Chapter 2. Approaches to Research
Cecily Begley
▪ Introduction
▪ Approaching research
▪ Secondary research
▪ Primary research
▪ Theoretical perspectives
▪ Qualitative and quantitative approaches to research
▪ The academic debate on qualitative and quantitative approaches
▪ Choosing a research approach
▪ Collaborating in research
▪ Conclusion
Introduction
This chapter gives a concise introduction to theoretical perspectives, methodologies and methods and an overview of ways of approaching research, including primary and secondary research, either to confirm theories or to explore topics of interest. A brief description of the two main research traditions, qualitative and quantitative, is given, and will demonstrate that they are not coming from two opposing backgrounds but may be used in conjunction with each other to increase the breadth, depth and rigour of one’s work. The use of mixed methods is advocated and future directions for progress in terms of developing collaborative research teams and conducting systematic reviews are discussed.
Approaching research
It is best to keep an open mind on which research methodology to use until you have decided on your main research question and on your guiding theoretical perspective. Bear in mind that the focus might change as you progress through the planning stages of your study, but prior to data collection you need to have your exact research question identified. For that reason, please try Exercise 1 now (p. 19), in order that you will have a research question in mind before you start to read about the various research approaches available to you.
Primary and secondary research
The first practical consideration in conducting research is to know whether or not the study is necessary and, if necessary, whether or not you need to collect new data. Primary research is the term used when data are collected specifically for the study in question. It may be exploratory or confirmatory and may stem from quantitative or qualitative paradigms (or both). Secondary research is the name given to studies where previously collected data are used (i.e. retrospective studies) or previous published research findings are gathered together and presented (i.e. as a systematic review). At the preliminary stages of your study, you will conduct a comprehensive literature review, during which you will discover whether primary or secondary research is needed to answer your research question. For this reason, secondary research is discussed here first.
Secondary research
Secondary research is a valid method of conducting research and should be used if sufficient primary research has already been conducted. It should be borne in mind that it may be unethical to conduct a further study in the same area if there is already ample evidence available to answer the research question.
Retrospective studies
Retrospective studies can be very useful in demonstrating what is happening, thus drawing our attention to issues that one perhaps would otherwise not be fully aware of. For example, O’Farrell et al’s (2004) retrospective study, in one health board region in the Republic of Ireland, of emergency hospital admissions of people with a diagnosis of acute alcohol intoxication, found that the rate of admissions with this diagnosis increased significantly over the 5-year period 1997–2001; this increase mirrored the national increase in alcohol consumption over the same time period, suggesting that increased alcohol consumption nationally may lead to an increase in hospital admissions due to acute alcohol intoxication. The study used figures collected routinely under the Hospital In-Patient Enquiry (HIPE) data collection system and merely analysed and presented them in statistical form.
Systematic reviews
Systematic reviews are mainly based on quantitative studies, usually randomised trials, and may use meta-analysis techniques to present an aggregate view of the results of all studies, thus presenting what may be assumed to be the definitive statement of the best evidence available on that topic at that time. The Cochrane Library, which is free via the internet to everyone in the UK and Ireland (and many other countries), is a unique source of reliable information on the effects of interventions in health care, based on systematic reviews of all international literature (The Cochrane Collaboration 2005). The Cochrane Database (considered in Chapter 10), which is published quarterly, at present holds 2524 systematic reviews, each of which is updated as new evidence accumulates (Clarke 2004). More recently, some authors have undertaken systematic reviews of qualitative studies, but this technique is still being developed (Lloyd Jones 2004, Meadows 2001 and Walsh 2005). As more systematic reviews are published in future, it will be necessary to conduct reviews of reviews.
Primary research
Exploratory research
Exploratory research is conducted when you are not aware of any other studies in this area, or there is no definitive answer as to the best care, despite previous work. You will (usually) start with a literature review and/or a systematic review, which, if no authoritative answer can be found, remains in the realm of exploratory work. Further exploratory work, if deemed necessary, is usually conducted using qualitative methods, although quantitative questionnaires and scales may be used. One example of this is the study conducted in Ireland by Matthews et al (2005), which explored the conditions important in facilitating the empowerment of midwives, as judged by 95 practising midwife respondents. A survey approach was used, and four factors important for the empowerment of midwives were isolated: control, support, recognition and skills.
