{"title":"Sex workers and their stories: using timelines as a creative method in research involving underserved populations.","authors":"Fiona Meth, Louise Warwick-Booth","doi":"10.7748/nr.2025.e1946","DOIUrl":"https://doi.org/10.7748/nr.2025.e1946","url":null,"abstract":"<p><strong>Background: </strong>Researchers may often find it challenging to gather data with underserved populations, even when using traditional qualitative methods. They may also be at risk of further entrenching the hegemony of the dominant narrative, silencing participants' experiences and further marginalising and excluding those most in need. Timelines and other creative methods are useful, sensitive tools that combine flexibility and malleability with an ethical appeal, such as feminist ethics of care. Researchers can use them to gather data from participants experiencing inequalities and trauma.</p><p><strong>Aim: </strong>To outline the value of timelines as a method in nursing research.</p><p><strong>Discussion: </strong>This article considers feminist values, power dynamics and the ethics of using timelines when gathering data. It illustrates these using the example of a study involving female sex workers.</p><p><strong>Conclusion: </strong>Creative methods minimise the ways in which researchers control the production of data and enable participants to choose how they narrate complex and traumatic experiences. Researchers can combine them with deep, ongoing reflexivity to address some of the power imbalances inherent in research and mitigate epistemic violence.</p><p><strong>Implications for practice: </strong>There are strong and evidence-based ethical motivations for conducting research using creative methods. Having a flexible approach to their application and use in practice is key, as not everyone wants to engage with creative methods, or they may not wish to engage with that specific method at that time. Creative methods can serve as vital anchor points in your interviews with participants and are as much about the process as they are about the output.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurse ResearcherPub Date : 2024-12-11Epub Date: 2024-08-20DOI: 10.7748/nr.2024.e1929
Fiona Mary Ross
{"title":"Building inclusive research cultures in nursing - getting ready for the Research Excellence Framework 2029.","authors":"Fiona Mary Ross","doi":"10.7748/nr.2024.e1929","DOIUrl":"10.7748/nr.2024.e1929","url":null,"abstract":"<p><strong>Background: </strong>The research environment is a complex ecosystem but is vital for nurturing excellence, vitality and sustainability. The Research Excellence Framework (REF) applies to research in the four nations of the UK. The framework and principles for the next REF have been published, with submissions due in 2028 and the results to be published in 2029. The three elements of the REF have changed and new weightings applied, with 'People, Culture and Environment' forming 25% of the whole.</p><p><strong>Aim: </strong>To inform research leaders, investigators, clinical nurse researchers, and doctoral and postdoctoral students about how to prepare dynamic research strategies that prioritise inclusivity in talent management and succession.</p><p><strong>Discussion: </strong>This article considers inclusivity in research cultures, what has been learned from the previous REF and what more needs to be done collectively across the sector and specifically in nursing. The discussion draws on the author's personal knowledge and experience as a research leader, senior manager and university governor. It is intended to be challenging and practically oriented.</p><p><strong>Conclusion: </strong>The article sets out provocations to shape an agenda for promoting inclusive research cultures to ensure organisational readiness for REF 2029.</p><p><strong>Implications for practice: </strong>The article provides pragmatic suggestions for moving forward at pace with making the culture in nursing research more open, transparent and fair.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":"35-42"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurse ResearcherPub Date : 2024-12-11Epub Date: 2024-08-29DOI: 10.7748/nr.2024.e1924
Emma Rowland, Anna Conolly
