Workshop Lets think about it: Challenges involved with integrating - PowerPoint PPT Presentation

Workshop Let’s think about it: Challenges involved with integrating elderly persons into qualitative research Prof. Dr. Sabine Hahn, Bern University of Applied Sciences | Health ▶ Health | Applied Research and Development, Nursing, Head Prof. Dr. Sabine Hahn

Workshop ▶ Introduction ▶ Group work ▶ Discussion of results from group work Group ▶ Summarise aspects of quality assurance Introduction Work within qualitative research methodology Summary Discussion Quality Bern University of Applied Sciences | Health

Aim ▶ For the participants: Describe what it means to include elderly people into research. • Discuss the challenges of including elderly people in qualitative research • and what this signifies for excellence in qualitative research. Reflect upon quality assurance within qualitative research with consideration • of the inclusion of elderly people. Bern University of Applied Sciences | Health

Introduction Bern University of Applied Sciences | Health

What experiences do you have with elderly service users and their involvement in research? t Bern University of Applied Sciences | Health

Why it is important to integrate elderly people into research Bern University of Applied Sciences | Health

Why it is important to integrate elderly people into research Bern University of Applied Sciences | Health

Why it is important to integrate elderly people into research ▶ Increasing number of elderly who insist upon having a voice ▶ Inspiration and encouragement from elderly service users ▶ To discover blind spots, new issues and perspectives (Niedermann, 2012; Smith et al., 2008) Better Research Bern University of Applied Sciences | Health

What does it mean to integrate elderly service user? Bern University of Applied Sciences | Health

Integration of elderly people into research denotes that: ▶ All stakeholders in health services must be brought on board including elderly people and especially elderly people with mental or cognitive impairment (because they are underrepresented). ▶ Participation from the beginning (ideas, planning, proposal writing) of the research project and ongoing until completion (report writing). ▶ Arousal of interest and engagement of users to partake in a significant portion of the research and education in the health and long term care sector. Bern University of Applied Sciences | Health

Integration of the elderly into research ▶ If you only… ▶ Ask your grandmother if she understands your proposal and if your research aim is on target. ▶ Integrate elderly into samples (ask questions in a survey as part of the research). ▶ Undertake an intervention with elderly and evaluate this intervention. ▶ It is not full integration, but it is a start. You are then on your way to integrating elderly service users more and more into your research projects. Bern University of Applied Sciences | Health

Challenges in integrating elderly service users into research ▶ Overcoming barriers between different stakeholders and research paradigms (Barber et al., 2011, Boote et al, 2010). ▶ Elderly people should move away from being passive receivers of health services to becoming equal partners (Niedermann 2012, Schmid & Wang, 2003). ▶ Active involvement in research projects. ▶ Find a common language that fits for all (Boote et al, 2010). ▶ How to talk with a layperson 85+ or perhaps find a researcher 75 + ? ▶ Economic factors such as money, time ….. ▶ Real involvement is expensive and requires a lot of time. Bern University of Applied Sciences | Health

Workshop group work: 4 groups Time: 20 min Use flip chart to create a mind map Bern University of Applied Sciences | Health

vulnerability ethics Group 1: xyz layout recruitment What do we have to consider in the recruitment of participants when we information work with nursing home residents? t Bern University of Applied Sciences | Health

vulnerability Group 2: ethics What do we have to consider in the instruments data collection process when we work xyz data collection with nursing home residents? process information t Bern University of Applied Sciences | Health

vulnerability Group 3: ethics What do we have to consider in the data analysis process when we work methods xyz Analysis with nursing home residents? collaboration t Bern University of Applied Sciences | Health

vulnerability Group 4: ethics What do we have to consider in the politics interpretation of the results when we xyz Analysis work with nursing home residents? collaboration t Bern University of Applied Sciences | Health

Quality assurance of qualitative research Bern University of Applied Sciences | Health

Quality of qualitative research? “ [ … ] Guba and Lincoln proposed four criteria for judging the soundness of qualitative research and explicitly offered these as an alternative to more traditional quantitatively- oriented criteria [ … ] ” http://www.socialresearchmethods.net/kb/qualval.php ,13.092015 Bern University of Applied Sciences | Health

Quality assurance within qualitative research ▶ Credibility “The credibility criteria involves establishing that the results of qualitative research are credible or believable from the perspective of the participant in the research. Since from this perspective, the purpose of qualitative research is to describe or understand the phenomena of interest from the participant's eyes, the participants are the only ones who can legitimately judge the credibility of the results.” http://www.socialresearchmethods.net/kb/qualval.php,13.092015 ▶ Prolonged engagement ▶ Persistent observation ▶ Triangulation ▶ Intensive peer-debriefing ▶ Negative case analyses ▶ Referential adequacy ▶ Member checks Bern University of Applied Sciences | Health

Quality assurance within qualitative research ▶ Transferability “Transferability refers to the degree to which the results of qualitative research can be generalized or transferred to other contexts or settings. From a qualitative perspective transferability is primarily the responsibility of the one doing the generalizing. The qualitative researcher can enhance transferability by doing a thorough job of describing the research context and the assumptions that were central to the research. The person who wishes to "transfer" the results to a different context is then responsible for making the judgment of how sensible the transfer is.” h ttp://www.socialresearchmethods.net/kb/qualval.php,13.092015 ▶ Purposeful sampling ▶ Thick description Bern University of Applied Sciences | Health

Quality assurance within qualitative research ▶ Dependability “ [ … ] But we can't actually measure the same thing twice -- by definition if we are measuring twice, we are measuring two different things. [ … ] The idea of dependability, on the other hand, emphasizes the need for the researcher to account for the ever-changing context within which research occurs. The research is responsible for describing the changes that occur in the setting and how these changes affected the way the research approached the study.” http://www.socialresearchmethods.net/kb/qualval.php,13.092015 Bern University of Applied Sciences | Health

Quality assurance within qualitative research ▶ Confirmability “ [ … ] Qualitative research tends to assume that each researcher brings a unique perspective to the study. Confirmability refers to the degree to which the results could be confirmed or corroborated by others.” http://www.socialresearchmethods.net/kb/qualval.php,13.092015 ▶ Document the procedures for checking and rechecking the data. ▶ Be the “devil's advocate“ via documentation. ▶ Search for and describe negative instances. ▶ Complete data audits that examine the data collection and analysis procedures and make judgements regarding the potential for bias or distortion. Bern University of Applied Sciences | Health

Thank you for your attention! Sabine Hahn, Division Head of Applied Research & Development in Nursing, sabine.hahn@bfh.ch t Bern University of Applied Sciences | Health ▶ Health | Applied Research and Development, Nursing, Head Prof. Dr. Sabine Hahn, sabine.hahn@bfh.ch

Thank you for your attention! Sabine Hahn, Division Head of Applied Research & Development in Nursing sabine.hahn@bfh.ch Bern University of Applied Sciences | Health ▶ Health | Applied Research and Development, Nursing, Head Prof. Dr. Sabine Hahn, sabine.hahn@bfh.ch