Does qualitative research have a place in evidence-based nursing practice?

Mixing it but not mixed-up: mixed methods research in medical education (a critical narrative review)

BACKGROUND

Some important research questions in medical education and health services research need 'mixed methods research' (particularly synthesizing quantitative and qualitative findings). The approach is not new, but should be more explicitly reported.

AIM

The broad search question here, of a disjointed literature, was thus: What is mixed methods research - how should it relate to medical education research?, focused on explicit acknowledgement of 'mixing'.

METHODS

Literature searching focused on Web of Knowledge supplemented by other databases across disciplines.

FINDINGS

Five main messages emerged: - Thinking quantitative and qualitative, not quantitative versus qualitative - Appreciating that mixed methods research blends different knowledge claims, enquiry strategies, and methods - Using a 'horses for courses' [whatever works] approach to the question, and clarifying the mix - Appreciating how medical education research competes with the 'evidence-based' movement, health services research, and the 'RCT' - Being more explicit about the role of mixed methods in medical education research, and the required expertise

CONCLUSION

Mixed methods research is valuable, yet the literature relevant to medical education is fragmented and poorly indexed. The required time, effort, expertise, and techniques deserve better recognition. More write-ups should explicitly discuss the 'mixing' (particularly of findings), rather than report separate components.

The systematic review of literature: synthesizing evidence for practice

PURPOSE

With current emphasis on evidence-based practice, nurses are searching for answers to questions generated at the bedside. One method to identify and evaluate the existing evidence is to conduct or read a systematic review of the literature. The purpose of this paper is to describe the process of conducting a systematic review of literature.

CONCLUSION

Defining attributes, rationale for, and steps in conducting systematic reviews are presented. Examples from published reviews on pediatric nursing are included.

PRACTICE IMPLICATIONS

Pediatric nurses may consult professionally prepared systematic reviews, such as The Cochrane Collection, or conduct their own reviews with the help of electronic search engines.