{"title":"A worked example of contextualising and using reflexive thematic analysis in nursing research.","authors":"Emma Rowland, Anna Conolly","doi":"10.7748/nr.2024.e1924","DOIUrl":"10.7748/nr.2024.e1924","url":null,"abstract":"<p><strong>Background: </strong>A researcher must consider their research question within their world view before selecting a technique appropriate for analysing their data. This will affect their choices of methodology and methods for collecting and analysing data. Reflexive thematic analysis (RTA) has become a go-to technique for qualitative nurse researchers. However, the justifications for using it and its application in the context of a wider approach are under-discussed.</p><p><strong>Aim: </strong>To rationalise the use of RTA within a wider philosophical-methodological-methods-analysis approach and provide nurse researchers with practical guidance about how to apply it to qualitative data.</p><p><strong>Discussion: </strong>This article conceptually grounds the seminal work of Braun and Clarke (2006 ) and provides a process for rigorously and systematically analysing qualitative data. Researchers undertaking qualitative research must use a rigorous philosophical-methodological-method-analysis approach. Before selecting a technique appropriate for analysing their data, they must consider their research question within their own world view. This has implications for their choice of methodology and consequently the data collection methods and analysis techniques they use. Researchers should be mindful of RTA's conceptual roots when applying it.</p><p><strong>Conclusion: </strong>Transparent and rigorous data analysis leads to credible findings, supports evidence-based practice and contributes to the growing body of nursing research. Within the context of the wider philosophical-methodological-methods-analysis approach, RTA produces high-quality, credible findings when applied well.</p><p><strong>Implications: </strong>for practice This article can guide nursing students and novice researchers in choosing and applying RTA to their research.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":"17-27"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurse ResearcherPub Date : 2024-12-11Epub Date: 2024-07-31DOI: 10.7748/nr.2024.e1940
Majid Ali Alotni, Ritin Fernandez, Ginger Chu, Michelle Guilhermino
{"title":"How nurse researchers can use stepped-wedge design and analysis.","authors":"Majid Ali Alotni, Ritin Fernandez, Ginger Chu, Michelle Guilhermino","doi":"10.7748/nr.2024.e1940","DOIUrl":"10.7748/nr.2024.e1940","url":null,"abstract":"<p><strong>Background: </strong>Designing effective health interventions and evaluating their impact is crucial to improving the health of the population. To ensure interventions are of high quality and effective, evidence-based research is essential, particularly studies that use randomised controlled trials (RCTs) or systematic reviews. However, RCTs may not be feasible or ethical in certain situations, such as in intensive care units. Cluster or stepped-wedge RCTs are alternative ways to assess interventions that also address these ethical concerns.</p><p><strong>Aim: </strong>To explain the stepped-wedge design and its main features as well as how to use it to evaluate nursing interventions.</p><p><strong>Discussion: </strong>Understanding stepped-wedge designs empowers nurses to implement evidence-based interventions and improve patient outcomes. The use of stepped-wedge designs has increased in nursing research over the past two decades, indicating growing recognition of its advantages: efficient evaluation of healthcare interventions, ensuring all clusters receive treatment over time; smaller sample sizes; ethical considerations; and time control. However, challenges remain: ensuring nurse researchers' understanding and application of it is consistent, extended duration and logistical complexities. Methodological rigour, collaboration and understanding of secular trends are crucial, and nurses' involvement in RCTs enhances cluster selection, data collection and dissemination.</p><p><strong>Conclusion: </strong>The stepped-wedge design offers an ethical and adaptable method for studying interventions, considering healthcare complexities and allocating resources. Its versatility assists the advancement of nursing care delivery and in promoting evidence-based practice.</p><p><strong>Implications for practice: </strong>Understanding stepped-wedge designs in nursing practice enhances evidence-based care, decision-making, collaboration and professional development, benefiting patient outcomes.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":"29-34"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurse ResearcherPub Date : 2024-12-11Epub Date: 2024-07-11DOI: 10.7748/nr.2024.e1926
Camille Cronin
{"title":"Exploring the application and significance of case study research in nursing.","authors":"Camille Cronin","doi":"10.7748/nr.2024.e1926","DOIUrl":"10.7748/nr.2024.e1926","url":null,"abstract":"<p><strong>Background: </strong>Case study research (CSR) has gained popularity across disciplines due to its ability to provide detailed insights into specific phenomena.</p><p><strong>Aim: </strong>To explore the philosophy and methodology of CSR, drawing from notable authors who have contributed to its development.</p><p><strong>Discussion: </strong>This article discusses the characteristics of CSR in terms of design and method in both quantitative and qualitative approaches. It examines CSR's advantages and disadvantages as a research method. It draws on two example case studies to emphasise the use of CSR for exploring complex healthcare and social care settings.