Qualitative Data Analysis

Chapter 33. Qualitative Data Analysis

Achieving Order out of Chaos

Mike Nolan




▪ Introduction


▪ What is qualitative research? What is qualitative analysis?


▪ Qualitative analysis: underlying principles


▪ Resolving methodological and conceptual conflict – the views of Janice Morse


▪ Future challenges for qualitative research in health care: enabling user and carer involvement



Introduction


The title of this chapter highlights succinctly the dilemmas faced when attempting to capture the dimensions of qualitative data analysis. For, as Atkinson and Delamont (2005) noted, the field is extensive, and the full range of methodological debates and practical approaches cannot be adequately covered even in an entire book. Inevitably, therefore, a contribution such as this must be partial and incomplete; indeed there may be some who find it superficial, or even inaccurate. The situation is not helped by ‘internal conflicts’ amongst qualitative researchers themselves (Morse 1994), which have resulted in qualitative data analysis becoming a ‘contested site of multiple practices’ (Schwandt 1997), lacking a consensus as to the best approach to adopt (Creswell 1998).

Little wonder then that qualitative analysis has been described as a:

‘… vast and varied enterprise … (requiring) an immensely diverse set of practices … (underpinned by) a great diversity of theoretical approaches, practical problems and local research traditions. (Seale et al 2004, p. 2)

It would therefore appear that neophyte qualitative researchers, hoping to achieve some order from their mass of seemingly ‘chaotic’ data, are faced with potentially even greater chaos if they consult the methodological literature. Clearly, then, this chapter cannot provide any definitive answers, nor do I intend to give a simplified ‘how to’ guide to data analysis, although I will provide some pointers as to where such approaches can be found.

Rather, following the advice of Seale et al (2004), I will adopt a more pragmatic stance and highlight some principles that I have found useful in my own research practice and, paraphrasing their words, this chapter will therefore ‘recount and reflect on my own research experience as well as that of others from whom I have learned’.

In setting the scene, the chapter begins with a very brief overview of what is meant by qualitative research, before providing a potential definition of qualitative analysis. Subsequently, and despite the variability noted above, I will identify a number of commonalities underlying qualitative analysis prior to highlighting some of the existing ‘frameworks’ for analysis.


What is qualitative research? What is qualitative analysis?


Denzin and Lincoln (2005b, p. 2) suggested that ‘a complex interconnected family of concepts and assumptions surround the terms qualitative research’, and whilst most authors argue that the primary purpose of qualitative research is to generate theory (Lathlean 2006, Liamputtong 2005 and Morse 1994), agreement is by no means universal. In tracing the evolution of qualitative research over the last several decades, it is suggested that the overall aim has become increasingly more emancipatory and political, so that qualitative research is now seen as ‘a democratic project committed to social justice in an age of uncertainty’, helping people to move from ‘ideas to inquiry, from inquiry to interpretation, and from interpretation to praxis, to action in the world’ (Denzin & Lincoln 2005a).

Even if the focus is limited to inquiry and interpretation, the range of potential analytic strategies remains extensive, and in such circumstances it is essential that the ‘rationale’ for the choice of method adopted is clearly explained (Seale et al 2004). Some degree of informed choice is therefore always necessary and this is, in part, determined by the interests of the researchers involved. As Denzin and Lincoln (2005a, p. xi) noted, ‘the issues and concerns of qualitative researchers in nursing and health care … are decidedly different from those of researchers in cultural anthropology’. Moreover, of the several different methods of qualitative analysis available, ‘some are appropriate for exploring data, others for making comparisons and then for building and testing models, nothing does it all’ (Ryan & Bernard 2000).

With regard to this chapter my choice has been informed by the writing of Ryan and Bernard (2000). They identify two broad ‘traditions’ in qualitative analysis that they term the ‘linguistic’ tradition and the ‘sociological’ tradition. They see qualitative data as comprising mainly text, which itself can take multiple forms:

By qualitative data we mean text: newspapers, movies, sitcoms, email traffic, folktales, life histories. We also mean narratives – narratives about getting divorced, about being sick, about surviving hand-to-hand combat, about selling sex, about trying to quit smoking. In fact most of the archeologically measurable information about human thought and human behaviour is text, the ‘good stuff’ of social science. (Ryan & Barnard 2000)

In ‘making sense’ of such ‘good stuff’ they consider that the ‘linguistic’ tradition sees the text itself as the object of analysis using techniques such as narrative, conversation and discourse analysis. In contrast, the ‘sociological’ tradition views text as an account of, or proxy for, experience. It is this latter approach that will be considered in this chapter.

However, qualitative analysis is not a ‘magical’ process (Morse 1994), and if we are to demystify what it is then some form of definition is required. After considering several definitions, the following by Schwandt (1997) appears to me to be amongst the most helpful:

Broadly conceived, this (data analysis) is the activity of making sense of, interpreting or theorising about data. It is both an art and a science, and is undertaken by means of a variety of procedures that facilitate working back and forth betweendata and ideas. It involves the processes of organising, reducing and describing the data, drawing conclusions or interpretations from the data, and warranting these interpretations. If data could speak for themselves, analysis would not be necessary. (Schwandt 1997, p. 4)

But analysis is necessary and, even operating within a broad ‘sociological’ tradition, decisions as to the approach to use are still required. Miller and Crabtree (1992) likened this process to taking a photograph in which it is necessary to decide which camera to use, which scene to focus on, and which filter to select. Using this analogy the camera would relate to the broad methodological approach, the scene to the object of inquiry or study, and the filter to the theoretical orientation that is applied.


