Mixed methods Paper by Stephanie Westgate https://padlet.com/stephattew/lrdw3vcr73sd RIP IT TO BITS!! :) en-us 2016-12-04 16:15:59 UTC 2023-02-09 01:54:16 UTC hello@padlet.com Case studies stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141603310 What does describing the care home inspection, the managers time in post, and history actually do to aid in answering the question about support for end of life care?????

I think they wanted to introduce the care home, so we know there are similarities to them and the sampling was performed the right way AL]]> 2016-12-04 16:17:44 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141603310 Terms to look up stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141603878 "Weight of interpretation"
"Respondent validation"]]> 2016-12-04 16:26:37 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141603878 Perception stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141603973 It uses the word 'perceived' an awful lot, which is qualitative and not objective / subject to that persons bias and emotion on the day they answer!

]]> 2016-12-04 16:28:06 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141603973 very low response in the survey - meaning difficult to generalize, which quanti research looks at, it normally looks at the big numbers and lots of data generating...there is not many tables and % to look at, rather it concentrate on 2 case studies, which do not contribute much to the research itself anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604020 2016-12-04 16:28:43 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604020 Totally agree low response stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604308 And the surveys they got back, not all the questions were actually answered, so some questions were left blank.  Why would they leave it and not provide an answer???

I think due to low response the validity of this research can be questioned , they have mentioned the previous studies had even lower response but to my small knowledge such a small response should not validate the study at all. Plus they only gave a one reminder and never mentioned how much time they had to return the survey. AL]]> 2016-12-04 16:33:00 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604308 only one home admitted as needing improvement and 27 as providing excellent care, really??? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604460 2016-12-04 16:35:05 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604460 just another question just poped...LCP, is it not banned to use it anymore??? I mean this reasearch was published in 2010, quate old and not relevant x anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604553 2016-12-04 16:36:49 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604553 Study limitations stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604560 This section has pretty much answered all my questions!! :) 

]]> 2016-12-04 16:36:57 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604560 i have looked into mixed method enquiry and i think this is a Sequental explanatory design - which involves the collection and analysis quanti data followed by collection and analysis of quali. the priority is given to quanti and findings are integrated during during the interpretation phase of the study....DOES IT SEEM RIGHT TO YOU??? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604743 2016-12-04 16:39:25 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141604743 stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141605459 I'm not completely convinced that any of this is quantitative to be fair! The survey questionnaires were in those smiley face formats, agree, neither agree nor disagree etc, so its not actually objective hard facts or data. And it says they analysed the survey data and produced descriptive data - which I wouldnt say that true qualitative numbers would do?? ]]> 2016-12-04 16:48:58 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141605459 stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141605845 There is also a limitation in that it doesnt mention if the two case study homes are in the same or different commissioning groups - because we all know that what you get in Norwich, you might not get in South Norfolk dependant on the CG or PCT running it!! So it might not be fair to compare them. ]]> 2016-12-04 16:54:29 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141605845 it says they are both from northern england so probably the same group...i think anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141605997
But one is rural and one is city? (SA)]]> 2016-12-04 16:56:52 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141605997 Seminal study stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606019 A seminal study (which this paper was built on) is an important study which highlights new thoughts and ideas and is usually a basis for further research]]> 2016-12-04 16:57:15 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606019 Choosing the homes to study stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606302 Am I right that the choice of the two homes to use was decided by an 'external stakeholder' i.e. could have been CQC or local authority? They are hardly going to let you use a 'poor' care home to study, but actually they are the homes who you would really get good info from, particularly on trying to get help and support. ]]> 2016-12-04 17:00:57 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606302 Nursing homes stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606381 And whilst on that subject, how can they say in the limitations that really they think this can be generalised to residential and nursing homes as one, when we all know that we dont go to nursing homes without charging them, as the funding structures are completely different, and look at how much they charge, they should be paying for things!]]> 2016-12-04 17:02:12 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606381 surely this is not objective ....and there is a form of bias...i mean how can you study a home, where you already know what the outcome will be? x A anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606455 2016-12-04 17:03:21 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606455 Literature review? any thoughts about that? I find it difficult xxx AL anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606748 The background has a LOT of references in it, but also mentions that it build on from a study done before (10 years before?) so does that indicate a literature review, just not set out in its own heading? SA
 thats the literature review....but then again, when you read articles on critiquing research papers, depending on the paradigm the literature review looks different, some starts at the begining, some after findings...AL, this is confusing AL