</p><p><strong>Conclusion: </strong>CSR has proven valuable in nursing research for investigating complex clinical problems, patient-care scenarios, and organisational dynamics and phenomena.</p><p><strong>Implications for practice: </strong>CSR provides a methodological framework for nursing research that offers a unique lens for exploring multifaceted, complex issues. This ultimately improves patient care outcomes.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":"8-15"},"PeriodicalIF":1.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louise Condon, Prue Thimbleby, Denise Barry, Jolana Curejova, Donna Leeanne Morgan, Sam Worrall, Suzy Hargreaves, Filiz Celik, Menna Price
{"title":"Cocreating composite digital stories to share research findings with minority ethnic and disadvantaged communities: a reflective guide.","authors":"Louise Condon, Prue Thimbleby, Denise Barry, Jolana Curejova, Donna Leeanne Morgan, Sam Worrall, Suzy Hargreaves, Filiz Celik, Menna Price","doi":"10.7748/nr.2024.e1944","DOIUrl":"https://doi.org/10.7748/nr.2024.e1944","url":null,"abstract":"<p><strong>Background: </strong>Researchers have an ethical responsibility to share their findings with their studies' participants and those who can influence policy and practice. Storytelling is an arts-based approach increasingly used in nursing research to share findings, but little has been written about how to use the approach in participatory research involving people from minority ethnic and socioeconomically disadvantaged communities.</p><p><strong>Aim: </strong>To present a guide to cocreating digital stories to share research findings with minority ethnic and socioeconomically disadvantaged communities.</p><p><strong>Discussion: </strong>The authors and peer researchers from minority communities used a rigorous method to cocreate composite digital stories from their qualitative research's findings. The authors describe and reflect on the stages of the creative process, focusing on the actions required before, at and after the collaborative workshop.</p><p><strong>Conclusion: </strong>A rigorous process is required to create composite, naturalistic digital stories that authentically reflect research findings and are accessible to listeners.</p><p><strong>Implications for practice: </strong>Digital stories are an engaging, feasible and equitable way to share research findings with minority ethnic and disadvantaged communities.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia Louise Lowe, Samantha Jakimowicz, Tracy Louise Levett-Jones, Adele Baldwin, Cindy Stern
{"title":"Using a hybrid Delphi/nominal group technique to develop a tool for appraising the quality of mixed-method grounded theory research.","authors":"Patricia Louise Lowe, Samantha Jakimowicz, Tracy Louise Levett-Jones, Adele Baldwin, Cindy Stern","doi":"10.7748/nr.2024.e1947","DOIUrl":"https://doi.org/10.7748/nr.2024.e1947","url":null,"abstract":"<p><strong>Background: </strong>Among the many methodological approaches used to generate new knowledge in nursing research are mixed methods and grounded theory. However, it can be challenging for researchers to achieve and demonstrate the philosophically congruent integration required in mixed-method, grounded-theory research.</p><p><strong>Aim: </strong>To use a hybrid of Delphi and nominal group techniques to develop a tool to appraise the quality of mixed-method, grounded-theory research.</p><p><strong>Method: </strong>The extant literature informed the construction of an evidence-based checklist and explanatory notes that were discussed and voted upon by experienced mixed-method and grounded-theory researchers. The tool was progressively piloted in three projects employing varying grounded-theory approaches.</p><p><strong>Discussion: </strong>Experienced mixed-method and grounded-theory researchers discussed and voted on the construction of an evidence-based checklist and explanatory notes informed by the extant literature. The researchers piloted the tool in three rounds, with reference to previous studies that used various grounded-theory approaches.</p><p><strong>Conclusion: </strong>This study reports an effective strategy for gaining consensus to develop a tool demonstrating content, inter-rater and concurrent reliability.</p><p><strong>Implications for practice: </strong>Nurse researchers of various levels of expertise can use the tool developed in this study, which will accommodate future advances in mixed-method and grounded-theory research.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hilarious de Jesus, Deirdre Brooking, Karen Dunne, Elisa Visentin
