Review of Mixed Methods Research in Nursing

Ahtisham Younas, Maria Kjøller Pedersen, Jude Laoagan Tayaben

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    Background: Inadequate justification for using mixed methods and inadequate data integration
    compromises the rigor of mixed methods studies, and data integration remains a challenge for
    nurse researchers.
    Objectives: To determine the 5-year prevalence of mixed methods research in nursing journals
    and to determine the extent of integration of qualitative and quantitative findings.
    Methods: Ten journals were hand searched and additional search conducted within three
    databases. Prevalence was calculated by counting the number of published mixed methods
    studies divided by the number of published studies over five years. Three reviewers
    independently performed methodological assessment using a checklist based on guidelines by
    expert methodologists.
    Results: Prevalence of mixed methods studies was 1.89%. Concerning methodological
    assessment, of 175 studies, 29% did not provide an explicit label of the study design and four
    studies incorrectly labeled the design. In total, 31% of studies did not justify using mixed
    methods, 95% did not identify the research paradigm, and 78% did not state the weight given to
    individual phases. The extent of data integration was 73%, but 83% of studies integrated data
    using narrative summaries with integration occurring at the interpretation (69.8%). Few studies
    used joint displays (10.9%), transformation (3.1%), and triangulation (1.6%) for data integration.
    Discussion: Mixed methods research is still in its infancy in nursing, and researchers encounter
    challenges during its conduct, analysis, and reporting. There is a need to determine researchers‘
    attitudes and challenges towards using mixed methods and educate them about advanced mixed
    methods. Emphasis should be placed on use of advanced data integration methods so that the
    rigor and quality of mixed research can be enhanced in nursing research.
    TidsskriftNursing Research
    Udgave nummer6
    Sider (fra-til)464-472
    Antal sider9
    StatusUdgivet - 2019


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