Qualitative analysis: underlying principles


Compared to quantitative approaches, where data are structured and strategies for analysis are often predetermined, qualitative analysis is more flexible (Donovan & Sander 2005) and is neither linear nor predictable (Liamputtong & Ezzy 2005). Furthermore, whereas in quantitative research data collection precedes analysis, the relationship is different in qualitative research. Data collection and analysis proceed in an iterative fashion (Ritchie 2003, Donovan 2005 and Lathlean 2006), each informing the other. Therefore, data analysis begins early and guides subsequent data collection (Lathlean 2006).

For example, in my own early research I was interested in the experiences of carers who supported a family member, and who used respite care services (Nolan 1990, Nolan 1992a and Nolan 1992b. Virtually all of the literature at the time described caring as burdensome or difficult and so the focus of my early questioning was about the extent to which respite care provided relief from such burden. However, initial analysis of the data suggested that, whilst caring was often difficult, it was by no means always a problem, and many carers also gained considerable satisfaction from their role. As a result of this early analysis, the focus of data collection, and indeed the study as a whole, broadened to consider the potential rewards and satisfactions of carers and the impact of respite care on these. Further analysis of the data identified differing sources of satisfaction, and also highlighted the fact that carers’ acceptance of respite care hinged critically on the extent to which the cared-for-person had a positive respite experience. As a result, we proposed a ‘mid-range’ theory that provided practical ways in which respite care could be made more acceptable to both the carer and the cared-for-person (see Nolan & Grant 1992b and later in this chapter).

Qualitative data analysis is therefore intimately linked to data collection and involves both cognitive processes and the application of varying structured techniques. However, several authors identify a number of shared goals, although the terms they use differ. Some of the more commonly cited approaches to analysis are summarised in Table 33.1.














Table 33.1 Some frequently cited strategies for qualitative analysis
Framework –Ritchie and Spencer (1994) Miles and Huberman (1994) Grounded theory (simplified)
This comprises 5 stages which occur in the following order:
Familiarisation – provides an overview of the issues by immersion in the data and identification of recurrent themes
Identify a thematic – (coding) framework that crystallises key concepts that can be applied to the rest of the data
Indexing – the systematic application of the coding framework to the data
Charting – the abstraction of themes using headings from the framework. This produces a ‘picture’ of the data analysis that can be viewed by others to demonstrate themes and links
Mapping and interpretation – a description of the findings in the form of typologies, concepts, associations and explanations
These authors recommend a 3-stage analysis process comprising:
Data reduction – this involves coding and processing, requiring a detailed reading and rereading of transcripts and then coding the data to identify key issues
Data display – recognising and re-presenting codes now allows the scrutiny of texts and the display of data in tables, charts or matrices to facilitate comparison. This enables a fuller thematic description to emerge
Conclusion drawing – further analysis and theorising – this involves further interrogation of data and the identification of links between themes and categories resulting in the formation of possible theories that explain relationships in the data
Described by Bryman and Teevan (2005) as ‘by far the most widely used framework for analysing qualitative data’. They provide a simplified description of the process as comprising:
Coding – breaking data into component parts and giving them names. May involve different levels of coding, which proceed sequentially as follows:
(a)Open – keeping close to the data and identifying initial concepts
(b)Axial – creating categories or higher-order concepts that further reduce the data
(c)Selective – identifying the main or core category and looking for relationships with other categories in the data
Constant comparison – maintaining a close link between data and conceptualisation, comparing concept with concept, concept with category, and category with context in an iterative fashion


Theoretical sampling – whereby further data are collected to inform the emerging theory and to achieve theoretical saturation when no new themes or ideas emerge

Ritchie et al (2003) argued that two common processes underlie all qualitative analysis:


▪ managing the data to reduce it and distil the ‘essence’;


▪ making sense of the data and generating either descriptive or explanatory accounts.

Descriptive accounts are closer to the data and would be readily recognised by participants in the research. Later these descriptive accounts may be ‘classified’ into more abstract ideas that retain the original meaning of the data but use more complex language. More sophisticated explanatory accounts seek to find links and connections between two or more phenomena, in order to generate theory.

In taking stock of the various arguments regarding the sequencing and purpose of qualitative analysis, it seems to me that these might be summarised using an ‘alliteration’ of C’s. These are briefly outlined in Table 33.2.

























Table 33.2 The sequencing of qualitative analysis – the 5 C’s
*These may be used to inform future data collection.
Codes Following an initial immersion in the data, numerous preliminary ideas, thoughts and feelings begin to emerge* ↓ Higher level of abstraction/fewer, more complex ideas
Concepts Following further consideration of the data and/or more data collection, codes that reflect common trends are identified and named
Categories More detailed interrogation and/or further data collection allows categories of concepts to emerge, further reducing the data
Connections Links between similar categories are identified, suggesting recurrent connections within the data; initial ‘hypothesis’ may be formulated, suggesting the conditions necessary for links between categories.
Conclusions Typologies, explanatory accounts or tentative theories are described



The three main groups were the:


▪ Beneficiaries – these older people really enjoyed their stay, were active throughout, and looked forward to their next period of respite.


▪ Tolerators – these older people ‘put up’ with the respite care because they knew their carer needed the break, but they did not enjoy their stay, nor did they look forward to it. There were three subgroups identified here: the endurers, the disillusioned and the martyrs.

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Dec 3, 2016 | Posted by in NURSING | Comments Off on Qualitative Data Analysis

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