{"title":"Protocol club: a social learning framework for the research delivery workforce.","authors":"Hilarious de Jesus, Deirdre Brooking, Karen Dunne, Elisa Visentin","doi":"10.7748/nr.2024.e1955","DOIUrl":"https://doi.org/10.7748/nr.2024.e1955","url":null,"abstract":"<p><strong>Background: </strong>'Protocol club' is a learning activity underpinned by social learning theory that is designed 'by the research delivery workforce, for the research delivery workforce'. A protocol club meets regularly to critique the feasibility and deliverability of publicly available study protocols.</p><p><strong>Aim: </strong>To describe a proof-of-concept protocol club aimed at addressing the training needs of a research delivery workforce at two NHS England trusts.</p><p><strong>Discussion: </strong>The authors piloted their club with research delivery staff at the two trusts. This provided insights about group dynamics, communities of practice and confidentiality. From these results, the authors developed the framework, worksheets and other practical elements to operationalise the protocol club.</p><p><strong>Conclusion: </strong>A protocol club is a useful activity for practical learning.</p><p><strong>Implications for practice: </strong>Protocol clubs can be embedded in research delivery practice as a potential framework.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allison Soprovich, Lisa Wozniak, Kari Meneen, Dean Eurich
{"title":"The impact of a nurse's dual role on implementing an effectiveness study.","authors":"Allison Soprovich, Lisa Wozniak, Kari Meneen, Dean Eurich","doi":"10.7748/nr.2024.e1939","DOIUrl":"https://doi.org/10.7748/nr.2024.e1939","url":null,"abstract":"<p><strong>Background: </strong>Reorganizing the Approach to Diabetes through the Application of Registries (RADAR) improved diabetes care and outcomes for First Nations people in Alberta, Canada. The nurse involved in the implementation of RADAR performed two roles in this model of care: research nurse and care coordinator.</p><p><strong>Aim: </strong>To describe the research nurse's dual role in the implementation and evaluation of RADAR.</p><p><strong>Discussion: </strong>The research nurse not only documented and collected data in hard-to-reach communities as part of effective research, she also provided remote care coordination to support community healthcare providers using a culturally tailored registry to facilitate population-level care. This dual role required many qualities of nursing leadership and transformation.</p><p><strong>Conclusion: </strong>The research nurse's two roles contributed to the success of the intervention and were critical to the successful implementation of the model, creating valuable real-world evidence across diverse populations and settings.</p><p><strong>Implications: </strong>for practice Nurses are well placed to perform research duties alongside engagement and implementation activities. This can enhance the effectiveness and evaluation of healthcare interventions, particularly in community-based interventions within First Nations communities.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Theoretical sensitivity and reflexivity in grounded theory.","authors":"Adam Hughes, Wilfred McSherry","doi":"10.7748/nr.2024.e1936","DOIUrl":"https://doi.org/10.7748/nr.2024.e1936","url":null,"abstract":"<p><strong>Background: </strong>Grounded theory (GT) has become one of the foremost tools in qualitative nursing research. There are different approaches to GT but a feature common to all of them is theoretical sensitivity, which facilitates GT's iterative process. However, differences between the approaches in how to apply theoretical sensitivity and how much influence existing knowledge should play have contributed to tribalism.</p><p><strong>Aim: </strong>To critically evaluate the role of theoretical sensitivity and reflexivity in GT and the involvement they can have, as well as explore what steps researchers can take to improve their insight.</p><p><strong>Discussion: </strong>Theoretical sensitivity enables researchers to steer their studies to answer their research questions, gain insight into their study's findings and develop theory grounded in the data. However, reflection is required for researchers to understand their effect on the theories that emerge, prevent them from applying preconceived ideas and allow for the unfettered emergence of theory.</p><p><strong>Conclusion: </strong>Researchers who do not demonstrate insight into their own philosophical positions and influences risk being accused of bias; this may result in the perceived value of their theoretical outcomes being reduced. Applying a reflexive process may mitigate this, enabling them to understand and refine their methodological processes and produce high-quality GT research.</p><p><strong>Implications for practice: </strong>All researchers should consider using reflexivity when conducting research. Understanding influences and positionality in qualitative methodologies allows for transparency and improves the rigour of their outcomes.</p>","PeriodicalId":47412,"journal":{"name":"Nurse Researcher","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}