Confirmatory research
Confirmatory research is conducted when a theory has already been propounded and one is trying to confirm (or refute) that theory. It most usually uses a quantitative approach, such as a randomised trial to test a hypothesis or closed-ended questions in a survey, but qualitative methods may also be used. One example is the work of Templeton and Coates (2004); in their study in Northern Ireland, half of a group of 55 men with prostate cancer who were on hormonal manipulation therapy were randomly assigned to receive an education package, testing the hypothesis that such education would result in improvements in quality of life and coping. The results showed that those who received the education package had increased knowledge and improved quality of life and satisfaction with care, but there was no beneficial effect on coping.
Conclusion
From the above you will see the importance of preliminary thought and reflection before deciding on a particular research approach. The next section describes the main theoretical research perspectives from which your chosen methodologies will be drawn. Before reading on, please try Exercise 2 (p. 19), in order that you may refine your ‘practice’ research question, write outline aims and decide whether or not your research needs to be primary or secondary and whether it is exploratory or confirmatory. In addition, it may be useful to read Chapter 7 at this stage, to assist you in developing your research question.
Theoretical perspectives
Methodological choices made by researchers (i.e. whether research is to be experimental, survey, phenomenological, grounded theory, action and so on) are guided by their theoretical and philosophical positions. There are a number of theoretical perspectives from which all research stems, including positivism, postpositivism, interpretivism, critical enquiry, feminism, postmodernism and post-structuralism (Crotty 1998). Positivists believe there is a truth that can be found and that one’s goal in research is to find, study and report that truth usually by testing a theory through quantitative studies and inferential tests, and drawing conclusions that can be generalised to a stated population. Some qualitative work claims to take a positivist stance also, through the search for one substantiated theory (Johnson 1999), although this is strongly debated (Glaser 2002). While positivism appears to be objective and scientific, it is important to acknowledge that no study of humans and their world can possibly be completely free of the researcher’s influence (Koch 1998 and Payne 2003). Postpositivists realise that one can never reach one truth, but endeavour to capture as much of reality as is possible, using multiple methods to do so (Racher & Robinson 2002).
Interpretive researchers assume that gathering knowledge about a particular population can only be done through shared consciousness, meanings and language and believe that it is not possible to separate the researcher from the research in any objective manner (Racher & Robinson 2002). The research approach used tends to be qualitative in nature; for example, Dunniece and Slevin’s work on palliative care nursing, where a hermeneutic approach was used to explore the lived experience of seven nurses working in the palliative care field (Dunniece & Slevin 2002). Critical researchers believe that the ability of people to alter their economic and social circumstances is hindered by the power and control exerted by social, political and cultural influences. The main aim of critical research is to empower and emancipate those who are the focus of the research (Fontana 2004) and is thus similar, in many respects, to feminist research. Research approaches would include participatory action research and gender-focused studies, such as the work on men and masculinities undertaken by the CROME group in Europe (The CROME Network 2004).
In critical theory, binary oppositions are identified, such as the perceived higher status of male versus female, and a reversal of the opposition is attempted. Post-structuralism also identifies and challenges these hierarchies, but does not privilege one partner over another (Francis 2000).
Deciding which theoretical perspective to guide your study will influence your choice of methodology and research methods. In general, all methodologies lie within one or other of two main research approaches, qualitative or quantitative.
Qualitative and quantitative approaches to research
These two research approaches are often portrayed as though they opposed one another, whereas in fact they can be used to supplement and balance each other. Some research methods use aspects from both approaches, and many researchers are now using both approaches in the same study in the process of triangulation (Adami & Kiger 2005).
Qualitative approaches to research
In general, qualitative approaches gather verbal or observational data, are concerned with how people understand their experiences and are said to present the uniqueness of each participant’s individual situation (idiographic). They concentrate more on explaining and understanding people’s experiences, thus taking an insider (emic) perspective, in the process of which researchers acknowledge and use their subjectivity (Morgan & Drury 2003). Qualitative research techniques include:
▪ in-depth interview;
▪ focus group interview;
▪ observation;
▪ diaries;
▪ written records.
Qualitative methods are described as inductive and exploratory (Janesick 2000) and require a purposive sample, i.e. one that is chosen with a purpose (Patton 2002), in order to describe the phenomenon under scrutiny.
Quantitative approaches to research
In contrast, quantitative research is based on numerical data, or quantities, and is concerned with the detection of general laws (nomothetic) and the examination of aggregated views. It tends to focus on control and prediction of events and takes an outsider (etic) position, claiming to be objective (Punch 2005). Quantitative methods include:
▪ randomised trial;