]]> 2016-12-04 17:07:41 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141606748 'Tools' and planning stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141607271 Not both homes were using the same techniques, and werent really like for like, although they wanted a rural and a city, they had different numbers of beds, and also one had a continuing care centre, so it IS going to get more help from the outside agencies. (SA)]]> 2016-12-04 17:14:46 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141607271 Survey stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141607363 Also, the difference in the sizes of the homes surveyed wasnt a match, ranging from 19 beds to 100+ beds. And I think that the number of residents would equal more knowledge of where to get support. SA]]> 2016-12-04 17:16:02 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141607363 number of beds is important, and they also should look at the staffing level, if you got more residents and not adequate level of staffing, you will provide lower standard of care...so sampling in this occassion was a failure? AL anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141608175 2016-12-04 17:25:40 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141608175 would it be more appriopriate to survey relatives? they would look at it from more objective point of view? AL anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141608322 2016-12-04 17:27:23 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141608322 stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141609506 I'm starting to think ALL research is a pile of reindeer do-do LOL :) (SA)
hhaha me too AL]]> 2016-12-04 17:44:45 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141609506 but yes....as a nurse who needs to critique research and develop her practice on that!!!......this research is out of date as LCP has been stopped as it was widely abused as a tick box excersice AL anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610187 2016-12-04 17:54:28 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610187 Research philosophy stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610188 I would say both are interpretivism?  "This philosophy relates to the study of social phenomena in their natural environment" 
Both are studying social subjects - social interactions within the environments to which the studies relate? What do you think? (SA)

interpretivism relates to quali...but we have quanti here as well, im confused AL

I don't think it's absolutely pure quantitative, if you can call it that at all!! I don't regard it as mixed methods for any reason other than they used two methods to get data!!!! SA

oh i know its a mixed method, but even survey has element of quali...A]]> 2016-12-04 17:54:28 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610188 lisabiles https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610432 I've only just managed to read this paper for first time...omg I don't know what else to say! LB

any questions? or what you dont like about it? I think it is not clear and difficult to read ...but it might be just me a thought of polish girl xx AL]]> 2016-12-04 17:58:20 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610432 lisabiles https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610998 Sorry not sure how to add on to others. I found it very hard to read! I don't like quantitative ive discovered but that's probably to do with all the numbers! 
I need to read it all again (can't wait) 

i will read it probably hundered times more to get my head around it....AL

]]> 2016-12-04 18:05:33 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141610998 Lit rev lisabiles https://padlet.com/stephattew/lrdw3vcr73sd/wish/141611247 Not sure if one has been done as it says there ]]> 2016-12-04 18:08:45 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141611247 lisabiles https://padlet.com/stephattew/lrdw3vcr73sd/wish/141611323 Was another study done but does that mean lit rev? 

i think because you have so many references in the intro, as steph said ...thats the lit rev

Ah I'd not read everything from this Padlet yet. Yes I see what u mean

]]> 2016-12-04 18:09:42 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141611323 SAMPLING anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141612244 would you say it was cluster sampling or purposeful sampling? AL

It says purposeful sampling later on in the conclusion I think (SA)

]]> 2016-12-04 18:23:38 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141612244 they said they used 2 in depth case studies, but as a data collection they have used just an interview of 17 people, which might be too many for a quali research, also case studies use a multiple sources of data collection: observations, interviews, documentation and then you put all this data from different sources together like a puzzle to draw the analysis AL anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141689916
And they didn't use the exact same people to interview in each case study, one had two missing from the external interviewees and the other had one missing from the case study home staff.... and the external interviewees were 'chosen' by the care homes too.. SA]]> 2016-12-05 10:34:26 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141689916 does it actually says how long the whole process took? AL anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141693242 Not that I saw SA]]> 2016-12-05 10:51:53 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141693242 keza_birch https://padlet.com/stephattew/lrdw3vcr73sd/wish/141880460 both studies are qualitative phonomonenons  which can be isolated in to multiple variables. due to this they must be approached in a holistic  manna, paradigm.
both case homes came to difficulties when gaining knowledge of and of life care. 
the  city car home  manages encouraged staff although moral was high the turn out was low. why???
the rural care home manager attended to implement the LCP,  but was brought to an end as the as the PCT facilitator contract was ended in 2008. 
I consider these as limitations and themes.
what do you think, or am I cmpletely of tract?

