.3102/016237370110032

Mcllfatrick, S., Doherty, L.C., Murphy, M., Dixon, L., McDonald, K., & Fitzsimons, D. (2017). The importance of planning for the future: Burden and unmet needs of caregivers in advanced heart failure: A mixed methods study. Palliative Medicine, December 13, 2017. https://doi-org.ezp.waldenulibrary.org/10.1177/0269216317743958

Shorten, A., & Smith, J. (2017). Mixed methods research: expanding the evidence base. Evidenced-Based Nursing, Volume 20, Issue 3 http://dx.doi.org/10.1136/eb-2017-102699

Weaver, J. (2015). Challenges of Mixed-Method Research. Biocultural Systematics. (2015). https://anthropology.ua.edu/blog/biocultmed/2015/04/30/

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Outstanding posting and much-needed topic of focus for a research project. Heart Failure diagnosis is a staggering clinical as well as public health concern across America (Roger, 2013). Have you considered implementing longitudinal sequential explanatory mixed

NURS 8200 Briefly explain your selected situation and why utilizing a mixed-methods approach would be beneficial
NURS 8200 Briefly explain your selected situation and why utilizing a mixed-methods approach would be beneficial

methods to support your study on Heart Failure?  The purpose of this type of study is to combine the strengths of both quantitative and qualitative research, linking concepts and views as well as comparing findings with data from different situations and times (Riegel et al., 2018). The mixed methodology is known as the cornerstone of research within social science taking concepts from experiences of everyday life (2018). The study of the epidemiology of Heart Failure is associated with significant mortality, morbidity, and health-care expenditures, particularly among those aged 65 and older (Roger, 2013). The burden of heart failure is not related to an increase in the incidence of the disease, it reflects the chronic clinical course of patients living with heart failure (2013). It is recommended by the literature, to improve outcomes for patients and prevent hospitalizations, an in-depth understanding of the causes of hospitalizations in patients living with heart failure is imperative (2013).

 

References

Riegel, B., Dickson V.V., Lee, C.S., Daus, M., Hill, J., Irani E, Lee, S., Wald, J.W., Moelter, S.T., Rathman, L., Streur, M., Baah, F.O., Ruppert, L., Schwartz, D.R., Bove, A. (2018). A mixed methods study of symptom perception in patients with chronic heart failure. Heart Lung. 47(2):107-114. Retrieved From DOI: 10.1016/j.hrtlng.2017.11.002. Epub 2018 Jan 3. PMID: 29304990; PMCID: PMC5857218.

Roger V. L. (2013). Epidemiology of heart failure. Circulation research, 113(6), 646–659. Retrieved From https://doi.org/10.1161/CIRCRESAHA.113.300268

You are right. Mixed-method studies can be challenging. Mixed-method is characterized by conducting several means like data methods, standards, and sources in examining a similar phenomenon. In this process, triangulation allows the researcher to identify aspects of accurately approaching events by correctly approaching them from different angles using various methods and techniques. Thus, it provides both the strengths, which offset some weaknesses regarding quantitative and qualitative research. For instance, if qualitative research does not fully understand a particular context, the quantitative analysis is applied to solve it (Weeks & Schaffert, 2017). However, the disadvantages of the mixed-method are that the researcher must determine whether the various ways of reflecting different epistemological approaches. This leads to more challenges in addition to performing each component well since the researcher must justify what other people observe as incompatible epistemologies. The mixed-methods increase the evaluation complexity; the studies are complicated to plan and even conduct (Ertefaie et al., 2016). They require a researcher to be extremely careful in planning and describing all the related aspects regarding the research involving the study samples, primarily for quantitative portions, timing, and the expected plan to integrate the data. This is disadvantageous since combining qualitative and quantitative data during the analysis process could be challenging for most researchers (Söderhamn et al., 2016).

References

Ertefaie, A., Small, D., Flory, J., & Hennessy, S. (2016). Selection Bias When Using Instrumental Variable Methods to Compare Two Treatments But More Than Two Treatments Are Available. The International Journal Of Biostatistics,12 (1). http://dx.doi.org/10.1515/ijb-2015-0006

Söderhamn, U., Kjøstvedt, H., & Slettebø, Å. (2016). Evaluation of ethical reflections in community healthcare.Nursing Ethics, 22 (2), 194-204. http://dx.doi.org/10.1177/0969733014524762

Weeks, K., & Schaffert, C. (2017). Generational Differences in Definitions of Meaningful Work: A Mixed Methods Study. Journal Of Business Ethics. http://dx.doi.org/10.1007/s10551-017-3621-4