Depends - are you trying to answer a question? It's a bit descriptive, all these things are in the paper, you need to critique it / critically analyse it like where you say 'why?' SA ]]> 2016-12-05 20:38:49 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141880460 stephattew https://padlet.com/stephattew/lrdw3vcr73sd/wish/141903170 Definitely interpretivism I feel? Anyone else? 

Im absolutely confused about that AL]]> 2016-12-05 23:10:57 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141903170 WRITING STYLE: is the report well written and organized anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141942265 In my opinion the report is well written, there is no jargon although organization of the report could have been better. It is a mixed method inquiry, where quanti survey was performed first and in addition to that were two quali case studies, this makes me think it will be sequential explanatory design, which says quanti data collection first, followed by qauli. Although in conclusion it is mentioned it was EXPLORATORY study. It is then? Exploratory, which is other way round, quali first followed by quanti AL]]> 2016-12-06 08:25:12 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141942265 AUTHORS: Do the researchers have a degree of knowledge and expertise in this field of study? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141944144 Absolutely yes, they do AL]]> 2016-12-06 08:37:15 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141944144 REPORT TITLE: is the title of the report clear and unambiguous? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141944392 I think the title is clear and states exactly what the research gonna be all about AL]]> 2016-12-06 08:39:18 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141944392 ABSTRACT: does the abstract offer a clear overview of the study including stating the research problem, sample, methodology, findings and recommendations? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141945074 research problem: yes, to identify external influences on the quality of end-of-life care in nursing homes.
sample: we know who took part in the research, however i think that interviewing external staff forms a visible bias, where the research question is do nursing homes have the support they need? External staff would not answer questions objectively, because they are the ones who suppose to give this support...in my opinion
methodology: yes, clearly stated, methodology and methods
findings and recommendations: yes, findings are there, however, not recommendations, they are in the conclusion AL]]> 2016-12-06 08:44:41 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141945074 PURPOSE/RESEARCH PROBLEM ADDRESSED: is the purpose of the research/ problem clearly identify? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141947097 yes it is: the aim of the study was to identify key factors in the wider health and social care system influencing the quality of end-of-life care provided in nursing homes AL]]> 2016-12-06 08:59:57 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141947097 EVIDENCE OF FOLLOWING THE PROCESS OF RESEARCH: does the research follow steps of the research process? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141948029 Do we mean a Research Onion here??????? HELP!!!]]> 2016-12-06 09:07:49 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141948029 LITERATURE REVIEW/BACKGROUND TO STUDY: Is the review logically organized? How balanced it is? How recent are the references? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141950130 the literature review is performed throughout the report, in the introduction, followed by discussion and conclusion. I think it provide an overview of the issue, it also mentions of the previous studies being undertaken and seminal study, which as steph mentioned earlier is the study that this research have been based on. however , it is not mentioned , which databases has been used to conduct the search about the topic. The references are a bit out of date....it says it may happen if the seminal study was conducted some time ago (which is 10 years), however, there is a reference from 1999, about dementia and to my opinion this is far out of date. AL]]> 2016-12-06 09:22:05 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141950130 THEORETICAL FRAMEWORK TO INFORM THE RESEARCH: has a conceptual or theoretical framework been identified? is it adequately described? is it appropriate? anna_liput https://padlet.com/stephattew/lrdw3vcr73sd/wish/141961780  ?????????????????????????????????????????????????????

Just read an article about mixed method design in research and it say there "This integrative methodology is consonant with the world-view of pragmatism - a leading foundation for mixed method research - where the focus is on the problem in its social and historical context rather than on the method, and multiple relevant forms of data collection are used to answer the research question(s) (Creswell, 2007)" AL

Pragmatism - the importance of research is in the findings practical consequences. It consider that no single view point can ever give the entire picture and that there maybe multiple realities

Would you agree???? AL]]> 2016-12-06 10:22:49 UTC https://padlet.com/stephattew/lrdw3vcr73sd/wish/141961780